What To Expect After The Device Is Implanted
Most patients will notice a slight pulling or tingling sensation, according to Medtronic, which manufactures the InterStim devices. These sensations should not be painful if they are, contact your doctor. Sudden movement can also cause a change in how the stimulation feels, because the device shifted in proximity to your sacral nerve. This doesnt affect the effectiveness of the stimulation has changed. After a few weeks, patients typically report they dont notice the sensation anymore.
The goal is for InterStim therapy to help patients return to their daily routines without worrying about bowel or urinary incontinence. A successful procedure should help patients be more confident of their ability to go through life, taking long walks, traveling or visiting a movie theater. Things that were difficult become possible, once patients are no longer worried about incontinence.
How The Procedure Is Performed
Unlike other bladder control treatments, InterStim lets you try it first with an evaluation. The evaluation is performed right in your doctors office and involves placing a lead in the upper part of your buttock. The lead then attaches to a small external device worn discreetly under your clothes.
Most patients can tell within just a few days if its working for them, though some evaluations may take up to two weeks. After the evaluation period, you and your doctor will decide if the long-term therapy is right for you. If it is, your evaluation device will be replaced with an implantable device called a neurostimulator during a short outpatient procedure.
How The Device Works
Once you and your provider decide that Medtronic Bladder Control Therapy is the right option for you, your board-certified urologist at Urology Care P. C. will implant the InterStim neurostimulator in your lower back near your sacral nerves. Since the sacral nerves control urinary function, sending electrical pulses to the sacral nerves can help send signals to your brain to control the muscles involved in urinary function.
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What Are The Benefits Of The New Interstim Systems For Patients With Oab Or Fi
Medtronic is the only company to offer patients the freedom to choose between a rechargeable or recharge-free sacral neuromodulation device to best match their preferences, lifestyle and treatment goals. Both InterStim Micro and InterStim II are full body MRI conditional, and deliver the same therapy and long-term relief.
The recharge-free InterStim II system is simple and convenient with lower maintenance and time commitments. This specific system gives patients the freedom from a recharging routine, the hassle of recharging components, and a reminder they have a disease.
The InterStim Micro rechargeable system is the smallest device on the market with the fastest rechargeability and is stronger than other manufacturers batteries. It features proprietary Overdrive battery technology a battery with virtually no loss in capacity over time. The new battery technology allows patients to choose how and when they want to charge their device from as often as once a week, or as infrequent as once per month, depending on the patients preference and device settings. There is no battery fade at 15 years* and patients can restart their therapy after extended breaks in time.
To help decide which system best fits your needs and lifestyle, please speak with our providers and watch the video below.
What Is Medtronic Bladder Control Therapy
Medtronic Bladder Control Therapy , delivered by the InterStim System, uses an implantable device that sends gentle electrical stimulation to the sacral nerves, located near the tailbone. The sacral nerves control the bladder and the muscles related to urination. If the brain and sacral nerves dont communicate correctly, the nerves cant tell the bladder to function properly. The gentle electrical stimulation from the InterStim System corrects this miscommunication.
Medtronic Bladder Control Therapy is an option for managing symptoms of urinary retention for people who have not found success with more conservative treatments, and whose urinary retention is not caused by a blockage such as cancer or an enlarged prostate.
Medtronic Bladder Control Therapy is reversible and can be discontinued at any time by turning off or removing the device.
Medtronic Bladder Control Therapy may help you resume normal activities, and help you avoid frustrating experiences associated with urinary retention.
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Medtronic Bladder Control Therapy Delivered By The Interstim System
THE RELIEF YOUVE BEEN WAITING FOR
When lifestyle changes and medications fail, Medtronic bladder control therapy delivered by the InterStim systems can help. This therapy is simple and discreet, and it delivers the kind of relief that lets you enjoy the activities you love without a second thought.
- Targets the nerves that control your bladder to help it function normally again
- 85% of people using the InterStim system achieved success in the rst year,4
- 3X greater improvements in quality of life compared to medications6
- Lets you see if it works before you and your doctor decide
- Allows you to get full-body MRI scans if you need them
- Hundreds of thousands of people have experienced relief with this safe, FDA-approved and minimally invasive therapy
THE CHOICE IS YOURS
- The recharge-free InterStim II system may be best for most people because its simple, convenient, and low maintenance.
- The rechargeable InterStim Micro system is smaller, lasts longer, and requires regular recharging sessions.
What Are The Symptoms Of An Overactive Bladder
Symptoms of an overactive bladder often include the following:
- Always looking for a restroom
- Needing to go too often during the day
- Waking up multiple times a night
- Frequently getting sudden or strong urges to go
- Suffering from embarrassing leaks or accidents
If any or all of these symptoms sound familiar, its time to schedule an appointment with the urologists at CSUA, as you may be struggling with overactive bladder .
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Interstim Implants For Urinary Or Bowel Incontinence
Incontinence is often the result of a miscommunication between the brain and the bladder and/or bowels. InterStim therapy, a type of sacral neuromodulation or sacral nerve stimulation therapy, works to re-establish this very important communication channel. Incontinence Institute offers three implanted sacral neuromodulation devices:
Finding A Discreet Consumer
For people with untreated overactive bladder or fecal incontinence, their world gets smaller and smaller, explains Jim Willenbring, senior director for digital health and patient operations at Medtronic. Their life starts to center on knowing the exact location of each bathroom between home and every place they frequent work, school, shopping centers, the gym.
Without treatment, the lives of people with these conditions can become tethered to bathroom locations, with many not wanting to leave home at all, suffering in silence and isolation due to fear of embarrassment.
Despite the success of this therapy, a stigma exists around acknowledging these pelvic health issues. The InterStim device helps alleviate the symptoms associated with urinary and fecal incontinence. But Medtronic believed it could do more to help patients. Medtronic sought to provide more options to manage the implant in the hands of patients and to add a consumer-friendly management device that wouldnt draw unwanted or unnecessary attention to the patients condition.
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Interstim Therapy For Urinary Incontinence
Urinary incontinence affects over 25 million Americans. A number of causes exist: injury or trauma to the pelvic region or back, enlarged prostate or prostate cancer, pregnancy or childbirth, neurological disorders, estrogen loss following menopause, other health conditions like multiple sclerosis or suffering a stroke.
Take our Urinary Incontinence Self-Assessment
What Are The Differences Between Axonics Interstim Ii And Interstim Micro
- About the size of a silver dollar, 44mm x 51 mm
- Doesnt require recharging
- Needs to be replaced about every five years
- Smallest SNM device available, 17 mm x 47 mm
- Requires charging for 20 minutes, once a week
- Needs to be replaced about every 15 years
- About the size of a quarter, 23 mm x 45 mm
- Requires wireless charging for about an hour, once a month
- Needs to be replaced about every 15 years
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How Does Interstim Micro Compare In Size To Other Neurostimulators
The InterStim Micro neurostimulator is about half the size of the other rechargeable device on the market.
The most common adverse events include pain at implant sites, new pain, lead migration, infection, technical or device problems, adverse change in bowel or voiding function, and undesirable stimulation or sensations. Any of these may require additional surgery or cause return of symptoms.
Visit Medtronic.com to learn more.
Side Effects And Complications Of Interstim Implantation
When discussing the risks of the Interstim for treatment of OAB symptoms, it is important to keep in mind that every medical therapy is associated with side effects. In this respect, the percentage of patients who experienced adverse effects with Interstim was 30.5% versus 27.3% of patients on medical therapy alone.
Rare complications of the procedure include undesirable stimulation resulting in small shock sensations and changes in bowel function. The electrical signal strength may need some fine-tuning in these cases, which will require a follow-up visit. Until the site has healed properly, you will be advised to take it easy and may need to limit your physical activity. But, the idea is that you can return to a better quality of life after everything heals. In fact, a study published in 2014 concluded that not just the physical symptoms, but other psychological factors, also improved after using Interstim. The women interviewed in the study were less depressed and their perception of body image had improved dramatically.
In general surgical risks include:
- Lead migration
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How Does Interstim Therapy Work
InterStim therapy works by stimulating the sacral nerves with tiny electrical pulses. In individuals experiencing urinary or fecal incontinence, the brain and the sacral nerves are unable to communicate properly. InterStim therapy attempts to better regulate the sacral nerves function, so the nerves can interpret signals from the brain and pass them on to the surrounding pelvic floor muscles. Mild electrical pulses help the nerves to function normally, much in the same way that a pacemaker uses electrical impulses to keep the heart beating on a steady, predictable rhythm. This restores normal bladder and bowel function.
As a result of the pulses from InterStim devices, the symptoms of an overactive bladder or bowel incontinence are effectively eliminated.
These devices are an option for patients who have not responded to more conservative treatments such as changes to diet, medication and physical therapy.
See If It Works For You
Unlike other bladder control treatments, our therapy lets you try it first. Its called an evaluation like a test run, not a long-term commitment.
- Starts with a short, in-office procedure
- Go about most of your regular activities for 3-14 days
- Track your symptoms to see if they improve
- Talk with your doctor about your results and find out if its likely to help you
Complications can occur with the evaluation, including movement of the wire, technical problems with the device, and some temporary pain. Your doctor or nurse will show you how to use the system, and inform you of any activity restrictions and other precautions related to the evaluation.
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Medtronic Bladder Control Therapy Delivered By The Nuro System
- Targets the tibial nerve to help you regain control of your bladder
- Does not cause unpleasant side eects like many oral medications can10
- Does not require self-catheterization, unlike injectable medications8
- Helps you live with less worry and more condence
The NURO system only treats the symptoms of OAB, not retention.
Most common side eects of PTNM are temporary and include mild pain or skin inammation at or near the stimulation site.
Step : Oral Medications
“Are there medications for OAB?”
When lifestyle changes fail to deliver the results you want, oral medications are the next step. These medications can help control symptoms, but may cause other issues.
You have to remember to take these medications every day. Some side effects can be unpleasant, such as dry mouth, blurry vision, constipation, and hypertension. Other side effects are more serious. In fact, limited study data suggests that one class of drugs for OAB may increase risk of dementia in elderly people.1
Even more important, these medications dont always work. In one survey, 72 percent of people said they stopped taking their medication after just six months.2
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Interstim Therapy Trial Period
InterStim II and InterStim Micro offer a trial device that simulates the actual, implanted device. This is called InterStim Stage 1. Receiving the trial device is a 15-minute, minimally invasive outpatient procedure where the doctor places a lead connected to a small, externally worn device. The external device is worn underneath the patients clothing.
Patients typically wear the trial device between 5-14 days to determine candidacy for a permanent device. During this time, patients log their symptoms to discuss with their doctors. They can continue about their normal activities and experience what it would be like to live with InterStim therapy, how it feels when activated, and if the permanent device will be able to reduce or eliminate their symptoms.
What To Expect During The Procedure
Implanting the InterStim neurostimulator is a minimally invasive surgical procedure. Your board-certified urologist will insert the lead near your sacral nerves. The other end of the lead will be connected to the neurostimulator. You will be able to control the neurostimulator with an external device that can adjust the stimulation or turn the device off.
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Who Should Consider Medtronic Bladder Control Therapy Delivered By The Interstim System
Medtronic Bladder Control Therapy delivered by the InterStim System may be an option for patients with overactive bladder and non-obstructive urinary retention. Patients should consider Medtronic Bladder Control Therapy after they have tried other treatments such as fluid and diet modifications, medications and behavioral therapy and they have not worked successfully or could not be tolerated.*
Medtronic Bowel Control Therapy for the treatment of chronic bowel incontinence should be considered after patients with bowel control problems have tried other treatments such as medications and dietary modifications and they have not worked, or were not a candidate for these treatments.
The InterStim System does not treat every type of bladder control or bowel control problem. For more information, please visit: www.medtronic.com
The Relief Youve Been Waiting For
- Targets the nerves that control your bladder to help it function normally again
- 85 percent of people with OAB using it achieved success in the first year4**
- 3X greater improvements in OAB quality of life compared to medications5
- Only therapy that lets you see if it works before you and your doctor decide
- More than 350,000 patients have received relief as a safe, FDA-approved and minimally invasive Bladder Control Therapy
- Recharge-free and rechargeable options let you choose the right device for your lifestyle
In addition to risks related to surgery, complications can include pain at the implant sites, new pain, infection, lead movement/migration, device problems, undesirable changes in urinary or bowel function, and uncomfortable stimulation . Talk with your doctor about ways to minimize these risks.
Quarter shown for size comparison
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How Long Has Sacral Neuromodulation Been Around
The InterStim System received its CE mark for the treatment of chronic intractable function disorders of the pelvis, lower urinary and intestinal tract in 1994. Today over 225,000 patient have been treated worldwide. It’s a proven treatment option for people who have not had success with more conservative urinary retention treatments.
What Are The Benefits And Potential Side Effects Or Complications Of Medtronic Bladder Control Therapy
Medtronic Bladder Control Therapy may reduce symptoms for many people who suffer from urinary retention. It can also significantly improve quality of life. Medtronic Bladder Control Therapy is reversible and can be discontinued at any time by turning off or removing the device. Unlike other surgical treatment options for urinary retention, Medtronic Bladder Control Therapy starts with an evaluation. During this evaluation you can experience how it feels and how it works, prior to going forward with the implant procedure.
Implanting the InterStim System has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimise these risks.
Medtronic Bladder Control Therapy might cause you to experience some of these side effects:
- Pain at the implant site or new pain
- Infection or skin irritation
- Interactions with certain other devices or diagnostic equipment
- Undesirable changes in urinary or bowel function
- Uncomfortable stimulation
Problems may be resolved with surgery, medication, or programming. These events may also resolve over time. There is a possibility that some may remain unresolved. See Important Safety Information for possible adverse events. Please consult your doctor. This therapy is not for everyone. A prescription is required.
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Medtronic Interstim Center Of Excellence
Oxford Urology Associates is extremely proud to announce that Dr. Land Renfroes Medtronic InterStim program has been officially designated as an InterStim Center of Excellence . The COE recognizes physicians who demonstrate exemplary use of the InterStim System and a commitment to patient care for those suffering from symptoms associated with Overactive Bladder, Fecal Incontinence and Non-Obstructive Urinary Retention.
The Medtronic COE program is designed to help patients find experienced physicians who show exemplary care with the InterStim system while also recognizing physicians for their exemplary care.
Interstim Bladder Control Therapy
If youre struggling with urinary control and the symptoms of overactive bladder, Medtronic Bladder Control Therapy may be able to help you.
Medtronic Bladder Control Therapy, also known as InterStim Therapy for Urinary Control, is used for the treatment of urinary retention and the symptoms of overactive bladder including urinary urge incontinence and significant symptoms of urgency-frequency. Generally, it is used for patients who have not responded to more conservative treatment options.