• Welcome to our healthcare knowledge. Here you can find healthcare reliable information from the hospital to help educate yourself
  • Welcome to our healthcare knowledge. Here you can find healthcare reliable information from the hospital to help educate yourself
  • Welcome to our healthcare knowledge.Here you can find healthcare reliable information from the hospital to help educate yourself
  • Welcome to our healthcare knowledge. Here you can find healthcare reliable information from the hospital to help educate yourself
   
 
         
         
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InterStim® Therapy

InterStim Therapy can help you stop looking for a bathroom start living your life

Here, you can find information to help you better understand your options if you are considering InterStim Therapy for the treatment of bowel control problems.

Please click on the topic to read more detail about InterStim Therapy:

InterStim® Therapy

 

What Is InterStim® Therapy?

Health Knowledge

The InterStim neurostimulator is a tiny device that is inserted under your skin, usually above your buttocks. It sends mild electrical pulses to the nerves in your back that control your bowel, rectum and bladder. The neurostimulator works by stimulating your sacral nerves, helping you regain control of your bowel functions. If you have bladder problems as well as constipation, these can be treated at the same time.

To help discover if InterStim Therapy is right for you, Medtronic has created an evaluation programme. You and your doctor can try InterStim Therapy without making a big commitment.

The evaluation of InterStim Therapy is done with the Verify™ Evaluation System and involves placing a thin wire under the skin in your lower back. The wire is connected to a small external neurostimulator, the Verify ENS, which you wear on a belt. The Verify ENS sends mild electrical pulses through the thin wire to your sacral nerves to check if those pulses can get your bowel working the way it should. During the evaluation phase, which typically lasts several days, you can continue many of your daily activities with caution.

With sacral neuromodulation InterStim II, a small device, just a little bit bigger than a 2 euro coin, is surgically implanted to stimulate your sacral nerves with mild electrical pulses. The sacral nerves control your bladder and bowel. InterStim therapy is used to treat overactive bladder, urinary retention, faecal incontinence and constipation. If you have not experienced success with more standard treatments, this reversible treatment may be a good option for you.

 

How it works?

Health Knowledge

The sacral nerves control your bladder, your bowel, your rectum and the muscles related to urinary and anal functions. By stimulating these nerves with a mild electric current, the neurostimulator helps your bowel, rectum and bladder to work as they should.

 

The InterStim Therapy system consists of:

Health Knowledge
  • The implantable neurostimulator, which is like a pacemaker, implanted under the skin.
  • A thin wire that carries the mild electrical pulses to the nerves controlling the pelvic floor, including the bowel and the bladder.
  • A hand-held patient programmer that allows you to adjust the strength of the stimulation and to turn the system on or off.

Sacral neuromodulation may help you to regain control and avoid the embarrassment and frustration of bladder and bowel problems.

 

Benefits

Health Knowledge

If you’ve tried other treatments for your bladder or bowel problems without success, or you’ve experienced intolerable side effects from medications, sacral neuromodulation with InterStim Therapy may provide you relief from your difficulties with overactive bladder, urinary retention, fecal incontinence or constipation.

Sacral neuromodulation (also called sacral nerve stimulation) is reversible and can be discontinued at any time. People who have had InterStim Therapy for faecal incontinence have reported:

  • Improved quality of life.
  • Complete freedom from incontinence episodes or a dramatic reduction.
  • Freedom to live without worry of leaks.

People who have had InterStim Therapy for constipation have reported:

  • Major improvements in the number of bowel movements per week
  • Freedom from abdominal pain
  • Improved quality of life.

People who have had InterStim Therapy for overactive bladder have reported:

  • Major improvements in the number of incontinence episodes each week, with a large number of people being completely free of incontinence.
  • A major reduction in the number of times they have to visit the toilet each day.
  • Improved quality of life.

People who have had InterStim Therapy for urinary retention have reported:

  • An increase in the amount of urine produced on each visit to the toilet.
  • Freedom from catheterization.
  • Improved quality of life.

You and a doctor can test InterStim Therapy without making a big commitment.

The evaluation involves placing a thin wire under the skin in your lower back. The wire is connected to a small external neurostimulator (ENS, the so-called Verify Evaluation System), which you wear on a belt. The Verify™ ENS sends mild electrical pulses through the thin wire to your sacral nerves. Those pulses may get your bladder and/or your bowel working the way it's supposed to. During the evaluation, which typically lasts several days, you can continue many of your daily activities, with caution.

 

Risks

Health Knowledge

As with any medical treatment, some people may experience some of the following side effects with sacral neuromodulation:

  • Pain where the device is implanted.
  • The electrodes change position in the body.
  • Infection or skin irritation.
  • Technical problems.
  • Adverse changes in bowel or bladder function.
  • Numbness at the neurostimulator site.
  • Undesirable stimulation or sensations.
  • The number of people with these side effects has been very low and in almost all cases they were solved. So you need to talk to your doctor about your experience.

 


Remark:

  • This information should not be used as a substitute to consultation from a physician. Always talk with your doctor about diagnosis and treatment information.
  • The service center is Bangkok-Phuket Colorectal Disease Institute of Bangkok Hospital Phuket.
  • For more information or make an appointment, please contact us at info@phukethospital.com
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