If you have bladder control problems you are not alone. Roughly 12.2 million Americans suffer from problems related to an over active bladder buy dihydrocodeine uk which encompasses only a portion of bladder control problems.

To treat these types of problems people often try a variety of things from adult pads to medication, but in some cases these things just aren’t enough. These problems can sometimes be due to a miscommunication between the brain and the controlling nerves of the bladder. If this is the case InterStim Therapy may be an option for you. IterStim Therapy is a two step, proven neuromodulation therapy that was approved by the FDA in 1997 for urge incontinence and in 1999 for urinary retention and urgency-frequency. It works by targeting where the miscommunication is in the sacral nerves and stimulating them with a mild electrical pulse at an intensity appropriate for each patient.

The first step is the trial or test phase, to make sure that the interStim is an appropriate option for the patient. The first step of the test phase is performed at your physicians office or as an outpatient procedure and usually takes twenty to thirty minutes and will include you lying face down and receiving a local anesthetic, such as Lidocaine, to numb your skin where the work will be preformed, then a needle and lead (a thin, insulated wire with electrodes at the tip) will be inserted into the sacral foramen (the appropriate sacral nerve in the lower back) on the left or right side. Once the appropriate intensity is found a lead wire is threaded through the needle and the needle is removed leaving the temporary lead wire in place which is then connected to an external control device that is outside of the body for the patient to use while at home. During the test, which is typically three to seven days, you will record your bladder symptoms and if they decrease by 50% and you and your doctors are happy with the results, you may decide to move on to step two which is the implantation of the InterStim neurostimulator.

Step two is when the actual InterStim unit is implanted in the sacral nerve. This step requires an extensive physical, and typically requires an over-night stay in the hospital. During this procedure you will be asleep and the doctor will remove the external controller in exchange for an internal one that is preset by your doctor, however the patient will be able to control to a certain extent and turn on and off the InterStim with a wireless remote

InterStim is not recommended for people who suffer from stress incontinence, mechanical obstructions, have internal screening or implanted therapy devices such as a pace maker, did not demonstrate a proper response to the test stimulation or are unable to operate the neurotranstimulator. As always it is best to consult with your doctor to determine the best treatment or combination of treatments for you.

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