Anyone have sacral neuromodulation (InterSTIM) for bladder issues?

Posted by cindybp @cindybp, May 16, 2024

I have a neurogenic bladder with idiopathic urinary retention. I’ve had two cystoscopies that were negative for problems except my bladder is floppy and enlarged. I’ve been through urodynamics and my bladder has limited functionality. They’ve recommended the MedTronic InterSTIM (I believe that is correct).

I’m reluctant to proceed with this because I want to know what caused this problem. Is it the same reason I have IBS-C? I understand idiopathic means they don’t know why, but I don’t want to focus on the problem if it’s part of a bigger picture. Is it possible I have a neurological disease like Parkinson’s or MS?

I’d sincerely appreciate hearing from others who’ve experienced this?

Interested in more discussions like this? Go to the Bladder Conditions Support Group.

Profile picture for jerseymom71 @jerseymom71

@heaviside
My first one was in 2022, and I had to manually charge my device once a week. I started to have some issues with the charging lasting the full week, and they came out with a new one that had a battery ( 5yr life), so I upgraded. The upgraded one within a short time started to malfunction and shock me Periodically. I would have little black marks from it all over my back side, and if you were quite around me you could hear a noise coming from the area of the battery. My new one is great so far and its been almost a full year now. This new one allows me to have x-ray without turning it off, and has a MRI option. This was a big thing for me, as I was afraid if I needed to have urgent medical care and no one knew, the outcome wouldn't be in my favor. The only down side I have is that I get numerous UTI's now( about a dozen each year). so I'm constantly on Nitrofurantoin Monohyd to clear them up quickly.
Even with everything, I'm beyond happy with my choice.

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@jerseymom71
hi Jerseymom71

thanks a lot for your reply. I have decided not to do the STIM because in the one week trial I got no improvement in my urinary frequency at night. I am going to go to a botox injection and see how that works

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I am an 88yr old female who had hoped for fecal incontinence over urinary, so was excited to learn about the Interstim Device. My first surgery is scheduled for the implant on 4/27, the second on 5/7. However, now that I've read what others have experienced, plus learning more about the facts of this device, I've decided to cancel altogether. One of the reasons is that I am VERY thin, so where would the implant go? I am also very active & have decided that this is just not what I should be doing, too many possible complications!

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Profile picture for ging3 @ging3

I am an 88yr old female who had hoped for fecal incontinence over urinary, so was excited to learn about the Interstim Device. My first surgery is scheduled for the implant on 4/27, the second on 5/7. However, now that I've read what others have experienced, plus learning more about the facts of this device, I've decided to cancel altogether. One of the reasons is that I am VERY thin, so where would the implant go? I am also very active & have decided that this is just not what I should be doing, too many possible complications!

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@ging3
You made a very good decision! At our age, (I'm 79) it's not a good idea to have any surgerical procedures unless it's a life threatening situation! Our bodies just don't recuperate that well anymore. I am incontinent and just live with it. They had a medication that worked for 9 years but now they don't give it out anymore! So I just cope with the pads and not venturing out a whole lot where there isn't a bathroom handy.
It's good that you are active! That's important to good health.
I wish you the best.
PML

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Profile picture for pml @pml

@ging3
You made a very good decision! At our age, (I'm 79) it's not a good idea to have any surgerical procedures unless it's a life threatening situation! Our bodies just don't recuperate that well anymore. I am incontinent and just live with it. They had a medication that worked for 9 years but now they don't give it out anymore! So I just cope with the pads and not venturing out a whole lot where there isn't a bathroom handy.
It's good that you are active! That's important to good health.
I wish you the best.
PML

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@pml
I recently did the stim test. I noticed a big improvement in urinary & fecal issues. The only problem I had was that it was very uncomfortable & hard to sit. Even when the test was over & wires taken out, I had some pain by my tail bone. Is that usual? Would it be like that with the implant also? I’m trying to makeup my mind about doing this.

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Profile picture for chicagogirl48 @chicagogirl48

@pml
I recently did the stim test. I noticed a big improvement in urinary & fecal issues. The only problem I had was that it was very uncomfortable & hard to sit. Even when the test was over & wires taken out, I had some pain by my tail bone. Is that usual? Would it be like that with the implant also? I’m trying to makeup my mind about doing this.

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@chicagogirl48
That's nice that the test you had helped you. However it's too bad you were uncomfortable afterwards. Did you ask your doctor about it?

Before you do the implant you might want to give that area of your body a rest for a while. Also do some research and see what side effects you can expect. The Mayo Clinic website is a good place to get that information.

Prayer always helps. After all God made you and he can fix you. I'll say a prayer for you also.
PML

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Profile picture for cdhmri5 @cdhmri5

@cindybp Hi, I just had the Interstim surgery this past Monday 9/22; it is working, but I need to wait for my post op appointment to start making adjustments. During my initial trial, I did feel about a 50% improvement in my frequency/urgency symptoms, but so far post surgery it's not been that good... again, hoping for better performance once we start making adjustments.
I see you wrote this back in May, have you had surgery since then?

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@cdhmri5 It's coming up to 1 year now since your Interstim surgery, how has it worked out for you? Thanks in advance for your reply.

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I have a neurogenic bladder and I had a second opinion about what else I could do besides straight cath. She said the interstem but I decided I didnt want that

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I have got the InterStim since last June. I’m able to void a lot better, but unfortunately still need to catheterize at least four times in 24 hours. And, having a hard time with recurring UTI.

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Profile picture for jerseymom71 @jerseymom71

@cindybp
Hello Cindy,
My name is Heather, and I currently have InterStim. I'm currently on my third Medtronic Sacral Neuromodulations Therapy devices. The latest implant date for me was 10/2023.

So, I'm happy to help answer any questions you may have.

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@jerseymom71 Hi I am getting one this Thursday ,, are you happy with your ? any problems

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Hi I have one, got the implant last June. I’ve experienced improvement with the amount I void on my own, but I still need to catheterize several times a day.

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