March 31, 2015, Bangalore: Mrs. Aarti Mehra (name changed to protect identity), a 40 year-old housewife, suffering from over-active bladder (Urgency Frequency) over the past many years, received huge relief from InterStim technology, implanted successfully by Dr. T. Manohar, Urologist, Columbia Asia Hospital. The surgical procedure was conducted on 9th February, 2015.
Commenting on the patient’s condition, Dr. Manohar says, “The problem of uncontrolled bladder wasn’t just affecting the patient’s personal and social life but her health as well. However, unfortunately, due to common misconception that uncontrolled bladder is a gynecological problem she kept meeting gynecologists and her problem got aggravated over the years.
Mrs. Mehra lived with the issue of Urgency Frequency for the past many years. She had to rush to void her bladder every 20 minutes, which not only resulted in embarrassment, but also restricted her day-to-day activities, travelling and almost all kinds of social activities. Moreover, because of Urgency Frequency she could hardly get sound sleep at night.
Explaining her condition, Mrs. Mehra says, “With an over-active bladder I was practically living in my living room only. Nevertheless, I consulted doctors and tried other therapies like botox, but didn’t get any relief. It was then that Dr. Manohar and his team offered us the InterStim Therapy and educated my husband and me on the same. Being convinced, we decided to go ahead with this.”
The therapy helped Mrs. Mehra because like many such sufferers, her problem was neural and not relating to the urinary tract. This problem usually arises when the sacral nerves (S3), which control the bladder and muscles related to the urinary function, fail to communicate correctly with the brain and to tell the bladder to function properly. In the event that the nerves and the brain are no longer communicating effectively, resulting in a bladder disorder, Interstim is designed to imitate a signal sent via the central nervous system.
Commenting on the surgery, Dr. Manohar says, “InterStim Therapy modulates the sacral nerves with mild electrical pulses. This helps the brain and the nerves to communicate so the bladder and related muscles can function properly. This therapy has a trial/test phase and during this phase, the urinary flow and other effects of the stimulation are studied for nearly a week. If the response is good, the electrodes are permanently connected to a small neuro stimulator placed in the hip and the patient is given a wireless remote to regulate his urinary functions.”
However, in case of Mrs. Mehra, the voiding diary which she kept started showing remarkable improvement from Day 3 onwards; from 30 times a day to just about 10 times a day.
The InterStim technology put her life back on track. She is very happy that after many years she is now able to resume her normal personal and social life and most importantly can sleep peacefully at night — something she thought she may never be able to do again during this lifetime.