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Interstim Therapy

Avg Price: $15000-$30000

Overactive Bladder is a Disorder that is characterised by sudden and frequent urges to urinate, resulting in urinary incontinence (the unintentional leakage of urine). Even ...
interstim-therapy-bladder-bowel-controlinterstim-therapy-bladder-bowel-control
  • 1-2 Weeks

    Treatment Time

  • 12-15 Days

    Recovery Time

  • 3-4 Days

    Hospitalization Days

  • Success Rate

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Interstim Therapy for Bladder and Bowel Control

95% Success Rate
11000+ Doctors
150+ Top Hospitals
250+ Surgeries
35+ Countries
95% Success Rate
11000+ Doctors
150+ Top Hospitals
250+ Surgeries
35+ Countries

Overview

Overactive Bladder (OAB) and faecal incontinence (FI) are two distinct but interlinked disorders that have a substantial influence on people's quality of life. These illnesses are more widespread than is widely recognised, despite the fact that they are often buried in secrecy and stigma.

OAB syndrome, affecting 11–19% of the global population, emerges as a barrier that obstructs social and daily activities like employment, travel, exercise, sleep, and sexual function. Urinary and faecal incontinence commonly coexist, particularly in the elderly. Around 30% of people over 65 suffer from such conditions. It may have an earlier impact on a woman's life than a man and affects more women than men.

Interstim Therapy has emerged as a game-changing therapeutic option with a ray of hope for those who have problems with bowel and bladder control. This novel FDA approved strategy attempts to improve the quality of life of patients suffering from illnesses such as overactive bladder (OAB), urine retention, and faecal incontinence.

With a high degree of expertise and understanding in the discipline of neurosurgery, India is home to about 1800 neurosurgeons. Various national institutions, including All India Institute of Medical Sciences (AIIMS), National Institute of Mental Health and Neurosciences (NIMHANS), and Postgraduate Institute of Medical Education and Research have exemplary infrastructure and training programmes. 

Moreover, multiple state-of-the-art corporate hospitals with extensive infrastructure and indisputable reputation reflect a huge potential of India to provide high end nerve treatments. Therefore, it is becoming easier every year to get the best doctor for interstim therapy and the best hospital for interstim therapy in India.

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Role of Interstim Therapy in Overactive Bladder and Faecal Incontinence Treatment

For those with Overactive Bladder (OAB) and faecal incontinence (FI), Interstim Therapy, also known as Sacral Neuromodulation, is a cutting-edge and successful therapeutic option. The goal of Interstim Therapy is to improve bladder and bowel control by stimulating the sacral nerves to modify the communication between the Brain, Spinal Cord, and Pelvic Organs.

Pre-Evaluation for Interstim Therapy

Pre-evaluations allow patients to test the interstim therapy to determine its efficacy, allowing them to make an informed decision with their physician about whether to proceed with implantation. In general, the examination is considered successful if the patient reports a considerable (50% or greater) decrease in symptoms and improved bladder and bowel control. The procedures included in evaluation appointment are:

1. Complete medical history review

2. Thorough physical examination

3. MRI & CT scan of the sacral spine

4. Basic Evaluation: It involves peripheral nerve evaluation which is typically used for bowel and bladder control evaluation. It involves a simple procedure through which the lead is placed in the upper buttock. This lead is connected to an external neurostimulator that the patient wears on a belt for up to 7 days (depending on physician guidance). The patient is told to complete a symptom diary that is eventually compared to a baseline (symptom diary prior to the evaluation).

5. Advanced Evaluation: It begins with an outpatient procedure in a hospital or surgical centre. During this evaluation, the patient again wears an external neurostimulator  for up to 14 days (depending on physician supervision). Symptom diaries are used to track progress.

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How is Interstim Therapy done?

After a successful trial during pre-evaluation with at least 50% clinical improvement in bowel and bladder control, the internal pulse generator (IPG) is implanted. To implant the IPG, the area of the previous gluteal incision is expanded and opened. The lead is inserted directly into the neurostimulator head of IPG. Because IPG dislocation is rare and to prevent a pulling or tugging sensation, it is often not sutured in the pocket. For device stabilisation and infection control, an antimicrobial mesh bag is sutured into the pocket.

Complications of Interstim Therapy

Like any medical therapy, InterStim Therapy has possible dangers and drawbacks. Before choosing the therapy, it's critical to have a thorough awareness of these potential concerns:

  • Lead Migration: The leads (electrodes) that are placed near the sacral nerves could potentially move from their original position or break.
  • Implant Site Pain: Pain, discomfort, or irritation at the site of the implant or along the path of the lead or wire is possible. This could be temporary or persist over time.
  • Infection: Infection at the site of surgery or around the implanted device is a possible complication. This could include superficial infections or deeper infections that affect the device itself. In some cases, the device may need to be removed if the infection is severe.

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Post-Procedure

In order to promote good healing, reduce complications, and maximize the therapeutic efficacy of Interstim Therapy to improve bowel and bladder control, post-procedure care is essential. Following are a few general recommendations for post-procedure care:

Wound Care: Following surgery, the surgical site will be covered with a bandage. Avoid removing or replacing the dressing. Keep the site clean.

Post-surgical pain management: Even though it is natural to feel some discomfort after surgery, the stimulation shouldn't cause much pain. Under medical supervision, take painkillers to get relief.

Stimulation: The "pulling" or "tingling" sensation felt in the pelvic region, which is close to the vagina, scrotum, or anal area, is called stimulation. It shouldn't cause pain at all. Reduce the stimulation if it hurts or if you feel the sensation of stimulation spreading down your legs. Then, reach out to your doctor immediately.

Physical activity: For 14 days following surgery, refrain from intense activities or heavy lifting. For two weeks following each surgery, only use a frontal shower or sponge bath. Wait till your post-operative appointment before immersing yourself in any water.

Symptoms to report: Reach out to your care provider if you experience severe or worsening of pain, high fever, chills, sweats, discomfort during urination, or device issues.

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Life after Interstim Therapy

People who get Interstim devices are able to accomplish things they couldn't do before, such take leisurely strolls through parks, see films in theatres or travel with significantly improved bowel and bladder control. You may need some time to become used to the therapy, but you should soon be ready to resume your regular activities. Following are the certain things that should be kept in mind:

  • Maintaining contact with your doctor about any queries or worries you have is crucial, even after you have fully recovered from surgery and returned to your regular schedule.
  • Some people claim that the inconsistency of their stimulation causes them to feel anxious. Remember that your doctor may have set your neurostimulator to switch on and off at regular intervals if this is a problem. Contact your doctor if you're not getting enough relief from your symptoms.
  • MRI technicians can safely perform an MRI head scan on patients with implanted Interstim systems when they adhere to specified guidelines. Full-body
  • MRI scans have the potential to seriously harm you or your equipment.
  • If a doctor orders an MRI head scan for you, be sure to let the MRI technicians and the doctor know in advance that you have an implanted device.

Success Rate of Interstim Therapy

Almost 80 percent of patients who received interstim therapy reported at least a 50 percent improvement in their leakage problems and bowel and bladder control in comparison to almost 50 percent of those who are on medication for overactive bladder. Patients experienced three times better improvement in their quality of life than ones who were taking medication for the same.

However, the success of the treatment largely depends on underlying medical condition, patient selection, and the skill and experience of the healthcare provider performing the procedure. As medical research and technology continue to advance, the success rates of this therapy might evolve over time.

Treatment Cost Analysis & Comparison for Interstim Therapy

The cost of Interstim Therapy can vary widely based on several factors, including the specific medical facility, location, healthcare provider fees, insurance coverage, the type of interstim device used, and any additional medical services or follow-up appointments required. 

However, the average cost of  interstim therapy in India is approximately  $25,000 to ₹ $30,000 which is fairly economical when compared to treatment costs in developed countries. There its starting cost is more than 20 lakhs.

Factors Affecting Cost of Interstim Therapy

The common drivers of the overall cost of Interstim Therapy are due to the following factors:

  • Hospitalisation: The major cost contributors are associated with the length of hospital stay, medical staff, rooms, laboratory, pharmacy, radiology, blood bank, and blood products
  • Patient's age and health status
  • Severity of overactive bladder or faecal retention
  • Post-surgical complications that are involved
  • Type of reimbursement (health insurance or out of the pocket expense)
  • Location or choice of city for the treatment

Cost of Diagnostics for Interstim Therapy

The cost of diagnostics of Interstim Therapy for overactive bladder or faecal retention may include various preoperative evaluations and tests that are typically conducted before the surgical procedure. It mainly requires an MRI and CT scan of the sacral spine. 

MRI scans of the spine might cost between 3000-8000 rupees and CT scan of spine might cost you between 3000-6000 rupees in India. However, the cost of these scans is determined by the scan type and machine quality (1.5 or 3 Tesla). Therefore, the total diagnostic expenses (including facility fees, specialists’ fees, and diagnostic tests) will be roughly around 30,000 INR. 

The price of a diagnostics for this procedure varies significantly depending on the following factors:

  • Facility type (public or private) 
  • City or patient's location

Our Services

MedFlick, your trusted healthcare companion, is dedicated to ensuring that your medical journey goes as smoothly and successfully as possible.

  • Individualized Guidance: Personalized guidance throughout your medical journey.
  • Access to a broad network of prominent hospitals, top doctors, and skilled surgeons.
  • Transparent and Competitive Pricing: A full breakdown of treatment costs that eliminates surprises and offers you cost-effective solutions.
  • MedFlick provides everything from travel arrangements to hotel and visa help to lodging.
  • Multilingual Support: Breaking down language barriers to allow patients and medical professionals to communicate more effectively.
  • The road to a successful overactive bladder or faecal retention treatment like interstim therapy is long and winding, full of hope, resilience, and the promise of a brighter future. With MedFlick as your guide, navigating this life-changing adventure becomes simple and liberating.

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Frequently asked questions

Who is the right candidate for InterStim Therapy for treating Faecal Retention?
Is the InterStim Therapy procedure the same for Faecal Retention as it is for Overactive Bladder?
Is InterStim Therapy reversible?
Are there any lifestyle changes I need to make after Sacral Stimulation for Faecal Retention?
How long does the Sacral Nerve Neuromodulation procedure take?
Is InterStim Therapy painful?
When will I start to notice improvements in my Overactive Bladder symptoms?
Is there a specific age range for patients who can undergo InterStim Therapy for Faecal Retention?
Can I have an MRI after Sacral Nerve Neuromodulation for Faecal Retention?
Will I need to adjust my diet after Sacral Nerve Neuromodulation for Faecal Retention?