Question 1

What is sacral neuromodulation?

Accepted Answer

Sacral neuromodulation is a form of nerve stimulation therapy that targets the sacral nerves, which control bladder and bowel function. The InterStim system delivers mild electrical impulses to these nerves to help normalize communication between the pelvic organs and the brain.

Rather than treating symptoms alone, sacral neuromodulation addresses the underlying nerve signaling dysfunction that contributes to bladder and bowel problems.

Question 2

What conditions does sacral neuromodulation treat?

Accepted Answer

Sacral neuromodulation may be recommended for women with:

• Overactive bladder
 • Urinary urgency or frequency
 • Urge urinary incontinence
 • Non-obstructive urinary retention
 • Bladder symptoms that have not improved with medications, pelvic floor therapy, or PTNS
 • Certain bowel control disorders

It is particularly helpful for patients with symptoms driven by abnormal nerve signaling.

Question 3

Why is sacral neuromodulation recommended?

Accepted Answer

This therapy is considered when symptoms are persistent, significantly impact quality of life, or have not responded adequately to more conservative treatments. Sacral neuromodulation offers a long-term, adjustable, and reversible option for symptom control without relying on daily medications.

Question 4

How does the InterStim system work?

Accepted Answer

The InterStim system sends gentle electrical stimulation to the sacral nerves through a small implanted lead and device. This stimulation helps regulate nerve signals involved in bladder and bowel control, reducing urgency, leakage, retention, or frequency.

Patients do not feel pain from the stimulation; instead, many notice improved symptom control as nerve signaling becomes more balanced.

Question 5

What is the trial phase?

Accepted Answer

Sacral neuromodulation begins with a temporary trial phase to determine whether the therapy is effective for you. During this phase, temporary leads are placed, and symptom improvement is monitored over several days.

If significant improvement is achieved during the trial, patients may proceed to permanent implantation.

Question 6

How is the permanent device placed?

Accepted Answer

If the trial phase of sacral neuromodulation is successful, the permanent InterStim device is placed during a brief outpatient procedure. The procedure involves positioning a small lead near the sacral nerve and implanting the device under the skin, typically in the upper buttock area. The system is then programmed and adjusted to provide effective, comfortable stimulation.

This procedure is performed with precision and careful attention to anatomy to ensure optimal lead placement and long-term results. Dr Kristin Jackson is one of the highest-volume InterStim implanters in the country and has been performing sacral neuromodulation implantation for over 15 years. This level of experience allows for efficient placement, thoughtful programming, and personalized adjustments to maximize symptom improvement.

Patients typically go home the same day, and recovery is straightforward. Detailed post-procedure instructions are provided, and follow-up visits are used to fine-tune the device settings to ensure the best possible outcome.

Question 7

Does sacral neuromodulation hurt?

Accepted Answer

Most patients experience minimal discomfort during and after the procedure. Any post-procedure soreness is usually temporary and manageable. The stimulation itself should not be painful and can be adjusted to ensure comfort.

Question 8

Will I need anesthesia or a driver?

Accepted Answer

Sacral neuromodulation procedures are performed in the outpatient setting. Anesthesia type varies based on the phase of treatment and individual factors. You will be given specific instructions in advance, including whether a driver is required.

Question 9

What is recovery like?

Accepted Answer

Recovery is generally straightforward. Patients are advised to limit strenuous activity for a short period after the procedure to allow proper healing. Most daily activities can be resumed quickly, and detailed aftercare instructions are provided.

Question 10

Is sacral neuromodulation safe?

Accepted Answer

Yes. Sacral neuromodulation has been used safely and effectively for many years. Risks are uncommon but may include infection, discomfort at the implant site, or changes in stimulation that require adjustment. The system is adjustable and reversible if needed.

Question 11

Who is a good candidate for sacral neuromodulation?

Accepted Answer

Women with bladder or bowel symptoms driven by nerve signaling dysfunction who have not achieved adequate relief with conservative treatments may be good candidates. A thorough evaluation and trial phase help determine whether sacral neuromodulation is the right option.

Sacral Neuromodulation