Overflow Incontinence Treatments

Overflow Incontinence Treatments for Men and Women Include:

• Pharmacotherapy which can include:

• Flomax (Tamsulosin)
• Rapaflo (Silodosin)
• Uroxatral (Alfuzosin)
• Cardura (Doxazosin)
• Hytrin (Terazosin)
• Among others .....

• Elimination of the blockage with medication or surgery, depending on the cause.

• Bladder Drainage, which may include:

• Catheter insertion
• Self intermittent catheterization
• Suprapubic tube insertion
• Urinary Diversion

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A catheter bag	A leg catheter system	A Foley catheter

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Suprapubic Catheter diagram	Suprapubic Catheter diagram on male	Suprapubic Catheter diagram on female	Suprapubic Catheter diagram on female external

• Interstim - which is also known as Sacral Neuromodulation - can be helpful for patients as well.

Sacral Neuromodulation is a proven treatment option for bladder control and bowel control. More than 150,000 patients worldwide have received Sacral Neuromodulation for bladder control and bowel control.

Sacral Neuromodulation is delivered via the Interstim system. This implantable system sends electrical pulses to an area near the sacral nerve to modulate the neural activity that influences the behavior of the pelvic floor, lower urinary tract, urinary and anal sphincters, and colon. Unlike oral medications that target the muscular component of bladder control, Sacral Neuromodulation offers control of symptoms through direct modulation of the nerve activity.

A distinct advantage of Sacral Neuromodulation is that it is tested for potential success prior to moving on to long-term therapy. The evaluation gives patients and physicians an opportunity to find out in as few as 3 to 7 days whether adequate symptom reduction is achieved. In this way, you are not committed if it does not work or if you do not like it!

Videos (click to open and play):

Bladder Overactivity, Sacral Neuromodulation and Interstim YouTube

Percutaneous Nerve Evaluation PNE also known as Interstim Trial YouTube

Stage Two Interstim Procedure YouTube

In-Office Percutaneous Nerve Evaluation YouTube

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Risks: Possible Adverse Events or Risks include:

• pain at implant sites
• new pain
• lead migration
• infection
• technical or device problems
• adverse change in bowel or voiding function, and
• undesirable stimulation or sensations.

Any of these may require additional surgery or cause return of symptoms.

Who should not receive Interstim Therapy:

• Those who need regular MRIs (head and neck are OK)
• Those who cannot or are unwilling to control the device by remote control
• Those who are regularly exposed to a magnetic field
• Those who receive regular Diathermy treatments
• Those with urinary blockage

Interstim and Sacral Neuromodulation information obtained from the Medtronic website.

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Interstim System

Basic Interstim Evaluation Animation (68.4 MB, no sound)

Full Interstim Implant (19.9 MB, no sound)

What Can I Expect After an Interstim Procedure? YouTube

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