Physicians review that data to determine if the device is resulting in appropriate symptom improvement. For two weeks, the patient carefully tracks symptoms. The patient is sent home with a small external device connected to a wire coming out through a very small skin incision. In the operating room, physicians test the patient’s response to stimulation of that nerve. The InterStim procedure is completed in two separate outpatient procedures, says Sherif El-Nashar, MD, PhD, in the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, UH Cleveland Medical Center Associate Professor of Obstetrics and Gynecology, Case Western Reserve University School of Medicine.ĭuring the first procedure, physicians identify sacral nerve 3 (S3) and place a lead using x-ray fluoroscopy. University Hospitals Cleveland Medical Center physicians use InterStim to treat patients for all three of those indications and recently completed a clinical study that found the device is safe for use during pregnancy. Food and Drug Administration (FDA) approval for three indications: overactive bladder and urinary leakage, fecal incontinence, and incomplete bladder emptying. InterStim, a sacral neuromodulation device from Medtronic, has U.S. Innovations Obstetrics & Gynecology - Fall 2018 Sherif El-Nashar, MD, PhD Study indicates device is safe for pregnant women and shows no major change after childbirth
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