Recently, a 60-year-old woman underwent a permanent bladder pacemaker implantation in the Department of Urology at Beijing Chaoyang Hospital, and on the first day after the surgery, she was able to move around on the ground and was discharged on the second day after the surgery. The reporter met Zhang Da Ma in the urology clinic of Beijing Chaoyang Hospital today for a post-operative review. Talking about the results of the surgery, Da Ma couldn’t stop smiling and said, “There is no annoying urgency to urinate, and I don’t pee my pants anymore, so now I can go out to buy food and walk around, and I feel like a new person.” Zhang Da Ma, 7 years ago got a strange disease, the number of times a day urination is particularly large, at first when the interval between two urination during the day can barely adhere to a 1-2 hours, night up a 2-3 times, life is not too affected, the last 2 years symptoms are getting more and more serious, before hospitalization during the day to hold urine for up to 30 minutes must go to the toilet, and a desire to urinate must go, do not go to be sure to pee pants, night up to 5-6 times, and from time to time, also to go to the toilet. -She had to get up five to six times at night and occasionally wet her bed, which greatly reduced her sleep time and quality and kept her awake all day long. Before she was hospitalized, she basically didn’t dare to go out, she couldn’t even go to the market under the building, if she went out she wore dark pants, so that if her pants were wet others wouldn’t see it, even if she went out she had to find the location of the toilet in advance before she dared to go out, the radius of her life was getting smaller and smaller, she felt that living in an invisible cell every day was very meaningless. The children of Zhang Da Ma also took her to seek medical help, and went to many major hospitals, initially mistaking her for a urinary tract infection, and after repeated anti-inflammatory treatment, she was basically ineffective, and was best diagnosed as suffering from overactive bladder (OAB), and was given symptomatic oral medication, which had some effect, but still had significant urinary frequency, urgency, increased nocturia and urinary incontinence, plus serious drug side effects that made Da Ma The side effects of the medication made her give up her confidence to continue treatment. After many inquiries and introductions, Zhang’s children learned that Dr. Zhang Peng, deputy chief of Beijing Chaoyang Urology Department, could solve the problem by implanting a minimally invasive procedure called “bladder pacemaker”, so they came over to ask about it with the idea of trying it out. Dr. Zhang Peng received her and gave her and her family a comprehensive explanation of the bladder pacemaker technique for the treatment of intractable overactive bladder and urinary incontinence. After deliberation, the family decided to try a minimally invasive surgical approach. After the Phase I test electrode implantation treatment, within 1 week, she had a miraculous reduction of nearly 80% of her annoying symptoms, her urinary urgency was significantly reduced, and she was able to go out for grocery shopping and walking again. After careful consideration by the family, she gladly underwent the follow-up surgery for the implantation of a stage II permanent pacemaker. The good results of the previous surgery have been maintained and her life has changed completely! ”This minimally invasive surgical method for the treatment of intractable urinary urgency and urge incontinence has actually been performed in Europe and the United States for nearly 15 years, with a cumulative number of over 170,000 implantations worldwide, making it a very mature technique with recognized, long-term stable postoperative efficacy, and an effective second-line treatment for overactive bladder disease after pharmacological treatment has failed. ” Dr. Peng Zhang, deputy chief physician of the Department of Urology at Beijing Chaoyang Hospital, told reporters. Overactive bladder disorder (OAB) is a benign condition characterized by frequent urination, urgency, increased nocturia, with or without urge incontinence. Its currently accepted prevalence is about 9%, with a similar proportion of men and women, but dry OAB is predominant in men (i.e., only urgency without incontinence), while wet OAB is predominant in women (urgency with urge incontinence). The incidence of OAB increases with age in both male and female patients. The treatment of OAB is firstly controlled by behavioral control (including reduction of water consumption, weight loss, smoking cessation, appropriate urine holding, less or no coffee or other stimulating foods, etc.); secondly, it is treated by oral medication, and the most commonly used drugs in China include tolterodine, Weixikang and other drugs. These drugs have serious side effects such as dry mouth, dry eyes, constipation, difficulty urinating and even urinary retention. A small number of patients are unable to tolerate such drugs or take them ineffectively, thus leading to the failure of conservative treatment. For this group of patients, it is necessary to resort to a bladder pacemaker. It is a minimally invasive implantable, programmable, small stimulator that is placed in the thick area of the buttock muscles and is used to treat overactive bladder (including frequent, urgent, and urge incontinence), non-obstructive urinary retention, intractable pelvic floor, pain, and intractable constipation that are ineffective or intolerant to conservative treatment. pain, intractable constipation and fecal incontinence, and other functional disorders. The bladder pacemaker is a new type of minimally invasive treatment, which can be completed under local anesthesia, with only a small incision of about 5-7 centimeters on the buttocks, which does not affect eating, drinking and activities before and after the surgery, and does not require a family member to accompany the patient after the surgery. In recent years, it has been hailed in Europe and the United States as a revolutionary approach to traditional treatment methods. Pacemaker implantation is performed in two phases under local anesthesia. Phase I is the experiential implantation phase, in which the sacral nerve stimulation electrodes are implanted and a temporary external pacemaker is attached for 1-2 weeks to allow the patient to fully experience the benefits of the treatment in order to decide whether to proceed to phase II implantation. Once the results of the phase I implantation are satisfactory, permanent pacemaker implantation can follow. All of these procedures can be terminated at any time if the patient wishes, which is particularly important when compared to other non-reversible open surgery procedures. The Functional Urology Unit of the Department of Urology at Chaoyang Hospital is a traditional specialty of the Department of Urology, and its related medical equipment, experience and number of patients treated and the difficulty of treatment are all at the leading level in China. Especially for the group of patients characterized by persistent urinary frequency, urinary urgency, and urge incontinence has a miraculous effect. This work is in the hands of Dr. Peng Zhang, deputy chief physician, and the department has now been the first in the country in the number of bladder pacemaker implantations for two consecutive years (2013-2014,2014-2015). We hope more patients will understand and know about this therapy to get rid of the embarrassing urinary urgency and incontinence as soon as possible and gain a better quality of life.