The Department of Urology successfully performed a case of implantable programmable sacral nerve electrical stimulation (Interstim) on July 27, 2015. Sacral nerve electrical stimulation is a new minimally invasive treatment that has been hailed as a revolution of traditional treatment methods. It is particularly suitable for patients with various diseases causing urge incontinence, urinary frequency and urgency syndrome, and non-obstructive chronic urinary retention. InterStim therapy is a two-step process: test stimulation and surgical implantation. If the patient is able to obtain symptom relief during the test stimulation, the implantation of the entire system is appropriate. In June of this year, the Department of Urology saw a 15-year-old high school student who was a good student in school. However, one year ago, a lumbar spine slipped and caused sacral nerve dysfunction, difficulty in urination, and weakness of the lower extremities. He could only use adult diapers daily, living a miserable life, and his personality became introverted and low self-esteem. After visiting the Department of Urology of the Ninth Hospital, Director Cai Zhikang drew up a detailed surgical plan for him. After the stage I surgery to implant electrodes through the sacral hole, a temporary electrical stimulator was implanted for continuous electrical stimulation. Then another stage II surgery was performed to implant the long-acting stimulation system, and after treatment, the patient regained confidence in life.
The development of this technique provides a new treatment area for some patients with neurogenic bladder and refractory overactive bladder, which are relatively headaches in clinical practice, and reflects that our urology department is in the leading position in China in the functional repair of the lower urinary tract and urinary control treatment.