The bladder pacemaker is the most advanced treatment for voiding disorders internationally. It is commonly known as sacral electrical nerve stimulation, similar to a pacemaker, and is a long-term electrical conditioning treatment that is inserted into the body to regulate the bladder, sphincter and pelvic floor nerve reflexes by affecting the sacral nerves with weak electrical impulses. In short, it allows the nerves in charge of the bladder and urination to send accurate “on” and “off” signals to the brain. The bladder pacemaker effectively controls the symptoms of voiding disorders, resulting in less frequent urination, less painful urination, less leakage or disappearance of urine, and less frequent catheterization or no more catheterization. The improvement in these symptoms allows the patient to resume daily activities and avoids the need for highly invasive procedures such as bladder enlargement or urinary diversion. The sacral nerve electrical stimulation bladder pacemaker consists of a stimulator, a battery, electrodes and a programmable controller. The electrodes and the stimulator are to be installed in the body, and the programmer is set up by the physician and handed over to the patient for safekeeping, allowing him/her to adjust the mode of operation of the pacemaker by himself/herself. What conditions are suitable for the use of a bladder pacemaker? Symptoms of voiding disorders for which a bladder device is suitable include: urge incontinence: involuntary leakage of urine accompanied by sudden, intense 1. Refractory overactive bladder disorder: uncontrollable urge to urinate, frequent, small amounts of urine, and long-term conservative or pharmacological treatment that is ineffective. 2.Non-obstructive urinary retention: urine is present in the bladder but cannot be emptied, and no obstructive factors can be detected. 3, bladder pain syndrome: pelvic pain, bladder pain and pain related to urination caused by various factors, interstitial cystitis. In addition to improving urinary symptoms, the InterStim bladder pacemaker can also control symptoms of fecal incontinence and is indicated for patients with chronic fecal incontinence for whom conservative treatment has failed. How does the InterStim Bladder Pacemaker work? More than 200,000 people worldwide have already benefited from this therapy. Pacemakers have significantly improved the quality of life of patients. In clinical studies and patient follow-up, it is evident that patients experience fewer trips to the toilet, less pain, less or no urine leakage, and less frequent or no longer need to catheterize. Patients were able to resume normal daily activities such as: walking, sleeping peacefully throughout the night, eating out, traveling, and participating in social activities. Cystoplasty is reversible and treatment can be terminated at any time. How is the bladder pacemaker procedure performed? A pacemaker is a minimally invasive procedure that causes no additional physical effects and the treatment is reversible. The treatment is divided into two phases: experiential treatment and long-term placement. The first stage: experiential treatment The surgeon will place electrodes into the body through a minimally invasive minor surgery. After the minor surgery, the patient will return to the ward wearing an external temporary pacemaker and keep a urinary diary to observe the number and volume of urination. The experiential treatment allows the patient to experience the effects of the treatment before the pacemaker is placed. After the experiential treatment, the urinary diary is recorded and the improvement of symptoms is evaluated. In the first stage, only the electrodes are implanted and the temporary stimulator and batteries are attached externally. In the second stage: long-term implantation, the pacemaker is placed in the subcutaneous fatty tissue of the buttocks and the electrode wires are fixed. Patients can return to the hospital periodically for follow-up visits with their physician, who then adjusts the program settings according to the progress of their condition.