A cure for 25 years of stubborn urinary frequency.

    In the current era of rapidly changing medical tests and treatments, many previously undiagnosed and untreatable diseases have been successfully diagnosed and treated. However, there are still some “difficult diseases” that plague some patients at all times and seriously affect their quality of life. Urethral sphincter spasm falls into this category. The disease is a functional disease of the urethra, the pathogenesis of which is the external sphincter of the urethra can not be relaxed as normal during urination, to put it plainly: the muscle “valve” outside the urethra can not be opened during urination, resulting in bladder, urethra malfunction, clinical manifestations of persistent urinary frequency, urinary urgency, progressive difficulty in urination, thinning of the urine line The clinical manifestations include persistent frequent urination, urgent urination, progressive difficulty in urination, thinning of the urine line, discomfort in the lumbosacral region and lower extremities, abdominal suffocation, and a feeling of incomplete urination. Conventional tests are not diagnostic and conventional treatment is not effective. At present, functional neuromodulation therapy represented by bladder pacemaker is the “gold standard” for the treatment of this disease, and has a long-lasting and good long-term effect. Recently, Director Zhang Peng of the Urology Department of Chaoyang Hospital has successfully treated several patients with urethral sphincter spasm who have been suffering from the disease for more than 10 years through a detailed functional assessment of the bladder and urethra, with surprisingly good results that have greatly improved the quality of life of the patients. The following is a brief description of the patient’s self-visiting experience, which I hope will bring hope to more patients.  I’ve had frequent urination since I was young, about 25 years ago. At that time, I went to many places and was told that it was cystitis, but taking anti-inflammatory drugs did not work. Later, it became more and more serious and developed into frequent urination, thin urine line, waiting for urination, sometimes discomfort in the small abdomen, rising of the waist, itching in the anus, difficulty in defecation, and extreme frequency of urination when this symptom appeared. This symptom is not present at all times, but occurs intermittently, but gradually worsens. I had been diagnosed with indirect cystitis in Guangzhou and had surgery, irrigation of Lirvan and oral amitriptyline, but it was not effective. After all the treatments failed, I found Director Zhang Peng through online search. On August 12, I flew to Beijing and was diagnosed with distal urethral stricture and urethral obstruction through imaging urodynamic examination. Director Zhang suggested me to try urethral dilatation back in Guangzhou, but after two dilatations, it did not work. Later, through email communication. Director Zhang Peng considered that since my urethral dilatation was ineffective, I should be considered to have urethral sphincter spasticity disease. This disease is very easy to misdiagnose with urethral stricture and is usually identified by experimental urethral dilatation. If it is not effective, the possibility of urethral sphincter spasm should be considered. Director Zhang Peng suggested that I try experiential treatment with sacral nerve electrical stimulation next. After my careful consideration. On September 17, 2014, I underwent a phase I test treatment of bladder pacemaker by Director Zhang Peng. That afternoon I felt a significant improvement in all my symptoms. I was urinating more than 20 times a day, but now I am urinating about 11-13 times for several days in a row, and the volume of urination is up to 300ml, and the problem of difficulty in defecation that has been bothering me for many years has miraculously and significantly improved. After only 7 days of experience, due to the steady and lasting improvement of my symptoms, I underwent a 2-stage permanent pacemaker implantation, which was simple and done in 1 hour under local anesthesia. At one point that day, I had no need to urinate for 5 hours and didn’t have to go to the bathroom! Dr. Zhang said that the nerve conditioning is a gradual process and the follow-up symptoms need to be observed, but the long-term results are still very good. Now I have no discomfort other than a little numbness in the wound and a bit of back tenderness, and my quality of life has changed drastically since the pacemaker was installed.  This is my personal experience of seeing a doctor and trying sacral nerve electrical stimulation. I hope that my treatment experience and treatment results can bring help to more patients with urinary disorders, so that they can take less detours and have a clear treatment direction for early health!