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RESOURCES AND FREQUENTLY ASKED QUESTIONS

Find the answers you need about therapies that can help you experience life-changing relief.


BLADDER CONTROL THERAPY DELIVERED BY THE INTERSTIM SYSTEM

Q: What is Medtronic Bladder Control Therapy delivered by the InterStim system?

A: This therapy targets the nerves that control your bladder to help it function normally again.

Q: How does it work?

A: Medtronic Bladder Control Therapy delivered by the InterStim™ system restores* bladder function by gently stimulating the sacral nerves.

Q: Why does it treat the sacral nerves?

A: It's thought that bladder control problems are caused by miscommunication between the brain and the sacral nerves, which control the bladder and muscles involved in urination.1

Q: What are the benefits of this therapy?

A: With this therapy, you may experience fewer trips to the bathroom, fewer accidents, and more confidence as you get back to the activities you enjoy.2

Q: What are the potential side effects or complications?

A: Implanting an InterStim system has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimize these risks.

Q: Why is this therapy different from other options?

A: You can try it before you decide, and it’s reversible if you change your mind later. It is clinically superior to oral medication.†,2-4 And unlike injections, it doesn’t require self-catheterization or repeated treatment visits.

Q: How long does the relief last?

A: This therapy significantly reduced symptoms of OAB and non-obstructive urinary retention in people treated for 5 years.†,5,6 Your experience may be different.

Q: Will this therapy cure my condition?

A: No. It can be effective, but it's not a cure. If the neurostimulator is turned off or removed, symptoms can return.

Q: What does the stimulation feel like?

A: Most people describe it as a slight pulling, tingling, or fluttering sensation in the pelvic area. It should not be painful. Stimulation settings can be adjusted, and sensations will vary from person to person.

Q: Can I get an MRI when I receive this therapy?

A: Getting an MRI head scan may be possible under specific conditions. For more information, talk with your doctor.

Q: Will insurance cover the costs?

A: Medicare and many private insurance companies cover this therapy. Talk to your doctor to learn more about your insurance coverage.

Q: How long has this therapy been around?

A: Since its approval in 1997, InterStim therapy has been used to treat bladder control problems in hundreds of thousands of patients around the world.


BLADDER CONTROL THERAPY DELIVERED BY THE NURO™ SYSTEM

Q: What is Medtronic Bladder Control Therapy delivered by the NURO system?

A: This therapy targets the tibial nerve to help you regain control of your bladder.

Q: How does it work?

A: The NURO system stimulates the tibial nerve through an acupuncture-like needle placed in the skin near your ankle.

Q: Why does it treat the tibial nerve?

A: It's thought that bladder control problems are caused by miscommunication between the bladder and the central nervous system.1 The tibial nerve connects to nerves responsible for bladder function.

Q: What are the benefits of this therapy?

A: PTNM can be an effective OAB treatment that's clinically proven to restore bladder function.7 It doesn't cause side effects like medications can,8 and it doesn't require self-catheterization.§

Q: What are the potential side effects?

A: The most common side effects are temporary and include mild pain or skin inflammation at or near the stimulation site.

Q: What makes this therapy different than other options?

A: This therapy is delivered at your doctor's office and lasts about 30 minutes. Initial treatment consists of 12 weekly, 30-minute sessions.

Q: Will this therapy cure my condition?

A: It can provide effective relief, but it's not a cure.

Q: What does the stimulation feel like?

A: The sensation is not painful, although you may feel a slight tingling in your heel. You'll be free to read, listen to music, or catch up on email during the sessions.

Q: Why doesn't it work right away?

A: This therapy is thought to restore communication between the bladder and central nervous system, but it can only do so gradually.

Q: What is maintenance therapy?

A: Following your initial treatment of 12 weekly, 30-minute sessions, you can continue with maintenance therapy.9 When you are on maintenance therapy, treatments occur every three to four weeks rather than every week. These sessions are exactly the same as the first 12, and can be scheduled at a time that is convenient for you.

Q: Will insurance cover the costs?

A: Medicare and many private insurance companies cover this therapy.

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Resources

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FOR PEOPLE EXPLORING MEDTRONIC BLADDER CONTROL THERAPIES

Bladder Symptom Diary
Record your symptoms to help your doctor understand your condition.

Care Pathway for Bladder Control
Understand all of your treatment options for dealing with bladder control issues.

Doctor Discussion Guide
Starting the conversation can be hard. This guide can help you talk to your doctor.

Ambassador Program
Learn how to talk to a Patient Ambassador for Medtronic Bladder Control or Bowel Control Therapy.

Medtronic Bladder Control Therapies
Understand your options and decide if a Medtronic Bladder Control Therapy is right for you.

Medtronic Bladder Control YouTube Channel
Watch videos to hear from specialists and patients.

INTERSTIM SYSTEM RESOURCES AND DOWNLOADS

NURO System Resources and Downloads


*

With the InterStim system, restored bladder function is defined as a 50% or greater reduction in your troublesome bladder symptoms.

The most common adverse events experienced during clinical studies included pain at implant sites, new pain, lead migration, infection, technical or device problems, adverse change in bowel or voiding function, and undesirable stimulation or sensations. Any of these may require additional surgery or cause return of symptoms.

Restored bladder function is defined as a measurable reduction in urinary frequency and/or urinary incontinence episodes following PTNM treatment.

§

While the NURO device was not used in these studies, since it delivers equivalent stimulation therapy as the device used in the studies, a user can expect similar performance.


1

Leng WW, Morrisroe SN. Sacral nerve stimulation for the overactive bladder. Urol Clin N Am. 2006;33:491-501.

2

Siegel S, Noblett K, Mangel J, et al. Results of a prospective, randomized, multicenter study evaluating sacral neuromodulation with InterStim® Therapy compared to standard medical therapy at 6-months in subjects with mild symptoms of overactive bladder. Neurourol Urodyn. 2015;34:224–230. DOI: 10.1002/nau.22544

3

Visco AG, Brubaker L, Richter HE, et al. N Engl J Med. 2012;367(19):1803-1813.

4

Peters KM, MacDiarmid SA, Wooldridge LS, et al. J Urol. 2009;182(3):1055-1061.

5

Siegel S, Noblett K, Mangel J, et al.  Five-Year Follow-up Results of a Prospective, Multicenter Study of Patients with Overactive Bladder Treated with Sacral Neuromodulation. The Journal of Urology 2018;Volume 199(1), 229 – 236.

6

Medtronic-sponsored research. InterStim Therapy Clinical Summary, 2018.

7

van Balken MR, Vandoninck V, et al. Posterior tibial nerve stimulation as neuromodulative treatment of lower urinary tract dysfunction. J Urol. 2001;166(3): 914-918.

8

Peters KM, Macdiarmid SA, et al. Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactive bladder innovative therapy trial. J Urol. 2009; 182(3): 1055-1061.

9

Peters KM, Carrico DJ, Wooldridge LS, et al. Percutaneous tibial nerve stimulation for the long-term treatment of overactive bladder: 3-year results of the STEP study. J Urol. 2013;189(6):2194-2201.



Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.