Bowel (or fecal) incontinence is a disorder that affects millions of Americans. Because of the shame and discomfort involved with discussing bowel habits and fecal soiling most patients do not even bring it up with their doctors. At the same time, it can really limit a patient’s quality of life.
Traditional therapies for fecal incontinence involve anti-diarrheal medications and stool bulking agents like fiber that may make it less likely for a patient to have symptoms. In patients where these medications don’t work there were very few options before Interstim.
Research has shown that when the nerves that innervate the rectum (S3 nerve) are gently stimulated that symptoms of incontinence can be greatly reduced. DDA physician, Dr. Neeraj Sardana, is working with Medtronic, the maker of InterStim, offering Peripheral Nerve Evaluations (PNE’s) at our center in Catonsville, MD. In a patient who is a good candidate, under local anesthesia, two extremely thin stimulation wires (right and left) are inserted in the patient’s tailbone with the goal of stimulating that S3 nerve. The patient then gets to “test-drive” the technology for the next week, keeping a diary of symptoms both before and after the procedure to compare. In patients whose symptoms improve dramatically, we have partnered with a local Urologist who would implant a permanent device under the skin. In those who have marginal results, they also see the Urologist who can sometimes offer a longer trial of the technology.
DDA is the only GI practice in the state of Maryland that offers these evaluations. We have had very good success with patients so far.
If you or a loved one is experiencing bowel incontinence, please contact our office for more information. Interstim may be an option for you that can significantly improve your symptoms and quality of life!
Request an appointment online today to speak with Dr. Sardana. Find out if InterStim could work for you!