Saturday, June 7, 2008

New Video of Dr. Karlovsky describing InterStim therapy

Recently, Banner Health posted a video of me describing InterStim for the treatment of Overactive Bladder.

http://www.bannerhealth.com/Services/Health+And+Wellness/Ask+the+Expert/Womens+Health/_Female+Urinary+Incontinence+Video.htm

InterStim is appropriate and indicated for those patients that have failed medications for OAB or cannot tolerate them, in addition to urinary retention not due to obstruction (such as after hysterectomy that leads to a weakened bladder).

Test stimulation is done in hte office and takes about 30 minutes.
Assessment of the device takes 1 week. If patients noted a >50% improvement in urinary frequency, urgency or urge incontinence, then the patient can qualify for permanent implantation.

The permanent implant device is a small, round, smooth battery that resembles a pacemaker, about the size of a half dollar. It is placed under sedation and local anesthesia as an outpatient procedure, and takes less than an hour. It is placed under the skin in the right upper buttock.