INTERSTIM® THERAPYfor Urinary Control

What are Bladder Control Problems?

• Broad range of symptoms– May leak small or large amount of urine– May leak frequently– May be unable to completely empty the bladder, or

may be unable to urinate at all

• Multiple causes– Injury– Side effects from certain medications– Diseases– Infection– Bearing children

Urinary Control System

How the Urinary System Works

Ureter

Bladder

Bladderneck

Urinarysphincter

Urethra

Kidney

Medications don’t work for everyone.

• Voiding requires a coordinated activity between the nerves and the muscles that control voiding

• While medications are thought to address the muscles, InterStim Therapy is thought to address the nerves.

• If medications were not the answer for you, InterStim Therapy may provide relief.

InterStimInterStim®® Therapy Therapy

Utilizes mild electrical pulses to the nerves associated with voiding function. Through neurostimulation, significantly improved or normal voiding is restored.

Test Stimulation ProcedureTest Stimulation Procedure

A test is done prior to implant to determine how a patient will respond to the implanted device

Performed in the office or surgery center

A lead is surgically implanted near the sacral nerve (S2, S3, or S4)

Lead is connected to an external device worn on the patient’s belt for a period of 3-7 days

Patient will record his/her voiding behavior in a diary

How effective is this therapy?

• Urge Incontinence (38 patients)• 45% of patients completely dry• Further 34% had 50% or greater reduction in

symptoms

• Urgency-Frequency (33 patients)• 31% back to normal (4-7 per day)• Additional 33% had a 50% or more

reduction in number of urinations

• Retention (38 patients)• 61% stopped catherization• 16% had > 50% reduction in the amount of

urine emptied from the bladder by catheter

Results 12 Months After Surgery

Medtronic clinical study data on file

Does insurance pay for this?

• National Medicare coverage policy

• Hundreds of insurance companies have paid for this procedure

• Your doctor will help you in obtaining coverage

Sarah’s Story

Being only 40 years old, I was self conscious about need to catheterize all the time. I am very active in sports, hiking, and taking long walks with my dog Randy – all of which I couldn’t do with a catheter.

InterStim Therapy has brought me back to normal activities with regard to urological function. It made such a difference in my life. I am thrilled to have my normal life back!

Note: Results vary. Talk to your doctor to determine if InterStim Therapy is right for you.

Jeannie’s Story

My name is Jeannie. I’m a 50-year-old wife, mother, and a pre-op day surgery R.N. I’m also a patient who has struggled with urinary control problems for years until I found a treatment that completely changed my life.

Now I go every four hours during the day and I only get up once at night. I’m not sleep-deprived and I’ve begun working out again. My daughter and I love horseback riding and are taking hunt-seat jumping classes. I feel like I’ve been given my life back.

Note: Results vary. Talk to your doctor to determine if InterStim Therapy is right for you.