Neuromodulation

Need to know

• What happens icon plus

  Neuromodulation treatment is normally carried out with a local anaesthetic. Your urology consultant will likely follow these steps:

  • An implant device called a neurostimulator is placed just under the skin of your buttock. The device is around the size of a £2 coin, and has a battery which lasts up to five years.
  • A thin lead connected to the neurostimulator is also implanted in your lower back, at the base of your spine. This allows the device to control your bladder muscles, which receive messages sent from your brain down the nerve routes of your spinal cord.
  • As a result, messages such as fullness of the bladder are more closely monitored.

• How to prepare icon plus

  To ensure the neurostimulator is suitable, your consultant will take you through an evaluation phase. This may include the following:

  • A temporary wire is inserted near the sacral nerves in your lower back. This wire is connected to an external device worn around your waist. This device sends stimulation messages to your sacral nerves.
  • You'll then need to record your toilet habits at home for up to two weeks After two weeks your consultant will discuss your results with you. They will ask how you felt with the device implanted, and if you experienced any side effects. This will determine the next approach of fitting your neurostimulator.

• Afterwards icon plus

  Recovery time varies for neuromodulation treatment. Your consultant will advise you on when you can get back to your usual routine, including work or exercise. It is likely you will need to stay in hospital as an inpatient for a short time. When you are allowed to go home, your consultant will arrange for you to have a follow-up appointment. Implants are often fitted for the long term as their purpose is to help treat permanent conditions. As a result, their success as a treatment can be monitored on an ongoing basis.