Feasibility and Safety of Implanting InterStimtm Device in Conjunction with Other Neuromodulator Devices, Case Report

Abstract

Maryam Aleissa,1,2 Ernesto Drelichman,1 Jasneet Singh Bhullar1 1Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine, Southfield, MI, USA; 2College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaCorrespondence: Jasneet Singh Bhullar, Program Director of Colorectal Surgery Fellowship, Clinical Assistant Professor WSUCOM/MSUCHM, Department of Surgery, Ascension Providence Hospital-Michigan State University/College of Human Medicine, Southfield, MI, USA, Email [email protected]: Sacral nerve stimulation (SNS) has emerged as a viable option in patients with fecal incontinence who do not respond to conservative care. Technology has significantly progressed over the years. The current InterStimTM device is compatible with MRI, lasts for many years, and is performed using a minimally invasive technique, using mild sedation and local anesthesia. The precise mechanism of action remains unknown, and there is increasing interest in expanding the indications for the management of digestive diseases. There is now an increasing interest in brain neuromodulator devices, which may enable physicians to visit a larger number of patients simultaneously.Case Presentation: We present a case report of a patient with fecal incontinence (FI) who failed to respond to conservative management. The patient also had an occipital device for cluster headaches. The FI symptoms improved significantly with InterStimTM and there was no interaction with another device.Discussion: InterStimTM may be safely integrated with other neuromodulators. Additional research is required to determine the safety and benefit of InterStimTM implantation with other neuromodulators devices.Keywords: neuromodulators, fecal incontinence, sacral nerve stimulator

Keywords

• neuromodulators
• fecal incontinence
• sacral nerve stimulator