Sacral nerve stimulation


Sacral nerve stimulation, also known as sacral neuromodulation, is a procedure in which the sacral nerve at the base of the spine is stimulated by a mild electrical current from an implanted device. It is done to improve functioning of the urinary tract, to relieve pain related to urination, and to control fecal incontinence.


As a proven treatment for urinary incontinence, sacral nerve stimulation (SNS) has recently been found effective in the treatment of interstitial cystitis, a disorder that involves hyperreflexia of the urinary sphincter. SNS is also used to treat pelvic or urinary pain as well as fecal incontinence.

A person's ability to hold urine or feces depends on three body functions:

A dysfunction or deficiency in any of these components can result in incontinence. The most common forms of incontinence are stress urinary incontinence and urge incontinence. Stress incontinence is related to an unstable detrusor muscle that controls the urinary sphincter. When the detrusor muscle is weak, urine can leak out of the bladder from pressure on the abdomen caused by sneezing, coughing, and other movements. Urge incontinence is characterized by a sudden strong need to urinate and inability to hold urine until an appropriate time; it is also associated with hyperactivity of the urinary sphincter. Both conditions can be treated by SNS. SNS requires an implanted device that sends continuous stimulation to the sacral nerve that controls the urinary sphincter. This treatment has been used with over 1500 patients with a high rate of success. It was approved in Europe in 1994. The Food and Drug Administration (FDA) approved SNS for disturbances that are usually treated by augmentation of the sphincter muscle or implanting an artificial sphincter can benefit from electrical stimulation of the sacral nerve. Although the mechanism of SNS is not completely clear, researchers believe that the patient's control of the pelvic region is restored by the stimulation or activation of afferent fibers in the muscles of the pelvic floor.


Urinary incontinence affects between 15% and 30% of American adults living in the community, and as many as 50% of people confined to nursing homes . It is a disorder that affects women far more frequently than men; 85% of people suffering from urinary incontinence are women. According to the chief of geriatrics at a Boston hospital, 25 million Americans suffer each year from occasional episodes of urinary or fecal incontinence.

Interstitial cystitis is less common than urinary or fecal incontinence but still affects 700,000 Americans each year. The average age of IC patients is 40; 25% of patients are younger than 30. Although 90% of patients diagnosed with IC are women, it is thought that the disorder may be underdiagnosed in men.


Sacral nerve stimulation (SNS) is conducted through an implanted device that includes a thin insulated wire called a lead and a neurostimulator much like a cardiac pacemaker. The device is inserted in a pocket in the patient's lower abdomen. SNS is first tried on an outpatient basis in the doctor's office with the implantation of a test lead. If the trial treatment is successful, the patient is scheduled for inpatient surgery.

Permanent surgical implantation is done under general anesthesia and requires a one-night stay in the hospital. After the patient has been anesthetized, the surgeon implants the neurostimulator, which is about the size of a pocket stopwatch, under the skin of the patient's abdomen. Thin wires, or leads, running from the stimulator carry electrical pulses from the stimulator to the sacral nerves located in the lower back. After the stimulator and leads have been implanted, the surgeon closes the incision in the abdomen.


Incontinence significantly affects a patient's quality of life; thus patients usually consult a doctor when their urinary problems begin to cause difficulties in the workplace or on social occasions. A family care practitioner will usually refer the patient to a urologist for diagnosis of the cause(s) of the incontinence. Patients with urinary and fecal incontinence are evaluated carefully through the taking of a complete patient history and a physical examination . The doctor will use special techniques to assess the capacity of the bladder or rectum as well as the functioning of the urethral or anal sphincter in order to determine the cause or location of the incontinence. Cystoscopy , which is the examination of the full bladder with a scope attached to a small tube, allows the physician to rule out certain disorders as well as plan the most effective treatment. These extensive tests are especially important in diagnosing interstitial cystitis because all other causes of urinary urgency, frequency, and pain must be ruled out before surgery can be suggested. Cystoscopy is done under anesthesia and often works as a treatment for IC. Once the doctor has made the diagnosis of urinary incontinence due to sphincter insufficiency, he or she will explain and discuss the surgical implant with the patient. SNS may be tried out on a temporary basis. The same pattern of diagnosis and treatment is used for patients with IC and fecal incontinence. Temporary implants can help eliminate those patients who will not benefit from a permanent implant.


Following surgery, the patient remains overnight in the hospital. Antibiotics may be given to reduce the risk of infection and pain medications to relieve discomfort. The patient will be given instructions on incision care and follow-up appointments before he or she leaves the hospital.

Aftercare includes fine-tuning of the SNS stimulator. The doctor can adjust the strength of the electrical impulses in his or her office with a handheld programmer. The stimulator runs for about five to 10 years and can be replaced during an outpatient procedure. About a third of patients require a second operation to adjust or replace various elements of the stimulator device.


In addition to the risks of bleeding and infection that are common to surgical procedures, implanting an SNS device carries the risks of pain at the insertion site, discomfort when urinating, mild electrical shocks, and displacement or dislocation of the leads.

Normal results

Patients report improvement in the number of urinations, the volume of urine produced, lessened urgency, and higher overall quality of life after treatment with SNS. Twenty-two patients undergoing a three to seven-day test of sacral nerve stimulation on an outpatient basis reported significant reduction in urgency and frequency, according to the American Urological Association. Studies have indicated complete success in about 50% of patients. Sacral nerve stimulation is being used to treat fecal incontinence in the United States and Europe, with promising early reports. As of 2003, SNS is the least invasive of the recognized surgical treatments for fecal incontinence.

Morbidity and mortality rates

Sacral nerve stimulation has been shown to be a safe and effective procedure for the treatment of both urinary and fecal incontinence. Two groups of researchers, in Spain and the United Kingdom respectively, have reported that "the effects of neuromodulation are long-lasting and associated morbidity is low." The most commonly reported complications of SNS are pain at the site of the implant (15.3% of patients), pain on urination (9%), and displacement of the leads (8.4%).


There are three types of nonsurgical treatments that benefit some patients with IC:

Surgical alternatives to SNS are considered treatments of last resort for IC because they are invasive, irreversible, and benefit only 30–40% of patients. In addition, some studies indicate that these surgeries can lead to long-term kidney damage. They include the following procedures:



Walsh, Patrick C., MD, et al., eds. Campbell's Urology , 8th ed. Philadelphia: W. B. Saunders Company, 2002.


Elliott, Daniel S., MD. "Medical Management of Overactive Bladder." Mayo Clinic Proceedings 76 (April 2001): 353-355.

Ganio, E., A. Masin, C. Ratto, et al. "Short-Term Sacral Nerve Stimulation for Functional Anorectal and Urinary Disturbances: Results in 40 Patients: Evaluation of a New OPtion for Anorectal Functional Disorders." Disorders of the Colon and Rectum 44 (September 2001): 1261-1267.

Kenefick, N. J., C. J. Vaisey, R. C. Cohen, et al. "Medium-Term Results of Permanent Sacral Nerve Stimulation for Faecal Incontinence." British Journal of Surgery 89 (July 2002); 896-601.

Linares Quevedo, A. I., M. A. Jiminez Cidre, E. Fernandez Fernandez, et al. "Posterior Sacral Root Neuromodulation in the Treatment of Chronic Urinary Dysfunction. [in Spanish] Actas urologicas espanolas 26 (April 2002): 250-260.


American Urological Association (AUA). 1120 North Charles Street, Baltimore, MD 21201. (410) 727-1100. .

National Association for Continence (NAFC). P. O. Box 1019, Charleston, SC 29402-1019. (843) 377-0900. .

National Kidney Foundation. 30 East 33rd Street, Suite 1100, New York, NY 10016. (800) 622-9010 or (212) 889-2210. .

National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC). 3 Information Way, Bethesda, MD 20892-3580.


Interstitial Cystitis Association. Sacral Nerve Stimulation Can Relieve Interstitial Cystitis, Studies Suggest . .

Mayo Clinic. Sacral Nerve Stimulation .

Nancy McKenzie, PhD


SNS devices are implanted under general anesthesia by urologists, who are physicians specializing in treating disorders of the urinary tract. The procedure is usually performed in a hospital.


User Contributions:

I am due to have this op at the end of this week, I am in the UK.
I know it is very new over here. I am a little concerned, as I don't think my specialist has done any, (or only a couple) I have asked to speak to someone who has had it, but there was no one available.
After the initial implant, and healing, will I always be aware of the battery pack. I had the pre-op tests, one failed and the second one was ok.(This was for fecal incontinence.
Also since waiting for the main op I have been much better, could this be where the muscle was tightened during the test, or just coincidence?
Also I understood it was to be fitted in my hip area, yet the web tells of in the abdomen.
Carol Richardson
I am 38 yrs old and have the sacral nerve stimulator in place as we was fitted on thursday (it is the first op..with the needle connected to a portable have had this op obviously...can you tell me did it make you feel sick....because i dont want it if its gonna make me feel like this for ever.
I had vaginal surgery a year ago for cronic inflamation for no apparent reason my test were all normal.they removed tissue the size of a quarter in my vestibul wall. so goes the term vulvodynia.but now I am greater pelvic pain, probably pudendal neuralgia,although they don't want to say that for sure My gynecologist suggest that I check on a new procedure called interstim she says I may be a candidate for it? I dont know who to see.pills dont work since the surgery.I am 64 years old. in cronic pain way over two years. could interstim help me? I am desperate.would pelvic floor pain make me make me investigate this.who would I see??
ive suffered from urge *feacial* incontinece for a number of years, i had a sphinchter repair, that lasted about 5 years, i recently had the test stimulater, that went well, i now have the perm implant, that was only inserted on monday, im still in a bit of pain because of the surgery, i go back on monday to *get switched on*, its not that bad to feel the pulses, iff it makes your life better, im only 39 and i have had a wasted life, im looking forward to being able to go out and have a life again :)
hi ive not long just had had the first op im 19 the youngest they have had to have the op as it it is more commen in older people i was born with brain damaged but was ok til i hit pubity and i developed weakness in my left side,kidney damage and epilepsy and when i hit about 12 my bladder colapsed and later my bowels after about 13 operations i was sent to london nurological hospital which was only an adult hospital only being 14 i was looky that someone would have a look and from then on my bladder condition was diagnosed fowlers syndrone anyway i was tolsd about the surdary then but i was told i would have to be 21 but just after my 18th i recieved a letter telling me that they had brought the age down and they offerd me to speak to someone in wakefield about having one i was granted to have the trial and it seem to work a lot of things some that wasnt unexpected i have not been aproved to have the pernemant one just waiting for a date

i will give both hospitals 10/10 not just because the op but the way i was treated i have been to many hospitals before and have had bad experences in some but both the london hosp and wakefield none as pinderfields they were amazing listens to everyone

hope this helps
from maria
I am due to have the SNS for consipation. I am very worried as it is a trail program, I was wanting to know if you have a feed back and if SNS is successful for the bowel.
Hi Cathy, I had the trial for SNS back in April which worked very very well, and i've just had the permanant one put in last week, any questions feel free to email me x
where do you go to have this sns done and a urology i live in richmond ky
I would like some information on SNS for fecal incontinence, the names of the physicians who are doing this and how many they have done and their success rate. Thank you!
Does this device work fro spina bifida patients that had surgical repair but have urinary and bowel problems?? Is this done in Australia? Thanks for any information.
julie johnson
HI nearly 3wks ago i had a permanent SNS for fecal incontinence. I found the temp procedure made my life much easier without panicking when i went out i couldnt get to a toilet. Now i am pleased i have had the permenent done and that i can live my life as a normal person. It has been quite painfull getting up and down after the operation and even now i know if i have pushed myself to much but i wouldnt swap the pain for anything., I wonder did anyone else seem to suffer with back and bum ache for a long period of time?

I had my op done at whitechapel hospital in london and i cant thank all the team there enough as i suffered with this for at least 5years thinking it was normal after having children now i know it isnt.

I had the operation two weeks ago and I am really suffering with backache. Does anyone know if this is normal? I have not yet had the SNS turned on. Thanks Suznane
Jean Nicholls
My specialist in Brisbane Australia, has suggested that i need a SNS for my chronic problem with fecal incontinence. The muscles and anal sphincter in my rectum have wasted away, does anyone know if the SNS helps build muscle that has wasted? Has anyone had the device for any length of time? and if so what are the long term effects? Oh and what can i expect with the trial that is planned? I have so many questions that i need to ask someone who has actually experienced a SNS.
Ive just had the Tined Lead Test last week, so far Im able to pass small amounts of urine and have the sensation back that I need to go. I have not passed any urine myself for 9 years after an operation that went wrong. I am in considerable pain at the site of the surgery but also I have a sciatic pain in my buttocks and down my leg, Is this normal? I would recommend the trial as I think this could change my life and hopefully others.
I had the sacral nerve stimulator for over a year. I did not feel sick at all. Both of my procedures were done outpatient. I did not stay in the hospital. I found the first surgery to actually hurt the most. I had a small wire coming out of the top of my behind. I call it digging the tunnel. The wire is put close to the nerve and it has to get there. The second surgery was also outpatient. I have a 3 inch scar at the top of my behind. If you wear low cut pants, it may land on the scar. Just out of no where I will have pain around the machine. It is sore for a couple of days. It doesn't hurt a lot just annoying. I would do it again.
Hi I have had the temp one in for a week now and it has changed my life. I was crushed 2 years ago and have suffered pain and muscule wasting with nerves that don't fire properly. The pain is now 80% gone and I get fitted for my permanent one next week and can't wait! I am in NZ and they tell me I am the 13th to have this done here so still quite new for us. I have a bit of surgery pain but it is nothing compared to what I have been living with for the last 2 years. I am so grateful that they have this device available.
Thanks :)
Hi Lisa,

Great to hear of your sucess and that you had little side affects. So nice to hear some positive feedback, as a lot of the comments are talking about the pain and discomfort experienced.

I live in Australia, and the procedure has only recently been accepted by our government here ( cost to them $16,000!) Cost to me around $2,000-.

I have my trial test procedure this coming Tuesday and cant wait! After many many years of bladder incontinence which has made my life quite difficult, Im keeping all my fingers and toes crossed that it works for me. If so, I go back in for perm. op 2 weeks later. Both procedures are undertaken through day surgery.

I am 56 and my hubby turns 60 next weekend so 3 couples are coming up to Queensland where we live from interstate to see him as a surprise. I am a little worried how I will be,I didnt want to put off the procedure though.
We are planning to go out for dinner etc. so I will be entertaining all weekend. (One couple arrive 2 days after my procedure) Im also having my 2 grandsons 3 & 4 for a couple of hours the next day, but, intend not doing anything strenuous with them, and wont pick them up.

Did you find the external box annoying? How does it attach? - clipped to a belt Im guessing. Did it look quite obvious under your clothes ( I will of course wear loose clothing) Do you have to give the device your full attention? or will I be able to go on with life as normal? What about sleeping with it?

Would love to hear your thoughts if you have the time.
Many Thanks
my doctor has recommended this procedure for me due to chronic pain associated with interestitial cystitis. she says she has a patient who had it done and was off all meds within a year and pain free. i would love to hear from anyone who has had chronic pain in the pelvic floor (my pain can range from my lower legs to my rib cage on bad days). i'm only 38 years old. help!

My consultant has recommended sacral nerve stimulation for fecal incontinence and I am wondering about how much activity you can do after it is fitted. I am a keen horse rider and can't imagine not riding again. Can you carry on as normal or do you have to be careful with it. Can you lift etc too?
Hi Gill, I have had 2 SNS (1 in ea buttock) to control pain & urinary probs due to Interstitial Cystitis since Jan 2011. Unfortunately horse riding & ski-ing are two of the things they recommend you never do again. (I used to do both) The risk of dislodging or damaging the batteries and/or wires is too great.The only thing I can say is hopefully the absence of pain & problems with faecal incontinence will be worth the sacrifice? Hope all goes well , Jenny Smedley
i have had my sns for the past 16 months, for bowl control. For me this has improved my life greatly with little discomfort in the operation. ok you do have to be mindfull the pack is just under the skin. mine is on my bottom. I have found finding the right setting has taken a while if im too high going throught security doors can make me jump. It dosnt make me feel sick as i thought it might my own experience is positve and If suggested to anyone I would highly recommend! :)
I am 13 and i have tried 5 different meds. and none have worked so now we have to make the choice of this of biofeedback and retraining but that would take 2 hours a week away from school and that would not work. So we are leaning toward this is it diffrent in children and teens?
I have had I.c. For 10 years and suffered considerably with it. All meds failed to help. Two years ago my urologist at USC implanted the SNS. It was heaven (approx. 70% improvement) for 2 weeks until an auto accident dislodged it. After trying other options I am now getting my second SNS...and praying for another success. Yes you have discomfort at the incision site ,etc., but the positives so outweigh the negatives if all goes well. Just can't imagine not trying it! I am a 63 year old female with a lot of life to live! I particularly hope and pray for you young patients out there. Get a doctor and a Medtronics rep that has done many of these.
I just had the trial sacral stimulator put in on 1/12/12 at Jefferson Hosp. in Philly. I'm getting slight improvement. Should I go ahead with having it put in permanently? Is it a long procedure to have the battery implanted and is it painful afterwards. Thank you.
Martha T
I had a Medtronic NeuroStimulator put in in 2010. I have lost my instruction booklet on how to increase the pulsation. Does anyone know how to find a copy online? I have sent a message to the company but don't really want to wait for a response seeing the thing isn't working right now. If you can help please let me know.

Thank you!
Harpreet Singh

brian dawson
Al Lyons
I had the SNS procedure done (temporarily)in late Jan. It was done in the late afternoon and that night I got pains in my left leg & butt where the wires were inserted. By the next day I couldn't walk up the stairs due to the pain in my leg. That day the doctor's office called & I told them about the pain & was told to unplug the left wire & try the right wire. After 3 days I went back to the doctors office to have the wires removed. While removing he wires the doctor said that the left wire was hardly inserted. I told him about the pain in my left side & leg & he said that it had nothing to do with the procedure. He said that I might have a slipped disc & to go get a MRI. He also prescribed some muscle relaxers for me, but that didn't help. The pain clinic prescribed a MRI & it came back negative. By now the pain is severe (can't sleep or walk). The pain clinic gave me some medicated cream to try on my backside a& told me to go to my family doctor.I went to him & he prescibed prednisone & it is not helping. Now I can't sit,sleep or walk, the pain is severe. The procedure didn't work & I still get up every 2 hours at night. I need help! What do I do now?
lil bell
Hi Al. Where abouts were you getting the leg pain? I had my temp sns fitted yesterday. The pain in the front of my left leg is unreal! I've turned my machine off for now until I can contact my consultant in the morning.
Hi Lil. The pain starts in my butt where the wires were inserted. When I sit or lay on my left side, the pain goes down my leg (front & back). The pain is terrible. I finally have an appointment with a specialist in a couple weeks that was recommended by my Urologist. Good luck.
jeni turner
I was one of the first to trial the sns in australia for constipation, I am now exactly 10years later and im now on permanent pain medication for severe sciatic nerve pain, It should always be fully looked into because I wouldnt have thought it would do so much damage to my nerves but it certainly has. i cant say it didnt work because It was only in for a short time before the severe pain started and after me begging was taken out. My advice Please do your homework and the pain condition isnt listed anywhere on side effects but believe it has been found worldwide that it is a possible side effect
I am from the UK and I need to decide which treatment I would like to go ahead with big decision for me? I am 38 yrs old and I have urine incontinence due to a very overactive bladder I have already been through some treatments including medication with no success. My consultant is now giving me the option of SNS or Botox injections. I need to consider all pros and cons. I lead an active lifestyle with children youngest being 3 yrs old and I need to look at the long term management of my condition. Any opinions, experiences would be appreciated.
Hi Helen,

I'm in the UK and have just had it done. After a few days you'll be fine but maybe not able to pick up the little ones after the SNS fitting. Will be worth it if it helps though. If u need any advice I'm happy to help x
Elizabeth ann Stevenson
I go tomorrow morning for my temporary sns I'm scared nd feel worried but been told hopefully this will make my bowels kick in again in 29 nd this as taken at least 7 years of my life so hopefully it will work x
Hi I have just been told I have painful bladder syndrome and I tell you it lives by its name. The sns treatment has come up and am thinking on having it but av got so many worrys in my mind,am 25 and would like a child will the implant cause any problems? Can you see it through the skin?will I stay in hospital long? And how long is the fitting take? Sorry for so many questions but my urologist is not that helpful feel free to email me thank you Vicky xx
Jeanette Pilipovich
Help! I am thinking about getting the inter stim implant. I have both urinary and fecal incontinence.
I am 60 and I love riding my horse. I see where some of you were told no more horse riding.
My Doc here says it will be ok as long as I don't fall off and injure myself and break the wire.
My question is Had anyone had a bad issue from riding? If so, What happened?? I worry that the bouncing will dislodge the wire.
I have had this for seven years went jive dancing three times a week everything was fine no wires were dislodged. Have just had another battery fitted after all this time made a real difference to leading a normal life. Obviously if you fell and landed on the machine then yes I assumeit could cause problems but a little extra care should sort that
Hi just wanted to say I've had the SNS fitted in Feb and I can say is recommend it as I am 33 I had a bad birth with my son and left me with a lot of damage and due to that I could no longer feel when I needed to go to toilet so had this put in it . And wow what a difference don't get me wrong takes me a while to get use to but overall life back and I can go out and live a full life. Yes there is some restrictions but the bonus side is I have a life that isnt just me sat in my house . I did do a lot of researched but like with everything you will never know unless you try I was sacred but did it and now wouldn't want to be without it. I think what they say is just be aware of it and take note of your body and if you get a twinge them listen to your body and stop. But live your life. Feel free to email if anyone has questions and I'll try help.
hi I'm sammi 25 I got this op nd I fink it is brilliant has wrked a lot for me I hate havin the problem but now I'm soo better wen I got this op done
Hi I'm 54 years old just had the permanent sacral nerve stimulator put in 4 days ago. It all went good till Sunday the soreness still bad and when I walk I have pain shoot around where it at goes down my goin area. How long is the recovery on this thing. I so tried it like it knock life out of me. Thanks for ideal on what to do what not to do.
Hi just had tempery sns fitted Friday feeling very sore and sore back hope it settles down soon x irrigated every day and haven't since wed morning haven't been yet so going to phone consult tomorrow anyone else's experienced this thanks
Hi, I'm due to get the SNS fitted in 2 weeks, however I'm getting the new one fitted which is a lot smaller the. The old one, the downside is you have it fitted by general anasteic and there is no temporary one fitted first, has anyone had this done? How long will I be off work? Also what pain am I looking at as I have 2 young children and I don't really want to be wiped out. I'm pretty nervous. Also I'm fitted with a coil would this be an issue?
Linda cardwell
I had a interstim medronic bladder device implanted in 2015. I kept it about 6 months. I couldnt stand the pain. It was implanted in my buttocks and i had constant pain in that area. I had it removed in 2016. Now a year later the site where it was implanted is swollen and painful to touch. It hurts into my lower back and down my leg. I refuse to back to the urologist that implanted it. I had pain and she refused to remove it for a long time. Do i go to another urologist or a orthopedic spine surgeon about this infection or whatever is going on? Im tired of hurting. Its keeping me awake at night and hurting all day.thank you for your help in advance.
I had the sacral stimulator, interstim medtronic, placed about a year ago(2016). I have stage IIIB or 4 anal cancer ( stable currently) and experienced lots of incontinence etc from the radiation and chemo. I had one placed temporarily and i could only feel it in my left leg. Back to surgery, moved to right side and i could only feel in on the right side groin area, still not correct. I had infections on both side, etc. I went to a diff urologist, he put one back in on my left side and i could now feel it in the right place. BUT, shortly thereafter, the pain in my hip was incredible, off to orthopedic guy, said here's some anti inflammatories and a cane. I waited it out, the pain increased, 6 mos later i am barely functional with the immense and overpowering pain down my leg and hip joint. i am almost nonfunctional. my prim care guy blew me off with it arthritis, the orthopedic surgeon said arthritis. the next orthopedic guy said arthritis. I cannot walk from my car to the grocery store. i cant shop, browse, clean my house, walk.
Someone please tell me i am not alone with the immense pain. i am having the stim taken out in a few weeks just in case this is whats causing it.
Hi i had the trial sns fitted for my bowel 3 weeks ago and had it removed yesterday as it didnt work! My consultant said when i woke up from trial op saying my nerves didnt react to it while i was asleep but left it in to see if it wud help- nope any way after having it removed which should of been 20mins it took 3 hours as my consultant said he cudnt pull them out so had to cut my back to remove wires , he said it was like they were in there for yrs!! Since coming home ive had very very very bad pain in my left side of tummy and absolutely kills to breathe in im on oral and 12 hour slow release morphine and its not taking pain away , its now moving round to my back and my belly has gone really swollen , has anyone else had this problem after having it removed?? Not sure weather to ring out of hours doctors?? My next op is on 3rd of August to have a permanent stoma and ive been told my belly needs to be fully healed before but i feel something us wrong as i never had this pain when the whole device was fitted , thanks x
Hi i had the temporary device fitted on Thursday, not turned on yet. But since then i have had stomach pain, bloating and generally uncomfortable after eating. Anyone else had this? Im back at the hospital Tuesday so will discuss with them also. Thanks in advance
Dear Doctor,
My current clinical condition, diagnosis and health concerns:
I am Md. Firuz Aalm from Bangladesh. I am suffering from Anus and Rectum Pain and Burning from last 4 years.When there is no pain than left side Muscle spasm inside the Anus is too much. From last two months i feel deep pain in my left side buttock, lower buttocl and hip. I feel muscle spasm, tightening and sweeling in left side buttock, hip and lower buttock. But i am not clear it is muscle spasm or not. Sometimes i feel a little bit burning sensations in left side perineum. I did many Investigation like MRI, CT Scan. Colonoscopy, Proctoscopy and many more but nothing found. April-2017 i was visited India Chennai Apollo Hospital. They suggest me for getting a tail bone Injection. Same time i was visited Dlehi Fortis Hospital. They also did a MRI of Lumber Spine and Pelvic Floor with Coccyx. MRI found a Disk Bulging in L2, L3, L4, L5 & S1. But the Doctors of the Fortis Hospital gave me an Injection of Pudendal Nerve block Injection without any Investigation and a Tail bone Injection. After come back from India 1st one month I feel better but now my Pain is more than before. Is it a Pudendal Neuralgia? Now I want to come to your hospital for Diagnosis and treatment of Pudendal Neuralgia. Please help me.
Now i am suffering more pain, muscle spasm in my left side buttock, lower buttock and hip. I discuss many doctors in my country and abroad. Most of the doctors remarks Pudendal Nerve Block was damage my nerve. Some pain doctors in Singapore suggest me for Spinal Cord Stimulation (SCS) at S2, S3 S4 level. What is your openino about this? How much expensive this kinds of Stimulation?
Now i am looking for Spinal Cord Stimulation (SCS) at S2, S3 S4 level in India.

I am waiting for your reply.
Best of luck.
Peggy McCoskey
Linda Cartwell, have read your post wonder how you are? Do you recomenned this surgery? And anyone elses input I would appericate.
Liz Woods
Hiya, I am due to have this done shortly, how did people cope not being able to have a bath or shower during the test process and also has anyone had any side effects/good results. Thanks in advance
Soon to have battery replaced after 7 years. What is the recovery time after this procedure please?
Hi. I have just had the trial SNS fitted yesterday but still seem to be going to the toilet as much. I can feel the pulses when I turn it on but after 5 mins can feel nothing. I have now got it turned up to 2.1 and the feeling is still just disappearing. Is this right? What settings do people find they need to turn it to for it to work?
elna Goosen
Did anybody experience a limb-dead feeling in both legs. From the knees up. I am in the trail fase and is suddenly feeling this limb feeling
in both my legs. please comment
I've just been interviewed for this proceedure for the first temporary wire to be inserted. I'm aware it's a new proceedure but I'm hoping it will stimulate my sphincter enough that I don't have the occasional incontinence of bowel movements that have caught me in very difficult places, with having to clean myself up.
Hi all I had my Medtronic stage two last Friday I was fine Friday.
Woke up Saturday morning and where the implant is it’s burning and stinging me which is really bad, can’t get hold of my doctor or nurse.
And I was wondering if anyone has had this problem and it’s normal, because I was told nothing after the surgery what to expect.
Replies and suggestions are welcome.

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