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Sacral Nerve Stimulation Cost in India

Cost of Sacral Nerve Stimulation/ Sacral Neuromodulation package in India starts from USD 25,000.

Sacral Nerve Stimulation also known as Sacral Neuromodulation (SNM) is a therapy for people with bladder and bowel problems. It is an individual-specific therapy and may be opted for, only if it gets approved by the physician. A proven therapy option, it is becoming more accepted and is considered life-changing.

It is a therapy that is considered individual-specific as it is only when conservative options (such as lifestyle and dietary changes, medication, or biofeedback) have had restricted or no success, or are too difficult to live with.

Using a tool called a neurostimulator, a procedure known as sacral neuromodulation stimulates the sacral nerve, which regulates the muscles of the bladder, intestines, and pelvic floor with light electrical impulses (like a heart pacemaker).

The pelvic floor muscles, urinary & anal sphincters, bladder, and bowels are all supplied by nerves that are modulated by electrical stimulation. This makes it possible for the person to spontaneously and fully feel the urge to totally empty their bladder as well as the sensation of bladder fullness.

Through an external programmer, the neurostimulator’s output impulses’ frequency and intensity can be adjusted by the patient as well as the doctor.

Suitability

Sacral Nerve Stimulation Therapy has been used to treat 200,000 patients globally and can help to re-establish normal bowel or bladder function.

The therapy is relevant for individuals dealing with incontinence issues, which are sensitive concerns and should never be accepted as a normal aspect of life, regardless of age.

Despite the fact that these issues affect people of both sexes often and significantly lowers the life quality, the majority of cases go unreported frequently for the following reasons:

  • Patients are ashamed to seek therapy because they believe their symptoms are common side effects of pregnancy, age, or both.
  • Frequently, both patients and a sizable number of treating physicians are ignorant of the effective alternatives to medication that are available.
  • Incontinence-related personal hygiene concerns can cause severe psychological disorders like social isolation and emotional misery.
  • SNM is also recommended as a treatment for an overactive bladder. It can be applied to treat bowel and bladder issues simultaneously.
  • Faecal incontinence can be successfully treated with sacral neuromodulation. Additionally, it may successfully treat an overactive bladder, which includes the frequent, intense, and unexpected urge to use the restroom.
  • This treatment tackles a potential symptom-causing communication issue between the bladder/bowel and the brain. For a few weeks, a diagnostic trial of therapy is used to see whether it is effective.
  • Particularly, the field of bowel management is largely underdeveloped globally. Everyone should be given simple access to the appropriate degree of knowledge and assistance, and they should be able to be evaluated and given the proper therapy based on their unique needs.

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Eligibility

Sacral nerve stimulation can be used to treat an overactive bladder, irrespective if or not there is urine leakage. It also addresses problems with bladder discharge.

Patients who have not experienced any benefits from standard treatments, such as medication, are the best candidates for sacral nerve stimulation therapy.

Before being considered for sacral nerve stimulation therapy, a trial of medications, behavioral therapy, and non-invasive treatment must typically be completed.

The rationale for sacral nerve stimulation in science

  • Reviews suggest that between 16% to 29% of the population, with a few estimating up to 75%, experience some level of overactive bladder, including symptoms of urinary incontinence, urgency, or frequency.

Our body’s muscles and movements are controlled by the brain in part by electrical signals that are transmitted by our nerves. These nerves have principal routes that branch off into smaller pathways.

One important pathway travel from the brain through the sacral region or the lower back and the spinal cord. Here, neural pathways diverge and travel in many directions, some of which lead to the pelvic region.

The brain controls the muscles in the pelvic region, including the pelvic floor, urethral sphincters, bladder, and anal sphincter, through nerves that originate in the sacral region. These nerve pathways also carry our sensations, such as fullness in the bladder or rectum, to the brain.

Incontinence

Incontinence accounts to be the biggest factor for those who require Sacral Nerve Stimulation. Among patients who are referred for Sacral Nerve Stimulation after unsuccessful conservative treatment, which included stool-regulating medications and biofeedback following are the most common root cause:

  • Faecal incontinence– not being able to control bowel movements. Stool leaks from the rectum without warning. It ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control.
  • Sacral Nerve Stimulation is prescribed when a sphincter defect is a reason for faecal incontinence. In such cases, the sphincter, measured by endoanal ultrasound in patients, is less than 90° in circumference
  • History of previous sphincter repairs.
  • Congenital sphincter malformation.
  • Idiopathic incontinence– a posterior compartment defect, a progressive deterioration of anal sphincter function in patients with no history of sphincter damage.
  • Neurogenic incontinence – is caused by spinal cord trauma and multiple sclerosis.
  • Incontinence after pelvic surgery – low anterior resection, rectal prolapse surgery.

Urinary Incontinence

The loss of bladder control. The intensity ranges from sometimes leaking urine in case of cough or sneeze to having the urge to urinate that’s so sudden and strong that there’s no time to reach a toilet.

Types of urinary incontinence include:

  • Stress incontinence: Urine leaks when strain is put on your bladder through coughing, sneezing, laughing, working out, or lifting anything heavy.
  • Urge incontinence: An abrupt, strong urge to urinate followed by an uncontrollable loss of urine resulting in frequent urination urges, even at night. An infection or a more serious illness like diabetes or a neurological issue may be the cause of urge incontinence.
  • Overflow incontinence: frequent or constant dribbling of urine due to a bladder not being emptied completely.
  • Functional incontinence: Holding urine due to a physical or mental impairment. For instance, in the case of severe arthritis, people may find it difficult to unbutton their pants quickly enough.
  • Mixed incontinence: Experiencing more than one type of urinary incontinence — by and large this refers to a combination of stress incontinence and urge incontinence.

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Effectiveness of Sacral Nerve Stimulation

Sacral Nerve Stimulation may be considered as a remedial therapy or a minimally invasive procedure for urinary incontinence which may:

  • Trigger restricted activities and bound social interactions.
  • Impact the quality of life negatively.
  • Increase the risk of falls in the case of older adults when they rush to the toilet.
  • Be an indicator of more serious underlying conditions.

Therefore, Sacral Nerve Stimulation is a ray of hope for patients dealing with incontinence. The advantages include:

  • Better control of bowel function.
  • Smaller incisions, less pain.
  • Less risk of infection and complications.
  • Less bleeding.
  • Quicker recuperate on.
  • Quicker return to everyday tasks.

The Procedure

Phase 1:

  • The Sacral Nerve Stimulation lead is inserted through a 1-cm incision in the third sacral foramen.
  • A small opening in the sacrum runs parallel to the third sacral nerve.
  • This nerve stands between the brain and spinal cord and controls bowel and bladder function.
  • Once in place, the lead is buried to the flank or buttock and attached to a temporary nerve stimulator with an external lead that passes through the skin.

Phase 2:

  • The external lead is removed and the pulse generator is inserted if the patient shows a significant improvement in the first one to two weeks following surgery.
  • The main advantage of Sacral Neuromodulation is that it gives a trial period for the patient and physician to find out whether it’s beneficial, prior to moving on to long-term therapy.

Sacral neuromodulation (SNM) is a safe, efficacious and minimally invasive advanced therapy indicated to treat urinary incontinence, urinary retention, urgency, frequency, and fecal incontinence

Sacral Nerve Stimulation in India is based on the idea of regulating incontinence symptoms by modulating nerves, whereas standard medications for urine incontinence or loss of bladder control work on the muscles.

Implants can be used to regulate hyperactive bladder when all other conventional methods have failed. They are pricey but unquestionably improve the quality of life. because people with overactive bladders find it difficult to participate in typical social activities. This method offers relief for such patients. The methods and methodologies have an added impact with a generous dose of compassion that’s guaranteed when the Sacral Nerve Stimulation is in India!

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Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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