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InterStim™ Therapy

Relief from Fecal Incontinence with Advanced Therapy 

Fecal incontinence (FI)—the inability to control bowel movements—is more common than many people realize, affecting 1 in 12 adults in the United States. It can be a deeply personal and challenging condition, often leading people to suffer in silence out of embarrassment or uncertainty about available treatments. 

At Aurora BayCare Medical Center, Dr. Alexander Casella offers a clinically proven solution with Medtronic InterStim™ therapy, a breakthrough approach that helps restore bowel control and improve quality of life. 

What Is InterStim™ Therapy? 

InterStim™ is a form of sacral neuromodulation (SNM)—a gentle nerve stimulation treatment designed to correct miscommunication between the brain and the bowel. It’s a minimally invasive procedure that delivers mild electrical pulses to the sacral nerves, which play a key role in regulating bowel function. 

This therapy is FDA-approved for the treatment of chronic fecal incontinence in patients who haven’t found relief through lifestyle changes or medication. 

Interstim Micro Interstim X Neurostimulators
Interstim X Neurostimulator

Why Choose InterStim™? 

Proven Success: In clinical studies, 89% of patients experienced long-term success in reducing symptoms of bowel incontinence with InterStim™ therapy.* 

Try Before You Commit: The process begins with a simple evaluation period, allowing patients to test the therapy for a few days before deciding on a permanent implant. 

Minimally Invasive: The outpatient implant procedure is safe and discreet, typically involving a small device placed just under the skin in the upper buttock. 

Recharge-Free or Rechargeable: Patients can choose the device that best fits their lifestyle. 

Insurance Coverage: InterStim™ therapy is covered by Medicare and many private insurance plans. 
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*Success defined as a ≥50% reduction in weekly episodes of fecal incontinence. 

Is InterStim™ Right for You? 

You may be a candidate for InterStim™ therapy if you: 

  • Experience ongoing fecal incontinence
  • Have not responded to conservative treatments (like dietary changes or medications)
  • Are seeking a long-term, effective treatment for improved control and confidence 

What to Expect During the Evaluation 

Step One: A thin lead (wire) is placed in the upper buttock to test nerve stimulation. 

Step Two: You’ll wear a small external device for 3 to 14 days, going about your normal activities while tracking your symptoms. 

Step Three: If your symptoms improve significantly, you and your doctor can decide whether to move forward with a permanent implant. 

Providers

Alexander Casella, MD

Alexander Casella, MD

General & Vascular Surgery

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