The FineTech Brindley Bladder Control System - Patients
Info
On this page you will
find some of the most commonly asked questions by people who are
considering having the FineTech-Brindley Bladder Control System.
For further advice you
should consult your doctor.
We hope that you find
this page helpful and informative.
1) What are the criteria
for receiving the FineTech-Brindley Bladder System?
2) How long does it
take to get ready for surgery, have a system implanted, and be comfortable
using the system?
3) What
happens during surgery?
4)
Is the surgery painful?
5)
What happens right after surgery?
6)
How soon after the surgery can I start using the Bladder System?
7)
How much time will I have to spend in check-ups after the surgery?
8)
What does the device feel like?
9)
Is the implant noticeable to others?
10)
Will the implant ever
need to be replaced?
11) What
are the chances that my body will reject the implant?
12) What
are the risks?
What are the
criteria for receiving the FineTech-Brindley Bladder System?
Candidates
for the System are individuals who have a clinically complete spinal
cord injury with resulting paraplegia or quadriplegia. The following
list includes some of the guidelines for the device:-
- Skeletally mature
- Clinically compete spinal cored lesion
- Neurologically stable
- Intact reflex bladder contractions
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How long does
it take to get ready for surgery, have a system implanted, and be
comfortable using the system?
It depends on you and your schedule.
The pre-operative testing takes two to three days, usually as an
outpatient, over a period of several weeks. Typically, you will
be discharged in four to five days after the surgery with a functioning
device. Follow-up visits may be required for post-surgical check-ups,
and adjustments to the external controller.
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What happens
during surgery?
You will have general anaesthesia
and will be asleep during the 4 - 8 hour procedure. You will typically
have two incisions on your back and smaller incisions on your side
and abdomen (approximately four in all). At the lower end of the
spine, the surgeon will perform a posterior rhizotomy (the surgical
cutting of spinal nerve roots to prevent reflex incontinence) and
then place flexible electrodes on the nerves that run to the bladder.
The electrodes are connected by thin wiring to an implantable receiver-stimulator
under the skin of the abdomen.
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Is the surgery
painful?
Any level of discomfort depends
upon your level of sensation. You may feel some slight discomfort
while your body heals from the surgery. You may have a headache
for a few days due to the spinal surgery. Your doctor can prescribe
pain medication if it is appropriate.
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What happens
right after surgery?
You will probably stay in
bed for two to three days after the surgery or until you can sit
up without any discomfort. The Bladder System will then be tested
and programmed by your doctor. You should be able to use the device
for a few days before leaving the hospital. You may expect to be
discharged four to five days after surgery barring any unforeseen
complications.
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How soon after
the surgery can I start using the Bladder System?
You should be able to use
the Bladder System about three to four days after the surgery. Your
doctor will test and adjust the device (a two to three hour task)
approximately three days after the surgery. You will be able to
start using the implant after the initial tests and adjustments.
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How much time
will I have to spend in check-ups after the surgery?
During the first few weeks
after surgery your doctor will keep in close touch with you as an
outpatient to check that the device is working properly. Typically,
you will see your doctor 3 months after surgery and annually thereafter.
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What does
the device feel like?
You may notice a slight sensation
when you use the device. Stimulation may also cause movement of
the muscles of the lower extremities when you use the Bladder System.
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Is the implant
noticeable to others?
Generally not. The implantable
receiver-stimulator is usually located in the abdomen below the
ribs under the skin. In thin people, a slight lump might be noticeable.
The implant is usually not noticeable to people with average to
heavy builds.
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Will the implant
ever need to be replaced?
The implanted components of the Bladder
System do not have batteries and have been designed to last for
several years. Based on many years of field experience, the Bladder
System has proven to be very reliable.
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What are the
chances that my body will reject the implant?
Very minimal. The materials
used in the Bladder System are inert and are materials that have
been successfully used in implants for many years.
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What are the
risks?
As with any surgery, there
are risks involved and your doctor will
discuss them with you.
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