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Sacral neuromodulation - correction of urinary disorders

Official WHO statistics confirm that urinary incontinence is the most common female urological problem. Every fourth woman faces it. Men are twice as likely to suffer from incontinence due to their physiological characteristics. But most men and women with this ailment refuse to consult a urologist.

WHAT IS THE DANGER OF URINARY INCONTINENCE

Incontinence itself does not pose a serious threat to human health and life. Although it sometimes leads to chronic inflammation of the skin and mucous membranes of the external genitalia.
This problem poses a serious danger to the moral and psychological state of a person. He feels constant discomfort, ceases to be mobile, restricts himself in movements and loses self-confidence.

IS IT POSSIBLE TO QUICKLY FIX THE PROBLEM OF URINARY INCONTINENCE

To date, the newest method, sacral neuromodulation, allows to quickly eliminate the problem of urinary incontinence in men and women. Until recently, such treatment was available only abroad. Today, EMC is one of the few clinics in Russia where patients can receive this effective treatment.

WHAT IS SACRAL NEUROMODULATION

urinary incontinence treatment
Sacral neuromodulation is a method of eliminating neurogenic disorders of the pelvic organs and intestines (urinary retention and fecal incontinence). It is effective even when other treatments are ineffective or have absolute contraindications. 
The essence of sacral neuromodulation is to irritate the nerve fibers that support the functioning of the bladder. This is achieved by implanting a special generator. It is he who, with the help of weak electrical impulses, continuously stimulates nerve fibers.
The implant is installed in two stages.
The first (trial) is the implantation of a small electrode near the sacral nerves. The electrode is connected to a small external generator, which is easily hidden under clothing. The procedure does not require hospitalization.
The duration of the test stage can last up to a month. During this period, the urologist adjusts the optimal pulse frequency and amplitude to achieve maximum effect, and then evaluates the results of therapy. If during this time the symptoms of the disorders decrease by at least half, the patient is fitted with a subcutaneous implant.

EFFECTIVENESS OF SACRAL NEUROMODULATION

Studies conducted in Europe and the USA have proven the high effectiveness of the method. For example, in patients with bladder hyperactivity, the number of cases of incontinence decreases by 90-92% six months after the implant is installed. In more than 80% of patients, a lasting effect is observed 5 years after the implantation of the implant.
People who have previously had serious urinary disorders note a significant improvement in their quality of life and are ready to recommend sacral neuromodulation as a very effective and safe method of solving the problem.

DO I NEED TO PREPARE FOR SACRAL NEUROMODULATION

Sacral neuromodulation has contraindications, therefore, before the procedure of implant placement, the patient must undergo a comprehensive urological and, if necessary, neurological examination. Only after the urologist is convinced that there are no contraindications, the first stage of treatment can begin.
The examination before neuromodulation includes:
  • Ultrasound
  • X-ray examination with contrast
  • cystoscopy
  • KUDI (comprehensive urodynamic study)
According to the doctor's indications, additional examinations may be prescribed for the patient.
In our clinic, patients can undergo all the necessary examinations using modern equipment in a minimum amount of time.

ADVANTAGES OF CONTACTING THE EMC

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Doctors

Grigorev Nikolay
Head of the Urological Clinic, Head of the Department of Urology at the EMC Medical School, Doctor of Medicine, Professor
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Iskander Abdullin
President of the Association of Young Urologists of Russia (AMUR, Ph.D. of Medical Sciences
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Ekaterina Korshunova
Ph.D. of Medical Sciences, Doctor of the highest category
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Vagan Barsegyan
Ph.D. of Medical Sciences
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Aleksey Kovalenko
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Gvozdev Mikhail
Doctor of Medicine, Professor, Honored Doctor of the Russian Federation, Doctor of the highest category
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Tihonova Lyudmila
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Gvasalia Badri
Professor, Doctor of Medicine
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Sabirzyanova Zukhra
Ph.D. of Medical Sciences
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Vsevolod Matveev
President of the Russian Society of Oncourologists, expert of the European Association of Urologists (EAU) section "Prostate Cancer", Doctor of Medicine, Professor
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Tedeev Rustam
Ph.D. of Medical Sciences
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Kuznetskiy Yuriy
Doctor of Medicine, Doctor of the highest category, Professor
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Dariy Evgeniy
Ph.D. of Medical Sciences, Doctor of the highest category
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Grigorev Nikolay
Head of the Urological Clinic, Head of the Department of Urology at the EMC Medical School, Doctor of Medicine, Professor
  • He is a recognized expert in endoscopic urology.
  • He has performed more than 5,000 endoscopic and open surgeries on the organs of the genitourinary system
  • Member of the Russian Society of Urology, the Russian Society for Endourology and New Technologies, the European Urological Association, the World Endourological Society
Total experience
33 years
Experience in EMC
since 2016

Reviews

City: -
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
... more

City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

City: -
I got ALL my questions answered
I was at the consultation of Professor Vsevolod Borisovich Matveev... I got ALL my questions answered... And even more...In a word-not a man, but a HUMAN BEING...!!! The staff is friendly, answers all questions, helps, etc... People with health problems come in...They all have no
time for this or that...Employees understand all this and make their stay in the clinic as comfortable as possible...
... more

City: Moscow
Thanks to A. V. Kovalenko
Good afternoon! Alexey Vasilyevich Kovalenko received a patient in the acute phase of inflammation after examination in another clinic ("clinic" is the key here) with a diagnosis of lifelong catheterization from the head of the urology department. In JSC " EMC " doctor Alexey
Vasilyevich removed the inflammation, established a diagnosis, which was confirmed a month later by additional examinations and successfully performed the operation.The patient is sent home without a catheter to live, work, raise children and be happy.There are no words in the world to express our gratitude to Alexey Vasilyevich!We believe that the clinic of JSC "EMC "(Shchepkina 35) should be infinitely proud of such a specialist and professional in their field!And we wish our doctor a long long life, successful operations and thank you for meeting a real doctor!
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Licenses and certificates

The EMC's activities comply with internationally accepted medical and administrative standards, as well as patient safety requirements.

ICI INTERNATIONAL QUALITY CERTIFICATES ISSUING SERVICES LLC
International Accreditation
Joint Commission International
International Accreditation 2018, 2021
Luxury Lifestyle Awards
Best Luxury International Private Hospital Group
International Hospital Federation
International Hospital Federation Premier Member
IV All-Russian rating of radiology departments
Four-time winner
License for medical activities
License for pharmaceutical activities
License for activity on circulation of narcotic drugs, psychotropic substances
License for providing high-tech medical care