They suffered for 10 years, one of which was for a Saudi girl, "Fahd Al-Tabia", which enables patients to control the urinary tract. Maher, holding the programming device and his patients, Dr. Maher holds the programming device and around his patients. Riyadh - Muhammad Al-Ghannami A medical team from King Fahd Medical City has ended the suffering of patients who were injured in the spine and lost the ability to control urine and excreta, for a period of more than 10 years. One of these cases is for a girl in her second decade, by implanting a programmed device Nervous to the pelvic nerves, enabling them to control the urine process.
The condition of patients during this suffering, which lasted for more than 10 years, was the use of traditional catheters in the bladder, as they suffer from loss of control of the nerves of the bladder and anus, which the girl''s condition finds with great difficulty and constant embarrassment, in addition to that this catheter causes suffering in repeated infections and difficulty in removing it And its replacement, which required a surgical intervention using modern technology applied for the first time in the Kingdom.
Dr. Maher bin Saleh Al-Muezzin, consultant surgeon of Al-Mazhar, head of the urology department in King Fahd Medical City, head of the medical team, said that the nervous programmer system works to nourish the pelvic nerves, which in turn nourish the bladder and the valve responsible for controlling the process of urine and waste, explaining that the device works in a high response If there is some kind of partial sensation in the nerves.
Dr. Maher Al-Muezzin added: "The device is installed in two phases, the first is by placing a wire-free device that is implanted under the skin in one of the buttocks, which sends vibrations to the nerve that the patient senses around the outlet of urine and waste, and with full control through a manual remote that the patient carries linked to the device, and it is an external stimulator for feeling. He added, "When there is a response of more than 50% and the catheter is dispensed, the second stage works on implantation of the battery (IPG) under local anesthesia.
And the head of the urology department stated that before installing the device, the patients underwent a bladder dynamic test and laboratory examination, which helps to improve and follow-up the implantation of the nervous programmer device, pointing out that it needs programming between varying times due to the patient''s movement in the sitting position and the continuous movement sometimes.
The head of the medical team confirmed that the patients'' current condition is in a drastic change and is different from what they were previously suffering from the inability to control in addition to storing huge quantities of urinary catheter tubes and using them in the process of excreting urine and waste, and the full ability also in the process of dissolving the urinary bladder well. And reduce the elimination of frequent urine infections with bacteria that are highly immune to conventional antibiotics.



