InterStim after 10 years of LARS

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Surroundedbylove
Posts: 3126
Joined: Tue Dec 16, 2008 6:43 am
Location: Seattle

InterStim after 10 years of LARS

Postby Surroundedbylove » Sat May 04, 2019 3:11 am

Hello all,

I used to be a frequent reader and poster here but as the years of survival added up and I dealt with other health challenges, I stepped away. But I’m back now as LARS has worsened over the years. I did a long course of pelvic floor physical therapy with biofeedback which helped - just not enough. I do think everyone should try it if only to help identify those who may have damaged nerves. My new surgeon (old one changed hospitals) did my most recent colonoscopy and my colonic j-pouch is of good size she said - actually stretched larger than she might have expected. So one reason I may have trouble fully evacuating - and this clustering - could be a mismatch of the size of the neorectum (about the size of a real rectum) and the small size of the remaining rectal stump to which it is attached(3cm I think she said).But we know for sure from the biofeedback that there is some kind of disconnect in the brain to bowel nerve signaling so I had the Step1 surgery for the InterStim sacral nerve neuromodulator. I’m doing the trial and so far it is about a 100% success on my bladder (urge and frequency ever since radiation) and on the bowels so far i’ve had improvement in evacuation and total number of bowel movements in a day. Also definite improvement so far in urgency.
Surroundedbylove

Rectal Cancer @ 43, '08
Clinical: T3,N2a,MX (IIIB)
6 wks XELOX & radiation
LAR, colonic j-pouch, & temp ileo '09
Surgical: ypT3,ypN0,ypMX (0 of 20 nodes)
FOLFOX; XELOX
Ileo Takedown ‘09
LARS for 10 years before learning it is finally being studied
InterStim Sacral Nerve Neuromodulator 2019

Gravelyguy
Posts: 382
Joined: Thu Jul 05, 2018 6:03 pm

Re: InterStim after 10 years of LARS

Postby Gravelyguy » Sat May 04, 2019 7:15 am

That is great news. I hope it continues to help. 10 years is a long time to deal with LARS.

Dave
6/17 dx mRC t3n1m1 very low rectal tumor 2 liver Mets 1.3 cm and .9 cm

6/17 begin 4 rounds Folfox w/Vectibix
9/17 short course radiation
10/17 rectal and liver resection LAR with coloanal anastomosis (no rectum left)
11/17-3/18 8 rounds Folfox
6/18 still NED!! Takedown
8/28/18 still NED! CEA .8 new low for me
10/18/18 colonoscopy clear
12/12/18 CEA .9 still NED!
6/11/19 CEA 1.0
12/19/19 CEA 1.0 still NED!
6/17/20 CEA 1.1 still NED!
12/15/20 CEA 1.1still NED!
12/16/21 CEA 1.2 still NED!

User avatar
Rob in PA
Posts: 2022
Joined: Wed Dec 09, 2009 9:16 pm
Location: Pennsylvania

Re: InterStim after 10 years of LARS

Postby Rob in PA » Sat May 04, 2019 11:33 am

That is great news to hear, especially since i am dealing with the same thing. Im one of the old veterans on here and have been away for awhile also. Im doing well, except for the rectal pain.
Wishing all the best to everyone on here!
Rob
dx 11/07 crc IIIb @ 39
Xelox/Rad/ temp colostomy
LAR/J-pouch/ temp ileo
Folfox-8
Failed reversal
2/09 liver mets; liver resect/ileo reversal
Folfiri/Avastin - 12
2/11 5 lung mets
Folfiri/Avastin 2011
SBRT 3/12
Lung met 5/13/ said NO to more chemo
SBRT 8/13
2 lung mets 5/14, VATS 8/14, NED

User avatar
CRguy
Posts: 10474
Joined: Sun Feb 10, 2008 6:00 pm

Re: InterStim after 10 years of LARS

Postby CRguy » Sat May 04, 2019 11:41 pm

Surroundedbylove wrote:I used to be a frequent reader and poster here but as the years of survival added up and I dealt with other health challenges, I stepped away.

AND we are VERY glad you chose to come back with some promising news about yourself, and to share about this InterStim therapy.

MEGA cheers and Harmony SBL

your friend
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
17 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

sadysue
Posts: 986
Joined: Tue Aug 02, 2011 6:59 pm
Location: Charleston, TN

Re: InterStim after 10 years of LARS

Postby sadysue » Sun May 05, 2019 12:06 pm

Thank you so much for sharing this. I've never heard of InterStim and plan to speak to my GI doctor about it when I see him in July. I am almost 8 years out from my surgery and deal with many trips to the bathroom, sometimes all day long, before I can leave the house. My entire rectum has been removed and part of my colon. My surgeon built me a "pediatric rectum" because she felt it would give me better control. Perhaps it has given me more control but I can't imagine my bowel control being much worse than it is. On most days, from the time I get out of bed until 1-2 in the afternoon, I deal with lengthy cluster sessions - solid, small and at times, difficult and painful to void. Please keep us updated on your progress. Good luck and thanks again!
Rectal dx 4/2011 (Stage 3B - T3N1M0)
5FU/Rad - daily/6 wks ending 6/2011
Surgery 8/19/2011
Finished 8 rounds Folfox 2/2012
Ileo reverse and port out 3/2012
NED


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