 My name is Maria Mazzina from Waldis. I am 22 years old. Actually I am going to tell you about my experience and the treatment from Panipal Hospital in Shwantapur. Since 2019, I got first illness. First symptom was that urine is stopped completely. At that time, I feel weakness in legs, arms and eyes like that full body weakness. Then I consult a doctor in Waldis. They refer to come here. In 2019, we have gone through so many hospitals and we consult so many doctors. They give treatment and they go back again. I am using the self-catheter and all. It's very painful and it's very hard for me. At this time, the doctor said that there is a permanent option for this. The doctor group doctor told us that there will be an option to consider some sacral neuromodulation. This is the best thing for this permanent one. Hi, I am Dr. Guru Prasad Masurkar, Senior Consulate Neurologist at Manipal Hospital in Shwantapur. We had this 23-year-old lady from Maldives who has been following up from October 2019. She had a previous history of neuromilitis optica, where she had weakness in the lower limbs related to demilating lesion in the spinal cord and the visual tracts involved causing a transient blurring of vision. She had this residual retention of urine and she couldn't void on her own. She was on self-intimidated catheterization. Since we have been doing neuromodulation in our centre for the last 10-12 years in terms of deep brain stimulation surgeries for Parkinson's disease and we are exposed to neuromodulation in different types of indications, we thought of sacral neuromodulation which is not new but in India, the usage and the utility of that is not much. There's so much costly, right? That's why we are from Assanda, that insurance company. We forward the documents and all from here. Then they got approved to confirm that this is the best option. We got that Sacra Hospital, Epolio Hospital and all. The doctor said yes, this is the best option. Sacral neuromodulation is the best option but only this Yashwantapur Manipal doctors can do that. Hi, I'm Dr. Raghura, senior consultant neurosurgeon and spine surgeon at Manipal Hospital, Yashwantpur. So, specifically sacral neuromodulation is useful in patients who are not able to have adequate urinary bladder contractions. The whole procedure involves two phases. The first phase is called as the trial phase and the second one is the definitive phase. In the trial phase, what we do is that we put the electrode into the area of the spinal nerve called as the S3 root. So, this is in the lower most part of the spinal cord called as the sacrum, the one which we sit on. So, in that, we use the radiography or the X-ray and in the OT, we do this as a percutaneous procedure. We put a needle and with the guide of the X-ray, we go exactly into this region called as the S3 foramen and keep it in a place, trial electrode so that we get adequate response. This electrode is designed in a way that it kind of self-locks itself once we place it and connect it to a temporary battery. Usually in the first day, like our patient, she had a little bit of difficulty to pass during the first 24 hours. But subsequently, as the modulation parameters also were appropriately adjusted, we can either increase the current or decrease the current. She started passing comfortably. After the first 24 hours, she passed three to four times on her own. She had good control of urine and this was something that kind of was a complete miracle or a change for her. Now, three months stopped urine after surgery, passing urine finally. Then very happy, I can't express my feelings also. Then thank you for money pass, hospital. First time, the urine passed. I can't express my feelings that so many days, it's been now four months after procedure. I got pass urine normally. I can't even imagine how it's going to really. I'm very happy. Thank you so much for money, for the department also. Thank you for our government, our company for approving this costly treatment for me.