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Update on Implantable PTNS Devices.

Annah Vollstedt¹, Jason Gilleran²

¹Department of Urology, William Beaumont Hospital, Royal Oak, MI, 48073, USA.

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|May 29, 2020

Summary

This summary is machine-generated.

Implantable tibial nerve stimulation offers a promising, minimally invasive treatment for lower urinary tract symptoms (LUTS). Continuous stimulation shows efficacy comparable to other chronic neural implants, though long-term durability requires further study.

Keywords:

Implantable Overactive bladder PTNS Percutaneous tibial nerve stimulation Urge incontinence

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Area of Science:

Neurology
Urology
Biomedical Engineering

Background:

Percutaneous tibial nerve stimulation (PTNS) is increasingly recognized for managing lower urinary tract symptoms (LUTS) like urgency, frequency, and urge incontinence.
The shift towards continuous neuromodulation using implantable devices is driven by the need for more convenient and potentially effective long-term solutions.

Purpose of the Study:

To review the latest implantable devices for continuous tibial nerve stimulation.
To present current data on the safety and efficacy of these devices for refractory overactive bladder (OAB).

Main Methods:

Review of recent scientific literature and clinical data on novel implantable tibial nerve stimulation devices.
Analysis of studies evaluating continuous or semi-continuous tibial nerve stimulation for LUTS and pelvic floor disorders.

Main Results:

New studies indicate that continuous tibial nerve stimulation achieves efficacy comparable to established chronic neural implant devices, such as sacral neuromodulation.
Several implantable devices, including Blue Wind Renova, StimGuard, eCoin, and Bioness Stimrouter, are showing promise.
Current data is short-term, and challenges related to device durability and minimizing migration persist.

Conclusions:

Implantable tibial nerve stimulation represents a promising advancement for managing refractory overactive bladder and pelvic floor disorders.
While short-term data is encouraging, further research is needed to address long-term efficacy, durability, and device stability.