Technique for Implantable Tibial Nerve Stimulator Placement.

Area of Science:

• Urology
• Neuromodulation
• Surgical Techniques

Background:

• Percutaneous posterior tibial nerve stimulation is an established office-based treatment for urinary urgency and incontinence.
• The development of at-home devices addresses the need for ongoing therapy in patients with urgency incontinence.
• Implantable tibial neuromodulation (iTNM) systems provide a permanent solution for continuous posterior tibial nerve stimulation.

Purpose of the Study:

• To present the surgical technique for implanting a subfascial iTNM system.
• To outline key considerations for patient selection and postoperative care related to iTNM implantation.
• To educate surgeons on the perioperative management of subfascial iTNM placement.

Main Methods:

• Surgical video demonstrating the implantation of a subfascial iTNM device in a female patient.
• Informed consent was obtained prior to the procedure.
• The video covers device components, patient selection, surgical technique, and postoperative care.

Main Results:

• Surgeons will gain an understanding of the subfascial iTNM device system.
• The video provides insights into appropriate patient selection criteria.
• Detailed surgical technique for subfascial iTNM placement is illustrated.

Conclusions:

• Subfascial iTNM represents a permanent alternative to in-office percutaneous tibial nerve stimulation.
• This therapy offers patients an evidence-based treatment with the convenience of at-home stimulation.
• The surgical video serves as an educational resource for surgeons on iTNM placement and management.