Christopher P. Smith, MD, MBA, MSS, presented “Implantable Tibial Nerve Stimulators. Where Do They Fit in Advanced OAB Paradigm?” during the 28th Annual Innovations in Urologic Practice conference on September 22, 2024, in Denver, Colorado.
This content is available free to the GRU Community. Login or create an account to view it.
How to cite: Smith, Christopher P. “Implantable Tibial Nerve Stimulators. Where Do They Fit in Advanced OAB Paradigm?.” September 22, 2024. Accessed Nov 2024 . https://grandroundsinurology.com/implantable-tibial-nerve-stimulators-where-do-they-fit-in-advanced-oab-paradigm/
Implantable Tibial Nerve Stimulators. Where Do They Fit in Advanced OAB Paradigm? – Summary
Christopher P. Smith, MD, MBA, MSS, explores the evolution and current advancements in tibial nerve stimulation for treating bladder dysfunction. He begins this 19-minute presentation with a brief history of percutaneous tibial nerve stimulation (PTNS), underscoring its utility in bladder disorder management.
Smith introduces two significant implantable devices, Valencia’s eco, and the Ravi system. Both devices provide customizable treatment and cater to patient preferences, though they differ in implantation methods and patient autonomy over therapy. While these devices offer innovative treatment for urge urinary incontinence, compliance remains a challenge, often due to the time commitment and multiple visits required. Dr. Smith also references the Titan implant by Medtronic, which, while not yet FDA-approved, promises quick activation post-implant and a potential solution to compliance issues.
Dr. Smith reports recent guidelines from the AUA and SUFU now classify these therapies as “minimally invasive,” encouraging earlier intervention, even without exhausting all conventional therapies. The expectation is that new guidelines may support a broader acceptance and earlier access to minimally invasive options, ultimately improving tailored patient care in managing bladder dysfunction.
About The 28th Annual Innovations in Urologic Practice:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.
For further educational activities from this conference, visit our collection page.