Shocking the bladder into behaving: new implant shows promise
NCT ID NCT03556891
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a small device called eCoin that is implanted under the skin near the ankle to stimulate a nerve that controls the bladder. The goal was to see if it could reduce urgent, frequent urination and accidental leaks in people with overactive bladder. 133 adults who had not gotten enough help from medications took part. The main measure was whether their number of leaking episodes dropped by at least half.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- eCoin tibial nerve stimulation device
- What this could lead to
- If it works, this could offer a long-term, drug-free option for people with overactive bladder who haven't found relief from medications.
- What could go wrong
- This is a single-arm study with no placebo group, so results may be less reliable. The device requires a minor surgical implant, which carries risks like infection or discomfort.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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133 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Sep 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Primary Inclusion Criteria: 1. Women and men between 18 and 80 years old. 2. Diagnosis of overactive bladder with urgency urinary incontinence or mixed urge and stress incontinence with a predominant urgency component (selfreported), for at least 6 months. 3. Individual is without pharmacological treatment of overactive bladder (antimuscarinics and beta-3 agonists). 4. Individual is intolerant of or has an inadequate response to any of anticholinergics, β3-adrenoceptor agonists, onabotulinumtoxinA, or percutaneous tibial nerve stimulation. Primary Exclusion Criteria: 1. Predominant stress urinary incontinence with more than 1/3 stress urinary incontinent episodes when compared to total urinary incontinent episodes. 2. Clinically significant bladder outlet obstruction. 3. Clinically significant pelvic organ prolapse beyond the hymenal ring. 4. Inadequate skin integrity or any evidence of an infection or inflammation in either lower leg.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Adult & Pediatric Urology
Omaha, Nebraska, 68114, United States
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Alliance Urology Specialists
Greensboro, North Carolina, 27403, United States
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Chesapeake Urology
Owings Mills, Maryland, 21117, United States
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Florida Bladder Institute
Naples, Florida, 34109, United States
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Kaiser Permanente
Downey, California, 90242, United States
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Kaiser Permanente
San Diego, California, 92110, United States
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Manhattan Medical Research
New York, New York, 10016, United States
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North Shore Medical Group
Skokie, Illinois, 60076, United States
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Sansum Clinic
Santa Barbara, California, 93105, United States
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Sequoia Urology Center
Redwood City, California, 94062, United States
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South Carolina OB/GYN
Columbia, South Carolina, 29201, United States
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SurgOne PC
Englewood, Colorado, 80113, United States
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The Institute for Female Pelvic Medicine & Reconstructive Surgery (FPM Institute)
Allentown, Pennsylvania, 18103, United States
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UnityPoint Clinic
Waterloo, Iowa, 50703, United States
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Urology Associates of Norwalk
Norwalk, Connecticut, 06850, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Vibrating device aims to restore bladder control in cancer survivors
- Ankle nerve zap may ease Kids' bladder troubles