New implant zaps nerves to stop bladder leaks
NCT ID NCT05226286
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a small implantable device that stimulates the tibial nerve to treat overactive bladder. 188 adults with urge incontinence who had not improved with other treatments received the implant. The main goal was to see if at least half of participants had a 50% or greater reduction in daily leakage episodes after 6 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Medtronic Implantable Tibial Neuromodulation (TNM) System
- What this could lead to
- If successful, this device could offer a long-term, implantable option for people with overactive bladder who haven't improved with other treatments.
- What could go wrong
- This is a completed pivotal study, but results may not apply to everyone. Risks include surgical implantation, device malfunction, or lack of symptom relief.
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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188 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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May 2025
- 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 years and older
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects 18 years of age or older 2. Qualifying voiding diary 3. Have a diagnosis of UUI for at least 6 months 4. Failed and/or are not a candidate for conservative therapies. 5. Willing and able to accurately complete study diaries, questionnaires, attend visits, operate the system, and comply with the study protocol 6. Willing and able to provide signed and dated informed consent Exclusion Criteria: 1. Have primary stress incontinence 2. History of a prior implantable tibial neuromodulation system 3. Anatomical defects, clinically significant edema or previous surgeries which precludes use of the device 4. Previous pelvic floor surgery in the last 6 months 5. Women who are pregnant or planning to become pregnant during the course of the study 6. Characteristics indicating a poor understanding of the study or characteristics that indicate the subject may have poor compliance with the study protocol requirements. 7. Concurrent participation in another clinical study that may add additional safety risks and/or confound study results.
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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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Alliance Urology Specialists
Greensboro, North Carolina, 27403, United States
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Ascension Columbia St. Mary's
Milwaukee, Wisconsin, 53211, United States
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Associated Medical Professionals
Syracuse, New York, 13210, United States
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Atrium Health Carolinas Medical Center
Charlotte, North Carolina, 28203, United States
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Central Ohio Urology Group
Gahanna, Ohio, 43230, United States
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Chesapeake Urology Associates
Towson, Maryland, 21204, United States
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FirstHealth Urogynecology
Hamlet, North Carolina, 28345, United States
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Georgia Urology
Cartersville, Georgia, 30120, United States
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Henry Ford Health System
Detroit, Michigan, 48202, United States
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Louisiana State University Health Sciences Center
New Orleans, Louisiana, 70006, United States
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Mayo Clinic Urology
Rochester, Minnesota, 55905, United States
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Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503, United States
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Michigan Institute of Urology
Troy, Michigan, 48084, United States
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Minnesota Urology
Plymouth, Minnesota, 55441, United States
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Northwestern Medicine
Chicago, Illinois, 60611, United States
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Prisma Health
Greenville, South Carolina, 29605, United States
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Providea Health Partners
Evergreen Park, Illinois, 60805, United States
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Sanford Female Pelvic Medicine & Reconstructive Surgery Clinic
Sioux Falls, South Dakota, 57105, United States
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Stony Brook University Hospital
Stony Brook, New York, 11794, United States
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Summit Health Englewood
Englewood, New Jersey, 07631, United States
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Summit Health Voorhees
Voorhees Township, New Jersey, 08043, United States
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
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University of Texas Medical Branch
Galveston, Texas, 77555, United States
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Urology Centers of Alabama
Homewood, Alabama, 35209, United States
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Urology Partners of North Texas Research Institute
Arlington, Texas, 46017, United States
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Urology Surgeons of Oklahoma
Oklahoma City, Oklahoma, 73120, United States
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Virginia Mason Medical Center
Seattle, Washington, 98101, United States
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Wright State Physicians
Fairborn, Ohio, 45234, United States
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