Tracey Wilson, M.D., professor in the UAB Department of UrologyThe University of Alabama at Birmingham recently delivered its first implant of a new therapy for urge urinary incontinence using a process called implantable tibial neuromodulation, or ITNM. This signifies an expansion in treatment options for patients living with UUI that significantly affects quality of life but is frequently underreported and undertreated.
ITNM is an implantable form of posterior tibial nerve stimulation, a nerve stimulation therapy. ITNM is designed to provide consistent symptom relief with minimal disruption to daily life. The device is placed near the ankle during a short outpatient procedure using only local anesthesia and is activated immediately. Symptom improvement usually occurs within one to two weeks. Patients typically resume normal activities quickly, with few post‑procedure restrictions.
“This treatment offers a long‑lasting option that combines effectiveness with convenience,” Wilson said. “It fills a critical gap between temporary therapies and more invasive procedures.”
Tracey Wilson, M.D., professor in the UAB Department of Urology, who has more than 25 years of experience treating overactive bladder and UUI, is the first physician in Alabama to offer this therapy. She says the technology represents an important step forward for patients seeking durable, patient‑friendly solutions.
In addition, the device lasts 15 years and requires recharging only one to two times per year.
“This is an exciting advancement for bladder care in our state,” Wilson said. “I’m proud to bring this option to UAB and to the many patients who stand to benefit from it.”
UUI is often associated with overactive bladder, a condition characterized by urinary urgency, frequent urination and waking multiple times at night to empty the bladder. Overactive bladder affects an estimated 15 percent to 20 percent of adults, or nearly one in five people. UUI alone impacts approximately 7 percent to 10 percent of women and 3 percent to 5 percent of men, with prevalence increasing with age.
“However, urge urinary incontinence should not be considered a simple act of aging,” Wilson said. “Many believe that it is and, therefore, suffer in silence without seeking treatment.”
Wilson says this leads to additional expenses, such as buying protective products like pads, as well as increased laundry and clothing costs. It can also interfere with intimacy and lead to isolation and depression.