Dr. Jason Kim

But what happens is

They might do it for a year and get tired of coming in.

And once they know it works, they're willing to undergo a tibial nerve implant because they've seen the improvement.

And if anything, it may, I have no data to prove this, it may work better because they have more frequent sessions.

And I'll tell you, one of the biggest advocates of implantable tibial nerve stimulators are my PTMS nurses.

All the patients about it and trying to encourage them to switch over.

So Anjali, I put my first sacral neuromodulation device, I think, as a resident around 2005, 2006.

And it's amazing the innovation that's come about since then.

I talked to some of my mentors and they told me about the days where they actually had to suture the lead to the periosteum near the framens.

Now, I never put one of those in, but I did have to take some of them out in training.

It's amazing to see the evolution.

We used to see one to two year IPG batteries, then three to five, five to seven, now 10 to 15, some are lasting 20 years.

And in the same way, one of the biggest limiting factors for sacral neuromodulation had been

MRI conditionality.

I remember when the devices were not MRI conditional, then they became 1.5 Tesla conditional for brain MRIs.

But since about 2019, when Exonix was first released and then Medtronic soon followed, their devices are basically fully MRI conditional, 1.5 and 3 Tesla.

So it's opened up this therapy to a lot more patients.

You do a pathic overactive bladder.

I try to do a PNE.

And that's my preference.