Dr. Jason Kim

So I don't have a great sense.

I will tell you, it's much rarer now that I'm replacing an IPG for end of battery.

In the beginning of my career, when these things were two to three years, we did it a lot more often.

It's typically lead migration or if there's been some kind of trauma.

You know, a patient might fall on their sacrum or slip on the ice and there might be a bad impedance that the lead breaks.

Then I would revise it.

Occasionally, we have to do pocket revisions for pain at the IPG site.

That's not necessarily a lead-related issue.

Okay, good question.

So I totally believe the results of the Beaumont study.

I think a lot of practices tend to get cluttered up with OAB patients, patients cycled on medications.

In fact, I think Ben Brucker and his group at NYU, they did a study.

One of your co-fellows or old fellows, I believe, did a study looking at the aqua registry and looking at the patients with overactive bladder.

And number one, they found only 2.9% of patients who were diagnosed with overactive bladder went on to procedural intervention.

And I believe the average time to procedural intervention was seven years from the diagnosis of overactive bladder.

Now, so those patients are getting cycled in and out.

They're coming for visits.

There's a lot of patient frustration.

There's probably a lot of provider frustration that these patients are complaining.

But I think the patients weren't getting appropriate therapy and they're getting frustrated because they're being cycled on medications.