Evidence map›Paper›PMID 41587348›Full record

Trial reportThe Journal of urology2026

Implantable Tibial Neuromodulation Therapy Improves Symptoms of Urge Urinary Incontinence From the TITAN 2 Pivotal Study.

Una Lee, Keith Xavier, Jeffrey Carey, Alison Pickering, Janet Harris-Hicks, Laura Giusto, Kenneth Finkelstein, Jason Kim, Jerome Yaklic, Emily Gillespie and 2 more

Abstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Una LeeVirginia Mason Medical Center, Seattle, Washington.
Keith XavierUPNT, Arlington, Texas.
Jeffrey CareyCentral Ohio Urology Group, Gahanna, Ohio.
Alison PickeringUrology Centers of Alabama, Homewood, Alabama.
Janet Harris-HicksFirstHealth Urogynecology, Hamlet, North Carolina.
Laura GiustoChesapeake Urology Associates, Owings Mills, Maryland.
Kenneth FinkelsteinProvidea Health Partners LLC, Evergreen Park, Illinois.
Jason KimStony Brook University Hospital, Stony Brook, New York.
Jerome YaklicUniversity of Texas Medical Branch, Galveston, Texas.
Emily GillespieMedtronic Pelvic Health, Minneapolis, Minnesota.
Nathan GrunowMedtronic Pelvic Health, Minneapolis, Minnesota.
Kevin BensonSanford Female Pelvic Medicine & Reconstructive Surgery Clinic, Sioux Falls, South Dakota.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Medtronic implantable tibial neuromodulation system is a leadless, rechargeable, minimally invasive option intended to treat the symptoms of urge urinary incontinence (UUI), a common condition that significantly impairs quality of life. TITAN 2 is a pivotal study evaluating safety and effectiveness of the Medtronic implantable tibial neuromodulation system. The results through 12 months are reported. MATERIALS AND

methodsThis prospective, multicenter, single-arm investigational device exemption study enrolled eligible overactive bladder subjects with UUI. The primary end point was the percentage of subjects who had ≥ 50% reduction in UUI episodes/day after 6 months. Safety was characterized as the rate of adverse device effects (ADEs). Data are reported as mean ± SD or with 95% CIs.

resultsOf 126 implanted subjects, 95% were female, the mean age was 63 ± 14 years, and BMI was 35 ± 9 kg/m

conclusionsTITAN 2 met the primary and all secondary objectives by showing a statistically significant improvement of UUI, urinary frequency, and urgency symptoms. Clinical benefits and a favorable safety profile were maintained through 12 months.

Indexed as

Electric Stimulation TherapyTibial NerveUrinary Incontinence, UrgeAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment Outcomeclinical trialimplantable neurostimulatorsoveractivequality of lifeurgeurinary bladderurinary incontinence

Identifiers

PMID41587348
PMCPMC13218429

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.