Urinary incontinence affects millions of people worldwide, and it can have a significant impact on a person’s quality of life. It is a condition that can lead to embarrassment, discomfort, and social isolation. Fortunately, medical science has come up with several ways to treat this condition. One of the most innovative and revolutionary solutions is the eCoin peripheral neurostimulator.

In this article, we will explore what eCoin is, how it works, its benefits, and its impact on the lives of people with urinary incontinence.


What is urge urinary incontinence?

Urge Urinary Incontinence (UUI), also known as overactive bladder, is a type of urinary incontinence characterized by the sudden and involuntary loss of urine, usually accompanied by a strong and sudden urge to urinate. People with UUI may experience urine leakage during everyday activities such as coughing, sneezing, laughing, or exercising. It is often caused by an overactive bladder muscle that contracts uncontrollably, giving the sensation of needing to urinate urgently and frequently. UUI can be disruptive to daily activities and may significantly impact an individual’s quality of life.


What is eCoin for Urinary Incontinence?

The eCoin is a recently FDA-approved implantable device that aids in restoring bladder control. It is the only FDA-approved tibial stimulator device for Urge Urinary Incontinence. Measuring no more than a nickel, this disc-shaped device is implanted under the skin near the ankle to stimulate the peripheral tibial nerve, allowing for neuromodulation that can alleviate symptoms of Urge Urinary Incontinence (UUI). UUI is characterized by a sudden, uncontrollable urge to urinate, and eCoin treatment can help to alleviate its symptoms.

eCoin is a small device that is implanted under the skin near the ankle. It uses a small electrical pulse to stimulate the tibial nerve, which controls the bladder and pelvic floor muscles. The device is battery-operated and can be easily programmed by a healthcare professional.


How does eCoin Peripheral Neurostimulator work?

The eCoin Peripheral Neurostimulator System is a subcutaneously implanted device in the ankle region that stimulates the tibial nerve. This nerve is responsible for the sensation and movement of various parts of the leg and foot, and it also has a modulatory effect on the nerves that govern bladder control.

The system administers electrical pulses to the tibial nerve in 30-minute intervals, according to a predetermined timetable. The level of stimulation can be adjusted by a healthcare professional using a remote control, based on the patient’s sensitivity and requirements.

The nerves regulating the bladder and other pelvic organs are connected to the tibial nerve in the leg, which originates from the lower spine. However, the precise mechanism by which neurostimulation of the tibial nerve enhances bladder control is not yet fully understood.


What are the benefits of an eCoin Peripheral Neurostimulator?

The eCoin treatment offers several advantages, including proven effectiveness in reducing Urge Urinary Incontinence (UUI) based on clinical studies. The treatment is less invasive and may be successful when other treatments have failed. Furthermore, the eCoin system includes an external controller, enhancing patient comfort, and eliminating the need for external wires, leads, or tubes.

Additionally, patients who undergo eCoin treatment often report an increase in their ability to perform daily tasks, improving their quality of life and overall functionality.


How long does the procedure take?

The good news is that the eCoin Tibial Stimulator procedure is a quick and efficient process, taking only 20 to 30 minutes to complete.


What are the potential side effects of the eCoin tibial nerve stimulator?

eCoin tibial nerve stimulator is a safe and effective treatment option for urinary incontinence. However, like any medical procedure, there may be some potential side effects. The most common side effect is mild discomfort or tingling during the session. In rare cases, patients may experience skin irritation. If you experience any unusual symptoms or side effects, you should contact your healthcare provider immediately.


Who is a good candidate for eCoin Peripheral Neurostimulator?

Patients who exhibit symptoms of urge urinary incontinence and are suffering from the effects of an overactive bladder are potential candidates for the eCoin Peripheral Neurostimulator System. If you are experiencing the discomfort and embarrassment of poor bladder control and it is significantly affecting your quality of life, eCoin may be a viable, minimally-invasive solution for you.

Individuals who have a history of ankle surgery, previous unhealed damage or infections near the implant area, or lower leg or foot conditions, including open wounds or sores, swelling due to fluid build-up, vein or artery disease or insufficiency, and inflammation or skin conditions, should not use the eCoin Peripheral Neurostimulator System.



Urinary incontinence is a common condition that can have a significant impact on a person’s quality of life. eCoin Peripheral Neurostimulator System is a revolutionary and innovative solution that can provide relief from urinary incontinence. It is a safe and effective treatment option that has several benefits and minimal side effects. If you suffer from urinary incontinence and are looking for a minimally invasive and cost-effective treatment option, eCoin peripheral neurostimulator system may be right for you.


Desert Sky Urology

It’s time to take control of your bladder with eCoin treatment, now offered at Desert Sky Urology. Our board-certified urologist, Dr. Lauren N. Byrne, MD, can help you regain your confidence and quality of life. Don’t let incontinence hold you back any longer – schedule a consultation today and see if eCoin treatment is right for you. Call us now to learn more and take the first step toward a better life!