Percutaneous Tibial Nerve Stimulation (PTNS)

If you’re suffering from overactive bladder, Percutaneous Tibial Nerve Stimulation (PTNS) can help you.

Percutaneous Tibial Nerve Stimulation (PTNS) is a non-invasive treatment for overactive bladder (OAB). By indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function, the treatment changes bladder function and activity.

For patients experiencing the symptoms of overactive bladder (OAB) such as urgency, frequency, and incontinence, PTNS is an effective treatment. It is generally prescribed after behavior modifications, Kegel exercise, or medications have been ineffective.

What Happens During the Procedure?

During the procedure, your foot is elevated and supported, and a slim needle electrode is placed near the tibial nerve at the ankle. A handheld nerve stimulator is then connected to the electrode where it sends mild electrical pulses to the tibial nerve. These impulses travel to the group of nerves at the base of the spine that are responsible for bladder function and control. Intensity of the impulses varies and is determined during the procedure. You may feel a tingling in the foot or ankle, but the procedure is generally painless.

How Long Does Treatment Last?

As this change happens gradually, you will receive a series of treatments, typically twelve thirty-minute treatments administered on a weekly basis. After the treatments, your response to the therapy will be assessed. Monthly maintenance treatments may be prescribed to ensure the ongoing success of PTNS.

What Should I Expect After Treatment?

After treatment, you may experience slight discomfort or redness. These effects should not last long after treatment. Serious side effects have not been reported.

Who is a Candidate for PTNS?

PTNS is an effective treatment for both men and women with OAB. If you have not responded to other treatments, PTNS may be effective for you. Your provider will help you determine whether or not PTNS is the most appropriate option for you.

How Effective is PTNS?

PTNS is 60%-80% effective. However, each person is an individual; thus, your results may vary. It may be a few weeks before you begin to feel the benefits of PTNS.