Percutaneous Tibial Nerve Stimulation (PTNS)

Percutaneous Tibial Nerve Stimulation (PTNS) is a treatment that is minimally invasive for overactive bladder (OAB) symptoms. While there are many options available for treatment of OAB–including Pelvic Floor Muscle Rehabilitation (PFMR), medication, and behavioral modification–not all patients have success with these treatments. PTNS works by gentle electrical stimulation of the nerves of the sacral nerve plexus to modify the bladder’s activity. This is sometimes referred to as neuromodulation. The tibial nerve, located in the lower part of the leg, can be accessed with a sensor that is placed through the skin. The impulses then travel along the tibial nerve as well as to the sacral nerve plexus.


  • Overactive bladder
  • Non-responsiveness, inability to tolerate, and/or allergy to medications for
  • Urge urinary incontinence


Once your doctor determines that you may reap benefits from PTNS, you will return for an initial evaluation with our nurse practitioner who specializes in urinary incontinence. A small needle electrode is inserted adjacent to the tibial nerve to the sacral nerve plexus to modify the bladder’s activity. Each treatment will last about thirty minutes, and initially, a series of twelve treatments are scheduled with each one of them being about a week apart. The whole procedure is carried out in our office and following the series of treatments you are evaluated by your physician to assess your response to your treatment.

Side Effects

  • Minimal bleeding at the point of the electrode insertion
  • Discomfort at the stimulation site


  • Efficient and quick office treatment
  • Treatment for ove active bladder or incontinence not requiring ongoing
  • Medication or surgery