Posterior Tibial Nerve Stimulation (PTNS)

With up to 25 - 30% of women aged 45 to 65 years suffering from incontinence Spire Cheshire Hospital has introduced an effective treatment to the range of therapies for this common condition.

Posterior Tibial Nerve Stimulation (PTNS) is a new treatment for urinary frequency and urgency, most commonly caused by an overactive bladder, is now available at Spire Cheshire Hospital with Mr Lee Robinson Consultant Urologist.


PTNS is a form of neuromodulation which can be used with, or as an alternative to, other treatments such as fluid modification, bladder retraining and anticholinergic medication.

The treatment targets the tibial nerve in the ankle and modifies the nerve impulses sent to the bladder which contribute to the development of urgency.

A small acupuncture needle is inserted into the ankle near the Tibial nerve and is then connected to a stimulator device.

At the end of twelve short sessions, usually undertaken once per week, there is a 70% chance of improvement. Sometimes further “top ups” are given depending upon the initial response. Patients have some slight tingling when the needle is inserted but then do not feel anything while the treatment is taking place.

Side effects are minimal and so far the treatment has been very well tolerated.

Are there people who should not use Urgent PC?

Patients with pacemakers or implantable defibrillators
Patients prone to excessive bleeding
Patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function
Patients who are pregnant or planning to become pregnant during the duration of the treatment

PTNS has recently been approved by NICE and is now one of range of therapies available at Spire Cheshire Hospital for urinary incontinence.
Please click here for further information

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Specialist Clinics here at Spire Cheshire Hospital

Private healthcare clinics Cheshire

Spire Cheshire Hospital in Warrington has a number of clinics available to our patients. Each clinic is led by our expert consultants, each specialists in their individual fields.

Click here to find out more information about our specialist clinics.

What should I do next?

Insured Patients
Simply visit your GP and ask them to refer you to one of our consultants. Your GP will write a letter of referral and then you can contact us on 0845 602 2500 to arrange your first out-patient appointment.

Self Pay Patients
For self-pay treatments, simply call us on 01925 215 029 to request a guide price or to discuss your personal situation

Consultant: Mr Lee Robinson

© Spire Healthcare Group plc (2016)