Percutaneous Tibial Nerve Stimulation (PTNS)

What is PTNS?
PTNS is a treatment for overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence.  Clinical trials and published studies have shown PTNS to be clinically effective in 60-80%(1-3) of patients, giving high satisfaction rates and substantial improvements in quality of life. This treatment has been approved by NICE (National Institute of Clinical Excellence)

Clinical trials have shown PTNS to be clinically effective in 60-80% of patients

Is this treatment suitable for me?
PTNS could help with;
• Urinary frequency – urinating more than 8 times in 24 hours
• Urinary urgency – a strong, compelling need to urinate that cannot be delayed
• Urge incontinence – wetting accidents which occur before reaching a toilet

How does it work?
A small, slim needle electrode will be temporarily inserted near the tibial nerve close to the ankle, this will then be connected to a battery-powered stimulator. The Stimulator’s impulses will travel through the tibial nerve and then to the sacral nerve plexus, the nerves that control bladder function.

How many treatments will I need?
You will receive an initial series of 12 treatments, typically scheduled a week apart. Each treatment will last approximately 30 minutes. If you respond to treatment you may need occasional treatments at a later date to sustain your results. Each 30 minute appointment takes place in our Outpatient department in the comfort of a private room.

Are there any side-effects?
Potential side effects associated with PTNS treatments include discomfort and pain (including throbbing pain) near the stimulation site, redness/inflammation at or near the stimulation site, toe numbness or stomach ache. (Please note that these are rare side effects.)

How do I pay for treatment?
Many private medical insurance companies cover this treatment, please contact your individual provider for details.

If you are paying for your own treatment please contact us for a quote on 01582 714420, or you can enquire through the website by completing the form on the right-hand side of this page.

1. MacDiarmid, S.A., & Staskin, D.R. (2009). Percutaneous tibial nerve stimulation (PTNS): a literature-based assessment. Current Bladder Dysfunction Reports, 4, 29-33. 
2. Leong, F., McLennan, M.T., Barr, S.A., & Steele, A.C. (2011). Posterior tibial nerve stimulation in patients who have failed anticholinergic therapy: efficacy and time to response. Female Pelvic Med Reconstr Surg 17(2), 74-75. 
3. Peters, K.M., MacDiarmid, S.A., Wooldridge, L.S., Leong, F.C., Shobeiri, S.A., Rovner, E.S., et al. (2009). Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactive bladder innovative therapy trial. J Urol, 182, 1055-1061.

- See more at:

Find a treatment, test or scan available at:


Find a consultant

Use one or more of the options below to search for a consultant and link through to view their Spire profile.


Let us help you

fill out this form and we will get back to you:

Please select a hospital

We can call you

Please enter your details below and we will call you back.

What is the aim of your enquiry?

Please select a hospital

If we are unable to reach you by phone, please include your email address so that we can get in touch...

Consultants using this treatment:

Mr Andrew Hextall
Consultant Gynaecologist

Mr Asad Saleemi
Consultant Urologist

For more details please click on the name above to read about the consultant.

© Spire Healthcare Group plc (2016)