With up to 25 - 30% of women aged 45 to 65 years suffering from incontinence Spire Hull and East Riding Hospital has introduced an effective outpatient 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 Hull and East Riding Hospital under the care of Mr Jagdish Gandhi, consultant Uro-gynaecologist. 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 30 minute outpatient sessions, usually undertaken once or perhaps twice 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 Hull and East Riding Hospital.
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