Posterior Tibial Nerve Stimulation (PTNS) treatment for overactive bladder at Spire Thames Valley Hospital

Posterior Tibial Nerve Stimulation (PTNS) treatment is a new treatment for urinary frequency and urgency, most commonly caused by an overactive bladder.  This is now available at Spire Thames Valley Hospital under the care of Mrs Nadine Coull, Consultant Urologist.


How does it work?

PTNS is a simple form of nerve stimulation via a fine needle electrode inserted near the ankle.  During a 30 minute treatment, electrical stimulation is applied using a low voltage external battery-powered pulse generator (Urgent ® PC).



The Urgent ® PC system sends a mild electric current along your leg and to the nerves in your pelvis that control bladder and bowel function.  This process is also referred to as neuromodulation.


How often will I need Urgent ® PC treatments?


12 treatments are recommended and scheduled approximately a week apart.  After the initial 12 treatments, we will work with you to determine if occasional treatments are needed to maintain your results. 


Are there patients who should not be treated with Urgent ® PC? 

Yes, these include 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 and patients who are pregnant or planning to become pregnant during the duration of the treatment.  

What are the risks associated with Urgent ® PC?

The risks associated with Urgent ® PC therapy are low.  Most common side-effects are temporary and include mild pain or skin inflammation at or near the stimulation site.

PTNS is a simple, safe and effective, outpatient method of treating urinary frequency and urgency and has recently been approved by NICE (see link below - please note by clicking on the below link you will be leaving the Spire Thames Valley Hospital website. Spire Thames Valley Hospital and Windsor Clinic are not responsible for linked sites).

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Consultants offering PTNS for overactive bladder at Spire Thames Valley Hospital:

Mrs Nadine Coull

 For further information on this treatment or to make an appointment please call: 01753 665404

Guide Price:

Cost per treatment:  £110 *

*This price does not include the consultant fee which is approximately £200 per treatment

© Spire Healthcare Group plc (2016)