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Electrical impulses are applied to the nerves that control bladder function.
Electrical impulses are applied to the sacral nerve plexus, the nerves that control bladder function.
Percutaneous tibial nerve stimulation (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.
PTNS could help with:
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)
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 714 420, 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.
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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.
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.
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.)
We are committed to delivering excellent individual care and customer service across our network of hospitals, clinics and specialist care centres around the UK. Our dedicated and highly trained team aim to achieve consistently excellent results. For us it's more than just treating patients, it's about looking after people.
The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.
09 March 2020
March is Ovarian Cancer Awareness Month, do you know what you should be looking out for? Consultant Gynaecologist, Miss…