Percutaneous tibial nerve stimulation

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:

• 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

You can trust Spire Harpenden Hospital to provide you with a single, fixed price (1) so there are no surprises. And, through our carefully chosen partner (2) you can even be considered for interest free finance.
(1) Important: Please read Spire Healthcare's terms and conditions for full details of what’s included and excluded in your fixed price* when paying for yourself. (2) Zebra Finance Ltd trading as Zebra Health Finance , Lincoln House, Stephensons Way, Wyvern Business Park, Derby, DE21 6LY. 

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All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.

Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries. Many of our consultants have international reputations for their research in their specialised field.

You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.

We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.

We've tried to make your experience with us as easy and relaxed as possible.

For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages.

Our dedicated team will also give you tailored advice to follow in the run up to your visit.

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.)

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