Percutaneous Tibia Nerve Stimulation

What is PTNS?

Percutaneous Tibial Nerve Stimulation is a treatment for overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Other treatment options include behavior modification, pelvic muscle strengthening, drug therapy and surgery.

Simple Procedure

  • Provides percutaneous tibial nerve stimulation: a slim needle electrode, inserted near the tibial nerve, carries electric impulses from a hand-held stimulator to the sacral plexus
  • 30-minute treatment sessions
  • After the 12 initial treatments, patients typically need sessions to sustain symptom relief

Treatment involves 12 initial, 30-minute treatments scheduled a week apart. Patients who respond to this initial treatment usually need refresher treatments (~monthly) to sustain results.

Potential Risks:

  • discomfort and pain (including throbbing pain) near the stimulation site
  • redness/inflammation at or near the stimulation site
  • local bleeding
  • toe numbness or stomach ache.


  • individuals with pacemakers or implantable defibrillators
  • individuals prone to excessive bleeding
  • individuals with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function
  • women who are pregnant or planning to become pregnant during the duration of the treatment.


  • Multiple studies show that 60-80% of patients improve with this treatment
  • Majority will see a reduction in the frequency and urgency of bathroom visits and accidents.