PTNS (Percutaneous Tibial Nerve Stimulation)

A minimally invasive way to regain control over bladder and bowel function.

What is PTNS?

PTNS stands for Percutaneous Tibial Nerve Stimulation. It involves placing a thin needle near the tibial nerve in your ankle, which is then connected to a small electrical stimulator. These gentle impulses travel up the leg to influence the nerves responsible for bladder and pelvic floor control, helping to reduce symptoms of urgency and incontinence.

Who should consider the treatment?

PTNS is commonly recommended for individuals with:

  • Overactive bladder (OAB) symptoms such as urinary urgency and incontinence.

  • Bowel-related issues like faecal urgency or incontinence.

If you’ve tried other therapies without sufficient relief, PTNS may be an effective next step in managing your symptoms.

What happens during the treatment?

An initial course typically includes one session per week for 12 weeks. Follow-up or maintenance sessions may be recommended to keep symptoms under control.

  1. During the session

A small, slim needle is placed near your ankle to stimulate the tibial nerve. You’ll feel a mild tingling, pulsing, or throbbing sensation in your foot or leg. It shouldn’t be painful. Each treatment session lasts around 30 minutes.

  1. After the session

You can resume your normal activities right away. Some people experience slight soreness at the needle site, but this usually fades within a few hours.

Investment options:

PTNS is available on a self-pay basis at £200 per session.

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