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Percutaneous Tibial Nerve Stimulation (PTNS) is a minimally invasive treatment for overactive bladder (OAB) symptoms.  While many options are available for the treatment of OAB, including behavioral modification, Pelvic Floor Muscle Rehabilitation (PFMR) and medication, not all patients have success with these.  PTNS works by gentle electrical stimulation of the nerves of the sacral nerve plexus to modify the bladder’s activity, sometimes referred to as neuromodulation.  The tibial nerve, located in the lower leg, can be accessed with a sensor placed through the skin, the impulses then travel along the tibial nerve and to the sacral nerve plexus. 

  • Over active bladder (OAB)
  • Urge urinary incontinence
  • Inability to tolerate, allergy, or non-response to medications for overactive bladder


After your physician determines that you may benefit from PTNS, you return for an initial evaluation with our nurse practitioner who specializes in urinary incontinence.  A small needle electrode is inserted adjacent to the tibial nerve in your lower leg and connected to the battery-powered stimulator.  These gentle impulses travel up the tibial nerve to the sacral nerve plexus to modify the bladder’s activity.  Each treatment last about thirty minutes, and an initial series of twelve treatments are scheduled, each about a week apart.  The entire procedure is carried out in the comfort of our office, and following the initial series of treatments you are evaluated  by your doctor to assess your response to treatment. 

Side effects

  • Discomfort at the stimulation site
  • Minimal bleeding at the point of electrode insertion


  • Treatment for incontinence or over active bladder not requiring surgery or ongoing medication
  • Quick and efficient office treatment
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This web site is intended as an educational resource for physicians, patients, and the community and provides only an overview of The Urology Clinic and Georgia Lithotripsy & Laser Center, select urologic conditions and procedures.  It is not intended to serve as or replace an evaluation by a health care provider.  Patients with urologic complaints should be seen and evaluated individually so that their unique situation can be addressed appropriately.
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The Urology Clinic
120 Trinity Place
Athens, GA 30607
(706) 543-2718 (T)
(706) 353-3709 (F)

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