Posterior Tibial Nerve Stimulation

Posterior tibial nerve stimulation (ptns)

Posterior tibial nerve stimulation is a third line treatment option for overactive bladder. PTNS involves putting a needle near the ankle to stimulate the posterior tibial nerve for 30-minute treatment sessions on weekly basis for 6 to 12 weeks, then monthly thereafter. PTNS is generally effective in treating urinary urge incontinence and overactive bladder. PTNS is considered a noninvasive treatment option for overactive bladder symptoms otherwise refractory to first and second line therapy options. Examples of first-line therapy with the lifestyle, behavioral, and dietary modifications such as timed voids, caffeine reduction, and fluid restriction. Second line therapy for overactive bladder includes pharmacological treatment with medications such as anticholinergic medications and beta 3 agonists. Third line therapies for overactive bladder include PTNS, bladder Botox injection, and sacral neuromodulation. Electrical stimulation of the posterior tibial nerve stimulation travels to the third sacral nerve. The third sacral nerve is the nerve in charge of bladder and bowel function.

Minimally Invasive Urogynecology, Gynecology, and Gynecologic Oncology

Posterior Tibial Nerve Stimulation

Posterior tibial nerve stimulation (ptns)