Conditions and Treatments

PTNS – Percutaneous Tibial Nerve Stimulation

The symptoms of an overactive bladder include the need to urinate often and without much warning, and urge incontinence (sudden leakage of urine without warning).

Medically reviewed by Jonathan Broome

Consultant Urogynaecologist

Published: August 30, 2026

What is percutaneous tibial nerve Stimulation?

The symptoms of an overactive bladder include the need to urinate often and without much warning, and urge incontinence (sudden leakage of urine without warning).


Overactive bladder is when the bladder muscle contracts before the bladder is full. In some cases, it is associated with neurological conditions such as multiple sclerosis or Parkinson’s disease.


Current treatments include bladder training, pelvic floor muscle training and medication. Injections of botulinum toxin and stimulating a nerve in the lower spine may be used if these treatments don’t work. Surgery, including bladder enlargement, may sometimes be an option.


The treatment

In the percutaneous tibial nerve stimulation procedure, a fine needle is inserted near a nerve just above the ankle, and an electrode is placed on the foot.

 

A mild electric current is passed through the needle to relax the nerves that control bladder function in the lower back.

 

There is usually a tingling sensation in the ankle, foot, or toes. The treatment usually consists
of 12 outpatient sessions of 30 minutes each, once a week.

Costs for this treatment with Dr Jonathan Broome

Package price total: £3000

 

Includes an initial consultation and 1st treatment at the consultation, followed by 11 further treatment sessions.

 

 

Ready to take the next step?

The simplest way forward is to reach out. You’ll be looked after with care, discretion, and the time to talk things through properly.

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