Percutaneous tibial nerve stimulation (PTNS) for urinary incontinence

For the treatment of

Urinary Incontinence

Commissioning position

This intervention is commissioned if:

  • recommended by a specialist MDT for a 12 week trial OR

  • recommended by a specialist MDT for continued PTNS following review of results of the 12 week trial by the specialist MDT

Summary of rationale

Current evidence on percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder (OAB) syndrome shows that it is efficacious in reducing symptoms in the short and medium term. There are no major safety concerns. Therefore, the procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit.

 

NICE guidance recommends this intervention should only be offered following a local MDT review

References

IPG362 Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome (NICE)

NG123 Pelvic organ prolapse and urinary incontinence in women (NICE)

Non invasive electrical stimulation in OAB (Cochrane)

Associated Pathways

Prolapse York Uro-gynaecology (including urinary incontinence) York

Specialties

Urology York Urology North Yorkshire Urology Hull Urology East Riding Urology North Lincolnshire Urology North East Lincolnshire

Places covered by

  • east-riding
  • hull
  • north-east-lincolnshire
  • north-lincolnshire
  • north-yorkshire
  • vale-of-york
Author:
Date created: 17/06/2025, 10:03
Last modified: 16/07/2025, 08:30
Date of review: 2028-01-31