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Tibial Nerve Stimulation for Overactive Bladder - Overview

Tibial nerve stimulation (TNS) for overactive bladder (OAB) helps to control bladder contractions with the use of electrical stimulation. It can help to reduce the frequency of the urge to urinate and also helps to prevent urinary leakage.

How does Tibial Nerve Stimulation Work?

This procedure involves stimulating the Tibial Nerve (located above the ankle) with electricity. The tibial nerve runs up your leg to the sacral nerves which control bladder function and the pelvic floor muscles.

Who would be recommended treatment?

Tibial Nerve stimulation is recommended to people who have issues with urinary incontinence (bladder problems). Tibial Nerve stimulation is only considered if previous treatment options have been unsuccessful. Bladder problems will usually be treated with behavioural therapy or medication before other treatment options are considered.

This treatment is unsuitable for people who:
  • Have an implantable defibrillator
  • Are prone to excessive bleeding
  • Have Tibial Nerve nerve damage
  • Are pregnant or planning to become pregnant during the treatment
  • If you have a pacemaker you may be able to have treatment but this will need to be discussed with your cardiologist
Find out more about Tibial Nerve Stimulation:
Reasons for undergoing Tibial Nerve StimulationRisksTibial Nerve Stimulation Specialists
Length of procedure:
30 minutes (12 treatments)
No anaesthetic
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Risks associated with Tibial Nerve Stimulation:

Risks/Complications (rare)

  • Skin redness
  • Skin allergy
  • Slight pain - during or after the procedure
  • Minor Itching

Tibial Nerve Stimulation - Specialists

Dr Pallavi Latthe

Dr Pallavi Latthe

Consultant Gynaecologist and subspecialist Urogynaecologist

Dr Pallavi is an accredited subspecialist in urogynaecology and a consultant obstetrician and gynaecologist at the Birmingham Women’s NHS Foundation Trust.

She is the clinical lead for Paediatric and Adolescent Gynaecology in the Trust.

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