[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-213072-en":3,"doc-seo-213072-105":30,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},213072,687207412472,"Angel","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",7,"Healthcare","Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome - Interventional procedure overview","Interventional procedure overview on percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder syndrome (OAB). OAB is characterized by urinary urgency with or without urge incontinence, usually with frequency and nocturia, and may be “OAB wet” or “OAB dry.” The overview describes how posterior tibial nerve stimulation is delivered via a needle and electrode above the ankle, outlines typical outpatient treatment sessions, and summarizes evidence from randomized controlled trials and case series regarding safety and efficacy. It also reviews current first-line and alternative OAB treatments and the evidence selection approach used.","NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE  \nINTERVENTIONAL PROCEDURES PROGRAMME  \nInterventional procedure overview of percutaneous posterior tibial nerve stimulation for overactive  \nbladder syndrome  \nThe symptoms of overactive bladder syndrome include the need to urinate often and without much warning (frequency) , and urge incontinence (the strong need to urinate followed by an inability to stop passing urine) . It is caused by the bladder muscle contracting before the bladder is full. Percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder involves inserting a fine needle into a nerve just above the ankle. A mild electric current is passed through the needle and carried to the nerves that control bladder function.  \nIntroduction  \nThe National Institute for Health and Clinical Excellence (NICE) has prepared this overview to help members of the Interventional Procedures Advisory Committee (IPAC) make recommendations about the safety and efficacy of an interventional procedure. It is based on a rapid review of the medical literature and specialist opinion. It should not be regarded as a definitive assessment of the procedure.  \nDate prepared  \nThis overview was prepared in March 2010.  \nProcedure name  \n• Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome.  \nSpecialty societies  \n• British Association of Urological Surgeons  \n• British Society of Urogynaecology  \n• Royal College of Obstetrics and Gynaecologists  \nDescription  \nIndications and current treatment  \nOveractive bladder syndrome (OAB; also known as urgency-frequency syndrome) is defined as urinary urgency, with or without urge incontinence, usually with frequency and nocturia. OAB that occurs with urge urinary incontinence is known as ‘OAB wet’. OAB that occurs without urge urinary  \nincontinence is known as ‘OAB dry’. In most cases, the cause of the overactive bladder is unknown. In some cases, it is associated with a neurological condition such as multiple sclerosis or Parkinson’s disease.  \nFirst-line treatments for OAB include bladder training, pelvic floor muscle training and anticholinergic drugs. In patients for whom conservative treatments have been unsuccessful, intravesical botulinum toxin injectionsand/or sacral nerve stimulation are sometimes used. More extensive surgical options for treating OAB include bladder reconstruction (such as augmentation cystoplasty) and urinary diversion.  \nWhat the procedure involves  \nStimulation of the posterior tibial nerve delivers retrograde stimulation to the sacral nerve plexus. The posterior tibial nerve contains mixed sensory motor nerve fibres that originate from the same spinal segments as the innervations to the bladder and pelvic floor. The exact mechanism of action of neuromodulation is unclear. The potential benefit of percutaneous posterior tibial nerve stimulation is that it may achieve the same neuromodulatory effect as sacral nerve stimulation through a less invasive route.  \nPercutaneous posterior tibial nerve stimulation is performed while the patient is seated or reclined in a comfortable position. A fine gauge needle or needle electrode is inserted percutaneously just above and medial to the ankle , next to the tibial nerve, and a surface electrode is placed near the arch of the foot. The needle and electrode are connected to a low-voltage stimulator. Stimulation of the posterior tibial nerve produces a typical motor (plantar flexion or fanning of the toes) and sensory (tingling in the ankle, foot or toes) response. The current can be adjusted as necessary during the treatment. Initial treatment usually consists of 12 outpatient sessions lasting 30 minutes each, typically a week apart.  \nLiterature review  \nRapid review of literature  \nThe medical literature was searched to identify studies and reviews relevant to percutaneous posterior tibial nerve stimulation for OAB. Searches were conducted of the following databases, covering the per","cbCaijC0n48lNZnY","https://ap.wps.com/l/cbCaijC0n48lNZnY","pdf",231735,1,28,"English","en",105,"# Introduction\n# Procedure name\n# Description\n## Indications and current treatment\n## What the procedure involves\n# Literature review\n## Rapid review of literature\n## Inclusion criteria for identifying relevant studies\n# List of studies included in the overview","[{\"question\":\"What symptoms define overactive bladder syndrome (OAB)?\",\"answer\":\"OAB involves urinary urgency, with or without urge incontinence, usually with frequency and nocturia. “OAB wet” includes urge incontinence, while “OAB dry” occurs without it.\"},{\"question\":\"How does percutaneous posterior tibial nerve stimulation (PTNS) work?\",\"answer\":\"A fine needle is inserted just above and medial to the ankle near the tibial nerve, and a mild current is delivered to induce retrograde stimulation of the sacral nerve plexus. The exact mechanism is described as unclear, but it aims to achieve neuromodulatory effects similar to sacral nerve stimulation.\"},{\"question\":\"How is PTNS typically delivered during treatment sessions?\",\"answer\":\"The patient is seated or reclined while a needle/electrode is placed above the ankle and a surface electrode is positioned near the arch of the foot. Initial treatment usually consists of 12 outpatient sessions, each lasting about 30 minutes, typically one week apart.\"}]","Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome - Interventional procedure overview | PDF",1788753042,71,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":28},"percutaneous-posterior-tibial-nerve-stimulation-for-overactive-bladder-syndrome-interventional-procedure-overview","",{"@graph":36,"@context":86},[37,54,69],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":43,"position":53},"https://docshare.wps.com/document/percutaneous-posterior-tibial-nerve-stimulation-for-overactive-bladder-syndrome-interventional-procedure-overview/213072/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":23,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-11","2026-09-07",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What symptoms define overactive bladder syndrome (OAB)?","Question",{"text":76,"@type":77},"OAB involves urinary urgency, with or without urge incontinence, usually with frequency and nocturia. “OAB wet” includes urge incontinence, while “OAB dry” occurs without it.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"How does percutaneous posterior tibial nerve stimulation (PTNS) work?",{"text":81,"@type":77},"A fine needle is inserted just above and medial to the ankle near the tibial nerve, and a mild current is delivered to induce retrograde stimulation of the sacral nerve plexus. The exact mechanism is described as unclear, but it aims to achieve neuromodulatory effects similar to sacral nerve stimulation.",{"name":83,"@type":74,"acceptedAnswer":84},"How is PTNS typically delivered during treatment sessions?",{"text":85,"@type":77},"The patient is seated or reclined while a needle/electrode is placed above the ankle and a surface electrode is positioned near the arch of the foot. Initial treatment usually consists of 12 outpatient sessions, each lasting about 30 minutes, typically one week apart.","https://schema.org",{"og:url":52,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,119,124,129,132,136],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":117,"slug":118},40,"healthcare",{"id":120,"doc_module":4,"doc_module_name":46,"category_name":121,"show_sort_weight":122,"slug":123},8,"Research & Report",30,"research-report",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":46,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":133,"doc_module":4,"doc_module_name":46,"category_name":134,"show_sort_weight":133,"slug":135},10,"Lifestyle","lifestyle",{"id":137,"doc_module":4,"doc_module_name":46,"category_name":138,"show_sort_weight":107,"slug":139},19,"General","general"]