Percutaneous Tibial Nerve Stimulation: A Clinically and Cost Effective Addition to the Overactive Bladder Algorithm of Care

When behavioral therapy or pharmacology is not effective in the treatment of overactive bladder (OAB), the modulation of bladder reflex pathways has been acknowledged as the next logical step in the algorithm of care. This care path has recently been codified in the 2012 American Urological Association guidelines for the diagnosis and treatment of OAB [1••]. The two most commonly utilized neuromodulation techniques are percutaneous tibial nerve stimulation (PTNS) and sacral nerve stimulation (SNS).