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Introduction:
Percutaneous tibial nerve stimulation (PTNS) has been shown to decrease the symptoms of bladder dysfunction. We reviewed our data to assess clinical effectiveness of PTNS in a large private practice group.
Materials & Methods:
Patients were evaluated undergoing PTNS from October 2013 to March 2014. Rates of frequency, incontinence, pads per day (PPD), nocturia, and urgency, were collected for each patient prior to treatment, and subjective data of improvement gathered at conclusion.
Results:
A total of 64 patients were evaluated. PTNS was completed with twelve sessions by 51 patients (79.7%). Pre-treatment average daytime frequency was 8.75 voids per day. Pre-treatment mean episodes of incontinence were 3.06 with an average 1.93 pads per day, and nocturia was noted to be 3.53 voids per night. Severity of urgency was an average of 2.20 (1-mild, 2-moderate, 3-severe). PPD was not significantly different between patients completing therapy compared to those who did not complete 12 weeks of therapy (1.73 vs 1.75, respectively).

Conclusions:
PTNS had decreased improvement in symptoms in our study compared to large trials in the literature. Clinicians should consider cost effectiveness and utility of PTNS in patients with limited response and consider alternative treatment.