Pelvic floor electrical stimulation helps to strengthen the pelvic floor muscles. Your physical therapist may use an external nerve stimulator. In addition, doctors sometimes recommend an internal, permanently implanted nerve stimulation.
Percutaneous Tibial Nerve Stimulation (PTNS) is a non-surgical way to deliver electrical stimulation through a series of office treatments. The physical therapist or doctor places a thin needle near your ankle and then connects it to a battery-powered stimulator.
After turning on the stimulator, mild electrical impulses travel up the nerves in the leg to the nerves that control your bladder. Your physician observes your body’s response to determine the ideal level for nerve stimulation. Most women receive 12 weekly, 30-minute treatments to start. After that, you may also need occasional treatments, usually about once to maintain improved bladder control. PTNS is often used along with Kegel exercises.