Urgent® PC (PTNS)

Urinary incontinence, no matter how minor or infrequent it may seem, can be an embarrassing and uncomfortable issue.

PTNS (Percutaneous Tibial Nerve Stimulation)

A Guide for Women

What is Overactive Bladder (OAB)?
How does PTNS work for OAB?
How effective is PTNS for OAB?
What are the risks?
What can I expect during the procedure?
Contraindications

What is Overactive Bladder (OAB)?

Overactive bladder is a common condition caused by an involuntary contraction of the bladder muscle (detrusor) leading to urinary frequency, urgency, nighttime voiding, and leakage of urine. This can have a significant impact on your quality of life.

How does PTNS work for OAB?

PTNS is used in patients who have not gotten relief from medications or other therapies. It is a non-surgical and low risk option. PTNS works by indirectly providing electrical stimulation to the nerves responsible for the bladder and pelvic floor function.

How effective is PTNS for OAB?

Studies show that PTNS is effective for 60-80% of patients. The benefits of PTNS occur gradually, it may be several weeks before you start to notice your symptoms improving. Our goal is to see a 50% reduction in your urinary symptoms after a series of 12 PTNS sessions. This may mean less urinary leakage, less frequent urination, and/or fewer nighttime voids. It is rare that all of your symptoms resolve. You may need to maintain these results with periodic maintenance PTNS sessions.

What are the risks?

PTNS has no serious adverse reactions reported. You may experience a mild discomfort, localized bleeding, or bruising or redness at the insertion site.

What can I expect during the treatment?

You will sit with your leg elevated. A slim needle will be inserted near the tibial nerve at the ankle. A stimulator device is connected to the needle which sends a mild electrical impulse to the tibial nerve. These impulses travel to the sacral nerve plexus, the group of nerves at the base of the spine responsible for bladder function. Each session will last 30 minutes. After the treatment time the needle will be removed and you can resume your daily activities.

Contraindications:

While PTNS is safe for most patients, there are some who should not receive it.

Patients with pacemakers or implanted defibrillators
Patients prone to excessive bleeding
Patients with nerve damage that could affect tibial nerve or pelvic floor function
Women who are pregnant or planning on becoming pregnant during the duration of the therapy.

    Excellent4.7241 reviews
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 Excellent241 reviews
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   Dana Smith 
 September 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I can't recommend Dr. Nosti and the team at Urogynecology of Kansas City enough. I had surgery with him last month, and from my very first evaluation appointment through recovery, the entire experience exceeded my expectations. Dr. Nosti took the time to listen, explain my options clearly, and made me feel confident and comfortable with my decision to move forward with surgery. The surgery itself went smoothly, and my recovery has been great.

Every member of the staff was kind, professional, and attentive at every visit. I'm so glad I made that first appointment to get evaluated — it's made a real difference in my quality of life. I would give Dr. Nosti and his team a 10/10 recommendation to anyone considering care with this practice.
  
 
      
   Patty Cowan 
 September 23, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Latasha Reed was great to work with. She was very thorough and took the time to listen to everything that was going on. She went beyond the scope of the initial reason I was coming to see her and helped me with another concern. I would highly recommend her.
  
 
      
   Shawn Kyndesen 
 September 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had my first visit with Kellie James, CRNP and she listened to all my concerns. She gave me a plan to help my urinary in-continuance. She was so easy to talk to!
I am so thankful that I saw her. My life has changed for the better!  SKK
  
 
      
   charnice burk 
 September 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti is great! I felt very confident in his work. He has done 2 procedures for me and both have gone so smooth. He tells you what to expect and has a plan for those things. I would refer him to anyone having gynecological issues that they need surgery for. Thanks Dr. Nosti!!
  
 
      
   Deb Hundley 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. As a Provider in the region I self referred to Dr. Nosti for female pelvic organ prolapse and stress incontinence. From the time I walked in the door for my initial consult to my post-op surgical follow up the process has been seamless. Any hiccups were anticipated and a plan was in place prior. I’ve been nothing but happy with this process and my results.
  
 
      
   Kathryn Gonzalez 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Everyone is so professional and Dr. Nosti is incredible.  Surgery went well.  I feel more confident.
  
 
      
   Rose Hamilton 
 August 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. This place was amazing, I was treated kindly and softly, everything explained to me as we went, my options and things to help till my next appointment.
The office itself is soft, clean, and quiet to help you feel more relaxed in an uncomfortable situation. Everyone was very friendly and respectful. I highly recommend this office.
Dr Stork was very friendly, took her time, explained everything and presented my options, pros and cons for each and let me make the choice. She was light-hearted and helped me feel at ease.
  
 
      
   Elaine Smith 
 August 16, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Nosti is wonderful, I would recommend him to any of my friends.  His office staff are kind, courteous and professional.  Highly recommend if you need urogynecology services!!
  
 
      
   Ashlee White 
 August 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I have dealt with IC and bladder pain for the last 3 years. Went to a urologist for years and tried anything he threw at me but after years of suffering and plenty of my own research (spiraling), I found Latasha online. She is the first provider that made me feel seen and heard and actually helped me feel better. Thank you, Latasha! ❤️
  
 
      
   Colleen Dublin 
 August 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti and LaTasha are excellent practitioners. They are a busy practice but always have time to make you feel like you're the only patient. (I wouldn't recommend a practice that isn't busy... if it's not, the practitioners aren't any good). The staff is excellent, too.
I'm a bit of an expert when judging urologists... I'm in my 50's and was born with a bladder condition. Needless to say, I've seen many urologists since childhood (I move around a lot).