Tibial Nerve Stimulation for Incontinence: How It Works and Who Can Benefit

Let's face it, leaks, bladder weakness and incontinence can feel pretty isolating to deal with and at times it can feel like you are battling a condition that nobody really understands. However, it's a much more common issue than we initially realise; particularly among women. In fact, the NHS estimates that between 3 and 6 million people in the UK are affected. Whether you've been dealing with this for a short time or a significant portion of your life, one thing's for sure: understanding your options for treatment is crucial. And that’s where Tibial Nerve Stimulation (TNS) comes in.

What is Tibial Nerve Stimulation?

Tibial nerve stimulation, or TNS, is a relatively modern approach to treating urinary incontinence. Essentially, it's a therapy that uses mild electrical impulses to stimulate the tibial nerve located near your ankle. The tibial nerve forms part of your body's complex network of nerves, which helps control your bladder function. By gently stimulating this nerve, it can bring about improvements in incontinence symptoms.

How does TNS work?

TNS is a non-surgical treatment involving a small, slim needle electrode that is inserted near your ankle, close to the tibial nerve. A pad connected to the device is then attached to your foot. The device sends gentle electrical impulses through the needle to stimulate the nerve. The signals then travel along your tibial nerve to the sacral nerve plexus in your lower back, which controls bladder function.

Benefits of TNS

One of the most remarkable things about TNS is its non-invasive nature. Unlike some other treatments for incontinence, there's no need for an operation or long recovery times.

Many people find that their symptoms of incontinence improve after TNS. It can help reduce the sudden, intense urge to urinate (urge incontinence) and even assist with issues like frequent urination.

What else should I know?

Like any medical procedure, TNS is not without potential drawbacks. Some people may find the treatment uncomfortable, especially at first. There can be a sensation similar to a mild electric shock, and although this is not generally painful, it can feel unusual.

Though uncommon, there are potential side effects including temporary pain or skin inflammation at the stimulation site. Additionally, TNS is often not a one-and-done treatment. Most patients need to undergo multiple sessions to see improvement, which can be a time commitment.

As with any treatment consideration, it's important to speak with your GP or consultant about the best pathway for you and your condition. You can find out more about treatment for overactive bladders here.