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The Forbury Clinic

Nerve Stimulation Newcastle

Gentle stimulation of the nerves that control the bladder can reduce urgency and frequency in overactive bladder. It is a low-impact and drug-free option for people seeking an alternative to medication.

  • For Overactive Bladder
    For overactive bladder
    Low-impact and drug-free option
    Delivered as a course
    Alternative to medication

What is nerve stimulation?

Nerve stimulation, also known as neuromodulation, treats overactive bladder by influencing the nerve signals between the bladder and the brain.

In overactive bladder, these signals can become overactive or poorly regulated. This leads to sudden urgency, frequent trips to the toilet and sometimes urge incontinence, which is leakage before reaching the toilet.

By gently modulating these nerve signals, treatment can calm unwanted bladder contractions and improve control.

A commonly used form is percutaneous tibial nerve stimulation, often shortened to PTNS. This involves placing a very fine needle near the ankle to stimulate the tibial nerve. The tibial nerve connects through the spinal cord to the nerves that control the bladder.

PTNS is straightforward and delivered as a course of short sessions.

For people with more severe or persistent symptoms, a more involved form of neuromodulation using an implanted device may be considered. Your consultant will explain which approach is appropriate for your symptoms and health.

Nerve stimulation is particularly helpful for people who:

  • Prefer to avoid medication
  • Have not tolerated medication
  • Wish to try a low-impact option before more invasive treatments

How it works

What it involves

Nerve stimulation reduces overactive bladder symptoms by calming abnormal nerve signals.

Modulates nerve activity

Gentle electrical stimulation influences the communication between the bladder and the brain.

Reduces urgency and frequency

Over a course of sessions, many people experience fewer and less intense urges to pass urine.

Drug-free and low impact

The common form, PTNS, is delivered in clinic and is generally well tolerated.

Who nerve stimulation may suit

This treatment may be suitable for people who:

  • Have overactive bladder with urgency and frequency
  • Experience urge incontinence
  • Wish to avoid medication
  • Have not tolerated medication side effects
  • Have been assessed as appropriate for neuromodulation

A consultation confirms the diagnosis and ensures other causes of symptoms have been excluded.

What to expect

  1. Assessment
    Your consultant will review your symptoms and confirm a diagnosis of overactive bladder. Previous treatments will be discussed.
  2. A course of sessions
    The most common approach, PTNS, is delivered as short regular sessions in clinic. A fine needle is placed near the ankle and mild stimulation is applied for around 30 minutes. A typical initial course involves weekly sessions for several weeks. Your consultant will advise on the appropriate schedule.
  3. Review and next steps
    Your response is assessed over the course of treatment. Some people continue with maintenance sessions. If symptoms remain troublesome, alternative options can be discussed.

Why choose The Forbury Clinic for nerve stimulation in Newcastle?

Why The Forbury Clinic
1

Drug-free option

An alternative for people who prefer not to take medication or cannot tolerate it.

2

Low-impact treatment

PTNS is straightforward and does not involve surgery.

3

Targets the underlying mechanism

Works on the nerve signals that drive overactive bladder symptoms rather than simply masking them.

4

Part of a stepped pathway

Sits between conservative measures and more invasive treatments, broadening your options.

Frequently asked questions

Does nerve stimulation hurt?

PTNS uses a very fine needle near the ankle to deliver mild stimulation. Most people tolerate it well and describe only a tingling sensation.

How many sessions will I need?

It is usually delivered as a course of regular sessions rather than a single treatment. Your consultant will recommend a schedule based on your symptoms.

Is there a more involved option?

Yes. For more severe symptoms, sacral neuromodulation using an implanted device may be considered. Your consultant will explain when this is appropriate.

When is it used?

It is used for overactive bladder, particularly when medication has not helped or is not suitable.

Reviewed by Mr Matthew B.K. Shaw
Mr Shaw qualified from Oriel College, University of Oxford in 1997 before developing an internationally recognised Urology practice in the North East of England.
Last reviewed: 21 Jul 2026.

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Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.

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    01189207055
  • Location

    The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA

Treatment suitability is determined following consultation with a specialist. Individual results and recommendations vary.
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