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The Forbury Clinic

Nerve Stimulation in London

Gentle stimulation of the nerves involved in bladder control can help reduce the urgency and frequency associated with an overactive bladder. It offers a low-impact, drug-free option for people who would prefer to avoid medication or have not found it suitable.

  • 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 called neuromodulation, is used to treat overactive bladder by influencing the nerve signals between the bladder and brain. These signals play a role in bladder urgency and frequency. Gentle stimulation can help regulate them and reduce unwanted bladder activity.

One commonly used approach is percutaneous tibial nerve stimulation, known as PTNS. This involves using a very fine needle close to the ankle to deliver mild electrical stimulation to a nerve that connects, through the spinal cord, with the nerves involved in bladder control. It is usually delivered as a course of short, regular appointments.

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

Nerve stimulation may be a useful option if you want to avoid medication, cannot tolerate it or would prefer to consider a less invasive treatment before moving on to other options.

How it works

Calming the signals

Nerve stimulation can help manage an overactive bladder in three ways.

Modulates nerve activity

Gentle stimulation influences the messages between the bladder and brain that contribute to urgency.

Reduces urgency and frequency

Over a course of treatment, some people experience less frequent or less intense urges to pass urine.

Drug-free and low impact

PTNS is a drug-free treatment delivered through short sessions and is generally well tolerated.

Who nerve stimulation may suit

Nerve stimulation may be considered for people who:

  • Have overactive bladder symptoms, including urgency and frequency
  • Would prefer to avoid medication or have not tolerated it
  • Are looking for a low-impact, drug-free option
  • Have been assessed as suitable by a consultant urologist

What to expect

  1. Assessment
    Your consultant will assess your symptoms and confirm whether overactive bladder is the likely cause. They will then discuss whether nerve stimulation may be an appropriate option.
  2. A course of sessions
    The most commonly used treatment, PTNS, is delivered through short, regular sessions using a very fine needle near the ankle.
  3. Review and next steps
    Your consultant will review how your symptoms respond during the course of treatment and discuss whether ongoing sessions or another treatment option may be appropriate.

Why choose The Forbury Clinic for nerve stimulation in London?

Why The Forbury Clinic
1

Drug-free option

A treatment option for people who would rather avoid medication or have not found it suitable.

2

Low-impact treatment

PTNS is delivered through short appointments and is generally straightforward to tolerate.

3

Targets bladder control signals

Treatment focuses on the nerve signals that can contribute to an overactive bladder, rather than simply managing symptoms.

4

Part of a stepped approach

Nerve stimulation can sit between conservative measures and more involved treatment, broadening the options available to you.

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, although experiences vary. Your consultant will explain what to expect before treatment begins.

How many sessions will I need?

Nerve stimulation is usually provided as a course of short, regular sessions rather than a one-off treatment. Your consultant will recommend a schedule based on your symptoms and response to treatment.

Is there a more involved treatment option?

Yes. For more persistent symptoms, a form of neuromodulation using an implanted device may be considered. Your consultant will discuss this only if it is appropriate for you.

When is nerve stimulation used?

It may be considered for overactive bladder, particularly if you prefer a drug-free approach, cannot tolerate medication or have not had enough improvement with other treatment options.

Reviewed by Mr. Steve Foley
Mr. Foley is a Consultant Urological Surgeon with a focus on female urology and male incontinence.
Last reviewed: 11 Sep 2026.

Explore a drug-free option for overactive bladder

Book an Appointment

If urgency and frequency are affecting your daily life, nerve stimulation may be an option to discuss. Submit an enquiry or contact our team in confidence.

  • Appointment
    Book a consultation
  • Reception
    0118 920 7055
  • Location

    The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J

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