Thank you for signing up to receive weekly educational emails about Urgent PC percutaneous tibial nerve stimulation (PTNS) therapy and how to get the most out of your overactive bladder treatment plan. This information is not intended to replace medical advice. You should always talk to your provider if you have questions about your care.

Planning a Route

Wow! You're coming to the end of the initial Urgent PC PTNS sessions. Hopefully, you've seen a great improvement in your symptoms. Even if you haven't, there's still a chance that you may have a late response to treatment. Regardless, it's a good time to start thinking about what's next.  

If you are happy with the results of Urgent PC PTNS therapy, the next step will be occasional treatments to help you maintain your improvements. If you don't think that Urgent PC PTNS is the right long-term treatment for you, talk to your provider about other options. Either way, you owe it to yourself to make a plan for long-term success! 

In the meantime, continue to make good food and beverage choices and remember to do your pelvic floor exercises. 

Your Personal PTNS Maintenance Plan

The goal of ongoing PTNS therapy is to maintain your symptom improvements with as few treatments as possible. This level is different for each patient. While once a month is typical, it varies greatly. Your provider will have their own way of providing ongoing treatment but most fall into one of the following methods. In some cases, the approach may depend on your insurance coverage. Talk to your provider to learn more.

Plus One
This method adds one week between treatments as you are able to keep your symptoms under control. In this case, your provider will have you come back two weeks after your twelfth treatment. Then, if it goes well, they will extend that to three weeks between sessions. At each check-up your provider will discuss your symptom control and whether you can go another week before your next treatment. If symptoms start to reoccur, the time between treatments is reset to the level that allowed you to keep your symptoms under control. 

Aim High
With this approach, providers set the follow-up appointment for one month out. If symptoms start to return, patients are typically instructed to call for a sooner appointment. 

As Needed
Some providers leave the timing of follow-up appointments up to their patients. In this case, you'd contact your provider if you need a maintenance treatment.

At your next appointment, remember to talk to your provider about maintaining your symptom improvements and expectations for ongoing therapy!

Helpful Links

Cogentix Medical Resource Center
Patient Stories

Again, we wish you the very best on your Urgent PC PTNS journey.  While we are always happy to hear from patients, the best resource for questions about your care is always your provider.

Until next week,