Percutaneous Tibial Neuromodulation

Percutaneous Tibial Neuromodulation (PTNM), delivered by the Medtronic NURO™ system, is a safe, minimally-invasive, and effective OAB treatment option to restore* bladder function and improve quality of life.

The NURO™ device is a Medtronic version of the PTNS, there is also Urgent PC which has been considered the first percutaneous Tibial Neuromodulation delivery system to date.

Percutaneous Tibial Nerve Stimulation (PTNS), otherwise known as PTNM, was determined to be an effective OAB treatment in both men and women, regardless of age and prior use of OAB medications. Twelve weekly PTNM treatments are needed to realize the full treatment efficacy for those suffering with OAB.1


The safety of PTNM has been reported on extensively in the literature.  Several trials have concluded that PTNM is safe with statistically significant improvements in patient assessment of overactive bladder symptoms, and with objective effectiveness of PTNM comparable to that of pharmacotherapy.

The effectiveness of PTNM has been studied up to 3 years.  Dr. Pezzella has seen up to 60% reduction in urinary incontinence associated with Overactive Bladder.

It is a non-invasive, in office procedure that is 30 minutes duration.  There is no pain and no risks.