An estimated 34 million adults in the United States have an overactive bladder, which has a significant impact on health and quality of life and significant overall financial impact on the health care delivery system. Current treatment alternatives include behavioral modifications, pelvic floor therapy, medications, sacral nerve stimulation, intravesical injection, and surgery. A recent addition to the urologist’s armamentarium of care is percutaneous tibial nerve stimulation. This article reviews a variety of sources that present current thinking about percutaneous tibial nerve stimulation, its clinical use, and its place in the continuum of care.
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