Percutaneous Tibial Nerve Stimulation (PTNS) and Transcutaneous Electrical Nerve Stimulation (TENS)

  • Maria Luisa CapitanucciEmail author
  • Giovanni Mosiello
  • Mario De Gennaro
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)


Various techniques of electrical nerve stimulation have been applied through the years to treat lower urinary tract dysfunction (LUTD). This chapter focuses on percutaneous tibial nerve stimulation (PTNS) and transcutaneous electrical nerve stimulation (TENS) in children. Relevant literature was reviewed to analyze how they work, what are the techniques, and what are the main indications of PTNS and TENS in different pediatric LUTD. Several studies and randomized controlled trials have been done on TENS in pediatric patients. Differently, PTNS received scarce attention in children, most probably because of concern for its invasiveness and necessity of repeated sessions at hospital. However, good acceptance of PTNS by children has been demonstrated, and the interest on this type of electrostimulation in pediatrics is increased for its potential positive effect in subjects with both overactive bladder and dysfunctional voiding.


Percutaneous tibial nerve stimulation Transcutaneous electrical nerve stimulation Lower urinary tract dysfunction Overactive bladder Dysfunctional voiding Neurogenic bladder Primary monosymptomatic enuresis Children Nonrandomized controlled trial Randomized controlled trial 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Maria Luisa Capitanucci
    • 1
    Email author
  • Giovanni Mosiello
    • 2
  • Mario De Gennaro
    • 1
  1. 1.Urology, Robotic Surgery and Urodynamic Unit—Department of SurgeryChildren’s Hospital Bambino Gesu’RomeItaly
  2. 2.Pediatric NeuroUrology Research and ClinicBambino Gesù Pediatric HospitalRomeItaly

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