Incontinence Solutions


33 million people in the United States suffer from bladder control problems.

Sometimes incontinence is an ongoing problem, in which case the cause might be:

  • the bladder cannot empty completely
  • weakening of the muscles that help to hold or release urine
  • a blocked urinary passage
  • damage to the nerves that control the bladder

Sometimes diseases such as arthritis make it hard to get to the bathroom in time and can make it even harder to control urine leakage.

Unfortunately, many people are often ashamed and may not discuss this problem with their doctor. If incontinence interferes with your daily routine or quality of life, seek help promptly. Our experienced board certified urologists can recommend many options and the latest treatments to help you get back to your daily routine worry free.

To better serve your specific needs, please choose from the options below:

  • Learn more about Female Incontinence;
  • Learn more about Male Incontinence; or
  • Call us today at 425-4548016 (Kirkland) or 425-454-8016 (Bellevue) to schedule an appointment or to talk to a Urologist.

What is PTNS?

It is a neuromodulation system that uses percutaneous tibial nerve stimulation (PTNS) to treat urinary urgency, urinary frequency and urge incontinence. PTNS is performed by using a combination of a stimulator and a lead set. The stimulator generates electrical impulses that are delivered to the patient through the lead set. Using a needle electrode placed near the ankle as an entry point, the stimulator’s impulses travel along the tibial nerve to the nerves in the spine that control pelvic floor function.

How does this neuromodulation work?

Bladder function is regulated by a group of nerves at the base of the spine called the sacral nerve plexus. By stimulating these nerves through gentle electrical impulses (neuromodulation), your bladder activity can be changed.

Tell me specifically how it works?

A small, slim needle electrode is inserted near your ankle. The needle electrode is then connected to the battery-powered stimulator. After turning on the stimulator, your physician will observe your body’s response to determine the ideal strength of the impulses.

How long are the treatments?

Each of your treatments will last approximately 30 minutes. You will receive an initial series of 12 treatments, typically scheduled a week apart. After the initial 12 treatments, your physician will work with you to determine if occasional treatments are needed to maintain your results.

Percutaneous Tibial Nerve Stimulation (PTNS)

How soon will I see results?

Most begin to see results after 6-treatments.

What are the risks with PTNS?

The risks associated with PTNS therapy are low. Most common side-effects include transient mild pain or skin inflammation at or near the stimulation site.

Is there anyone that should not consider PTNS?

  • Patients with pacemakers or implantable defibrillators
  • Patients prone to excessive bleeding
  • Patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function
  • Patients who are pregnant or planning to become pregnant during the duration of the treatment