Percutaneous Tibial Neuromodulation (PTNM)

PTNM Therapy with the NURO System

Percutaneous Tibial Neuromodulation (PTNM) delivered by the NURO™ System is a safe and effective treatment for overactive bladder (OAB). NURO administers adjustable electrical pulses through a needle to stimulate the afferent fibers of the tibial nerve.1 These pulses are thought to relieve OAB symptoms by modulating communication between the bladder and central nervous system (CNS).

Bring Relief To More Patients

Designed to support your patients and your practice, the NURO system combines proven results with easy management. Stimulation levels can be adjusted mid-session and there is no limit on the number of times therapy can be stopped and restarted, so you can change the level of stimulation if patients request it — even after the session has started. Finishing all 12 weeks of therapy will give your patients the best opportunity to see the results they want.1


Medtronic NURO Percutaneous Tibial Neuromodulation is intended to treat patients with overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence.

Product Details

Designed to meet the needs of your practice, the NURO system delivers therapy to your OAB patients efficiently and cost-effectively. Its portability allows you to administer therapy in different locations. Inventory is simply the inexpensive therapy session kit needed to deliver a therapy session.

  • Add PTNM therapy to your practice with no up-front investment. Simply contact your Medtronic representative and a NURO device will be sent to you at no cost.
  • Your NURO system will come with the external neurostimulator device, a wall charger, and USB cable.
  • Therapy session kits are used with the NURO device to deliver one 30-minute therapy session to a patient. You can order therapy kits online, through your sales rep, or however else your office orders Medtronic product.
  • Stimulation levels can be adjusted in the middle of the session, and there is no limit on the number of times therapy can be interrupted and restarted.
  • The NURO device has a useful lifespan of 12-18 months, at which point it will be replaced free of charge. The device will notify you when there are fewer than 100 therapy sessions remaining.


Getting started with NURO requires no upfront investment for you or your clinic. Simply contact your Medtronic Representative to get started.

Required Software

If you received your devices after November 2018, there is no required software. If you received your NURO device before November 2018 and have questions about activating your device, installing software on your PC, or loading therapy sessions onto your device, consult the FAQ to learn more about required software.


Kobashi K, Khandwala S, MacDiarmid S, et al. A Prospective Study to Evaluate Efficacy with the NURO Percutaneous Tibial Neuromodulation System in Drug Naïve Patients with overactive bladder syndrome (OAB). Presented at the American Urological Association 2018 Annual Meeting. Journal of Urology. 2018;199(4) Supplement, Page e987.