{"id":2558,"date":"2026-08-19T14:54:50","date_gmt":"2026-08-19T14:54:50","guid":{"rendered":"https:\/\/oabtherapy101.org\/?page_id=2558"},"modified":"2026-09-23T19:54:09","modified_gmt":"2026-09-23T19:54:09","slug":"72-ttns","status":"publish","type":"page","link":"https:\/\/oabtherapy101.org\/?page_id=2558","title":{"rendered":"71 Status"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"iumqC1WBvCKV_iumqC1WBvCKV\" class=\"brz-section brz-section__header brz-section__header-type--fixed brz-css-d-1qa21x7 brz-css-10tcl24\" style=\"height: auto;\">\n<div class=\"brz-section__header--fixed\">\n<div class=\"brz-section__menu-item brz-css-d-1pmg9eu brz-css-1ilv467\" data-brz-custom-id=\"fEUW6cUO2av7\">\n<div class=\"brz-bg\" style=\"text-align: center;\"><strong class=\"brz-bold-true\" style=\"font-size: 1.7em;\">Our Working Hypothesis<\/strong><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"Guide\" class=\"brz-section brz-css-d-ynf0il brz-css-10l8kqq\" data-brz-id=\"x5Zd383fEDkP_x5Zd383fEDkP\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-keb6so\" data-brz-custom-id=\"bzwzQvP2snTi\">\n<p><span style=\"font-size: 16px;\">OAB Therapy 101 believes that one plausible explanation for TTNS\u2019s limited use in the United States is that <\/span><strong class=\"brz-bold-true\" style=\"font-size: 16px;\">treatment efficacy may depend partly on the patient placing the surface electrodes correctly and consistently.<\/strong><\/p>\n<\/div>\n<\/section>\n<section id=\"jytXnqMROjNQ_jytXnqMROjNQ\" class=\"brz-section brz-css-d-ynf0il brz-css-egkft7\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-1xhbcah\" data-brz-custom-id=\"ypGZYbxFPqnG\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-e7y0m6\">\n<div id=\"\" class=\"brz-css-d-1wonu5h brz-css-ymso7a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-1ehz5mr brz-css-1tdafh0\" data-brz-custom-id=\"hhlx_ADbRDIQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-uniq-id=\"zEpxw\" data-generated-css=\"brz-css-wexugm\"><strong class=\"brz-bold-true\">This is different from PTNS: <\/strong><\/p>\n<ul>\n<li class=\"brz-text-lg-left brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-uniq-id=\"hVaXI\" data-generated-css=\"brz-css-wexugm\"><strong class=\"brz-bold-true\">PTNS Therapy: A trained clinician places the needle electrode using anatomical landmarks and then evaluates the patient\u2019s response before beginning stimulation therapy in the clinic. <\/strong><\/li>\n<li class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-uniq-id=\"tIcQT\" data-generated-css=\"brz-css-wexugm\"><strong class=\"brz-bold-true\">TTNS Therapy: The patient positions the surface electrodes and continues with therapy at home.<\/strong><\/li>\n<\/ul>\n<p class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-uniq-id=\"tY98H\" data-generated-css=\"brz-css-wexugm\"><strong class=\"brz-bold-true\">We may prove to be correct, partly correct, or incorrect.<\/strong><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-uniq-id=\"gp2bW\" data-generated-css=\"brz-css-wexugm\"><strong class=\"brz-bold-true\">As we gain experience with TTNS, our understanding may change.<\/strong><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-1wkli4b\" data-uniq-id=\"yVtqS\" data-generated-css=\"brz-css-1wkli4b\"><a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-gxplew brz-css-d-13c78oe brz-css-zb11h1\" style=\"font-size: 16px; background-color: #ffffff;\" href=\"https:\/\/oabtherapy101.org\/?page_id=2560\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"wVwxclnrPJw5\"><span class=\"brz-span brz-text__editor\" data-brz-translate-text=\"1\">BACK<\/span><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0 <a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-bcn9qn brz-css-d-13c78oe brz-css-ujlhuw\" style=\"font-size: 16px; 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2560,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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