title: Percutaneous tibial nerve stimulation as an off-label treatment of clitoral pain.
abstract: OBJECTIVE
  Percutaneous tibial nerve stimulation (PTNS) is used to treat refractory urinary frequency, urgency, and urgency urinary incontinence. To date, it is not approved by the US Food and Drug Administration in the treatment of chronic pain syndromes, and its use in the treatment of chronic clitoral pain has not been reported.
  
  
  METHODS
  We describe 2 cases of women who presented with symptoms of urgency urinary incontinence, urinary frequency, and clitoral pain. After inadequate response to conservative treatment of their urinary symptoms, they received PTNS.
  
  
  RESULTS
  By the 12th session, significant improvement in urinary symptoms and resolution of clitoral pain were noted.
  
  
  CONCLUSIONS
  The findings of this report suggest that PTNS may be a therapeutic option in patients with idiopathic clitoral pain.
authors.affiliation: From the East Tennessee State University, Quillen College of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Johnson City, TN.
authors.forename: Rayan
authors.initials: R
authors.lastname: Elkattah
authors.forename: Whitney
authors.initials: W
authors.lastname: Trotter-Ross
authors.forename: Roland Keith
authors.initials: RK
authors.lastname: Huffaker
mesh_terms: D002987:Clitoris; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000517:prevention & control*; D013526:Surgical Mesh / Q000009:adverse effects; D013979:Tibial Nerve; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods*; D053202:Urinary Incontinence, Urge / Q000209:etiology / Q000601:surgery