The aim of this study is focused on efficacy of percutaneous posterior tibial nerve stimulation (PTNS) for the treatment of the overactive bladder.Recent data suggest that the prevalence of OAB symptoms (using the 2002 International Continence Society (ICS) definition) is closer to 12% in the community; and of these sufferers, approximately 50% experience significant bother from their symptoms. OAB has a negative effect on quality of life. Patients limit their fluid intake, avoid sexual intimacy, wear pads and map the location of toilets also depression, sleep deprivation, urinary tract infections, skin infections, and orthopedic injuries resulting from falls related to OAB.The initial treatment (Behavioral therapy and pharmacotherapy) mainly aims to reduce the sensation of urgency, increase the voided volume, reduce frequency, and eliminate leakage episodes. If OAB symptoms fail to be controlled by these measures, sacral nerve stimulation (SNS) or any other form of neuromodulation can be introduced to alleviate patient symptoms. If sacral neuromodulation proves to be ineffective, surgery is the last option that can be offered to these patients.