An electrical stimulation lead includes a lead body having a distal end portion, a proximal end portion, and a longitudinal length electrodes disposed along the distal end portion of the lead body terminals disposed along the proximal end portion of the lead body conductors electrically coupling the terminals to the electrodes and at least one anchoring unit disposed along the distal end portion of the lead body. Each anchoring unit includes a cylindrical lead attachment element defining a central lumen within which a portion of the lead is received, and at least one anchoring element this is disposed over the lead attachment element and extends away from the lead attachment element and is configured and arranged for contact with patient tissue to anchor the lead within the patient tissue.