Treatment of Perineal Pain in NYC: Specialized Urological Care

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Treatment of Pain Problems: What You Need to Know

What is Perineal Pain?

Life pain free from perineal pain.

Live pain-free from perineal pain.

Perineal pain occurs adjacent to the anus.  Typically the pain or discomfort is located in the area between the anus and vagina in women, and between the anus and the scrotum or penis in men.

Perineal pain is related to peri-anal pain, and sometimes they are used interchangeably.  Peri-anal pain is more often caused by gastrointestinal issues such as anal fissures, hemorrhoids, etc.

Perineal pain can vary in severity. Perineal pain can be severe or felt as mild perineal discomfort or soreness.

The common causes of chronic perineal pain in men include prostatitis / pelvic pain syndrome and urinary tract obstruction in men.

Perineal pain in women is often related to interstitial cystitis / pelvic pain syndrome in women.  It may also be caused by neuropathic pain.

Treatment for Pain in the Perineum and Pelvic Pain

Through individualized assessment at New York Urology Specialists, the likely cause of your pain symptoms is established.  Treatment options appropriate to your individual situation are selected.  These may be oral or injectable medications, physical therapy, or surgical treatment as needed.

Experienced Urologist for Treatment of Perineal and Pelvic Pain

If you experience pelvic and perineal pain, you need a highly trained and experienced urologist. As one of the most experienced urologists, Dr. Alex Shteynshlyuger treats men and women with perineal and pelvic pain.

Many men and women with perineal pain see multiple physicians before a diagnosis and treatment plan is found. Because of the complexity of the pelvic region where perineal and pelvic pain occurs, few physicians are skilled at the diagnosis and treatment of perineal pain in men and women.

Dr. Alex Shteynshlyuger was trained at some of the top hospitals in the United States for Urology. He is fellowship-trained and uses medical, minimally invasive, and when necessary surgical treatment for men and women with perineal and pelvic pain.

We have successfully treated numerous men and women with pelvic and perineal pain who have failed prior treatment methods.  Pain in the perineum and pelvic pain can overlap.  Pelvic pain can be in the lower abdomen, bladder area, around the urethra, vagina, and anus in women.  In men, pelvic pain can be in the lower abdomen, groin, testis, penis, perineum, or peri-anally.  Often, patients have pain in more than one location. 

Causes of perineal pain vary.  Treatment is individualized to each patient based on history, physical exam, and prior treatment failure. Some patients are better in 3-5 visits while others require a longer treatment course and may need to try a few different approaches before finding treatment that works for them.

Can My Perineal Pain be Treated if It has Been Present for more than 5 years?

We see many patients who have had pelvic or perineal pain for many years and who have tried numerous treatments in the past.  While there are no guarantees, we have been able to help many patients who have not benefitted from multiple approaches to treatment and who have been suffering from pain for many years. 

Treatment for pelvic and perineal pain may require trying a few different treatment approaches sequentially or in combination to determine what works best for you.  Because the causes of perineal pain are so numerous, treatment approaches vary and depend on individual patient’s symptoms and coexisting medical problems as well as surgical history.

New!  Read RealStories of real patients with perineal pain treated at New York Urology Specialists.

Causes of Perineal Pain in Men:

Read more about Perineal Pain in Men including causes and treatment approach.

Causes of Perineal Pain in Women:

  • Vulvodynia
  • UTI
  • Trauma from delivery
  • Neuropathic pain
  • Musculoskeletal or referred pain
  • Pelvic floor dysfunction
  • Urinary tract dysfunction

Causes Common to Men and Women:

  • Pain syndromes such as urethral syndrome, levator ani syndrome, Perineal pain syndrome
  • Interstitial cystitis
  • Anal fissures
  • Pudendal nerve entrapment syndrome
  • Ischiorectal abscess

What You Need to Know

What is the Perineum?

The perineum is the area located between the anus and vaginal opening in women and between anus and scrotum in men. The anus, scrotum and vagina are included in the perineum. The lateral or side to side extent is formed by two bony prominences under the buttocks called ischial tuberosities.

Pain can arise from almost all pelvic organs, muscles, ligaments, and nerves.  Since each of the pelvic organs itself can be affected by innumerable disorders, there are a large number of causes of perineal pain.

Did you know? Dr. Shteynshlyuger has treated thousands of men and women with pelvic pain and bladder pain, perineal pain, penile pain, scrotal pain, testicular pain, kidney pain, prostatitis, and prostate pain.  He performs 150-200 surgeries a year.

Where to Get Treatment for Perineal Pain in NYC?

At New York Urology Specialists, we offer same-day treatment for pain.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-212-204-6300 or make an appointment online.  

We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision.  We offer treatment for phimosis, balanitis, missing testis, low testosterone, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

We perform a bladder, kidney, and testicular ultrasound in our office.  We offer microscopic spermatic cord denervation, treatment for kidney stones, pelvic pain, and prostatitis in our office.   We treat urinary and erection problems. We offer confidential appointments.

Cost of Pain Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for pain. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer flat-fee ‘all-cost-included’ procedures such as scrotal and testicular surgery, trigger-point injections, pelvic floor physical therapy, circumcision, spermatic cord denervation, kidney stone removal, vasectomy reversal, hydrocelectomy, varicocelectomy, clitoral phimosis hoodplasty, vulvodynia, vestibulodynia, lichen sclerosus, and many more.  Many procedures are performed in our office under local anesthesia or sedation. Men and women from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

Cost of Treatment and Insurances

Inexpensive Urologist Visit CostAt New York Urology Specialists, we offer affordable treatment for men and women. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Why Choose New York Urology Specialists for Treatment of Perineal Pain?

  • All treatment is performed by a board-certified urologist experienced in treating men and women with pelvic pain and perineal pain symptoms. We also treat pain in the urinary tract, external genitalia, kidneys, bladder, and prostate.  We treat scrotal and testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.  
  • We are one of the few practices in the region to offer a full range of options for the treatment of genital pain and urinary pain in men and women.
  • We offer treatment options for testicular pain, penis pain, painful urination in our office.  Office procedures avoid the risks, costs, and recovery from general anesthesia.  
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Extensive experience: Thousands of men and have been treated successfully for pain symptoms in the kidneys, bladder, pelvis, perineum, and genital areas.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men and women who are seeking treatment for chronic pelvic pain, bladder pain, and perineal pain.  We treat men with testicular pain, epididymitis, testicular torsion, post-vasectomy pain, and penile pain in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What do Pain Problems Look Like?

You can find pictures of painful conditions as well as before and after treatment images in our image gallery.

Scheduling Appointments for Perineal Pain Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating men and women with pelvic pain, urinary pain, perineal pain, as well as chronic pelvic pain, and interstitial cystitis.   He has performed hundreds of bladder, penile and testicular surgeries for relief of pain and other symptoms.  

Patients Reviews

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Ease of Appointment: Bedside Manner:
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best urology doctor
by on Feb 14, 2021

Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

recommend Dr. Shteynshlyuger
by on Jan 04, 2021

Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

I am very happy with this doctor.
by on Aug 12, 2020

I am very happy with this doctor. He is very patient and he understood all my problems. He also answered my questions and gave me some good advice.

Buen doctor
by on Jan 14, 2020

Muy buen doctor. Y sobre todo el personal muy amable se preocupan por uno buen servicio

Thank you doc !!!
by on Aug 14, 2019

Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Care at NY Urology Specialists
by on Jul 06, 2019

I am a 54 year-old male who is extremely happy with my care at New York Urology Specialists. I came to see Dr. Alex out of near desperation after consulting with three other urologists. Literally over one night, I began experiencing severe penile pain and burning. None of the other urologists were able to help diagnose what my problem was and seemingly didn't take my problem very seriously. In fact, one of them specifically told me at it had nothing to do with my prostate. After 6 weeks of suffering, I saw Dr. Alex. He examined me and gave me some tests and lab work. He very quickly ascertained that my problem was due to an enlarged prostate. He proscribed medicine to deal with my pain in the short-term and keep my prostate size in check over the long-term. My problem quickly disappeared. Today, 5 years later, I feel great. Dr, Alex listens to you as a patient, takes your opinion and health concerns seriously and knows his field inside-and-out so that you can get proper treatment for your problem. I can't thank him enough for diagnosing and solving my malady - you sometimes can't appreciate a problem until you have it. Getting rid of it and getting back to normal is so important - I am so glad that I saw Dr. Alex for my problem.

Great follow ups
by on Mar 17, 2019

Overall, I am happy with the services provided by Dr. Alex and his office staff. They are second to none when regarding follow-ups and getting back to you promptly, which is definitely not always the case with specialists. Furthermore, living abroad, he has offered to continue to treat me via skype and through email, which has been hugely helpful considering the medical care where I live is not as comprehensive as in the United States.

by on Jan 28, 2019

Absolutely amazing!

by on Oct 27, 2018

Dr Alex is a wonderful Urologist Among the best. Patient, caring, professional. Highly recommend him and his efficient staff. Thanks

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

by on Aug 16, 2018

Outstanding service

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

by on Nov 18, 2017

The attention and care that I received were reassuring and superb. My uneasiness was quickly dispelled by the skill and efficiency they demonstrated during the brief procedure. As a result, my comfort and appearance has improved considerably, and I highly value both Dr. Alex and his staff.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

by on Jun 04, 2017

" He found my source of testicular pain that was missed by a Urologist from my insurance provider. Although I paid to go out of network- any price is less than testicular pain. He is generous with his time and will not short change anyone for care." via Posted on June 4th, 2017

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We appreciate all that you did to help my dad
by on Sep 17, 2012

Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

Treatment for Men With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including sexual problems and urinary problems in men.  We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.

Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis.  We offer medical and surgical treatment for men’s sexual problems.

We Treat Some of the Most Complex Pain Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-212-204-6300 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of sexual, urinary, and erection problems in men.  He uses modern, effective, and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease. We perform procedures such as Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with an enlarged prostate, testicular problems, low testosterone, erection problems with symptoms of frequent urination during the day, and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.