Botox (OnabotulinumtoxinA) For Treatment of Neurogenic Bladder and Overactive Bladder Symptoms: Specialized Treatment in NYC for Men and Women
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4151.
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.
Botox: An Effective Treatment for Urinary Frequency, Urinary Leakage and Urge to Pee
Botox is a new treatment for overactive bladder and neurogenic bladder. Botox can help men and women with bladder control problems such as frequent urination, urge to pee, and urine leakage. Studies involving thousands of patients in the past 5 years confirm its safety and effectiveness in the treatment of OAB in men and women.
What is Botox

Urologists use Botox for the treatment of symptoms associated with overactive bladder (OAB) which include the urge to urinate constantly, frequent urination. Botox is also effective in treating urinary incontinence, or involuntary leakage of urine that occurs in some women and men.
Botox Injections in the Bladder Can Help Patients Who Suffer From:
- Urinary urgency: the constant need to pee
- Frequent urination: If you have to run to void every 2 hours or more often, Botox can help
- Urge urinary incontinence: If you cannot make it to the bathroom when the urge to pee comes on and leak, Botox can help you with bladder control.
We have extensive experience helping men and women with severe urinary problems to regain their life back. At New York Urology Specialists, we use proven Botox injection techniques and protocols.
How is Botox given for the Treatment of Urinary Urgency, Frequency, and Urge Incontinence?
An initial evaluation is required for all patients. If you’re a good candidate for Botox treatment, we will make sure that you do not have a urinary infection.
Botox procedure is performed in our office under local anesthesia. The Botox procedure only takes around 10 minutes – and you will be conscious but relaxed throughout.
Flexible cystoscopy is performed, which involves looking inside of your urinary bladder with a tiny camera. A cystoscope is passed through the urethra (the pee-hole). A special Botox injector is used to deliver Botox inside the bladder.
At the end of the procedure, patients can go home and resume their usual activities.
Where to Get Botox Treatment for Urinary Problems and OAB in NYC?
At New York Urology Specialists, we offer Botox treatment for bladder control for men and women. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-646-663-4151 or make an appointment online.
We perform Interstim sacral neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, artificial urinary sphincter. We offer treatment for bladder stones, urinary retention, frequent urination, kidney stones, urinary incontinence, painful urination, prostatitis, frequent UTI, and pelvic pain. 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 cystoscopy, pelvic and bladder ultrasound in our office. We offer Botox for bladder control, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Local or General Anesthesia?
General anesthesia is rarely needed. Local anesthesia is very effective and successful for Botox administration in the bladder. We use a miniature flexible cystoscope to minimize the discomfort of injections.
Anesthesia for Botox Injections in the Urinary Bladder
Your bladder will be anesthetized with lidocaine gel, which is proven to be effective and safe. Once the procedure is over, you will be able to resume your normal activities.
The Botox Procedure Itself
Once pain medication is given in the bladder, a cystoscope will be inserted through the urethra – or bladder opening. A cystoscope is a narrow, lighted tube that enables the urologist to see inside your bladder. You may already have had a cystoscopy during the assessment of your condition.
The Botox is then administered through the cystoscope. Multiple small injections are given into the detrusor muscle of the bladder wall. For most patients, 100 units of onabotulinumtoxinA in 20 doses are given.
Afterward, you will be allowed to relax for 30 minutes before going home. It would be unwise to drive if you have been given general anesthesia and went to sleep. At New York Urology Specialists, we administer Botox under local anesthesia to over 90% of patients, and patients can go home alone.
You might experience some burning and a small amount of blood in urine in the first few days after Botox administration.
How Often Do I Need to Be Treated with Botox for Symptoms of OAB or Neurogenic Bladder?
Studies show that for most people, Botox is effective for 7-9 months. One injection of Botox lasts an average of 7 months. More than 25% of patients get more than 1 year of benefit from a single injection. Some patients experience the benefit for as long as 4 years after a single injection. Other patients may require re-injection in 3 months.
Botox: 30-minute Treatment Once or Twice a Year Improves Urinary Symptoms in Majority of Patients.
A Botox procedure takes around 10 minutes plus a half-hour rest afterward. Each treatment lasts, on average, around 7 ½ months. In almost a third of patients, one treatment may last for a year. As it wears off and the symptoms start to return, you will need to speak to your urologist at New York Urology Specialists about further treatment. These can be repeated for several years with good results. Treatments should not be given at intervals less than three months.
How Does Botox Treat Symptoms of OAB
You are probably familiar with the “before and after” pictures of women and men who have had Botox injections to smooth out their wrinkles? The toxin works by blocking some nerves, which paralyze certain muscles.
In OAB, the detrusor muscle, part of the wall of your bladder, which normally acts when you need to empty your bladder, contracts involuntarily, making you feel an urgent need to void and possibly resulting in incontinence, even when your bladder is not full. Botox works by blocking the nerve action needed to activate the detrusor muscle in the bladder, thus preventing it from contracting unless there is a voluntary stimulus.
Also, Botox appears to decrease abnormal nerve signaling from the bladder, which also helps control urinary urgency symptoms.
Did you know? Dr. Shteynshlyuger has performed over 1,000 bladder, kidney, penile, and prostate surgeries, including Interstim sacral neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, artificial urinary sphincter, Urolift, and prostate enucleation. He performs 150-200 surgeries a year.
Cost of Bladder Control Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment. 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-costs-included’ procedures such as cystoscopy, bladder biopsy, urodynamic studies, bladder ultrasound, Botox for bladder problems, and many more. The 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 Insurance

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 Incontinence and Urinary Problems?
- All treatment is performed by a board-certified urologist experienced in treating men and women with symptoms of frequent urination, urge to pee, urinary incontinence, UTI, and other 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 treating urinary problems, erection problems in men, and sexual problems in women.
- We offer treatment options for frequent urination, overactive bladder, bladder pain, pelvic pain, and prostatitis 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 women have been treated successfully with Botox injections for frequent urination, tibial nerve neuromodulation, Interstim sacral neuromodulation, bladder stone removal, kidney stone lithotripsy, urethral sling, and artificial urinary sphincter.
- 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 seeking treatment for bladder control problems, enlarged prostate, bladder cancer, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Urinary Problems Look Like?
You can find pictures of urinary problems and before and after treatment images in our image gallery.
Scheduling Appointments for Urinary Problem Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4151.
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 urinary problems in men and women. He has performed hundreds of urethral, bladder, and kidney surgeries, including cystoscopy, Interstim sacral neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, artificial urinary sphincter, surgery for enlarged prostate, and many other procedures.
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Urinary Problem Treatment for Men and Women With Fast Recovery at New York Urology Specialists

Urologists are doctors specializing in treating men and women with urinary problems and sexual problems, including bladder leakage problems, urge to pee, incomplete bladder emptying, and frequent urination. By virtue of our experience and skill, we can offer an effective treatment option for nearly every man and woman who desires an effective treatment for any problem that affects the urinary tract. We offer medical and surgical treatment for urinary and sexual problems.
We Treat Some of the Most Complex Urinary Problems Including:
- Enlarged prostate
- Prostate Cancer
- Burning during urination
- Frequent urination
- Urinary retention
- Chronic Prostatitis
- Pelvic Pain
- Bladder Pain
- Frequent Urination
- Pelvic pain
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If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4151.
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.

Schedule an Appointment with Dr. Shteynshlyuger: