Botox (OnabotulinumtoxinA) For Treatment of Neurogenic Bladder and Overactive Bladder Symptoms: Specialized Treatment in NYC for Men and Women

by Alex Shteynshlyuger MD


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

Botox Happy LivesBOTOX” is also known as onabotulinumtoxinA is a naturally derived protein.  Botox is purified from the bacterium Clostridium botulinum. Botox is a safe and effective treatment for many conditions when used in small doses.

Urologists use Botox for 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:

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 a 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 Botox for 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-cost-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 Botox Treatment and Insurances

Inexpensive Urologist Visit Cost At 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 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, 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 the treatment of urinary problems, erection problems in men, and sexual problems in women.
  • We offer treatment options for frequent urination, overactive bladder, and 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 who are seeking treatment for bladder control problems, enlarged prostate, 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 as well as 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.  


Patients Reviews

Overall Rating:

5

Total Ratings

5

Total Reviews

23

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Patient review
by on Jan 24, 2020

Review
by on Jul 15, 2019

I was very satisfied with the rezum surgery.

Outstanding
by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

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.

Highly grateful
by on Jun 18, 2019

Dr. Shteynshlyuger is a very patient, understanding and caring doctor. I came to take opinion on my father’s treatment going on in my home country. Highly satisfied from his responses. He even responded to so many of my queries through patient portal . Highly grateful.

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.

Review
by on Jan 28, 2019

Absolutely amazing!

My experience
by on Nov 08, 2018

I had a Rezum procedure done a couple of months ago and now my symptoms have improved and quality of life has significantly changed. The Doctor and staff are excellent and I am very satisfied with the services - the surgery and post care. Would highly recommend Dr. Shteynshlyuger.

Rezum procedure
by on Oct 24, 2018

I have been a patient of another Urologist for years, with no positive results. Then I learned about Dr. Alex Shteynshlyuger through a TV newscast. I immediately decided to have a consultation with him. Best decision I ever made!!! Dr. Alex performed the Rezum procedure and has literally changed my life. I highly recommend Dr. Alex and his staff to anyone who wants the most caring, capable and result oriented urological medical care. Thumbs up to Dr. Alex and staff!!!!!!!!!

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

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by on Aug 15, 2018

Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense

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.

Review
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.

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.

Urination problem
by on Aug 25, 2017

Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!

Worth the wait
by on Nov 15, 2014

I went to see Dr. Shteynshlyuger for a second opinion about a urinary problem after having a continuing issue for many months that wasn\'t getting better. He seemed very knowledgeable. I highly recommend him. Cons: If you\'re not the first patient the wait can be LONG.

Thank you
by on Jul 03, 2014

Since starting the [medications], my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years.

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.

My cramps and burning are gone
by on May 23, 2013

Dear Dr. Alex – Since starting the [treatment], my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013

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.

Urinary Problem Treatment for Men and Women 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 and women’s health concerns including sexual problems and urinary problems.  We understand the challenges that urinary and sexual problems create for our patients, their relationships, and their self-esteem.  We help you find a treatment for bladder control problems that fit your needs, lifestyle, and preferences.

Urologists are doctors specializing in the treatment of men and women with urinary problems and sexual problems that include bladder leakage problems, urge to pee, incomplete bladder emptying, and frequent urination. By virtue of our experience and skill, we are able to 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:

dr alex about banner large Copy 300x176 - Botox for OAB in New York City: Effective Treatment for Bladder Control Problems in Men and WomenSchedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4151 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of urinary and bladder problems in men and women.  He uses modern, effective, and proven treatment methods.  We offer cystoscopy, urodynamics, bladder sonogram, and treatment for bladder incontinence. 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 and women 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: 1-646-663-4151.

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.