Implantable Tibial Neuromodulation (iTNM) in New York City
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, tibial implantable neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, artificial urinary sphincter, surgery for enlarged prostate, and many other procedures.
Implantable Tibial Neuromodulation (iTNM): What You Need to Know
Implantable tibial neuromodulation devices are the newest advances in the treatment of urgency, urge incontinence, frequent urination, and overactive bladder. These minimally invasive implantable options have been approved for urge urinary incontinence. These small devices are placed under the skin near the ankle during a simple outpatient procedure and automatically deliver stimulation to the tibial nerve:
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Altaviva Implantable Tibial Neuromodulation – an implantable tibial neuromodulation system recently approved by the FDA for urge urinary incontinence, designed to provide continuous therapy with a long-lasting battery and convenient use. 15-year battery with external recharge
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eCoin – a fully implantable, leadless tibial nerve stimulator that delivers automated therapy on a set schedule without the need for repeated clinic visits. Non-rechargeable battery with a 1-3 year lifespan.
- BlueWind Revi – is a battery-free implantable device that is powered by an externally powered and worn battery. Device lifespan is 10 years.
New! Dr. Alex Shteynshlyuger now offers the new implantable neuromodulation device, the Altaviva, for the treatment of urge urinary incontinence. We continue to offer InterStim sacral neuromodulation.
What are the Advantages of Implantable Tibial Neuromodulation?
- Procedures are performed as a same-day, outpatient, minimally invasive procedure. The entire procedure takes less than 30 minutes to perform.
- The procedure is performed under local anesthesia. The recovery time is minimal. Most patients do not require pain medications or take ibuprofen (Motrin) or Tylenol
- Patients can return to work and normal activities the next day (or even the same day!).
- >70% of patients see improvement in symptoms
- No need for daily medications
- More effective than medications
What are the Differences between different Implantable Tibial Neuromodulation Devices?
There are some technical differences between the various implantable tibial neuromodulation devices that are available on the market.
- Differ in frequency of needing recharge
- Differ in MRI compatibility
- Ability to customize the treatment
- Lifespan of the battery before replacement
- Whether the battery is rechargeable
| Feature | Medtronic Altaviva™ | Valencia eCoin® | BlueWind Revi® |
|---|---|---|---|
| Power | Internal, rechargeable battery | Internal, non-rechargeable battery | No internal battery, powered by an external wearable |
| Therapy Delivery | Automatic, no daily tasks (short recharges needed occasionally) | Automatic, scheduled sessions | Patient-controlled sessions via a wearable external unit are administered twice a week |
| Longevity | Designed for ~15 years | Requires replacement every 1-3 years | No internal battery to replace |
| FDA Status | FDA-approved | First FDA-approved implantable tibial neurostimulator | FDA-approved |
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.
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.
Where to Get Treatment for Frequent Urination / Urinary Incontinence / Botox for OAB / in NYC?
At New York Urology Specialists, we offer same-day treatment of urinary problems 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, and 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 offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform cystoscopy, pelvic sonogram, and bladder ultrasound in our office. We offer Botox for bladder control, the Urolift procedure, and the Rezum water-vapor procedure in our office. We treat urinary and erectile problems. We offer confidential appointments.
Read Real Stories of Men and Women who Underwent Treatment for Urinary Problems at New York Urology Specialists.
Read RealStories: Frequent UTI and bladder pain in a 43-year-old woman.
Read RealStories: Frequent urination and slow urine stream in a 49-year-old man.
Read RealStories: Pain with urination and after ejaculation for 1 year in a 36-year-old man.
Read RealStories: 32-year-old woman with a constant need to urinate and urinary leakage.
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
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, 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, incomplete bladder emptying, urinary retention, 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, eCoin tibial nerve neuromodulation, Interstim sacral neuromodulation, bladder stone removal, kidney stone lithotripsy, Axonics sacral nerve modulation, NURO tibial nerve modulation, 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 incontinence, 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 specializing 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.
Urinary Problem Treatment for Men and Women With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in evaluating and treating bladder and prostate problems in men 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 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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Schedule an Appointment with Dr. Shteynshlyuger: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.