The Altaviva Tibial Implantable Neuromodulation 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.
The Altaviva Tibial Implantable Neuromodulation: What You Need to Know
New! Dr. Alex Shteynshlyuger now offers the new tibial implantable neuromodulation, Altaviva device, for the treatment of urge urinary incontinence. We continue to offer the Interstim sacral modulation for men and women.
Benefits of the Altaviva Tibial Implantable Neuromodulation
- Minimally Invasive Procedure with Quick Recovery. The procedure can be performed in our office in 15 minutes under local anesthesia. The outpatient procedure does not require general anesthesia, sedation, or imaging guidance.
- Patients typically go home the same day with therapy already activated—no waiting period or trial phase like some other neuromodulation options.
- The device itself is compact (roughly the size of a small USB flash drive), making it discreet and low-profile under the skin.
- MRI-compatible device
- Recharge needed once a year
Effectiveness of Altaviva for Treatment of Urinary Urge Incontinence
In the Titan 2 study, published in the Journal of Urology in 2026:
- 80% of patients reported improvement in symptoms, with 60% experiencing greater than 50% reduction in urge urinary incontinence episodes
- 20% completely dry (no urinary incontinence episodes).
- 51% report “much better” or “very much better” at 1 year
Risks and Side Effects of Altaviva
There is about 7% risk of wound infection, 1% risk of implant site discomfort, and a 1-2% implant site pain
Does Insurance Cover AltaViva Tibial Nerve Neuromodulation for Urinary Problems?
Altaviva tibial nerve neuromodulation is an effective treatment option that has been shown to be effective in high-quality randomized controlled trials. Altaviva is FDA-approved for the treatment of urinary urge incontinence in men and women. Health plans are expected to cover treatment with Altaviva tibial neuromodulation as long as plan-specific medical-necessity criteria are met. New York Urology Specialists will work with your health plan to obtain Altaviva coverage, and if necessary, will file an appeal if the treatment is denied.
Typically, insurance coverage requires a comprehensive evaluation (physical exam, labs, pelvic ultrasound, cystoscopy, and possibly urodynamic testing). In addition, adequate trial of behavioral therapy and oral medications is required by many health plans, including Medicare, Aetna, Cigna, United Healthcare/Oxford, and Blue Cross plans, including Anthem BCBS.
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 Urge Urinary Incontinence with Interstim or Altaviva Tibial Neuromodulation in NYC?
At New York Urology Specialists, we offer same-day treatment of urinary problems for men and women. We offer the Interstim sacral neuromodulation as well as in-office Altaviva implantable tibial neuromodulation. 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.