OAB – Overactive Bladder Treatment Options 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.


What is OAB (Overactive Bladder)?

Overactive bladder (OAB) refers to urinary urgency symptoms, characterized by a sudden compelling desire to void that is difficult to postpone.  A patient may also experience frequent urination and urinary incontinence.

Overactive bladder is only diagnosed after other causes of similar symptoms such as UTI, bladder cancer, bladder and kidney stones are excluded.

How Common is OAB?

OAB is very common; 11-16% of all men and women experience symptoms of overactive bladder.  Symptoms of urge urinary incontinence are more common in women than in men. Urinary incontinence is more common in women over age 65 with OAB than in younger women or men.

What Causes OAB?

There are many causes of overactive bladder.  Symptoms of overactive bladder occur when there is an abnormal increase in sensitivity of the bladder or decreased ability of the bladder to store urine. OAB can also be caused by abnormal sudden, involuntary contraction of the bladder wall detrusor muscle, which causes you to void. The muscle seems to be “twitchy,” and it’s this hyper-reactivity of detrusor muscle in the bladder wall that causes you to feel you need to pee frequently and urgently even when the bladder is not full.

But life doesn’t have to be this way! Doctors at the New York Urology Specialists are here to help you change that.

Fortunately, there are many treatments, and one of them is with Botox for overactive bladder.

How Effective are the Treatments for OAB?

Effective treatment options are available for the treatment of overactive bladder symptoms.  While no treatment is 100% effective, different treatment options were different patients.  Sometimes a combination approach is necessary to get the problems under control.

Treatment Options for OAB offered at New York Urology Specialists:

We offer the most advanced treatment options for overactive bladder. Our experienced urologists have treated hundreds of men and women with overactive bladder.

  • Medications: anticholinergic medications (Detrol, Vesicare, oxybutynin,  B3 adrenergic agonists
  • Neuromodulation: Tibial nerve neuromodulation, Femoral nerve neuromodulation, Sacral nerve neuromodulation
  • Botox injections in the bladder detrusor muscle
  • Behavioral therapy: Timed voiding, bladder re-training, biofeedback.

Who does Overactive Bladder Affect?

Men and women of all ages can experience symptoms of OAB. Overactive bladder is rare in children.   As many as 20% of people over the age of 35 have symptoms of the overactive bladder at some point in their life. Around 63% of people with overactive bladder have urgency and frequency. The other 37% have wetting accidents (urge incontinence) as well as urgency and frequency.

  • Urinary urgency occurs when the muscles in the wall of the bladder contract suddenly and without volition. This makes you feel the need to urinate urgently – even if your bladder only contains a small amount of urine. It may also result from increased sensitivity of bladder nerves to urine in the bladder.
  • Urine leakage results when you cannot stop the urge to urinate – it may simply show as staining on your underwear or be a large amount of urine. Bladder control caused by urge urinary incontinence is a common problem in patients with OAB.  Many men and women wear pads or protective underwear to avoid embarrassment.

Stress incontinence is when your urine leaks out on straining, sneezing, or laughing. It is not uncommon after childbirth and in postmenopausal women. This is not the same as OAB – and the treatments are different. The two conditions (urge urinary incontinence and stress urinary incontinence) may often co-exist.

The Bottom Line on Overactive Bladder

Overactive bladder is a common and unpleasant condition that affects many aspects of daily life.  Effective treatment options are available, from behavior therapy and oral medications to neuromodulation and Botox.

There is no reason why anyone should suffer from symptoms of an untreated overactive bladder. Botox is a safe and effective treatment for overactive bladder, improving the symptoms of frequency, urgency, and urge incontinence. If treatment with oral drugs is unsatisfactory, then Botox should be considered.  For a small number of patients for whom Botox does not work, tibial nerve neuromodulation and sacral nerve neuromodulation offer effective treatment alternatives.

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 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, 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 sonogram, 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.

Read Real Stories of Men and Women who Underwent Treatment for Overactive Bladder 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 OAB 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

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 OAB?

  • 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 Overactive Bladder 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

Excellence-Urology_Care-banner2At 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:

Schedule 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 evaluating and treating 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, bladder tumor removal, 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.

 

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