{"id":4883,"date":"2026-05-25T04:03:54","date_gmt":"2026-05-25T04:03:54","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/?page_id=4883"},"modified":"2026-05-25T16:26:11","modified_gmt":"2026-05-25T16:26:11","slug":"altaviva","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/","title":{"rendered":"Altaviva Tibial Implantable Neuromodulation &#8211; Urge Urinary Incontinence and Overactive Bladder"},"content":{"rendered":"<h1><strong> The Altaviva Tibial Implantable Neuromodulation <\/strong><strong>in New York City<\/strong><\/h1>\n<p>by<strong> <a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/urologists\/dr-alex-shteynshlyuger\/\">Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/contactus\/\">contact us<\/a> or call\/text: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a>.<\/span><\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating urinary problems in men and women. <strong>&nbsp;&nbsp;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.&nbsp;&nbsp;<\/strong><\/p>\n<hr>\n<h1><strong>The Altaviva Tibial Implantable Neuromodulation<\/strong><strong>: What You Need to Know<\/strong><\/h1>\n<p><strong> <img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2631 size-medium\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\"><\/strong><\/p>\n<div>\n<div><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1x3r274 r-p1pxzi\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">The Altaviva\u2122 system from Medtronic is an FDA-approved (September 2025) minimally invasive implantable tibial neuromodulation (iTNM) therapy specifically for adults with <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">urge urinary incontinence (UUI)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> who have not responded well to or cannot tolerate conservative treatments like lifestyle changes, pelvic floor exercises, or medications. The Altaviva tibial nerve implantable neuromodulation a convenient, long-term option for men and women with urge urinary incontinence.<\/span><\/span><\/span><\/div>\n<\/div>\n<div>&nbsp;<\/div>\n<div>\n<h2 class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-9iso6 r-wnp491 r-5rknyj\"><span style=\"color: #ff0000;\"><strong>New!<\/strong><\/span>&nbsp; Dr. Alex Shteynshlyuger now offers the new tibial implantable neuromodulation, Altaviva device, for the treatment of <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/incontinence\/urge-urinary-incontinence\/\">urge urinary incontinence<\/a>.&nbsp; We continue to offer the Interstim sacral modulation for men and women.<\/h2>\n<h2>Benefits of the Altaviva Tibial Implantable Neuromodulation<\/h2>\n<\/div>\n<div>\n<div>\n<ul>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-adyw6z r-135wba7 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Minimally Invasive Procedure with <strong>Quick Recovery<\/strong>. The procedure can be performed in our office in 15 minutes under local anesthesia. The<\/span><\/span><\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&nbsp;outpatient procedure does <strong>not<\/strong> require general anesthesia, sedation, or imaging guidance.<\/span><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Patients typically <strong>go home the same day<\/strong> with therapy already activated\u2014no waiting period or trial phase like some other neuromodulation options.<\/span><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">The device itself is compact (roughly the size of a small USB flash drive), making it discreet and low-profile under the skin.<\/span><\/span><\/li>\n<li>MRI-compatible device<\/li>\n<li>Recharge needed once a year&nbsp;<\/li>\n<\/ul>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-9iso6 r-wnp491 r-5rknyj\">\n<h2>Effectiveness of Altaviva for Treatment of Urinary Urge Incontinence<\/h2>\n<p>In the Titan 2 study, published in the Journal of Urology in 2026:<\/p>\n<ul>\n<li>80% of patients reported improvement in symptoms, with 60% experiencing greater than 50% reduction in urge urinary incontinence episodes<\/li>\n<li>20% completely dry (no urinary incontinence episodes).&nbsp;<\/li>\n<li>51% report &#8220;much better&#8221; or &#8220;very much better&#8221; at 1 year<\/li>\n<\/ul>\n<h2>Risks and Side Effects of Altaviva<\/h2>\n<p>There is about 7% risk of wound infection, 1% risk of implant site discomfort, and a 1-2% implant site pain<\/p>\n<h2>Does Insurance Cover AltaViva Tibial Nerve Neuromodulation for Urinary Problems?&nbsp;<\/h2>\n<p>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.&nbsp; Health plans are expected to cover&nbsp;<span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\">treatment with Altaviva tibial neuromodulation as long as&nbsp;<strong>plan-specific medical-necessity<\/strong><\/span><strong>&nbsp;criteria<\/strong> are met.&nbsp; <strong>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.&nbsp;<\/strong><\/p>\n<p>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.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>&nbsp;<\/div>\n<p>&nbsp;<\/p>\n<p><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4673 size-full\" src=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-content\/uploads\/sites\/15\/2020\/12\/urology_booknow.png\" alt=\"\" width=\"204\" height=\"190\"><\/a><\/strong><\/p>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/contactus\/\">contact us<\/a> or call\/text: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a>.<\/span><\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #ff0000;\"><strong>Did you know?<\/strong><\/span> <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger<\/a> <\/strong>has performed <strong>over 1,000 bladder, kidney, penile, and prostate surgeries,<\/strong> including <strong>Interstim sacral neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, artificial urinary sphincter<\/strong>, Urolift, and prostate enucleation.&nbsp; He performs 150-200 surgeries a year.<\/p>\n<h2>Where to Get Treatment for Urge Urinary Incontinence with Interstim or Altaviva Tibial Neuromodulation in NYC?<\/h2>\n<p>At New York Urology Specialists, we offer <strong>same-day treatment of urinary problems for men and women<\/strong>. We offer the Interstim sacral neuromodulation as well as in-office Altaviva implantable tibial neuromodulation.&nbsp; Same-day <strong>virtual video appointments<\/strong> and <strong>in-person<\/strong> appointments are available.<\/p>\n<p><strong><span style=\"color: #800000;\">Call\/text today: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a><\/span> <\/span><\/strong><strong><span style=\"color: #800000;\"><span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online.&nbsp;&nbsp;<\/span><\/span><\/strong><\/p>\n<p>We perform <strong>Interstim sacral neuromodulation, bladder tumor removal, slings for urinary incontinence, Botox for OAB, and artificial urinary sphincter.<\/strong><strong> &nbsp;<\/strong>We offer treatment for bladder stones, urinary retention, frequent urination, kidney stones, urinary incontinence, painful urination, prostatitis, frequent UTI, and pelvic pain. We offer <strong>confidential<\/strong> appointments.<\/p>\n<p>Our <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">appointment costs<\/a>&nbsp;are affordable with or without insurance<\/strong>.&nbsp; We offer <strong>free insurance verification<\/strong>.<\/p>\n<p>We perform <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/cystoscopy\/\">cystoscopy<\/a>, pelvic sonogram, and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/ultrasound\/pelvic-bladder\/\">bladder ultrasound<\/a> in our office.&nbsp;&nbsp;<span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\">We offer&nbsp;<a target=\"_blank\" rel=\"noopener\">Botox for bladder control<\/a>,&nbsp;<a target=\"_blank\" rel=\"noopener\"><strong>the Urolift procedure<\/strong><\/a>, and the&nbsp;<a target=\"_blank\" rel=\"noopener\"><strong>Rezum water-vapor procedure<\/strong><\/a> in our office.<\/span>&nbsp; &nbsp;We treat <strong>urinary<\/strong> and <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erectile problems<\/a><\/strong>. We offer <strong>confidential<\/strong> appointments.<\/p>\n<h2><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/real-stories\/\">Read Real Stories of Men and Women who Underwent Treatment for Urinary Problems at New York Urology Specialists.<\/a><\/h2>\n<p><strong>Read RealStories<\/strong>:&nbsp; Frequent UTI and bladder pain in a 43-year-old woman.<\/p>\n<p><strong>Read RealStories<\/strong>: &nbsp;Frequent urination and slow urine stream in a 49-year-old man.&nbsp;<\/p>\n<p><strong>Read RealStories<\/strong>:&nbsp; Pain with urination and after ejaculation for 1 year in a 36-year-old man.<\/p>\n<p><strong>Read RealStories<\/strong>:&nbsp; 32-year-old woman with a constant need to urinate and urinary leakage.<\/p>\n<h2>Cost of Bladder Control Treatment without Insurance<\/h2>\n<p>At New York Urology Specialists, we offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\"><strong>affordable treatment<\/strong><\/a>. Our&nbsp;<strong>prices are low<\/strong>&nbsp;for&nbsp;<strong>patients without insurance<\/strong>&nbsp;and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.&nbsp;<\/p>\n<p>At New York Urology Specialists, we offer <strong>flat-fee, &#8216;all-costs-included&#8217; procedures such as cystoscopy, bladder biopsy, urodynamic studies, bladder ultrasound, Botox for bladder problems, and many more<\/strong>.&nbsp; 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.&nbsp; Please <strong>contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n<h2>Cost of Treatment and Insurance<\/h2>\n<p><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6821 size-full\" src=\"https:\/\/www.newyorkurologyspecialists.com\/wp-content\/uploads\/2017\/06\/financial-info-no-insurance-no-problem-banner.png\" alt=\"Inexpensive Urologist Visit Cost\" width=\"348\" height=\"130\"><\/a>At New York Urology Specialists, we offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\"><strong>affordable treatment for men and women<\/strong><\/a>. Our <strong>prices are low<\/strong> for <span style=\"color: #ff0000;\"><strong>patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.&nbsp;<\/p>\n<p>We <strong>accept many health insurance plans.<\/strong>&nbsp; We would be happy to <strong>verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan&#8217;s coverage.&nbsp; <strong><a href=\"\/?page_id=2795\">Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n<h2>Why Choose New York Urology Specialists for Incontinence and Urinary Problems?<\/h2>\n<ul>\n<li>All&nbsp;<strong>treatment is performed by a board-certified urologist<\/strong> experienced in treating men and women with symptoms of frequent urination, urge to pee, &nbsp;urinary incontinence, UTI, and other urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.&nbsp;&nbsp;<\/li>\n<li>We are one of the few practices in the region to offer a <strong>full range of options for treating <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/treatment\/\">urinary problems<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erection problems<\/a> in men, and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/womens-health\/sexual\/\">sexual problems in women<\/a>.<\/strong><\/li>\n<li>We offer<strong> treatment options for frequent urination, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/oab\/\">overactive bladder<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/bladder-discomfort\/\">bladder pain<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/incomplete-bladder-emptying\/\">incomplete bladder emptying,<\/a> <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/urinary-retention\/\">urinary retention<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/pain\/\">pelvic pain<\/a>, and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostatitis\/\">prostatitis<\/a> in our office.&nbsp; <\/strong>Office procedures avoid the risks, costs, and recovery from general anesthesia.&nbsp;&nbsp;<\/li>\n<li>We offer<strong> diagnostic testing in our office, <\/strong>which avoids hospital costs.<\/li>\n<li><strong>Extensive experience:<\/strong> Thousands of men and women have been treated successfully with <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/botox\/\">Botox injections for frequent urination<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/ecoin\/\">eCoin tibial nerve neuromodulation<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/treatment\/interstim\/\">Interstim sacral neuromodulation<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/bladder-stones\/\">bladder stone removal<\/a>, kidney stone lithotripsy, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/axonics\/\">Axonics sacral nerve modulation<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/ptns\/\">NURO tibial nerve modulation<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/incontinence\/stress\/urethral-sling\/\">urethral sling<\/a>, and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/incontinence\/stress\/artificial-urinary-sphincter\/\">artificial urinary sphincter<\/a>.<\/li>\n<li><strong style=\"font-size: 1em;\">Confidential and Understanding Care.<\/strong><span style=\"font-size: 1em;\"> We understand that most of our patients desire privacy. &nbsp;We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.<\/span><\/li>\n<li>We are <strong>conveniently located within a 30-60 minute commute<\/strong> 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.<\/li>\n<\/ul>\n<h2>What do Urinary Problems Look Like?<\/h2>\n<p>You can find pictures of urinary problems and before-and-after treatment images in our <strong><a href=\"\/mens-health?page_id=231\">image gallery<\/a><\/strong>.<\/p>\n<h2>Scheduling Appointments for Urinary Problem Treatment at New York Urology Specialists<\/h2>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/contactus\/\">contact us<\/a> or call\/text: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a>.<\/span><\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC specializing in treating urinary problems in men and women. <strong>&nbsp;&nbsp;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.&nbsp;&nbsp;<\/strong><\/p>\n<hr>\n<p>ngg_shortcode_0_placeholder[patient_review_form]<\/p>\n<h2>Urinary Problem Treatment for Men and Women With Fast Recovery at New York Urology Specialists<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1739\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/Excellence-Urology_Care-banner2.png\" alt=\"Excellence-Urology_Care-banner2\" width=\"114\" height=\"132\">At New York Urology Specialists, our urologists are specially trained in evaluating and treating<strong>&nbsp;bladder and prostate problems in men and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/womens-health\/\">women&#8217;s health<\/a> concerns, including sexual problems and urinary problems.&nbsp; <\/strong>We understand the challenges that urinary and sexual problems create for our patients, their relationships, and their self-esteem. &nbsp;<strong>We help you find a treatment for bladder control problems that fit your needs, lifestyle, and preferences.<\/strong><\/p>\n<p>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. &nbsp;<strong>We offer medical and surgical treatment for urinary and sexual problems.<\/strong><\/p>\n<h2>We Treat Some of the Most Complex Urinary Problems Including:<\/h2>\n<ul>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/bph\/\">Enlarged prostate<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/\">Prostate Cancer<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/burning\/\"><strong>Burning during urination<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\"><b>Frequent urination<\/b><\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/urinary-retention\/\"><strong>Urinary retention<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostatitis\/\">Chronic Prostatitis<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/pain\/\">Pelvic Pain<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/bladder-discomfort\/\">Bladder Pain<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">Frequent Urination<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/pain\/\">Pelvic pain<\/a><\/li>\n<\/ul>\n<table style=\"width: 100%; height: 331px;\" border=\"1\" cellpadding=\"10\">\n<tbody>\n<tr>\n<td bgcolor=\"#FFFF33\" width=\"65%\">\n<h3 class=\"style1\"><span style=\"color: #000080;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1691 size-medium\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/dr-alex-about-banner-large-Copy-300x176.png\" alt=\"\" width=\"300\" height=\"176\">Schedule an Appointment with Dr. Shteynshlyuger:<\/span><\/h3>\n<p class=\"style1\"><strong><span style=\"color: #800000;\">Call\/text today: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a><\/span> <\/span><\/strong><strong><span style=\"color: #800000;\"><span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online<\/span><\/span><\/strong><\/p>\n<p><span style=\"color: #000000;\"><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger<\/a><\/strong> is a fellowship-trained, board-certified urologist with expertise in evaluating and treating<strong>&nbsp;urinary and bladder problems in men and women.<\/strong>&nbsp; He uses modern, effective, and proven treatment methods.&nbsp; We offer cystoscopy, urodynamics, bladder sonogram, and treatment for bladder incontinence. We perform procedures such as <span style=\"color: #333333;\">Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, bladder tumor removal, and the Urolift procedure<\/span>. &nbsp;<\/span><\/p>\n<p>He has <strong>successfully treated hundreds of men and women <\/strong>with symptoms of frequent urination during the day and excessive urination at night.<\/p>\n<p><span style=\"color: #000000;\">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, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\"><span style=\"color: #0000ff;\"><strong>make an appointment<\/strong><\/span><\/a>&nbsp;to take advantage of Dr. Shteynshlyuger&#8217;s expert advice.&nbsp;Please feel free to&nbsp;<strong><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/contactus\/\">contact us<\/a><\/strong>&nbsp;with any questions.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/contactus\/\">contact us<\/a> or call\/text: <span class=\"style2 redish number\"><a href=\"tel:16466634151\">1-646-663-4151<\/a>.<\/span><\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Altaviva Tibial Implantable Neuromodulation in New York City by Alex Shteynshlyuger MD If you have any questions, to&nbsp;schedule a consultation, please&nbsp;contact us or call\/text: 1-646-663-4151. We have excellent reviews from patients and their partners.&nbsp; Information for out-of-state and international patients.&nbsp; Find out our office hours or directions to our office.&nbsp; We offer affordable appointment [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4888,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-4883","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Altaviva Tibial Implantable Neuromodulation - Urge Urinary Incontinence and Overactive Bladder - Urinary and Bladder Problems<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/\",\"name\":\"Altaviva Tibial Implantable Neuromodulation - Urge Urinary Incontinence and Overactive Bladder - Urinary and Bladder Problems\",\"isPartOf\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\",\"datePublished\":\"2026-05-25T04:03:54+00:00\",\"dateModified\":\"2026-05-25T16:26:11+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\",\"contentUrl\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neuromodulation for Treatment of Urinary Problems: Overactive Bladder, Urinary Retention, and Urge Urinary Incontinence\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Implantable Tibial Neuromodulation (iTNM) for Urge Urinary Incontinence, Urgency, and Overactive Bladder\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Altaviva Tibial Implantable Neuromodulation &#8211; Urge Urinary Incontinence and Overactive Bladder\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/#website\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/\",\"name\":\"Urinary and Bladder Problems\",\"description\":\"NYC Urologist - Bladder Health Specialist\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Altaviva Tibial Implantable Neuromodulation - Urge Urinary Incontinence and Overactive Bladder - Urinary and Bladder Problems","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/","twitter_misc":{"Est. reading time":"10 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/","url":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/","name":"Altaviva Tibial Implantable Neuromodulation - Urge Urinary Incontinence and Overactive Bladder - Urinary and Bladder Problems","isPartOf":{"@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage"},"image":{"@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage"},"thumbnailUrl":"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg","datePublished":"2026-05-25T04:03:54+00:00","dateModified":"2026-05-25T16:26:11+00:00","breadcrumb":{"@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#primaryimage","url":"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg","contentUrl":"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/altaviva\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/"},{"@type":"ListItem","position":2,"name":"Neuromodulation for Treatment of Urinary Problems: Overactive Bladder, Urinary Retention, and Urge Urinary Incontinence","item":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/"},{"@type":"ListItem","position":3,"name":"Implantable Tibial Neuromodulation (iTNM) for Urge Urinary Incontinence, Urgency, and Overactive Bladder","item":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/neuromodulation\/itnm\/"},{"@type":"ListItem","position":4,"name":"Altaviva Tibial Implantable Neuromodulation &#8211; Urge Urinary Incontinence and Overactive Bladder"}]},{"@type":"WebSite","@id":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/#website","url":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/","name":"Urinary and Bladder Problems","description":"NYC Urologist - Bladder Health Specialist","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/pages\/4883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/comments?post=4883"}],"version-history":[{"count":6,"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/pages\/4883\/revisions"}],"predecessor-version":[{"id":4899,"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/pages\/4883\/revisions\/4899"}],"up":[{"embeddable":true,"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/pages\/4888"}],"wp:attachment":[{"href":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/wp-json\/wp\/v2\/media?parent=4883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}