Urinary incontinence can significantly impact your daily life—affecting your confidence, sleep, work, and overall well-being. While many patients find relief with conservative treatments, others continue to struggle with persistent symptoms.

If you’ve tried lifestyle changes, Kegel exercises, or medications for urinary incontinence without relief, there’s still hope. Many patients feel frustrated, embarrassed, or ready to give up—but advanced therapies can help restore control and improve your quality of life.

At Advanced Urology Centers of New York (AUCNY), our board-certified urologists specialize in advanced “third-line” treatments for patients whose symptoms have not responded to first- and second-line therapies. Using the latest technology and a personalized approach, we help patients find meaningful, long-term relief.

Treatment Options

Botox® can be injected directly into the bladder to treat overactive bladder symptoms, including urge incontinence and urgency-frequency syndrome.

  • Procedure: Office-based, minimally invasive

  • Results: Noticeable improvements typically within two weeks

  • Effectiveness: Clinical studies show a reduction of daily leakage episodes by half or more

  • Duration: Effects generally last about 6 months

  • Side Effects: Slightly increased risk of urinary tract infection; 5–6% of patients may temporarily require a catheter

Urge incontinence, urgency-frequency, and non-obstructive urinary retention can sometimes be caused by disrupted communication between the bladder and the brain. SNM gently stimulates the sacral nerves that control bladder function.

  • Testing: A simple nerve conduction test determines if SNM will be effective for you

  • Procedure: Patches are placed on the back and a belt provides stimulation during testing

  • Results: Many patients experience lasting improvement for 5–7 years

PTNM is an office-based therapy that stimulates the posterior tibial nerve in the ankle, which communicates with the bladder’s control system.

  • Treatment schedule: 30-minute sessions, once a week for 12 weeks

  • Comfort: Most patients feel only a mild tingling; sessions are non-painful

  • Effectiveness: About 70% of patients report significant symptom improvement

  • Follow-up: Maintenance sessions are usually every 3–4 weeks

  • Extras: You can read, listen to music, or catch up on emails during treatment

Take Control of Your Bladder Health

You don’t have to live with urinary incontinence. Effective, advanced treatments are available—and the right solution may be closer than you think. Schedule a consultation today to learn more about your options and take the first step toward lasting relief.

Take Control of Your Bladder Health

If you’re struggling with urinary incontinence despite trying first- and second-line treatments, advanced therapies may offer relief and a chance to regain your lifestyle. Schedule a consultation with an AUCNY urologist today to explore which treatment option is right for you. Our team is here to provide compassionate, expert care every step of the way.