Rich New Yorkers undergo bladder surgery and botox to avoid bathroom breaks on the drive to the Hamptons


  • Urologists in New York City have seen more patients requesting procedures to mitigate the need to pee.

  • The wealthiest people in NYC want to eliminate the need to go during a long drive to a summer villa.

  • Some people are taking “Bladder Botox” to avoid a collision over the “Hamptons bladder” in the car.

Traffic on the way to Hamptons They will not have the urge to pee so often on the road, as they have become so terrible that they are sending energetic New Yorkers streaming to doctors for medical procedures.

Crawling more and more Unbearable summer traffic Among the second homes about 100 miles away, many of the wealthiest people in the city, especially the old ones, have no place to stop along the distant highway during a few hours of travel. , Bladder problems are increasing.

To fight the “Hamptons bladder,” New Yorkers spend their summers in exclusive Long Island outposts seeking two specialized medical procedures. Prostate artery embolization (PAE) reduces the size of the prostate in men, and “bladder botox” reduces pollakiuria in women.

People caught in traffic jams stick their heads out of the car.

New Yorkers fleeing to the Hamptons summer villa face hours of traffic jams.Martin Barrow / Stone

“Many people have problems with this problem. They have to come to the Hamptons and stop four or five times along the way, but they can’t find a toilet,” said Dr. David Shusterman. .. Urologist in New York City Someone promoting the procedure with the tagline “Race to the Hamptons, not the bathroom”.

Shusterman said the number of patients seeking PAE surgery surged by 20% this spring. “I don’t see them until around May, then suddenly May comes and they care more,” he said. “I’m confused when I’m in a car with lots of people because I have to go to the bathroom every hour.”

He said he has been doing PAE treatment about 10 times a week and bladder botox once or twice a week for the past few months.

According to Shusterman, the patient told him about a collision in the car with a friend when he had to get off the road and look for a toilet, but it didn’t help. “Probably thousands of people are fighting for this every week,” he said.

The doctor himself can be involved. “I don’t know how many discussions I have personally. I’m a driver and I’ve lost three friends because I refused to stop for them,” Shusterman said. rice field. “There is no place to stop.”

The Hamptons beach house.

A drive from New York to the Hamptons Beach House can take hours and there are few places to rest in the bathroom.Miles Astray / iStock / Getty Images Plus

According to Shusterman, about half of men between the ages of 50 and 60 suffer from benign prostatic hyperplasia. This causes more frequent and urgent trips to the bathroom..

A one-hour PAE procedure performed with an interventional radiologist prevents blood from reaching the prostate and reduces its size. Recovery is usually rapid and relatively painless, patients return home the same day, and the risk of sexual side effects and urinary incontinence is very low, Shusterman said.

The procedure can be covered by Medicare and insurance, but Shusterman said some uncovered patients would pay out a $ 20,000 price tag from their pockets.

Meanwhile, a woman fighting frequent impulses on the road said, “Bladder botox,“This sounds exactly like that. Shusterman calms the patient in a manner similar to endoscopy, then inserts a small scope into the urethra and injects the drug using a special needle. Said, “You were covered all summer.”

He said he injected women of all ages, from 20s to 80s. This procedure is usually covered by insurance, but it can cost thousands of dollars if you pay at your own expense.

Dr. David Shusterman, a New York urologist, is posing in his office.

Dr. David Shusterman, a New York urologist, advertises his procedure as reducing the need to pee on the road.Courtesy of David Shusterman.

A 60-year-old who had a PAE procedure this spring said he was delighted to eliminate the need to plan a break before his hours of travel to him. Hamptons House, Has been getting worse in recent years. “The pandemic has just moved most of New York to the Hamptons home,” he explained. “They moved and it caused a lot of traffic.”

Before the procedure, the man said, “The traffic can take up to 4 hours and there is no rest area. I had to take the exit to find the bathroom.” After receiving the PAE, he said, “Now I’m not afraid. I’m like a kid.”

While having selective surgery just to avoid collisions on an expedition may sound overkill, PAE states that the risk is relatively low compared to other methods. Dr. Art RustinehadAn intervention urologist in New York who carries out the procedure.

Oral medications are usually stated to be the first course of action for benign prostatic hyperplasia. Dr. Vikram Rajpurohit, NYU’s interventional radiologist who performs PAE procedures. However, “there are side effects that many patients want to avoid, such as decreased libido and low blood pressure,” Rajpurohit said.

“Sure, we don’t recommend PAE to patients whose symptoms haven’t had a significant impact on their lives or who haven’t tried oral medications,” says Rastinehad. “But when I heard about their interrupted drive to the Hamptons, I realized that the problem was usually just the tip of the iceberg.”

For those who aren’t in the process of seeking medical attention, Shusterman offers some advice on how to prevent collisions while riding a long-distance vehicle this summer. Hamptons Rose..

“Alcohol is really bad-it has a direct stimulating effect on the bladder,” he said. “Drink normal water. Hydrate, but don’t overhydrate. I don’t want to get stuck on a road with nowhere to go.”

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