Treatment of Enlarged Prostate – Top Specialists in NYC
Our board-certified urologists specialize in evaluating men with symptoms of enlarged prostate. We also offer second and third opinion services for men with prostate and urinary problems. We care for men in NYC as well as visitors both from neighboring states and international patients.
Dr. Alex Shteynshlyuger has extensive experience having treated hundreds of men for symptoms of enlarged prostate and has personally performed hundreds of procedures and surgeries for treatment of enlarged prostate including TURP, Greenlight Laser, Urolift, Holmium laser, and other minimally invasive procedures as well as open and robotic surgery. He specializes in the second opinion for men who had treatment for enlarged prostate but have not experienced expected results or developed complications of treatment.
What is BPH or Enlarged Prostate?
BPH refers to benign prostatic hypertrophy, a medical term that means enlarged prostate. The prostate is an organ that is present only in men. The prostate sits in the pelvis. The prostate surrounds the urethra and can affect urination if it grows by blocking urine flow. The prostate is also involved in producing semen (fluid in which sperm swim).
What Are the Causes of Enlarged Prostate and BPH?
Over time, under the hormonal influence (from testosterone) the prostate increases in size. Prostate gland has a volume of 15-20 ml in young men (20-30 years old). By the time men reach age 50, it is not uncommon for the prostate gland to grow to 40-60 grams. Some men appear to have a genetic predisposition to enlarged prostate and can develop symptoms earlier in life in mid-to-late 30’s and 40’s.
Almost all men develop an enlarged prostate as they get older. Some men have minimal to no symptoms of prostate enlargement; other men develop symptoms as early as age 30-35.
Who Gets BPH or Enlarged Prostate?
Enlarged prostate usually occurs in men who are over 40-45 years old. It is fairly uncommon for men younger than 40 to experience symptoms of enlarged prostate. The symptoms are most common after age 50; as men age, they are more likely to develop symptoms of enlarged prostate over time.
Many Men ask us “What do I need to worry about”?
As men approach age 40, the prostate starts to grow. This is a normal process and occurs in virtually every man.
As men approach age 50, they start to experience the symptoms of enlarged prostate or BPH. The symptoms of BPH or prostate enlargement are typically related to urination.
A good way to see whether you have symptoms that are typical of BPH is to fill out the AUA symptom score. It’s free. It takes less than 5 minutes to do. You can print it out and take it to your doctor appointment – Download it for Free from Us! You can do it online for free on our website: NewYorkUrologySpecialists.com – click under “Forms“. We offer treatment for enlarged prostate for men including medications and surgical treatment when necessary.
Symptoms of Enlarged Prostate
Read about the symptoms of an enlarged prostate. With modern treatment options, there is no need to suffer from urinary problems caused by an enlarged prostate. Common symptoms of enlarged prostate include slow urine stream, start-and-stop urination, urge to urinate, waking up at night to pee, pain in the penis or lower abdomen as well as perineal pain.
What You Need to Know About Enlarged Prostate
- Symptoms of BPH can be successfully treated in every man.
- Symptoms of prostate enlargement tend to progress and worsen over time if not treated.
- If you are being treated for symptoms of an enlarged prostate but do not experience improvement, you need to know that other treatment options are available when medications for BPH do not work.
- Some men require to repeat minimally invasive or surgical procedure after the initial procedure.
- Symptoms of the enlarged or swollen prostate can occur in young men.
Diagnostic Tests to Determine the Causes of Urinary Problems and Enlarged Prostate
We offer advanced diagnostic tests for men with urinary problems including bladder ultrasound, prostate ultrasound and measurement of post-void residual. We perform uroflow testing in our office as well as advanced urodynamics. Video-cystoscopy is offered in the convenience of our office in New York City.
Treatment Options for Enlarged Prostate
We offer innovative treatment options for BPH. Read and compare different treatment options for BPH offered at the New York Urology Specialists.
Dr. Alex Shteynshlyuger is a specialist in the treatment of enlarged prostate in NYC. He is one of the most experienced urological surgeons for enlarged prostate. He is one of the first urologists to offer the innovative Urolift procedure and Rezum water vapor procedure for enlarged prostate in New York City.
Compare Urolift Treatment to Rezum
Compare Urolift to TURP
Treatment of Urinary Retention and Inability to Urinate in Men
We treat men with retention of urine caused by large prostate or bladder problems. We also treat urinary retention after prior spine surgery, brain trauma, and stroke. Men for whom prior prostate procedures such as Greenlight laser did not work can also be treated effectively in many cases.
We offer many options for the treatment of urinary retention including prostate enucleation, the high-density Rezum protocol for the treatment of urinary retention. We also offer Interstim neuromodulation which has a good success rate for treatment of non-obstructive urinary retention.
We also offer education about clean intermittent self-catheterization, Foley catheter changes and suprapubic catheter insertion and change in the office under local anesthesia.
Urolift System for BPH is a new treatment option for men with enlarged prostate with no sexual side effects, which favorably compares to medications such as Flomax and TURP.
Laser Treatment of Enlarged Prostate
At New York Urology Urology Specialists we use innovative technology to achieve better results for our patients. We have access and extensive experience with laser ablation of the prostate with Lumenis MOSES Holmium laser, Greenlight laser, as well as other advanced lasers.
We are one of the first practices in the United States to offer advanced laser prostate enucleation for very large prostates.
Safe and Effective Treatment of Enlarged Prostate without General Anesthesia
Experienced urologists at New York Urology Specialists advanced the field of treatment of enlarged prostate symptoms by performing many procedures in the office under local anesthesia which avoids the risks of general anesthesia and allows patients with severe heart and lung problems regardless of age to get effective treatment for relief of symptoms of enlarged prostate.
We offer cystoscopy for diagnosis of enlarged prostate under local anesthesia. Most men experience minimal to no pain, and the procedure typically takes only 2-3 minutes. The procedures are done in our office using the state-of-the-art diagnostic equipment.
We offer the Urolift procedure for treatment of enlarged prostate under local anesthesia. Men of all ages can undergo the procedure in our office. There is the minimal preparation that is necessary. You can eat and drink before and after the procedure. The procedure takes about 20 minutes to perform. Most men feel an improvement in urinary symptoms within weeks of treatment. The procedure is performed in our office; no need for a hospital stay and no need for general anesthesia. You also avoid the costs of hospital operating rooms and costs of general anesthesia.
Rezum procedure is also performed in our office under local anesthesia. Typically, the procedure takes about 10 minutes to perform and you go home shortly after. Most men experience no significant pain. We have performed Rezum on men as old as 90+ years old.
Treatment Options Offered at New York Urology Specialists:
- Greenlight Laser
- Rezum for BPH
- Bipolar TURP
- Laser Ablation of Prostate
- Laser Enucleation of Prostate
- Urolift procedure for BPH
- Aquablation for Enlarged prostate
- Prostate artery embolization (PAE)
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate (BPH) and Urinary Retention?
- All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
- We are one of the few practices in the region to offer a full range of options for treatment of BPH.
- We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of men treated successfully using medical therapy, microwave procedure, TUNA, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).
Ejaculation-Preserving Treatment for Enlarged Prostate in Men
We specialize in the preservation of sexual function in men with enlarged prostate. We offer ejaculation preserving treatment with the Urolift procedure, Rezum treatment. For men with very large prostate, we also offer ejaculation-preservation surgery with laser enucleation and prostate resection (bipolar TURP). Dr. Shteynshlyuger is one of the first urologists to have used Aquabeam platform for the treatment of enlarged prostate with Aquablation robotic surgery.
Would I Need to use Medications (Flomax, Uroxatral, and Finasteride) after Urolift or Prostate Enucleation?
After your procedure for treatment of enlarged prostate is performed by the urological surgeons at New York Urology Specialists, we advise continuing using the medications as instructed. Typically we advise our patients to stop medications such as Flomax 1 month after treatment with Urolift, Greenlight laser, TURP, prostate enucleation and Rezum.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
When it comes to experience and innovation – New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.
Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for urinary and sexual problems in men. He is one of the few urologists who perform laser enucleation of the prostate, Urolift procedure, and Rezum procedure. We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts in the USA, Canada, South America and the Caribbean and other international patients. .
When you are faced with a prostate problem you need a highly trained and experienced urologist. Dr. Alex Shteynshlyuger was trained at some of the top hospitals in the United States for Urology. He is fellowship trained and specializes in treating men with prostate problems including BPH, enlarged prostate>, urinary problems and prostate cancer.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
by Andrei on Aug 15, 2018
Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Jean on Aug 25, 2017
Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!
by Richard on Nov 15, 2014
I went to see Dr. Shteynshlyuger for a second opinion about a urinary problem after having a continuing issue for many months that wasn\'t getting better. He seemed very knowledgeable. I highly recommend him. Cons: If you\'re not the first patient the wait can be LONG.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by Charles M on May 23, 2013
Dear Dr. Alex – Since starting the Vesicare, my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joanne R. on Sep 17, 2012
Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.