Rezum for Men with Enlarged Prostate Problems after Prostate Cancer Treatment with Radiation Therapy in New York City


by Dr. Alex Shteynshlyuger, a board-certified urologist and specialist in the treatment of urinary problems in men.  He is one of the few urologists who offers a full range of treatment options for BPH (enlarged prostate)


Rezum after Proton Therapy, Brachytherapy or IMRT for Prostate Cancer

Prostate cancer affects about 15% of men during their lifetime. About half the men with prostate cancer who require treatment for the malignancy receive radiation therapy.

Radiation therapy treatment options for prostate cancer include proton therapy, IMRT, and brachytherapy. All radiation treatments for prostate cancer can cause urinary symptoms due to underlying BPH as well as prostate swelling and edema induced by radiation therapy.

Common urinary symptoms after radiation therapy include slow urine stream, frequent urination, a sensation of incomplete bladder emptying, difficulty starting and stopping urination, and frequent urge to urinate.

While some of the symptoms may be related to radiation cystitis, frequently in men, symptoms of enlarged prostate contribute to the urinary problems experienced after radiation therapy for the treatment of prostate cancer.

Rezum Water Vapor Therapy for Enlarged Prostate After Radiation Therapy

Rezum therapy for BPH is an effective treatment option for men with an enlarged prostate who have undergone radiation therapy for prostate cancer and are experiencing chronic urinary symptoms attributable to an enlarged prostate.

At New York Urology Specialists, we have extensive experience in treating men with urinary symptoms after radiation therapy. Talk to us today to find out if you are a candidate for Rezum after radiation therapy.

Does Rezum Therapy for Enlarged Prostate Affect the Success of Radiation Therapy for Prostate Cancer?

Rezum therapy causes apoptosis (cell death) of the prostate tissue adjacent to the urethra. As a result, Rezum therapy will not affect the success of radiation therapy for the treatment of prostate cancer.  Rezum therapy does not interfere with the effectiveness of radiation therapy for the treatment of enlarged prostate after radiation therapy.

Is There an Increased Risk of UTI or Bleeding After Treatment with Rezum?

Adverse events such as UTIs, dysuria (pain with urination), hematuria (blood in the urine), and urgency may occur after Rezum therapy, but these are usually minor and resolve within a few weeks [1]. Men who are treated for prostate cancer with radiation therapy may have more friable prostatic tissue and may experience more prolonged bleeding after treatment with Rezum therapy. Usually, the bleeding is minor and self-limited.

Rezum Therapy for Enlarged Prostate After Radiation Therapy: What to Expect

Usually, Rezum therapy can be performed in our office under local anesthesia. There is no special preparation necessary. You may eat and drink normally before and after the procedure. Most men require a temporary urinary catheter to be left in place after the procedure.

Other Treatment Options Available for Men with Enlarged Prostate After Prior Radiation Therapy

Medications such as Flomax and Uroxatral are effective for treating symptoms of enlarged prostate in most men who have had prior proton therapy, IMRT, or brachytherapy for prostate cancer.

UroLift procedure can also be effective in patients who were previously treated with radiation therapy for enlarged prostate. Patients who previously had permanently implanted prostate brachytherapy seeds may also be treated with Urolift procedure, but there is a concern that a number of Urolift stents may be deployed, but will not position in the right spot if they encounter a brachytherapy seed in their way. This does not predispose the patient to any risks but can increase the cost of the treatment significantly.

Other treatment options for enlarged prostate and urinary retention after radiation therapy include bipolar TURP, laser enucleation of the prostate, HOLEP procedure among others.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call/text:1-646-663-4044

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.


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

18

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

My experience
by on Nov 08, 2018

I had a Rezum procedure done a couple of months ago and now my symptoms have improved and quality of life has significantly changed. The Doctor and staff are excellent and I am very satisfied with the services - the surgery and post care. Would highly recommend Dr. Shteynshlyuger.

Rezum procedure
by on Oct 24, 2018

I have been a patient of another Urologist for years, with no positive results. Then I learned about Dr. Alex Shteynshlyuger through a TV newscast. I immediately decided to have a consultation with him. Best decision I ever made!!! Dr. Alex performed the Rezum procedure and has literally changed my life. I highly recommend Dr. Alex and his staff to anyone who wants the most caring, capable and result oriented urological medical care. Thumbs up to Dr. Alex and staff!!!!!!!!!

First class Surgeon & staff
by on Sep 24, 2018

From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.

Satisfied Patient
by 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

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Surgical Procedure
by 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

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by 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

urology services
by 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.

Review
by 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.

Dr visit
by 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.

Urination problem
by on Aug 25, 2017

Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!

Worth the wait
by 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.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

My cramps and burning are gone
by on May 23, 2013

Dear Dr. Alex – Since starting the [treatment], 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

Thank you for excellent care
by 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

We appreciate all that you did to help my dad
by 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.

We love you!
by 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.

Urinary Problems Are Treatable in Nearly Every Man and Woman

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At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men.  We understand the challenges that urinary problems create for our patients, their relationships and their self-esteem.  We help you find a treatment for your urinary problems that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and women who desire an effective treatment for their urinary problems.

We specialize in minimally invasive highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We offer medical and surgical treatment for erectile dysfunction.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence and bladder pain 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 urinary problems caused by an enlarged prostate in men
  • We offer treatment options for enlarged prostate, overactive bladder, UTI and urinary incontinence in our office which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive Experience: Hundreds of men have treated successfully using medical therapy, Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination and tibial neuromodulation.

We Treat Some of the Most Complex Health Problems in Men and Women Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call or text today: 1-646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with BPH 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.

 

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