Treatment of Enlarged Prostate and BPH in Patients with Heart Disease (Coronary Artery Disease or CAD)
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Heart Disease and Enlarged Prostate
Men with coronary artery disease (heart disease) and especially those with a history of MI (myocardial infarction or ‘heart attack’) often have symptoms of an enlarged prostate. Men with heart disease and those who have had angioplasty with a drug-eluting stent placed in their coronary arteries of the heart typically have limited options when it comes to treatment for enlarged prostate and BPH.
Blood Thinners, Dizziness, Blood Pressure Medications and Treatment for BPH
Many patients with heart disease take multiple blood pressure medications and may also suffer from occasional dizziness. Many are at high risk for falls because of arthritis, balance problems, and prior falls. Prescribing the most commonly used medications for enlarged prostate such as Flomax (Tamsulosin) can cause what we call “orthostatic hypotension” or dizziness. Dizziness can lead to falls especially in elderly patients who are already at risk for falls.
A complicating issue is that many patients with coronary artery disease also need to take blood-thinning medications such as aspirin, Plavix, and Coumadin. A fall while taking blood thinners can lead to bleeding and other severe complications.
The Challenge of Treating Men with BPH and Heart Disease
The choices for treatment for enlarged prostate in elderly men who take blood thinners or multiple blood pressure medications are complex. As a result, a very challenging situation arises. The situation becomes even more complicated when men who are taking blood thinners have also a history of falls or dizziness caused by orthostatic hypotension.
The most effective medications, called alpha-blockers such as Flomax cannot be given to men who get dizziness and are at risk for falls. The next best option is surgery. Many men who have significant heart disease cannot stop aspirin and/or Plavix as it can lead to a heart attack or stroke. As a result, these men are often not offered surgical treatment for enlarged prostate.
When he comes to treating men with cardiac disease especially those at the highest risk who need to take aspirin and Plavix, a very complex clinical situation is created. Typically due to a concern of side effects from treating enlarged prostate these men are not given the option of either best in class medications or surgical care.
Frequent Urination, Urination at Night, and the Risk of Falls.
As urinary symptoms become more severe over time, men develop urinary urgency and frequency. They get urgency and have to run to the bathroom to urinate especially at night. Urinary urgency and frequency can lead to falls when men try to get to the bathroom on ‘short notice’. This creates a vicious circle of one medical problem causing another.
Catheters and the Risk of Falls.
Some men develop urinary retention or inability to urinate spontaneously and require a urethral Foley catheter placement in the urinary bladder. This situation can worsen the problem as sometimes the catheter may cause men to tangle in the tubes at night and fall by interfering with normal movement. Intermittent catheterization is usually a better option in these cases.
Due to the complexity of managing urological issues in high risk patients with coronary artery disease, urinary symptoms are often ignored. Cardiologists are hesitant to treat men with medications for the prostate that may give side effects and stopping blood thinners for surgery puts men at unreasonable risks.
Treatment of Enlarged Prostate in Men who Have Heart Disease at New York Urology Specialists.
Men with Dizziness
For men with a mild-to-moderate enlarged prostate who have dizziness, Rapaflo which has a lower risk of ‘dizziness’ as a side effect may be tried. Cialis daily can also help with urinary problems due to BPH. Medications such as Proscar can also work but they take about 3-6 months to start working.
For men with moderate and severe BPH, minimally invasive surgical treatment often offers the best option. Some of them such as Urolift can be performed while the patient is taking aspirin. Certain surgical options for the treatment of prostate, such as Greenlight laser can be performed while the patient is taking aspirin.
Urolift procedure is covered by many insurances. Medicare pays for the Urolift procedure for eligible men.
Most men are eligible for the Urolift procedure. Urolift procedure successfully treats symptoms of an enlarged prostate for over 5 years.
Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.
Cost of Enlarged Prostate Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Where to Get Prostate / Urolift Procedure / Rezum Procedure / Laser Enucleation of Prostate / HOLEP / Surgery in NYC?
At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-646-663-4044 or make an appointment online.
We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists
We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.
- 58-year-old Man with Large Median Lobe of Prostate Treated with Tadalafil daily and HOLEP
- 61-year-old Man with Intermittency and Weak Urine Stream Tamsulosin does not work
- 66-year-old Man with Urination Problems – Tadalafil Does Not Work
- 73-year-old Man Treated with HOLEP (Holmium Laser Enucleation of Prostate)
- 75-year-old Man Treated with Urolift Procedure after Rezum did not work
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 the 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: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Prostate Problems Look Like?
You can find images of uroflow as well as before and after treatment images in our image gallery.
Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.
Dr. Alex Shteynshlyuger is 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). He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence. He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.
Urinary Problems Are Treatable in Nearly Every Man and Woman
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 such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem. We help you find a treatment for your urinary problems that fit your needs, 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 virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems. We offer medical and surgical treatment for men’s prostate 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 Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Penile Pain During Sex
- Impotence in men with diabetes.
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.