What are the Office-Based Procedures and Hospital-Based Surgical Treatment Options for BPH and Enlarged Prostate?
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First I should note that the diagnosis of BPH is typically based on symptoms such as poor urine flow, need to wake up at night frequently to urinate, frequent urinary tract infections or UTIs, bladder stones, blood in urine, and renal insufficiency which is poorly functioning kidneys as a result of BPH. The choice of treatment really depends on patient symptoms and the patient’s preferences.
Once medications stop working or if the patient finds medical treatment for BPH unacceptable, there are 5 options.
Three of the options are office procedures – that utilize Microwave or TUNA (transurethral needle ablation of the prostate) technologies; or Urolift system for BPH.
Two of the options are usually hospital or Ambulatory Surgery Center technologies: Laser technology-based procedures (Greenlight, Holmium as well as other lasers) and transurethral resection of the prostate (TURP).
Let’s review Treatment Options for Enlarged Prostate
Option #1: Transurethral Resection of the Prostate (TURP) – traditional ‘rotor-rooter” procedure where the urologists resect the prostatic tissue using electrocautery. TURP traditionally has more short-term side effects and risks than other options. There are more modern approaches using Bipolar TUPR for example PlasmaButton that avoid some of the side effects of TURP such as hyponatremia, or TUR ablation of the prostate. The major advantage of TURP is that one can obtain prostate tissue samples for a pathologist to review. This is important for some patients. TURP is usually done in the operating room in the hospital or Ambulatory Surgery Center. Most men go home the same or next day.
Option #2: Laser Ablation of the Prostate. There are a variety of prostate lasers available with names such as PVP, Greenlight laser, Holmium Laser, Revolix laser and a number of others. All of them have similar efficacy to TURP, typically with fewer short-term side effects. Most men go home the same day. Laser procedures on the prostate are usually done in the operating room in the hospital or ambulatory surgery center; some can be performed in the office settings.
Option #3: Transurethral Microwave Thermotherapy also called TUMT, Targis™, and Prolieve™. These are office procedures that take 30-45 minutes to perform. Most men go home without a catheter; some men require temporary or intermittent catheterization.
Option #4: Transurethral Needle Ablation of the Prostate called TUNA also known commercially as Prostiva™. These are office procedures that take 30-45 minutes to perform. Most men go home without a catheter; some men require temporary or intermittent catheterization. The efficacy and side effect profile is very similar to TUMT (Option #3).
Some men may need a catheter for a short period of time from a few days to a few weeks. Microwave and TUNA treatments have fewer side effects than TURP, in particular, the risk of retrograde ejaculation is much lower with Prostiva than with TURP; it is also lower with TUMT than with TURP. About 30% of men will need another treatment within 5 years; in comparison, few men need retreatment after Laser or TURP procedures within 5 years of surgery.
Option #5: Urolift for Enlarged Prostate. This is an office procedure that can be done under local anesthesia or under light sedation in a hospital or surgical center. You can expect to go home the same day. This procedure is very effective for improving symptoms in men with an enlarged prostate who do not have a median lobe enlargement. The major benefit of this treatment is the lack of any sexual side effects with minimal risk of retrograde ejaculation.
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.
- 46-year-old Man with Urinary Retention Treated with Urolift
- 47-year-old Man Treated with Rezum Procedure After Unsuccessful Urolift
- 51-year-old Man with Pain and Slow Stream Treated with Urolift Supplements Did Not Help
- 53-year-old Man Treated with Prostate Enucleation (HOLEP) after Urolift Did Not Work
- 53-year-old Man with Frequent Urination Treated with Rezum
- 56-year-old Man with Urination at Night and Discomfort Treated with Urolift
- 58-year-old Man with Large Median Lobe of Prostate Treated with Tadalafil daily and HOLEP
- 61-year-old Man Treated with Greenlight Laser and Tamsulosin
- 61-year-old Man with Intermittency and Weak Urine Stream Tamsulosin does not work
- 63-year-old Man with Urinary Problems after Prostate Cancer Radiation Treated With Urolift
- 65-year-old Man with Urinary Urgency and Incontinence Treated with Rezum after failed PAE
- 66-year-old Man with Urination Problems – Tadalafil Does Not Work
- 67-year-old Man with Frequent Urination at Night after Greenlight Laser
- 69-year-old Man Treated with Rezum After Brachytherapy Radiation for Prostate Cancer
- 73-year-old Male with Abdominal and Perineal Pain – Bipolar TURP
- 73-year-old Man Treated with HOLEP (Holmium Laser Enucleation of Prostate)
- 73-year-old Man with Frequent UTI and Pain – Finasteride and Alfusozin Do Not Work
- 73-year-old Man with Incomplete Bladder Emptying and Post-void Urine Dribbling
- 75-year-old Man Treated with Urolift Procedure after Rezum did not work
- 82-year-old Male with Bladder Problems Treated with Urolift after Previous Microwave Therapy
- 86-year-old man Treated with Prostate Enucleation After Rezum
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 also offer laser surgery for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- 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.
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