Top Specialists in NYC For Treatment of Erectile Dysfunction after Prostate Cancer Treatment with Robotic Radical Prostatectomy and Radiation Therapy

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

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.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

Dr. Alex Shteynshlyuger is a specialist in treating erection problems after prostate cancer treatment using the latest scientific and medical breakthroughs.


Effective Treatment of ED after Prostate Removal Surgery and Radiation Therapy

At New York Urology Specialists, we use the most advanced methods of ED treatment to help men recover erections after prostate cancer treatment with surgical removal of the prostate (prostatectomy) and radiation therapy (IMRT, ERBT,  proton therapy, seed implants, brachytherapy), as well as HIFU.

Our approach to the treatment of post-prostatectomy ED is very effective for men of all ages.  We offer treatment for impotence for men who are planning to undergo surgery for prostate cancer, men who recently had surgery as well as men who have been living with ED for many years after prostate surgery.  

We treat men who are planning to or had radiation therapy or hormonal therapy for the treatment of prostate cancer and experience decreased erection hardness or inability to obtain and maintain erections sufficient for sexual intercourse.

Erectile Dysfunction is a Frequent Side Effect of Surgical Treatment for Prostate Cancer with Radical Prostatectomy.

Is Erectile Dysfunction Associated with Prostate Surgery?

ED after ProstatectomyTo some degree, ED is associated with every prostate cancer surgery. With rare exceptions, one cannot expect to have as good erections after surgery as before surgery.

Patient age and erection quality prior to surgery are the most important factors in predicting erection quality after surgery. Men younger than 45 have the best chance of maintaining their erections after surgery.  Of course, few men under 45 undergo prostate cancer surgery.

Most men who undergo treatment for prostate cancer are over age 50 and many have erection difficulties prior to surgery (erections are not as hard as they used to be, increased difficulty maintaining and getting erections).  Many men use medications such as Viagra, Cialis, Levitra, and Stendra prior to surgery for prostate cancer.  Erections after surgery are rarely as good as before even with medications such as Viagra and Cialis.

Erectile Dysfunction is a Frequent Side Effect of Radiation Therapy for Prostate Cancer with EBRT, IMRT, Proton Beam and CyberKnife.

Men treated with radiation therapy have increased risk of experience erectile dysfunction. Usually, erection problems occur 1-3 years after radiation therapy.  Pre-existing erection problems increase the chance of erection difficulty after radiation. At New York Urology Specialists we have extensive experience treating erectile dysfunction after radiation therapy for prostate cancer.

Is Erectile Dysfunction after Prostatectomy Permanent?

Many men recover at least some erectile function after surgery but many require medications to achieve erections. Younger men are more likely to recover sexual function.

It is important to understand that most men will require treatment for erectile dysfunction after radical prostatectomy or radiation therapy for prostate cancer even with nerve-sparing radical prostatectomy.   When surgeons quote that they have a high success rate with maintaining erections, it is important to understand that success is often defined as ‘ability to obtain erections with medications such as Viagra and Cialis”.

Nerve-sparing radical prostatectomy helps to decrease the risks of erection problems but does not entirely prevent them.

Causes of  ED after Prostate Removal Surgery for Prostate Cancer

During a radical prostatectomy, the nerves of the penis (cavernous nerves) are often damaged or sometimes removed with cancer. Nerve-sparing radical prostatectomy seeks to preserve as much of the nerves as possible.  Most prostate cancer surgeries performed nowadays as ‘nerve-sparing’ surgeries.  In my practice, I perform nerve-sparing procedures for around 90% of my patients.

However, in patients with high-risk, aggressive prostate cancer (Gleason 7-10, high PSA, palpable or hard prostate), it is important to remove all cancer tissue and sometimes that requires removal of cavernous nerves running in nerve bundles around the prostate gland.

Duration of Erectile Dysfunction after Nerve-Sparing Surgery:

  • Erectile dysfunction usually persists for at least 3-12 months even after a nerve-sparing prostatectomy, whether open or robotic/laparoscopic.
  • The patient may start to experience spontaneous erections during this period.
  • It is important to start the treatment for erectile dysfunction as soon as possible.  There is no reason to delay treatment as delay can affect patient relationships and self-esteem

Penile Rehabilitation Therapy after Radical Prostatectomy in New York City

The penile rehabilitation program has been shown to accelerate the recovery of sexual function in men. In general, medications such as Cialis or Viagra or penile injections are used shortly after surgery to recover sexual function.  Penile injections with medications such as prostaglandin and Trimix as well as vacuum erection devices have been used as well.

Risk of Erection Problems after Robotic Prostatectomy Depends on:

  • age – the older the patient the more likely he is to experience erectile dysfunction after surgery. This is likely related to an underlying increased risk of vascular disease that occurs as people age.  Vascular disease may be subtle enough not to manifest itself in other ways.
  • diabetesmen with diabetes are at higher risk for erectile dysfunction. The stress of surgery to remove the prostate may tip the balance over and lead to the earlier manifestation of the underlying problems that predispose to ED.
  • hypertension – erectile dysfunction is a known problem in men with high blood pressure.  High blood pressure affects small blood vessels that carry blood to the penis.  All men with high blood pressure are at risk of developing erection problems. Prostate cancer treatment tends to accentuate the problem by affecting the nerves in addition to already affected blood vessels.
  • Coronary Artery Disease (CAD) – heart disease affects blood vessels to the penis the same way the heart vessels are affected.
  • the baseline quality of erections (can a patient obtain erections easily? maintain erections? are erections hard enough?)
  • the use of PDE-5 inhibitors (sildenafil, vardenafil, etc prior to surgery)
  • type of surgical procedure

What Treatments are Available for Treatment of Erection Difficulties after Prostate Surgery for Prostate Cancer (Radical Prostatectomy or RALP)?

For many men, the treatment of erectile dysfunction should start prior to radical prostatectomy if they experience signs and symptoms of ED.

In general, two types of treatment options are available.

  1. Non-surgical treatments
  2. Surgical treatment

Non Invasive Non-Surgical Treatments of Post Prostatectomy ED:

These are pharmacologically based treatments and medication-free options. The following drugs may be useful: Cialis (tadalafil), Viagra, Levitra, and Stendra.

Shockwave therapy for ED, a new, medication-free option may be a good option for some men with post-prostatectomy ED. 

Penile Injection Therapy:

Intracavernous injection of prostaglandin E1, or Trimix injections are very useful for men after radical prostatectomy. We teach our patients to self-inject medications right before intercourse. The injection is nearly painless, just a little needle-prick.  The success rate is up to 80%.  Penile injections improved sexual function after prostatectomy by improving erections hardness, improving satisfaction with the relationship, and boosting sexual confidence

Nerve Graft

Sural nerve grafting has been tried in the past with inconsistent results.  It is not generally used at the present time.

Surgical Treatment: Effective Treatment of ED with Penile Implant

A penile implant is a good treatment option for men who do not respond to medications such as Levitra, Cialis, and Viagra. Men tend to be very satisfied with erection quality after penile implant.

 

Learn More About:

Where to Get Treatment for ED in NYC?

At New York Urology Specialists, we offer specialized treatment for ED for men. Same-day appointments are available.

Call/text today: 1-646-663-5211 or make an appointment online.  

We treat sexual and erection problems and offer comprehensive STD testing for infections.  We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.

Our prices are ED treatment prices are affordable with or without insuranceLow-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.  We offer free insurance verification.

Read Real Stories of Men who Underwent Treatment for ED at New York Urology Specialists.

We offer ED treatment 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, and Connecticut, and over 30 countries worldwide.

What do Penile Problems Look Like?

You can find pictures of penile problems including before and after treatment images in our image gallery.

What You Need to Know:

Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of ED, premature ejaculation, and other sexual problems using medical therapy, minimally invasive therapies, lasers, and surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, and erection problems in men.
  • We offer diagnostic testing in our office which avoids hospital costs.
  • Extensive Experience: Thousands of men have treated successfully using medical therapy, shockwave therapy for ED, penile injections with Trimix, and penile implant surgery.
  • 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 one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We are conveniently located within 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Scheduling Appointments for ED Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

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 prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation, and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.


Patients Reviews

Overall Rating:

5

Total Ratings

5

Total Reviews

19

Ratings

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

Patient review
by on Jan 24, 2020

Peronis Disease
by on Aug 04, 2019

Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.

3P Removal
by on Jul 24, 2019

Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

Recommendation
by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Outstanding
by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

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

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

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.

My wife was elated
by on Jan 15, 2018

Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis

Thankful
by on Dec 05, 2017

"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017

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.

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.

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 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.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships, and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

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.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

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.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.

 

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