\n
If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-212-204-6300<\/span><\/a><\/strong>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n The choice depends on the patient’s preferences, partner reproductive situation, and the complexity of necessary construction.<\/p>\n Men who have sperm in the testis but have an obstruction<\/strong> in the epididymis or ejaculatory ducts<\/strong> caused by surgery (vasectomy, hernia repair, prostatectomy), inflammation, infection, or unknown causes have a number of treatment options available to them.<\/p>\n The simplest way to retrieve sperm from the testis is to perform a procedure called ‘testicular sperm aspiration’. Alternative options include percutaneous epididymal sperm aspiration (PESA).<\/p>\n Alternative options include vasectomy reversal.<\/p>\n The major difference between vasectomy reversal and testicular sperm aspiration is how pregnancy is achieved. Sperm obtained during TESA (Testicular Sperm Aspiration) or PESA can only be used for ART (artificial reproductive technologies) such as IVF (in-vitro fertilization) which includes ICSI (intracytoplasmic sperm injection). Sperm obtained from TESA cannot<\/strong> be used for intrauterine insemination (IUI). <\/p>\n After a successful vasectomy reversal<\/strong>, a spontaneous pregnancy can occur through vaginal intercourse<\/strong>. Ejaculated sperm can also be used for IUI<\/strong> (intrauterine insemination) and IVF. <\/p>\n TESA<\/strong> <\/a>is performed in our offices. We perform the procedure under local anesthesia after spermatic cord block with bupivacaine (the medication used by dentists). The procedure takes less than 30 minutes to perform. There is no preparation necessary before the procedure. After the procedure, a compressive dressing will be applied to the scrotum for 24 hours. Most men experience minimal to no pain during or after the procedure. Most men do not require any pain medications beyond Motrin or Tylenol.<\/p>\n TESA needs to be coordinated with an IVF center. The sperm is placed in a special solution and will be taken immediately after the procedure to the IVF center for analysis, ICSI, further preservation, and storage for future use.<\/p>\n Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a> <\/strong>has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries,<\/strong> including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.<\/p>\n At New York Urology Specialists, we offer treatment for male-factor infertility<\/strong>. Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n Call\/text today: 1-212-204-6300<\/span><\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online. <\/span><\/span><\/strong><\/p>\n We perform penile procedures<\/a><\/strong>, varicocele<\/a> <\/strong>and hydrocele repair<\/a><\/strong>, vasectomy reversal<\/a>, and cosmetic circumcision.<\/a> <\/strong>We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections. We offer confidential<\/strong> appointments.<\/p>\n Our appointment costs<\/a> are affordable with or without insurance<\/strong>. We offer free insurance verification<\/strong>.<\/p>\n We perform testicular ultrasound<\/a> examinations in our office. We offer testosterone replacement therapy<\/a>, vasectomy<\/a>, Urolift procedure<\/a><\/strong>, Rezum water-vapor procedure<\/a><\/strong> in our office. We treat urinary<\/strong> and erection problems<\/a><\/strong>. We offer confidential<\/strong> appointments.<\/p>\n At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n At New York Urology Specialists, we offer flat-fee ‘all-cost-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more<\/strong>. The procedures are performed in our office under local anesthesia or sedation. 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<\/strong>.<\/p>\n We accept many health insurance plans.<\/strong> We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage. Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n You can find pictures of testicular problems as well as before and after treatment images in our image gallery<\/a><\/strong>.<\/p>\n If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-212-204-6300<\/span><\/a><\/strong>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures. <\/strong><\/p>\n ngg_shortcode_0_placeholder[patient_review_form]<\/p>\n Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By 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 any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.<\/strong><\/p>\n
\nCommon Causes of Obstructive Azoospermia:<\/h2>\n
\n
Treatment Options for Men with Obstructive Azoospermia<\/h2>\n
![\"determined-man-shutterstock_123130195\"](\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/wp-content\/uploads\/sites\/20\/2014\/08\/determined-man-shutterstock_123130195-300x200.jpg\")
Obstructive azoospermia<\/strong> is a fairly common but fortunately treatable cause of infertility in management. Depending on the particular situation, one of the 2 options is available:<\/p>\n\n
Treatment of Obstructive Azoospermia after Vasectomy or Obstruction: What You Need to Know<\/strong><\/h1>\n
![\"\"](\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\")
<\/strong><\/p>\nWhat is the Right Choice: Testicular Sperm Aspiration or Vasectomy Reversal?<\/strong><\/h2>\n
TESA (Testicular Sperm Aspiration at New York Urology Specialists<\/strong><\/h2>\n
Where to Get Male Infertility Treatment in NYC?<\/h2>\n
Cost of Male Infertility Treatment without Insurance<\/h2>\n
Cost of Treatment and Insurance<\/h2>\n
![\"Inexpensive](\"https:\/\/www.newyorkurologyspecialists.com\/wp-content\/uploads\/2017\/06\/financial-info-no-insurance-no-problem-banner.png\")
At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\nWhy Choose New York Urology Specialists for Male Infertility Evaluation and Treatment?<\/h2>\n
\n
What do Testicular Problems Look Like?<\/h2>\n
Scheduling Appointments for Treatment of Infertility in Men at New York Urology Specialists<\/h2>\n
\n
\nTreatment for Men With Fast Recovery at New York Urology Specialists<\/h2>\n
![\"Excellence-Urology_Care-banner2\"](\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/Excellence-Urology_Care-banner2.png\")
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns, including infertility and low sperm problems, sexual problems, and urinary problems in men. <\/strong>We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.<\/strong><\/p>\nWe Treat Some of the Most Complex Men’s Health Problems Including:<\/h2>\n
\n
![\"\"](\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/dr-alex-about-banner-large-Copy-300x176.png\")
Schedule an Appointment with Dr. Shteynshlyuger:<\/span><\/h3>\n