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49-year-old with Priapism – Real Stories

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49-year-old Man with Priapism Treated at New York  Urology Specialists

by Dr. Alex Shteynshlyuger

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.

Real Stories. Real Patients.

Please note:  Names and age have been changed to protect patient privacy.  Treatment success varies. Not every patient experiences benefit from treatment.  Please talk to your doctor.  This is for informational/educational purposes and is not intended to replace a patient-doctor relationship.

Only your doctor can advise you on a course of treatment that is appropriate for your needs.

Priapism Treatment: 49-year-old Man Treated at New York Urology Specialists

JR is a 49-year-old man with multiple episodes of prolonged erections over the past few years after using penile injections (Trimix).  He had an episode of an erection lasting more than 24 hours approximately 2 years ago.  He was treated at a hospital with a penile shunt procedure.  He reports that he has been unable to obtain erections subsequently.  He presented to New York Urology Specialists for a second opinion.  He complains of penile shortening.

Physical exam revealed fibrotic, scarred penile shaft.

Penile duplex ultrasound after Trimix ejection revealed scar tissue in the penis; poor response to Trimix administration.

Treatment options were discussed with the patient. Because of the severe fibrosis and poor blood supply, medications such as Viagra and tadalafil (Cialis) do not work in his situation. Shockwave therapy is not an option because of a lack of circulation and extensive scar formation. The patient had a poor response to Trimix injection, which excludes it from being a viable option.

The patient was explained that the only feasible option is to implant a penile prosthesis. Because of extensive fibrosis and scar formation, the penile implant procedure is more challenging to perform. The ideal time to place a prosthesis is shortly after the development of prolonged priapism lasting more than 12 to 24 hours with subsequent development of erectile dysfunction before scarring and fibrosis had a chance to affect the penile shaft.

The patient decided to proceed with penile implant surgery.  He was advised to use a penile traction device in an effort to lengthen the penile shaft prior to surgery.  The length of the penile implant is limited by the functional length of the penis.

Follow-up Appointment – 2 months

The patient underwent insertion of inflatable penile prosthesis AMS 700CX which provides excellent rigidity to contract effective scar tissue. Extensive scarring was noted during the procedure.

Follow-up Appointment – 3 months

The patient came back 1 month after penile implant surgery. He reported some pain during the first week after surgery. At this point, he reported mild discomfort in the scrotum but much less discomfort than previously. The incision has mostly healed. He was advised that he can resume sexual activity in 2 weeks.  He was taught how to inflate and deflate the penile implant again.

Follow-up Appointment – 6 months

The patient returns more than 3 months after penile implant surgery. He is very satisfied with the quality of erections. He is able to inflate and deflate the implant without difficulty.

His only concern is that his penis is not as long as it was prior to priapism.  He has lost over 2 inches of length compared to what his penis was 3 years ago.

The patient was advised that while the penile implant can provide rigidity that is needed for penetration, a penile implant cannot make the penis longer than what it is or return it to the length prior to the shortening of the penis that occurred as a result of penile scarring after priapism.

Did you know?  Dr. Shteynshlyuger has performed over 1,000 penile surgeries, including penile implants, correction of Peyronie’s disease, circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature.  He performs 150-200 penile surgeries a year.

Where to Get Treatment for Prolonged Erections and Priapism in NYC?

At New York Urology Specialists, we offer specialized treatment for priapism and ED for men. Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-5747 or make an appointment online.  

We treat sexual and erection problems and perform penile surgery. We 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, penoscrotal web repair, penile cyst removal, penile skin bridge removal. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  Low-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 Penis Problems at New York Urology Specialists.

We offer treatment for penile problems, including ED, Peyronie’s disease, foreskin irritation, penile cysts, skin bridges, 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.

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:

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.

Why Choose New York Urology Specialists for Treatment of Priapism?

  • All treatment is performed by a board-certified urologist experienced in treating men with penile problems, 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, penile, and erection problems in men.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • We offer treatment options for balanitis, genital warts, phimosis, Peyronie’s disease, and penile cysts 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, penis surgery, penile injections with Trimix, penile plication, plaque excision, and grafting, 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 conveniently located within a 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 Priapism Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.

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Penile Problems are Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of penile problems and erectile dysfunction.  We understand the challenges that penile problems create 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 virtue of our experience and skill, we can offer an effective treatment option for nearly every man who desires an effective treatment for penile problems. We specialize in minimally invasive, highly effective treatment for symptoms of penile pain, urethral burning, foreskin inflammation, and penile cancer. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.  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: 1-646-663-5747 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of penis problems, including 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.  We perform circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, penile cancer treatment,

He has successfully treated thousands of men of all ages with penile problems, including irritation and inflammation of the penis, bent penis, and weak erections. 

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: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.