MRI – Ultrasound Prostate Fusion Biopsy in New York City
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.
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. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating men with elevated PSA, prostate cancer, and sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of prostate biopsies and prostate surgeries.
MRI Fusion Prostate Biopsy: What You Need to Know
MRI is used to evaluate the prostate for abnormal lesions that may be at higher risk for having prostate cancer. While MRI may also be used to guide prostate biopsy, the procedure is a bit more complicated. Ultrasound is widely available. Prostate ultrasound allows real-time visualization of the prostate and guidance of the biopsy needle to the area where the biopsy needs to be taken.
MRI-Ultrasound fusion with ultrasound prostate biopsy guidance is an innovative procedure that involves merging or superimposing the data from the MRI to the real-time images of the prostate obtained from transrectal ultrasound. The first step involves mapping the MRI images to the ultrasound-acquired images of the prostate. Next, the suspicious areas on the MRI, now superimposed on the ultrasound image, are used in real-time to guide the prostate biopsy needle in real-time to the suspicious areas that need to be biopsied.
MRI-ultrasound fusion biopsy of the prostate improves the detection of high-risk prostate cancer or what is called “clinically significant” prostate cancer.
Dr. Alex Shteynshlyuger is a fellowship-trained urologic oncologist, a robotically-trained surgeon specializing in the evaluation of elevated PSA, performance of prostate biopsy, and all aspects of care for early, advanced, and metastatic prostate cancer. He is a member of the Society for Urologic Oncology and the American Society for Clinical Oncology. He is one of the pioneers of MRI-fusion prostate biopsy in New York state. He is an experienced urologist with more than 20 years of experience. He has performed hundreds of prostate biopsies, including transperineal and transrectal biopsies and MRI-fusion biopsies.
Dr. Alex Shteynshlyuger is a board-certified urologist who is experienced in treating men with abnormal PSA. He has published articles in major urology journals about PSA testing and screening. He is available for consultations for men in NYC with abnormal or elevated PSA levels. He has treated thousands of men with elevated PSA, and all stages of prostate cancer, including men with PSA recurrence after prostate cancer treatment (surgery, radiation, HIFU, cryotherapy, immunotherapy, chemotherapy, etc.).
What is an MRI-Fusion Prostate Biopsy?
After prostate MRI is performed, the urologist uses special fusion software and equipment that overlays MRI and ultrasound images, allowing the urologist to biopsy the exact suspicious area. Ultrasoud is used in real time to image the prostate and through fusion of images with the MRI, allows precise targeting of the prostate lesions. This improves diagnostic precision and risk stratification for treatment planning.
When is MRI-fusion Prostate Biopsy Performed and Why?
For men whose MRI shows a PI-RADS 3 or greater lesion, MRI-fusion biopsy allows to specifically biopsy the areas of concern identified on prostate MRI.
The Prostate Imaging Reporting and Data System (PI-RADS) scores lesions from 1 to 5 based on their appearance on MRI:
- PI-RADS 1–2: Very low or low risk—clinically significant cancer is highly unlikely.
- PI-RADS 3: Intermediate/equivocal risk—clinically significant cancer may be present (risk typically around 10–20% depending on other factors).
- PI-RADS 4–5: High or very high risk—clinically significant cancer is likely (often 30–70%+).
A PI-RADS score of 3 or higher indicates an increased risk compared to lower-scoring lesions. While PI-RADS 3 lesions carry a relatively lower chance of aggressive cancer than 4 or 5, we recommend either surveillance or biopsy depending on other factors, because a meaningful subset (around 12% in some series) harbor clinically significant disease. Biopsying these lesions helps avoid missing cancers that could progress, while the targeted nature of MRI-fusion reduces the risk of over-sampling insignificant areas. Factors like age, PSA density, family history, and lesion size further refine individual risk and help us to decide whether to proceed with a prostate biopsy.
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.
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. Same-day virtual video appointments and in-person appointments are available.
Did you know? Dr. Shteynshlyuger has performed over 1,000 prostate surgeries, including prostate biopsy, prostate removal, Urolift, prostate enucleation, TURP, and MRI fusion biopsy.
Where to Get Treatment for Elevated PSA and MRI Fusion Prostate Biopsy in NYC?
At New York Urology Specialists, we offer treatment for men with abnormal PSA and prostate cancer. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-646-663-5515 or make an appointment online.
We perform a prostate biopsy, transrectal prostate ultrasound, hydrogel insertion prior to radiation therapy (SpaceOAR), prostate surgery, prostate enucleation for enlarged prostate, and Urolift procedure. We treat prostate cancer, urinary problems, and erection problems and offer comprehensive STD testing for infections. 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 at New York Urology Specialists.
Read RealStories: Enlarged prostate in a 43-year-old man.
Read RealStories: Elevated PSA in a 53-year-old man.
Read RealStories: Rising PSA after radiation therapy for prostate cancer in a 63-year-old man.
Read RealStories: Urinary incontinence and ED after radical prostatectomy in a 68-year-old man
Cost of Prostate Cancer 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 flat-fee, ‘all-costs-included’ procedures such as prostate biopsy, hydrogel SpaceOAR insertion, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. 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.
Cost of Prostate Cancer Treatment and Insurances
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 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 MRI Fusion Transperineal Prostate Biopsy?
- All treatment is performed by a board-certified urologist experienced in treating men with rising PSA, prostate cancer, enlarged prostate, erectile dysfunction, low testosterone, scrotal and testicular problems, and urinary 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, urinary, and erection problems in men.
- We offer treatment options for side effects and complications of prostate cancer treatment including erectile dysfunction, Peyronie’s disease, urinary problems, frequent urination, and overactive bladder in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully for elevated PSA, prostate cancer, erection problems, and urinary incontinence.
- 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 treatment for testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Prostate Cancer Problems Look Like?
You can find pictures of Prostate Cancer as well as before and after treatment images in our image gallery.
Scheduling Appointments for Prostate Cancer Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.
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. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating men with elevated PSA, prostate cancer, sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and prostate surgeries, including penile implants, surgery for enlarged prostate, and many other procedures.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including high PSA, abnormal 4Kscore, abnormal prostate MRI, and prostate cancer. We understand the challenges that sexual and urinary problems create for our patients with prostate cancer, their relationships, and their self-esteem. We help you find a treatment for penile problems and urinary problems, including erectile dysfunction, that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with prostate cancer, urinary, and 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.
We Treat Some of the Most Complex Men’s Health Problems:
- Erectile dysfunction in men for whom oral pills do not work.
- Enlarged prostate
- Penile Pain During Sex
- Impotence in men with diabetes.
- Premature Ejaculation
- Peyronie’s Disease
- Burning during 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: 1-646-663-5515.
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. Same-day virtual video appointments and in-person appointments are available.
