PSA Screening and Testing of Men for Prostate Cancer in NYC: 2021 Recommendations

by Alex Shteynshlyuger MD


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.


PSA (Prostate-Specific Antigen) Test: What You Need to Know

PSA test is a blood test that is often obtained in men with enlarged or abnormal prostate, blood in the urine, or when men have difficulty urinating.  PSA levels correlate with the size of the prostate and biological activity within the prostate.  The larger the prostate, the higher the PSA test values tend to be.  PSA tends to increase as men age and as the prostate grows in size.

You Have a High PSA or Abnormal PSA Test. What are the Options?

shutterstock_72351682For men with elevated or abnormal PSA test results, it is important to decide what are the risk factors and how high is the PSA level in absolute terms.

Depending on risk factors and the exact value of the PSA test, either active surveillance with a repeat PSA test or prostate biopsy would usually be the usual options. Newer tests such as 4KScore and PHI can also be obtained to glean more information.

A number of experimental approaches are being used, including prostate MRI and a number of other tests, but these have not been shown to be of significant benefit.  It should be noted that unless there are a urinary infection and active prostatitis, treatment with antibiotics to lower PSA values is not recommended.  Well designed studies have shown that in men with elevated PSA, treatment with antibiotics provides no benefit.

A Better Way: New Options for Men with Elevated PSA

While elevated PSA might mean an increased risk for prostate cancer, many men with slight elevation of PSA do not have prostate cancer. A newer generation of tests, including PHI (Prostate Health Index) and 4KScore, provide additional valuable information to help urologists decide what men are at risk for aggressive prostate cancer.

PSA as a Test for Prostate Cancer

PSA has been found to be increased in men with prostate cancer. It has been used as a test to detect increased prostate cancer risk in men with symptoms that may be caused by prostate cancer.  PSA testing has also been used as a screening test for the early detection of prostate cancer.

What is the Controversy about PSA Screening?

There is no controversy that men with urinary symptoms such as frequent urination, slow urine stream, blood in urine, back pain or pelvic pain, or signs such as abnormal prostate should have PSA checked.  In this situation, PSA has been shown without question to benefit men by helping to detect prostate cancer.

The controversy lies in the early detection of prostate cancer among perfectly healthy men without any symptoms.

Often the PSA test may be falsely elevated in these men; when prostate cancer is detected, it is often detected at such an early stage that it would not cause any symptoms for 10-15 years.  Because most men decide to treat cancers that may never cause symptoms, there is a question of what benefit is accrued to men from such early detection.

Studies show that certainly there are men who benefit from early detection of prostate cancer with PSA screening. There are other men who do not benefit.  

The question boils down to who should be treated and when? Dr. Alex Shteynshlyuger uses a number of innovative approaches, including active surveillance for prostate cancer, to maximize benefits and to minimize risks to patients.

The Goal of PSA Screening

The goal of PSA screening in the modern era is to separate men who will benefit from PSA screening from those who will not.  More important with the introduction of more effective treatment for prostate cancer is to decide which men should have what treatment when prostate cancer is detected.

Improved Options for Prostate Cancer Screening

To overcome the limitations of PSA, a number of improved tests for prostate cancer have been created, including the PHI and 4Kscore tests. In addition, molecular and genetic testing of prostate biopsy specimens allows us to detect high-risk disease with more certainty.

New York Urology Specialists, under the leadership of Dr. Alex Shteynshyuger, is the first practice in New York City and one of the first in the world to offer 4KScore and PHI test to their patients.

If you’re interested in testing for prostate cancer or prostate cancer screening, please contact us.

Did you know? Dr. Shteynshlyuger has performed over 1,000 prostate, penile, and bladder surgeries, including prostate biopsy, prostate removal, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and MRI fusion biopsy.

Where to Get Treatment for Elevated PSA 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 procedures such as 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.

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-cost-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

Inexpensive Urologist Visit Cost 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 Prostate Cancer Treatment?

  • 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.  


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

22

Ratings

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

best urology doctor
by on Feb 14, 2021

Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED
by on Jan 29, 2021

Dr. Shteynshlyuger helped to solve my problem with ED

Very Pleased
by on Jan 21, 2021

Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S

highly qualified diagnostician
by on Sep 23, 2020

I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.

successful procedure
by on Aug 20, 2020

To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I'd refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.

very friendly staff
by on Apr 12, 2020

excellent doctor and all very friendly staff

Doctor Shteynshlyuger provided me with the care I needed
by on Mar 11, 2020

The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

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.

Highly grateful
by on Jun 18, 2019

Dr. Shteynshlyuger is a very patient, understanding and caring doctor. I came to take opinion on my father’s treatment going on in my home country. Highly satisfied from his responses. He even responded to so many of my queries through patient portal . Highly grateful.

First class Surgeon & staff
by on Sep 24, 2018

From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.

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

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.

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.

Thanks to you
by on May 16, 2013

Dear Dr. Alex -On behalf of John and myself – Our thanks to you for the care and concern of your help to Jack with his cancer problems. We will miss you & wish you only the best. Sincerely John & Pat Date: 2013

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 appreciate all that you did to help my dad
by on Sep 17, 2012

Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.

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.

Treatment for Men With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At 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:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5515 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of prostate problems including elevated PSA, enlarged prostate, and prostate cancer.  He also treats side effects of prostate treatment including sexual, urinary, and erection problems in men.  He uses modern, effective, and proven treatment methods.  We offer prostate biopsy, treatment of localized and metastatic prostate cancer with surgery, immunotherapy, radiation therapy, and chemotherapy.  We also offer inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease. We perform procedures such as hydrogel insertion prior to radiation therapy (SpaceOAR), Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with a nodular prostate, elevated PSA, prostate cancer, and erection problems.

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: 1-646-663-5515.

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.

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