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Academic and clinical excellence in a private practice setting

At the Uro Center of New York, we combine clinical and academic excellence in a private practice setting. For over twenty years, our staff has been committed to diagnosing and treating people with bladder and prostate conditions. Our dedicated team of urologists, urogynecologists, behavioral therapists and nurses provide comprehensive individualized examinations, evaluations and treatments. Our services include the use of state-of-the-art video urodynamic equipment and a custom-designed computer system that assists our physicians in ensuring an accurate and prompt diagnosis.

Our nyc urologists  are experts in their field, bringing academic and research based innovation to the clinical forefront. Our urology team specializes in areas of treatment such as: robotic surgery, reconstructive urology, men’s health & infertility, kidney stones, urologic oncology, penile implant surgery, urethral stricture, BPH, Urinary incontinence treatment, Mesh complications, Enlarged prostate treatment, Urodynamics, vesicovaginal fistula and female incontinence in New York.

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Enlarged Prostate Doctor

What you need to know about an enlarged prostate or Benign Prostatic Hyperplasia (BPH)
What is Benign Prostatic Hyperplasia (BPH)?

bph-enlarged-prostate-info-urologists-specialists-nyc-01Benign Prostatic Hyperplasia (BPH) is when a prostate gland is enlarged. It is common in men, especially as they age.

The prostate gland is found only in men and is located underneath the bladder. Urine is transported from the bladder out of the penis through the urethra, which is a tube that goes through the center of the prostate. When the prostate enlarges, it can start to block the flow of urine through the urethra.

The prostate undergoes two main periods of growth in a man’s life. The first period of growth is early in puberty, and the second period starts at about 25 years old, the prostate continues to grow throughout most of the man’s life. Continued prostate growth is normal as you age, but in some men, this continued growth can lead to urinary symptoms or can significantly block the flow of urine especially during this second period of prostate growth.

It is important to note that the size of the prostate doesn’t necessarily determine the severity of a man’s symptoms of BPH. For example, someone with a very enlarged prostate may experience minor symptoms, whereas someone with a slightly enlarged prostate may have substantial urinary symptoms. It is also important to note that BPH—or an enlarged prostate— is not cancerous: it is benign and does not cause or lead to cancer.

BPH is very common in aging men. You are more likely to have BPH if you are a man that:

  • Is over 40 years old (risk increases with age)
  • Has a family history of BPH,
  • Has diabetes,
  • Has heart disease,
  • Is obese or does not exercise regularly,
  • Is Black or White, or
  • Has erectile dysfunction.

Symptoms of BPH

symptoms-of-bph-enlarged-prostate-nc-urologist-02BPH, or an enlarged prostate, can cause several urinary problems.

Most commonly, men with BPH have to urinate frequently, often 8 or more times a day) and often experience an urgent need to urinate. Men with BPH also commonly wake up several times a night to pee. Difficulty starting to urinate, a weak urine stream, a urine stream that stops and starts, dribbling when you finish peeing, and an inability to completely empty the bladder are also common symptoms of BPH.

Although less common, urinary tract infections (UTIs), an inability to urinate, or blood in the urine can also be signs of BPH.

An enlarged prostate can result in complications

bph-expert-information-best-urologists-nyc-03Although they are rare, complications can arise from an enlarged prostate. Complications can include urinary retention (a sudden inability to urinate), UTIs, bladder stones, bladder damage, and kidney damage. Most men will not experience these complications, but men with BPH should be aware that urinary retention and kidney damage can be serious health threats that may require medical care. 

What should you do if you suspect you have an enlarged prostate?

Prostate growth is normal, but urinary problems are not normal. Enlarged prostates are diagnosed by seeing a urologist. A urologist can help determine which treatments, if any, may be necessary for you. If you have any of the urinary symptoms discussed here or suspect that you may have an enlarged prostate, contact us today to schedule an appointment with the best urologist doctor in NYC.

Erectile Dysfunction Doctor

Erectile Dysfunction: what is it, and do I have it?

You have probably heard of and seen commercials about erectile dysfunction. What actually is it, and what should you do if you think you might have it?

Erectile dysfunction

best-nyc-urologist-for-ed-treatment-urocenter-01Erectile dysfunction, or ED, is when a man can’t get or keep an erection firm enough for sex. Otherwise known as impotence, erectile dysfunction is a very common condition that many men deal with, especially as they get older.

Erectile dysfunction’s causes can be both medical and psychological. It can be caused from a problem with any part of the male sexual arousal process, which is a complex process involving multiple body systems. Erectile dysfunction’s causes could involve the hormones, brain, nerves, muscles, blood vessels, or emotions. Some chronic illnesses (like diabetes, kidney disease, nerve and brain disorders, and blood vessel diseases), or problems with blood flow to the penis can cause erectile dysfunction. Some medications, recreational drugs, alcohol, and smoking also can lead to erectile dysfunction.

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Many men have occasional difficulty getting or keeping an erection. Having rare or occasional erection trouble is not the same as erectile dysfunction: erectile dysfunction is only a concern if satisfactory sexual performance has been impossible regularly or consistently over a period of time.

If you have trouble getting an erection, trouble keeping an erection, or reduced sexual desire, these could indicate erectile dysfunction. Many men with erectile dysfunction experience distress, embarrassment, and reduced self-confidence. These can contribute to relationship problems or reduced interest in sex.

What should I do if I suspect I might have erectile dysfunction?

Erectile dysfunction is very common, but many men are reluctant to talk with their doctor about it. Urologists and other doctors are well trained to recognize erectile dysfunction through asking a lot of questions about the past few months, doing a physical exam, and sometimes doing other medical tests. If erectile dysfunction is diagnosed, it can be treated easily.

There are several medications that can help with erectile dysfunction. A group of drugs called PDE-5 (phosphodiesterase-5) inhibitors can be taken 30 minutes to an hour before sex to help with arousal. The most commonly known drug of this type is called Viagra, and it is a small blue-colored pull. There are other drugs of this type that may help as well, such as Levitra, Cialis, and Stendra. PDE-5 inhibitors are prescription medications, meaning that you have to see a doctor first so they can make sure the drug is right for you before they can prescribe it to you.

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Beyond PDE-5 inhibitors, there are other medications that may help with erectile dysfunction. Aside from medications, men also can use vacuum devices, which can mechanically produce an erection with a pump for men that do not want to or cannot take drug treatments. There are exercises that a man can do to reduce the effects of ED, such as by strengthening the pelvic floor with Kegel exercises. Some surgical treatment options also are available as a last resort. A doctor can help you better understand these treatment types and decide what might be the best fit for you.

If you have trouble with sexual performance or think you might have erectile dysfunction, seeing a doctor can help you with your sex life. Contact us today to schedule an appointment with the best urologist in NYC.

 

Tell me more about adult circumcision, Urologist NYC

Tell me more about Adult Circumcision

adult-circumcision-expert-urologist-nyc-surgeons-01Circumcision is an operation to remove the skin that covers the head of a man’s penis. It is one of the oldest surgical operations in history, and is often performed on infant boys for religious, social, medical, and cultural reasons. About 8 in 10 males in the United States are circumcised.

Some men who were not circumcised as an infant may be interested in being circumcised later, as an adult.

The procedure

adult-circumcision-male-enhancement-procedure-nyc-04Circumcision in adults is a relatively simple procedure in which a doctor cuts the skin surrounding the head of the penis—called the foreskin. The doctor then pulls the foreskin back and trims it off, uncovering the head of the penis. The edges from the trimmed foreskin either will be cauterized or stitched with dissolvable stitches. The procedure in adults usually occurs under anesthesia (either local or general) and takes about 1 hour to complete.

Usually, men can go home the same day that they have the circumcision procedure. Recovery from the procedure is done at home and can take about 2-3 weeks. The recovery process is not very painful. For most men, there is some minor pain for the first few days. Over-the-counter pain relievers are enough for this time. Within a few days of the procedure, pain usually goes away naturally. Soreness, redness, or a bruised look are common after the procedure, and some small amounts of yellow fluid at the top of the penis may be present. The penis may be swollen after the procedure, but swelling should go down in about 2 weeks. Some men wear a bandage or dressing over their penis after the procedure, and doctors recommend wearing underwear that holds the penis upright for a few weeks to help the swelling go down. A doctor may recommend avoiding sex or masturbation for several weeks after the operation—usually up to 6 weeks.

Why get circumcised?

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There are many reasons that men choose to be circumcised as an adult. Circumcision makes personal hygiene easier: it becomes easier to wash the penis and avoid bacteria or other germs. Circumcision also has been shown to reduce the risk of getting HIV or other sexually transmitted infections like syphilis or herpes. Even with the risk reduction, safe sexual practices like wearing condoms remain important. Additionally, circumcision reduces the risk of urinary tract infections (UTIs) and penile cancer. Finally, circumcision can prevent penile problems like phimosis, in which the foreskin of an uncircumcised penis can get stuck and be difficult or impossible to retract, leading to inflammation of the penis.

reasons-for-adult-circumcision-top-nyc-surgeon-drs-03For some, such as those with phimosis or penis infections, circumcision as an adult may be medically necessary. For others, this procedure may be considered elective, but can help with one’s lifestyle.

Some men worry that getting circumcised will affect their sex life or ability to have kids. Circumcision is not known to affect sexual pleasure for the man or his partner(s), and it does not affect fertility or the ability to cause pregnancy.

It is helpful for men to discuss the possibility of adult circumcision with a doctor. If you are considering circumcision, contact us today to schedule an appointment with the best urologist doctor in NYC.

NYC Urologist for Low Testosterone

Why is it Important to Seek Medical Advice if You Have Symptoms of Low Testosterone?

top-urologist-for-low-testerone-problems-01Reduced testosterone levels are something that most men experience as they get a little bit older. However, when testosterone levels drop dramatically or go too low it can cause serious health problems for men. If you are noticing the symptoms of low testosterone then it is a very important to speak to a doctor or urologist to make sure that your testosterone is within safe parameters for someone like you, and also to make sure that it is not the result of a more serious health issue that you will need to address.

Reduced Sex Drive

symptoms-treatments-for-low-testerone-best-urologist-nyc-ny-03One of the first signs of low testosterone levels in a man is that their libido decreases significantly. Some men do not even experience any kind of sex drive when their testosterone levels drop too low. This may not be a problem. You may actually be OK with not experiencing a sex drive, however, it is worth paying attention as this is a sign that you may have an underlying health problem that does need to be looked at. Erectile dysfunction is an adjacent problem that you may be experiencing, either with or without reduced libido. This is another strong indicator of low testosterone in men above the age of around 40. If you are experiencing either or both of these symptoms, it is very important to seek medical help about why this could be and to get treatment.

Loss of Muscle Mass

Another sign that your testosterone levels may have been dropping too low is that you are losing lean muscle. This may or may not mean that you are also gaining fat. While it is common for most people to gain some weight as they enter middle age, if you are losing your normal muscular build and are gaining fat instead, it often a sign that your testosterone levels have depleted.

Depression and Lethargy

nyc-specialist-for-low-t-symptoms-02Another symptom associated with low testosterone is depleted motivation and depression. If you have been experiencing this as you have been getting older and are also experiencing the other symptoms associated with low testosterone, then it could be that a testosterone supplement would enable you to return to your normal frame of mind. However, there are a lot of causes of mental health problems and so it may not be the case that testosterone will be able to address all of your symptoms. It is vital to see a doctor, however, and get your hormones levels checked.

Hormonal issues are certainly something that men have to pay attention to as they age. Low testosterone can not only cause unpleasant symptoms but can be something that is linked to more serious health issues, so it is important to get it looked into and treated.

If you are concerned about things like erectile dysfunction then it is a good idea to make an appointment today with the best urologist in NYC

NYC Top Urologists Discuss Treatment of Kidney Stones

What are Kidney Stones and how are they Treated?

kidney-stones-02While most of us have heard about kidney stones in one way or the other, only a few of us truly understand what they are and what causes them. However, knowing how to identify kidney stones early and getting treatment as soon as possible is key to a smooth and fast recovery with minimal complications. In this article, we’re going to address what kidney stones are exactly, what are the symptoms, and what are the possible treatment options available.

What are Kidney Stones actually?

nyc-specialist-cure-kidney-stones-03Kidney stones, also known as renal calculi, are masses made of crystals that usually form in your kidneys. While they are often associated with kidneys, they can form pretty much anywhere in your urinary tract. While the symptoms are often similar, the stones themselves can have different compositions.

Kidney stones are either made from calcium, uric acid, struvite or cystine. Calcium kidney stones are the ones that occur the most often. They’re usually made of either calcium oxalate, calcium maleate or phosphate.

Kidney stones caused by uric acid occur when the urine becomes too acidic. This is often the case when people undergo chemotherapy. These are usually more common in men. Struvite stones, on the other hand, are usually more commonly found in women who are suffering from a urinary tract infection. Cystine stones are the rarest and are caused by a genetic condition called cystinuria.

What are the Symptoms of Kidney Stones?

One of the clearest signs of kidney stones is radiating pain around the groin/pelvic area, your lower back, and sides, as well as your abdomen region. In some cases, you might only experience symptoms when the stones are coming doing your ureter.

Other symptoms might include blood in your urine, nausea, vomiting, strong smelling urine and a frequent need to urinate. In some cases, kidney stones may be accompanied by strong bouts of fever as well.

What are the Treatments Available?

treatment-passing-kidney-stones-urologist-nyc-03The treatment that will be prescribed will depend on the severity of the kidney stones. For smaller kidney stones with little to no symptoms, you may be asked to drink a lot of water in order to pass the stone(s). You will be usually asked to drink enough water for your urine to be clear or near clear. You might also be prescribed some over the counter pain relief medicine and some alpha blockers that will relax your ureter muscles and allow you to pass the stone.

For severe cases, however, you might be required to undergo a procedure referred to as extracorporeal shock wave lithotripsy. It uses sound waves to destroy the kidney stones and allow you to pass them.

You might also have to go under percutaneous nephrolithotomy surgery to remove larger kidney stones.

If you have any of the symptoms mentioned in this article, contact us today to schedule an appointment with the best urologist doctor in NYC.

NYC Urologist to Treat Urinary Tract Infections

Why Urinary Tract Infections Need to be Treated

urologist-for-urinary-tract-infection-nyc-01Urinary tract infections are a very common thing. They can affect both men and women, though they are more common in women. Urinary tract infections are caused by bacteria entering the urinary tract through the urethra and can lead to problems with the bladder, kidneys, and other parts of the urinary system. If you suspect that you have a urinary tract infection, then you may be inclined to wait and see if it gets better by itself. Usually, bacterial infections do clear up on their own, however, it is a good idea to seek out medical assistance if you are having a problem of this nature.

What Are The Signs that You Have A UTI?

urologist-for-uti-nyc-02Urinary tract infections present themselves in a number of ways. The most common symptom is that you will experience a burning sensation when you need to urinate. The symptoms that accompany a urinary tract infection can also include needing to pee more frequently, while also not being able to actually pass water when you need to, and also flu-like symptoms that can come from the immune system trying to fight the bacterial infection in your urinary tract. Urinary tract infections are sometimes sexually transmitted. However, this is not always the case. It is even possible for children to have urinary tract infections, so it is not necessarily true that you have caught your urinary tract infection from a sexual encounter. You may get urinary tract infections from wearing inappropriate underwear that doesn’t allow the skin to breathe, or from environmental factors as well as from sex.

Why Do UTIs Need Treatment?

If you hnyc-urologist-uti-treatment-03ave the symptoms of a urinary tract infection, it can also relate to other conditions that can be more serious. You may not be worried about the impact of a urinary tract infection on your health, however, it is still best to ensure that this is the underlying problem and you do not have something else that needs treatment, such as cancer in your bladder or urethra. The symptoms of a urinary tract infection are usually something that can be unpleasant and uncomfortable. So, it is best to seek out medical assistance and get antibiotics that will get rid of the problem quickly.

If you are having the common symptoms of a urinary tract infection such as a burning sensation when you urinate, this is a good reason to contact a doctor. The best thing to do is to make an appointment with a urologist.

Make an appointment with the best urologist in the NYC area by contacting us for an appointment today.

What Are Urethral Strictures and How Are They Treated?

urethral strictureUrethral strictures are an uncomfortable problem for people who have had trauma or surgery on the urethral tract. Where areas of scar tissue have formed on the urethra, there can be some constriction when someone is trying to urinate. This can be extremely unpleasant and can even cause serious problems such as bladder infections. If you have a urethral stricture as a result of surgery or an injury or other trauma, then you will need to have this treated. Here, we are going to look at what your options are.

Diagnosis of Urethral Strictures

You will need to have your urethral stricture diagnosed by a urologist so that you can have a course of treatment prescribed for you that will resolve the issue. It is best to book an appointment with a urologist as soon as you notice the symptoms associated with urethral strictures after having surgery on this area or after an injury, such as difficulty peeing or a burning sensation when you pee. In some cases, it may just be inflammation following the trauma, however, if a stricture is present then you will need to have further surgery to address it.

How Are Strictures Treated?

urethral strictureThere are different ways of treating urethral strictures, which depend on the severity and location of the stricture itself. In some cases, you may need to have some tissue grafted into the urethra or you may have to have some scar tissue removed from the urethra, and this can be done via surgery under general anesthetic. Strictures do not usually go away by themselves and so you will need some kind of intervention to make sure that the symptoms that you are experiencing as a result of having strictures in your urethra go away and you are able to experience normal urinary and erectile function.urethral stricture

In order to establish what kind of treatment is best for your specific case, you will need to speak to a professional urologist.

 

If you have a urethral stricture or are concerned that you may be experiencing the symptoms associated with it, then the best thing to do is make an appointment with a urologist right away. Get in touch with us and you can make an appointment with the best urologist in NYC and put your mind at ease that your urethral stricture will be treated quickly and professionally.

Call us today at 646.205.3039 to schedule an appointment to meet with the best NYC urologist.

What Should You Do if You Suspect You Have an Enlarged Prostate?

enlarged prostateThe prostate gland is a gland that exists only in men and is one that can cause problems, especially as men get older. An enlarged prostate is a very common condition in men over the age of 40 but is especially problematic in men over 60. In some cases, however, an enlarged prostate can be something that affects younger men too.

 

Here we look at what the symptoms of an enlarged prostate are and what you might need to do if you think you are experiencing these problems.

What Are the Symptoms of an Enlarged Prostate?

enlarged prostateWhen the prostate gland becomes enlarged, the first problem that men normally notice is issues with urination. It may become difficult to urinate, or you may find that it takes longer to urinate than usual. You may also find that you feel the need to urinate more often than you actually are able to. Men who have enlarged prostate glands tend to wake up many times in the night needing to urinate but are not necessarily able to do so normally. You may also have some other symptoms, such as lower back pain or erectile dysfunction.

How is an Enlarged Prostate Diagnosed?

An enlarged prostate or other problems with the prostate gland, including prostate cancer, are diagnosed by a trip to see a urologist. This is someone who is specialized in the area of urology, that is the urinary tract, the bladder, and the prostate, as well as things like the kidneys and penis. Different tests are done to diagnose an enlarged prostate, but this will include a prostate exam. This will involve the doctor examining the prostate to see if it is larger than it should be. You may also have to provide a urine sample so that things like urinary tract infections can be ruled out as a cause of your symptoms.

How is an Enlarged Prostate Treated?

enlarged prostateBecause there are so many different causes for an enlarged prostate, the treatment can vary significantly. If you are diagnosed with an enlarged prostate, then there could be various treatments ranging from medical to surgical interventions involved in treating you. For this reason, it is very important that you seek medical advice from a proper urologist as soon as you notice any symptoms that could be indicative of an enlarged prostate gland.

If you have concerns about your prostate, now is a great time to contact the best urologist in NYC, so give us a call today.

Call us today at 646.205.3039 to schedule an appointment to meet with the best NYC urologist.

The Effects of Erectile Dysfunction on the Lives of Men

erectile dysfunctionThe branch of medicine known as urology deals with a range of health problems and diseases, one of which is erectile dysfunction, also known simply as ED. This is a very common condition in men but, naturally, men that suffer from ED feel very alone and it can feel like they are the online ones going through the problem. The condition can have a huge negative impact on the lives of men, which is why it is important to seek assistance from experts if you do develop ED.

This is a condition that can affect any age group but is most common in men that are aged forty and over. For some men, the condition becomes so embarrassing that they refuse to talk about it or seek any treatment. Instead, they simply steer clear of potential or existing partners and keep the problem to themselves. However, this can lead to men becoming withdrawn and depressed, so taking action is very important for sufferers of ED.

What are the causes of ED?

Erectile Dysfunction can be caused by one or a combination of things. Some men think that if they fail to achieve an erection now and again they must have ED but this is not the case. In order to determine whether you actually do have the condition, a proper diagnosis needs to be made. Some of the possible causes of ED include:

• Certain diseases such as kidney disease and diabeteserectile dysfunction
• Your lifestyle choices, including excessive drinking and smoking
• Surgery, including bladder and prostate surgery
• Certain medications including antidepressants and appetite suppressants
• Psychological issues such as stress, depression, and anxiety
• Hormonal issues, such as low levels of testosterone

When you see an expert about your concerns over having ED, a diagnosis will need to be made. This involves going through your medical and sexual history, carrying out a physical examination, running laboratory tests, carrying out monitoring tests in relation to erectile function, and carrying out psychosocial tests.

Speak to an expert about your ED today

erectile dysfunction

Men should never feel embarrassed about seeking help for their ED, as this is a common problem and action does need to be taken. For those that fail to seek help, the issue will simply continue and will carry on affecting your life.

If you would like to speak to an expert in confidence about your ED problems, you can get in touch with the best urologist in Manhattan today to arrange an initial consultation.

 

Call us today at 646.205.3039 to schedule an appointment to meet with the best NYC urologist.

Why Does it Burn When I Pee?

burning urinationThere are lots of things that can cause issues with urination. If you experience a burning sensation when you try to urinate, this is usually an indication of a problem with the urinary tract. Urinary tract infections are most often to blame, but there can also be things like urethral strictures that can cause the same sensation. Here we are going to look at what can cause a burning sensation when you try to pee and what you can do if you have these symptoms.

What Causes Discomfort When Urinating?

If you have noticed a burning sensation when you try to urinate or feel that you need to urinate when actually it is difficult to produce anything when you try, this is usually a sign that something is wrong in the urinary tract. In both men and women, this is most often associated with a urinary tract infection.

burning urinationThis is caused by bacteria present in the urethra, bladder, and the urinary system as a whole that would not normally be there, causing some inflammation and pain. However, this is not the only reason why you may experience these symptoms. Pain and discomfort when urinating can also be a sign of other things, such as some types of cancer, prostate issues in men, and scarring or inflammation in the urethra caused by injury, surgery, or trauma. When it is the latter, this is usually deemed to be a urethral stricture, which is something that may need to be treated with surgery.

What Should I Do About Discomfort When Urinating?

burning urinationThe first thing that you should do if you are experiencing problems when you pee is to see a doctor or a specialist urologist. If you have experienced some injury to your lower abdomen or have had some surgery that may have affected your urethral system, then it could be that you have something that will need further intervention. If you do not think that this is a likely cause, then it is most probable that you have an infection of some kind. However, since these symptoms can be related to something more serious such as certain types of cancer, it is very important to get a proper diagnosis. Urinary tract infections can be treated quite easily with antibiotics, but there could be something else at play that your doctor will need to investigate.

If you are experiencing a burning sensation when you urinate, please make an appointment with us today and speak to a urologist who will be able to identify what is going on and recommend the best course of treatment to make things more comfortable for you.
Contact an expert urologist in NYC for more information!

 

 

Call us today at 646.205.3039 to schedule an appointment to meet with the best NYC urologist.