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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… Continue Reading

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Can a Urologist Help with Male Fertility?

Can a Urologist Help with Male FertilityA urologist is focused on the areas of the man’s body that deals with the reproductive organs and other matters. Because of this, he or she is perfectly placed to assist with problems that are stemming from the man’s body (rather than the woman’s).

Given the area of specialization that a urologist has, they’re able to conduct useful questioning of the patient and testing to ascertain what the difficulty is, where it is happening, why it is occurring, and what can be done about it.

Are There Any Treatments for Me?

Treatment is largely dependent on what is causing the infertility issues in the first place. There are many different courses of treatment available to a urologist, including multiple types of mediation and different surgical approaches to rectify a wide variety of issues, some of which directly affect fertility success rates.

Drug treatments to address infertility
Surgical procedures to fix problems that medicine alone cannot resolve
Different treatments for other causes of infertility in men
Non-Surgical Options

There are several options for fertility problems that don’t involve going under the knife.

Can a Urologist Help with Male FertilityBroad spectrum antibiotics can treat bacterial infections that are preventing the proper functioning of the reproductive organs. The system relies on the urethra and the bladder and this can be interrupted when bacteria build up in the urethra preventing the normal flow of sperm.

There are several other methods to assist in the reproductive effort. Several approaches are available to collect sperm and help in creating a successful pregnancy when the reproductive system isn’t currently functioning as it might be. This includes IVF and other treatments that are often effective when applied with persistence.

Surgical Options

There are many types of surgical options available to the patient, depending on the exact cause of their infertility problems.

One example is a varicocelectomy where veins are dilated along the scrotum area and need to be rectified because they are causing fertility issues. Such a procedure isn’t overly involved and is accomplished as an outpatient, usually with the patient able to return home later the same day or early the next day.

Can a Urologist Help with Male FertilityThere are also several surgical procedures that remove blockages in various parts of the reproductive systems to allow normal intercourse and pregnancy to happen naturally post-operation.

It can be a little daunting at first to consider going to a specialist, but you’re likely to get a far more accurate diagnosis and medical solution that way. Contact our office today to make an appointment for your first checkup with the best urologist doctor in New York City.

Call our offices today at 646-205-3039 to discuss the concern and to learn what solutions may be available to you.

What is Prostate Cancer?

What is Prostate CancerThis is a type of cancer that only impacts genetically born males. The prostate is an organ that tends to become problematic in men as they age, but prostate cancer can develop as early as adolescence. Here is a look at what prostate cancer is, how it affects patients, and efforts that men can take to detect it early so they can be treated as soon as possible.

When Do Men Become at Risk for Prostate Cancer?

Although doctors do general health exams on male patients of all ages that may include a prostate check, more precise screenings don’t really begin until around the age of 40. As male testosterone levels drop with age, the risk of prostate cancer rises. Males can expect to have their prostates checked annually, or at least every time they have a wellness check-up, from age 40 and above with increasing scrutiny.

The Signs of Prostate Cancer

What is Prostate CancerIn the beginning, there aren’t that many signs of prostate cancer that cannot also be attributed to something else. Prostate cancer usually results in an enlarged prostate, which isn’t abnormal for men as they get older. An enlarged prostate will make it difficult for a man to pass urine and it can lead to other issues related to intimacy. Prostate cancer signs and symptoms become more apparent as the disease gets into the later stages. If you begin passing urine or feel pain during intimacy, you may have an advanced form of prostate cancer.

How to Have Prostate Cancer Treated

The first step involved in having prostate cancer treated is having it diagnosed. A simple blood test will detect markers for prostate cancer. Doctors can order scans or biopsies of the prostate to see if it contains cancerous cells or if it is enlarged due to older age. Sometimes, chemotherapy or radiotherapy is effective in eradicating prostate cancer and other times the prostate needs to be at least partially removed. One reassuring thing about prostate cancer is that it is not usually a fatal disorder. The majority of men who are diagnosed with prostate cancer eventually go on to become prostate cancer survivors.

What is Prostate CancerDoctors know that males who eat unhealthy diets and do not get annual health screenings are more at risk of having prostate cancer and being diagnosed in the later stages. On the other hand, not very much else is known about prostate cancer risk factors or what males can do to avoid it. Visit the best NYC urologists by contacting us about scheduling an appointment today.

Call our offices today at 646-205-3039 to discuss the concern and to learn what solutions may be available to you.

Bladder Control Problems: How are They Treated?

bladderBladder control problems sound trivial, but for those affected, it can cause immense psychological distress. Millions of people suffer from some form of incontinence ranging from needing to pee all the time, needing to pee within seconds of experiencing the urge to go, to stress incontinence; an inability to control bladder function.

Many people are too embarrassed to visit a urologist, but there are treatments available for bladder control problems.

Diet

The first thing to try if you suffer from an overactive bladder or urinary urgency is to cut out alcohol, caffeine and anything else that might be triggering your symptoms. For some people, this does the trick.

Medication

bladder

For those patients who suffer from an overactive bladder, medication can be effective. Anticholinergic medications block the signals between the bladder and the brain. In a normal person, the bladder only sends a signal to the brain when it’s full. In a person with an overactive bladder, something goes wrong and the brain thinks the bladder is full, even when it’s not.

Speak to your urologist about medications that might help ease the symptoms of an overactive bladder, but be aware that some medications have side-effects.

Behavioral Therapy

Cognitive behavioral therapy can be effective if medication isn’t working. It involves re-educating the brain and teaching the sufferer to go longer between trips to the toilet. Instead of reacting to the first bladder contraction and rushing to the nearest restroom, the patient has to wait a bit longer. In time, the urge to urinate lessons and the person is able to make fewer bathroom visits.

Pelvic Floor Therapy

Women with stress incontinence, i.e. an inability to hold urine when exercising, sneezing, or laughing often find their symptoms improve if they perform pelvic floor exercises. Often, bladder control problems are caused by weakness in the pelvic floor muscles, either because of childbirth or the natural aging process. A new treatment called Biofeedback is proving especially effective in pediatric patients.

If none of these treatments are effective, there are surgical options. Botox injections in the bladder can help to reduce urinary urgency by blocking the receptors between the bladder and brain. It is also possible to insert a surgical sling to support the urethra or bladder so it returns to its normal position.

Are you are suffering from bladder control problems? Don’t suffer in silence. Speak to an experienced NYC urologist today and find the right treatment for you.

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

The Most Common Urological Problems in Children

The Most Common Urological Problems in ChildrenAdults aren’t the only ones who need to see a urologist for disorders that can’t be treated effectively by primary care physicians. The difference in treating and diagnosing a child with a urological problem is that they aren’t as adapted to articulating what their physical symptoms are. If you’re a parent who is wondering if your child needs to see a urologist, here are three of the most common urological issues that adolescents have.

1. Nocturnal Enuresis

Also known as bedwetting, nocturnal enuresis is often hard to diagnose at first because it is very common for small children to have accidents at night. It is only when bedwetting becomes persistent and goes beyond the age of pre-school that a parent and doctor can decide that going to the urologist is in order. Bedwetting can also be related to psychological issues, such as stress or fear. With that said, nocturnal enuresis is still one of the most common childhood urological problems that experts see.

2. Urinary Tract Infection

 

The Most Common Urological Problems in Children

Urinary tract infections are common in adulthood but they’re even more prevalent in kids. Most urologists seeing adolescent urinary tract infection patients will have female children come into their practice as opposed to boys. Female children are also more prone to develop recurrent urinary tract infections that require antibiotics and follow up appointments for positive resolution.

3. Hernia

Hernias can develop before birth but they can also be seen in small children after severe strain or minor injury. Umbilical hernias are rarely reason for concern and generally will heal all the way on their own by the time a child is two years old. Hernias that happen after birth, however, may lead to difficulties urinating and require the assistance of a urologist.

Children can have problems going to the bathroom and need to see a urologist for many different reasons, it’s just that some are more common than others. If your child has been going to elementary school for a few years and is still wetting the bed it might be time to see a urologist. Hernias can be concerning in children especially if they were not pointed out at birth. Lastly, it is natural for children to sometimes have urinary tract infections but they also should clear up within a week on their own and they’re not expected to persist.

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

A Look at the 3 Most Common Prostate Problems

prostateThe prostate is one of the male sex organs. It’s shaped like a walnut and is located under the bladder, just ahead of the rectum. It’s a key part of male functionality because it is used both during sexual procreation and urination. Sometimes problems occur with the prostate which are common for men and fairly easy to determine.

Let’s look at what these three problems in detail.

Big Three Prostate Problems

The three issues that come up with the prostate are:

  • Prostatitis
  • Prostate cancer
  • Benign prostatic hyperplasia

Prostatitis

Prostatitis is an inflammation around the prostate area or the prostate itself. It is medical condition that causes considerable pain.

prostateThere are four distinct types:

  • Acute bacterial prostatitis
  • Chronic bacterial prostatitis
  • Chronic pelvic pain syndrome/chronic prostatitis
  • Asymptomatic inflammatory prostatitis
  • With asymptomatic inflammatory prostatitis, there are zero observable symptoms, it causes no major health issues and doesn’t need medical treatment.

Prostatitis is most often seen in men under the age of 50. For those over 50, it’s the third most common prostate problem. About two million Americans seek health care services for prostatitis every year.

Prostate Cancer

For U.S. men, prostate cancer is the second most likely cancer to get. It is also unfortunately the second most likely cancer to lead to early death. The condition affects black men somewhat more than it does white men; it’s also more dangerous to the black population.

There are no symptoms to determine the onset of prostate cancer. When reaching a more advanced stage, urination will sometimes become either weaker or more frequent. However, these same symptoms are evident with men who have benign prostate problems too.

The growth rate of prostate cancer is slow. The onset is most often in the above 65 age group and in this age group few men die from it. It is still unclear whether early detection helps resolve the issue or lengthens lifespan. There are screening tests available for prostate cancer.

Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (otherwise known as BPH) is an enlargement of the gland itself. It is not cancerous, but the enlargement causes medical issues. The prostate grows twice; once at the onset of puberty and secondly starting at around 25 years old. Growth is then progressive over a man’s life.

Unfortunately, the larger the prostate gets, the more likely it is to come into contact with the urethra. The contact causes related issues such as the bladder not being able to fully empty which in turns causes other health problems and discomfort.

If you have any doubts about your prostate health, it’s a good idea to schedule an appointment with the best urologist specialist in NYC to get checked out.

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

What are the Symptoms of a Urinary Tract Infection?

urinary tract infectionA urinary tract infection, or UTI, is a miserable experience. UTIs are very common and around 80% of women will experience a UTI at least once in their life. Women are more susceptible to UTIs because they have a short urethra and it’s fairly easy for bacteria to travel the short distance into the bladder, but men are not immune to UTIs. So, what are the symptoms of a UTI and when should you call the doctor?

 

 

Painful Urination

The most obvious sign you have a UTI is when it hurts to pee. Does it feel like are peeing broken glass splinters when you visit the restroom? UTIs can be immensely painful. You will probably find you barely pass any urine and the short respite you enjoy after peeing is short-lived.

Increased Urination

N

 

eeding to urinate more often than is normal for you is usually the first warning that something is not quite right. As the infection worsens, you may find you are visiting the toilet every few minutes, even though your bladder is empty.

Blood in Your Urine

urinary tract infections

Blood in your pee is a sign you have an infection. It can be rather alarming to pass blood in your urine but try not to be too concerned. Once the infection clears up, so will the blood. However, always have blood in your pee checked out. Firstly, you will probably need medication to clear the infection, and secondly, blood in urine can be a sign of other, more serious, conditions.

Cloudy, Smelly Urine

Urine looks cloudy when you have a UTI. Normal urine is pale and straw-colored. Infected urine is dark and smells unpleasant because it’s full of bacteria.

Pelvic Pain

A UTI is painful, so you may experience pain in your lower abdomen. Pain caused by a UTI can also indicate a kidney infection, so if you are in a lot of discomfort, speak to your doctor.

Feeling Unwell

urinary tract infections

Expect to feel unwell when you have a UTI. Your body is fighting an infection, so it’s working overtime and you will not be in good health. Get plenty of rest and take some over-the-counter painkillers if necessary.

In many cases, a UTI will clear up without medical intervention in a few days, but if you are passing blood or you are a man, old, or a child is showing signs of a UTI, consult a doctor immediately. You should also seek medical help if your symptoms don’t clear up in 3-4 days or they return.

Make an appointment with the best urologist in NYC if you are suffering with UTI problems. We can help!

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

The Most Common Causes of Perineal Injuries

Perineal

When you see the term “perineal,” this is referring to the part of the body between the vulva and anus (for woman), and the scrotum and anus (for man), also called the perineum. This is an important part of the body, because the nerves and blood vessels that are there also connect to the urinary tract and the genitals. It also helps support the bladder and the bowels. Injuries to the perineal area can be either chronic or acute. Chronic injuries occur gradually over time, while acute injuries happen suddenly.

 

Perineal Injuries

If the perineum is injured, this can lead to problems including bladder control and sexual problems. Both of these injuries are a result of nerve damage, causing the signals that usually travel between the perineum and the brain. Without these nerves functioning properly, both these processes will not work the way they are supposed to work.

Causes

PerinealPerineal injuries can be caused by a variety of factors. These include straddle injuries, sexual abuse, impalement, perineal surgery (men), and childbirth (women). A straddle injury refers to an injury that someone gets when they fall on a something with their legs on either side of it, or while straddling it. These can happen in bike or motorcycle accidents, falling on equipment like monkey bars, some gymnastic injuries, and during horse riding. Sometimes, this can actually lead to a burst blood vessel, particularly in men. Impalement is less common, but refers to injuries when something pierces the perineum. This is more likely to happen on farms, construction sites, combat situations, and after a fall. Sexual abuse also can lead to perineal injury.

Perineal surgery is surgery that is performed on men. Part of it involves a cut in the perineum. Examples of perineal surgeries include a prostatectomy and perineal urethroplasty. Like perineal surgery for men, childbirth can lead to perineal injuries for women. Both of these injuries tend to be acute, and therefore need to be dealt with promptly.

Treatment

Perineal

Treatments for perineal injuries includes bed rest, heating, and antibiotics. Sometimes, the tear will require stitches. This is particularly important after childbirth. The first step is often to make sure that the injury is not causing any loss of blood. Once the condition is stable, the next step is to help the patient find a treatment that will help them with their recovery.

If you are feeling any of the symptoms of perineal injuries, contact us today to schedule an appointment with the best urologist in New York City.

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

What is a Cystocele?

What is a Cystocele?

cystoceleA cystocele is a medical condition that is also referred to as dropped, prolapsed, or fallen bladder. This occurs in women when the bladder either drops or expands into the vagina. A cystocele can lead to uncomfortable urination. There are three levels of cystoceles. Grade One is mild, and means that the bladder is only partially in the vagina. In Grade Two, which is more severe, the bladder is far enough in the vagina that it has reached the outside of the vagina. The most advanced stage, Grade Three, means that the bladder has moved through the vagina, which connects the uterus to the outside of the body.

Causes

cystoceleThere are several causes of cystocele. One of these causes is muscle strain while giving birth. Heavy lifting, being overweight or obese, or regular difficult bowel movements can also cause strain on the muscles of the bowel, which can lead to a cystocele. A cystocele can also develop during menopause because women stop producing estrogen. Since estrogen is one of the things that keeps the muscles in the vagina strong, when the body is no longer producing estrogen the muscles may become weaker. This can lead to a cystocele, though there is some debate as to whether or not menopause causes a cystocele.

Signs and Symptoms

While mild cystoceles sometimes do not have symptoms, the symptoms tend to include one of several things. These can be either a vaginal bulge, difficulty urinating, a feeling that the pelvis is heavy, or a sense that something is falling out of the vagina. For more serious cystoceles, urinary retention may be a side effect. If you feel any of these symptoms, talk to your health care provider as soon as possible.

Treatment

cystoceleThe treatment for cystocele can be different, depending on the grade of the cystocele and how long it’s been there. One treatment for a cystocele is a surgery that will put the bladder and urethra back into the position that they are supposed to be in. After surgery, it is recommended that patients avoid standing for a long time or heavy lifting. Although they can gradually go back to their normal activities, too much strain can render the surgery useless. Other treatment options include avoiding straining those muscles, a series of exercises, and an implant to hold the bladder in place.

If you are feeling any of the symptoms of a cystocele, contact us today to schedule an appointment with the best urologist in New York City!

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

What is Hematuria?

hematuriaHematuria is the term that is used when blood is in urine. Basically, this is when the urinary tract is not keeping the blood cells out of urine. There are two types of hematuria, gross hematuria and microscopic hematuria. Gross hematuria is when there are enough red blood cells that the urine changes color. If the blood does not change color, that is microscopic hematuria. While individuals might notice gross hematuria, micro hematuria is only identifiable through urine samples. Most often, this is discovered during a routine checkup.

Causes

In many cases, the cause of hematuria is not something that can be identified. The main reason for this is because hematuria tends to be a symptom. Hematuria can be caused by several different factors related to the urinary tract. These include urinary tract infections, kidney stones, tumors, or trauma. Some drugs or intense exercise can lead to hematuria. While hematuria can affect anyone, there are some factors that make having one more likely. Older men, people with recent urinary tract infections, people with a family history of kidney disease, people taking medications like aspirin and penicillin, and long-distance runners are more likely to develop hematuria. In addition, high calcium concentrations in urine can lead to hematuria.

Signs and Symptoms

hematuriaOther than blood in your urine, other symptoms can be present. Since hematuria is itself a symptom of other conditions, these symptoms can depend on the condition causing it. These can include swelling, nausea, back or side pain, fever, pain, or abnormal bleeding from a variety of places in the body. Other symptoms can include difficult urination. Difficulties can take the form of reduced, urgent, or painful urination. On occasion, the blood in the bladder can clot. This then prevents urine from flowing and can be extremely painful. These symptoms can help you know if you have microscopic hematuria.

Treatment

hematuriaSeveral different tests can be done to see if you have hematuria. A urine culture will help your health care professional learn if you have an infection. In other cases, a CT scan, ultrasound, blood test, or cystoscopy can be the best way for your health care professional to know what is causing the blood. The treatment of hematuria depends on the cause of the condition. If an infection is the cause, your healthcare professional will prescribe antibiotics to clear up the infection.

Should you notice blood in your urine, or experience any of the symptoms of hematuria, contact us today to schedule an appointment with the best urologist in New York City.

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

What is Prostate Enlargement?

prostateThe prostate is shaped just like a walnut and is used both in the male reproductive system and with bladder management too. The prostate is a cause of medical issues for men, most commonly over 50 and over 65, but occasionally in men under 50 too. One of the prostate-related issues that arises is called prostatitis. There are several causes of prostatitis, but one noticeable and painful condition is an enlarged prostate.

In this article, we cover what an enlarged prostate is, how it happens and what you can do about it.

Prostate Won’t Stop Growing

The prostate begins as a small gland situated below the bladder. It roughly doubles in size in the teenager years and then begins to grow once again around 25 years of age. From this time, it continues to grow and expand gradually throughout adult life which is where the trouble starts.

The rate of the enlargement is not standardized because there are some medical factors believed to cause more rapid gland growth in some men.

Unmanageable Size

 

prostate

A prostate enlargement is when the prostate has grown to an unmanageable size when compared to the other parts of the body situated nearby like the bladder above it and urethra below it.

At a larger size, the gland pushes uncomfortably against the urethra. As a result, the wall of the bladder thickens and struggles to let urine completely empty from the bladder. With a urethra that’s been size restricted, normal flow is lower that eventually makes it impossible to clear the bladder. As a consequence, other medical issues can result.

Causes of the Enlargement

prostateIt is known that during the latter aging process, older men lose testosterone leaving a greater amount of estrogen. It’s thought that perhaps the cell growth rate in the prostate is increased due to this factor. Another idea is that a hormone in men known as DHT which is involved in the management and growth of the prostate gets overloaded in the prostate again because of a lack of testosterone. Neither theory has been proven as yet but clearly estrogen and an absence of sufficient testosterone is seen by researchers as a likely central cause.

In most situations, an enlarged prostate is not an indicator of a cancer problem. Prostate cancer is another type of prostatitis but is not directly connected with enlargement specifically. The symptoms and outcomes are quite different.

It is always a good idea for men to consult a qualified urologist for a prostate screening. Contact us to arrange an appointment to see one of the best urologist doctors in New York City.

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

Urologic Problems in Men BPH and other urinary issues Incontinence Kidney Stones Sexuality & Hormones Prostatitis Prostate cancer treatment complications Urethral stricture Urological cancers   Continue Reading

Urologic Problems in Women Incontinence Mesh Complications Vesico-vaginal fistula Prolapse (dropped bladder) Nocturia Urological cancers Urinary infections Kidney stones Neurogenic bladder Continue Reading