Urology In The News
† Men with enlarged prostate or BPH are thoroughly evaluated and undergo a comprehensive urologic evaluation including pelvic and prostate sonography, cystoscopy and urodynamic studies while they are simultaneously screened for prostate cancer. Patients are immediately placed on dietary modification therapy along with well-established alternative medicines and/or phytotherapy (herbal therapies) alongside conventional medical therapy.† Once urological evaluation is completed, BPH patients are offered curative treatment options using the most cutting edge and advanced minimally invasive alternatives.† Patientsí treatments are† tailored towards their individual needs, preferences and lifestyles.† BPH treatment options include Transurethral Microwave Thermodilation (Prolieve) and TUNA (Transurethral Needle ablation of the Prostate) using the Prostiva system.† Laser prostatectomy with Green Light PVP and Holmium laser ablation (HOLAP) are recent and highly effective minimally invasive surgical options offered to those patients with more severe BPH symptoms.†† Treatment with the GreenLight PVP laser is usually as an outpatient and very expedient.† We have both the access and† capability to utilize nearly all available treatment options, including Microwave Thermotherapy (Prolieve), TUNA with Prostiva system, GeenLight PVP and HOLAP.†† An overwhelming majority of BPH patients treated at New York Urologic no longer require the use of expensive medications with adverse side effects.
Treating prostate cancer has never been this effective, especially at New York Urologic.† Our approach is one of early detection through effective screening along with early aggressive treatment.† The objective is a durable and long lasting cure with minimal impact to the patientsí quality of life as well as the preservation of an active sexual life.† Depending on the cancer stage at detection, we utilize the most cutting edge treatment options such as nerve sparing focal therapy with cryosurgery and nerve sparing robotic prostatectomy using the Da Vinci system.† Alternatively, if they are good candidates, some patients may opt for radiation therapy, including bracheatherapy with or without external beam radiation or IMRT.†† New York Urologic does not place emphasis on one particular treatment option above all others because we believe that each individual patientís condition and personal preferences should be considered in choosing a treatment option.†† Patients are educated about their condition and the possible best treatment options.†† We are highly skilled and very experienced in many treatments including the Da Vinci robotic prostatectomy, Cryosurgery and Brachytherapy.
Kidney and Bladder Stone:
† Partly because of our affiliation with major tertiary and advanced ambulatory surgery centers, patients who are unable to pass their stones through medical expulsion therapy are quickly treated utilizing the most advanced and minimally invasive techniques in stone removal including Extracorporeal Shock Wave Lithotripsy (ESWL), Ureteroscopic Laser Lithotripsy using Holmium Laser, and Percutaneous Nephrolithotomy (PCNL).† Those patients with an extensive history of urinary stones undergo an extensive metabolic evaluation to identify the underlying etiology of their condition and are subsequently placed on appropriate medical and dietary therapy.† Our Dietitians with an expertise in this area are also available for consultation to assist those patients with complicated and unusual metabolic abnormalities related to stone formation.
Voiding Dysfunction and Urinary Incontinence:
†† We screen and evaluate patients with complex urinary issues such as urinary urgency, frequency and incontinence.† Patients receive a complete physical examination and then undergo various physiological and anatomical evaluations including a multichannel urodynamic study, cystoscopy and lastly imaging studies such as a pelvic ultrasonography, CT-Scan, and MRI.† Treatments range from various medical therapies to surgical options such as bladder Botox injection, Trans-vaginal tension free tape (TVT), Transobturator Tape (TOT), and the Interstim implant.