Urology

At Westchester Health, our Urology Department consists of board trained and certified physicians who specialize in the diagnosis and treatment of disorders of the genito-urinary system.

Our urologists have extensive experience in this field, using the latest technology and techniques to diagnose, treat and provide preventative care for all types of genito-urinary conditions and disorders, including kidney stones, urinary incontinence, urinary tract infections, erectile dysfunction, prostate cancer screening and adrenal disorders.

These highly trained specialists also perform urologic surgery, which can now be done via a minimally invasive approach, either laparoscopically or with robotics.

Prevention as well as treatment

At Westchester Health, our focus is not only on the evaluation and treatment of genito-urinary disorders but also on preventative care. In addition to providing the highest quality of urologic care, our Urology group works closely with your primary care provider and other specialists to implement a total treatment plan customized for your specific condition to achieve the best possible outcome. We also focus on educating you and your family about lifestyle changes you can make to control, improve or even eradicate your genito-urinary disorder.

What makes Westchester Health’s Urology Department different?

At Westchester Health, we firmly believe that good treatment starts with good listening. We also believe that the best patient is an informed patient, and that patient education is critical to your long-term health.

From the first time you arrive at our offices, we spend as much time with you and your family as is necessary to make sure you understand your condition, the diagnostic tests we are recommending and all of your treatment options. Throughout your journey with us, we will continue to explain our recommended course of treatment and answer any questions you may have so that you understand what to expect.

Whether you have been with Westchester Health for years or are new to our practice, you quickly recognize that our Urology group truly cares about each and every one of our patients. When you need us, we are here for you.

Always at the forefront of medicine

The world of medicine continues to change and evolve, especially regarding urology. As part of Northwell Health, our urologist participates in its Department of Urology training programs, making sure he is continually up-to-date on the newest breakthrough treatments for our patients’ genito-urinary conditions. This emphasis on ongoing training also ensures that our urologists have ready access to the latest technological advances in urologic care.

Urologists are experts at treating a variety of genito-urinary disorders, including:

Bedwetting

In most cases, a child’s bedwetting before age 7 is not a big concern. At this age, he/she may still be developing nighttime bladder control. However, if a child is still wetting the bed at 8 years old or older, it may be a sign of an underlying condition such as ADHD, an infection, diabetes, constipation, sleep apnea or a problem with the urinary tract. If there is no medical problem that needs to be addressed, moisture alarms, medication and limiting fluids in the evening can help.

Erectile dysfunction

Erectile dysfunction, or ED, is a man’s inability to achieve or sustain an erection for sexual intercourse. There are many factors that can cause ED, such as medications, chronic illness, poor blood flow to the penis, cigarette smoking, drinking too much alcohol or simply being too tired. Simple lifestyle changes can help ED, including losing weight, drinking less alcohol, quitting smoking, medication, regular exercise and eating certain foods. Testosterone replacement therapy, penile implants and surgery are other options.

Kidney stones

Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. Many things can cause them and they can affect any part of the urinary tract, from the kidneys to the bladder. Often, stones form when urine becomes concentrated, allowing minerals to crystallize and stick together. Passing kidney stones can be quite painful, but they usually cause no permanent damage if they're recognized early. If stones become lodged in the urinary tract, are associated with a urinary infection or cause complications, surgery may be needed.

Prostate cancer screening

The two main screening tests for prostate cancer are the PSA test (a blood test which measures prostate-specific antigen in the prostate gland) and a digital rectal exam (less effective than the PSA test but sometimes successful in detecting cancer in men with normal PSA levels). Prostate cancer screening is an important topic to discuss with your physician. Annual prostate cancer screening can sometimes miss or misdiagnose cancer, has not been shown to help men live longer, and causes some men to undergo cancer treatment which can have serious side effects. For these reasons, prostate screening is a decision that each man should make after having all the information available.

Urinary incontinence

Urinary incontinence (loss of bladder control) can range from leaking urine when a person coughs or sneezes to having an urge to urinate that’s so sudden and strong that they often can’t get to a toilet in time. Factors that increase the risk of developing urinary incontinence include being female, age, being overweight and diseases such as diabetes. For most people, simple lifestyle changes and/or medical treatment can decrease (or even stop) the discomfort of incontinence without having to resort to surgery, but for others, surgery is the best option.

Urinary tract infections

A urinary tract infection (UTI), more common in women than in men, develops when bacteria get pushed into the urethra or when bacteria that is already in the bladder multiply. Although some women are more prone to UTIs, most women can avoid them by drinking plenty of fluids, emptying the bladder after sex, wearing breathable underwear, changing out of sweaty workout clothes and bathing suits immediately, and eating probiotics. To get rid of a UTI, antibiotics are needed, particularly if a person has 3 or more of them a year.

Vasectomy

Nearly 100% effective in preventing pregnancy, vasectomy is a form of male birth control that stops the supply of sperm to the semen. Performed by cutting and sealing the tubes that carry sperm, vasectomy has a low risk of problems and can usually be performed in an outpatient setting under local anesthesia. Although reversals are possible, vasectomy should be considered a permanent form of male birth control and used as an option for men who do not want to father children.

Additional urologic conditions treated:

  • Abnormal PSA
  • Adrenal disorders
  • Adrenal tumors
  • Bladder Cancer
  • Blood in the urine
  • Circumcision
  • Enlarged prostate
  • Low testosterone
  • Kidney cancer
  • Kidney infections
  • Kidney obstruction
  • Male infertility
  • Overactive bladder
  • Penile disorders
  • Penile warts
  • Prostate infections
  • Testicular cancer
  • Testicular disorders
  • Urethral obstruction
  • Urethral prolapse
  • Urinary frequency/urgency
  • Varicoceles

 

To learn more, please read our blogs on these subjects.

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