Working Closely With Urgent Care

Urgent care centers are prevalent in our community and serve a great function: they keep medical costs down be delivering care in the most cost effective and efficient manner. At least in theory that is how it is supposed to work. “Not all urgent care centers know that specialists are readily available to see even emergency cases so we can help these centers care for their patients outside of the ER and the hospital and we can help make them look good,” says Dr Schoor. Dr Schoor makes himself available to urgent care centers and their providers. Dr Schoor: “They can curbside me at anytime via phone, text, or email.” Common urology conditions that may find their way to an urgent care setting include: Renal colic/kidney stones, hematuria UTIs, voiding dysfunction, urinary retention Scrotal pain, testicular pain, scrotal masses Genital skin lesions, STIs, dysuria, urethritis

Fertility preservation services, aka sperm bankng, now available

Fertility Preservation Services Men with the following conditions may benefit from sperm cryo-storage: Severe oligospermia Prior to cancer treatment Prior to testosterone therapy Prior to elective sterilization During and after sterilization reversal Prior to a couple’s commencing with IVF or ICSI Call 631-326-6035 for more information.

Testosterone take away message from NYU Update 14

Low T is associated with cardiovascular disease.

Low T is associated with bone loss.

Low is associated with impaired glucose metabolism.

Restoring T to normal is safe.  

#nyuupdate14.  

Kidney stones can be challenging.

Upper ureter stone targeted for destruction.  Treatment of kidney stones can be challenging.  I never approach them in a cavalier fashion as complications can happen even in what seems to be a simple setting.  This patient has 10mm upper ureteral stone with obstruction of the kidney and a tortuous ureter from prior spine surgery that complicated treatment of her stone.  I had to place a nephrostomy tube smd then proceed to definitive stone treatment.  

A better way to biopsy a prostate

Prostate biopsy is undergoing a period of rapid change.   The days of the blind biopsy are gone and the era of the random 12 core biopsy is coming to a close.  New technology that is now availaible right here Suffolk County Long Island will revolutionize the evaluation and even the management of prostate cancer.  

The Artemis System for prostate biopsy and fusion biopsy is an amazing tool in our fight against prostate cancer.  I can see a future of improved detection, less often used radical treatments and focal therapy as a result of this techniques' accuracy.  

At present, the technology is available in Suffolk County only though Dr Schoor and Zwanger-Pessiri Radiology.  Makes me proud.  

Ejaculatory Duct Obstruction: A Challenge to Diagnose

EDO, or blockage of the ejaculatory duct, is a rare but treatable cause of severe male factor infertility. Men have severe oligopermia with low volume ejaculate, low to no seminal fructose, and no sperm on post ejaculate UA.   TRUST may show dilated seminal vesicles, a dilated ejaculatory duct, and on occasion a midline prostate cyst.   Often all findings are not present and a certainly of diagnosis remains elusive. In these cases MRI may help verses the more traditional approach of vasography followed by TUR-ED--resection of the ejaculatory ducts.  When the diagnosis is correct, outcome of treatment is dramatic and full fertility can be restored immediately following the procedure.