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Thursday, July 30, 2015

Kleinfelters: Not So Rare. Can it be treated?



Most men are 46 XY.  Rarely--or perhaps not so rarely--one out of 1000 baby boys have an extra-X chromosome.  Their karyotypes, as seen above, are 47XXY.  

These boys, most often, have totally normal appearances and grow up to be totally healthy men with normal male characteristics.  Their only abnormalities are that they have very small testicles that do not produce sperm.  These men are infertile. 

While in the past these men were considered hopelessly infertile, now, due to advances in sperm detection procedures, fertility preservation, and assisted reproductive technologies, some of these men can now father their own biological children. 

Exciting times indeed.  

Dr Schoor
for more information contact me.  

Tuesday, July 21, 2015

TFNA Testis Mapping: Finding Sperm Painlessly

Finding sperm in a testis can be challenging. Several strategies exist, some more invasive (microTESE) and some less invasive (the TFNA mapping). I have adopted the TFNA mapping protocol because it is well tolerated and with very little risk of testis damage, it is also effective in locating pockets of sperm production within the testis, like findings apples on a branch. TFNA mapping provides a detailed "map" to tell me where to go to find the sperm when I do the actual sperm retrieval--the TESE.



Thursday, June 11, 2015

Vasectomy Reversal Success

The new data:
All comers 50% success rate. 
All patients 7 years or less since their vasectomy 76.9% success rate.  

All procedures done in office under local for less that $5000 total cost.   

Peri and post procedure sperm banking now available as well.  

Contact me now for more information.  

Thursday, May 21, 2015

Preserve fertility prior to chemotherapy!

Some cancers happen most often in people of reproductive age. Having cancer at any age is terrible but at young ages it is particularly awful. Not only do young cancer patients worry about surviving, they must also worry about long term problems from cancer treatments. One common problem is infertility post cancer therapy. Most medical oncologists are well aware of post-cancer treatment infertility yet often do not refer patients for fertility preservation treatments such as sperm banking. Some reasons for the disconnect between knowledge of fertility preservation technologies and referral for them include price, inconvenience, time considerations, patient preference, and others. Sperm banking is actually readily available in most communities, is not particularly expensive, and can have a tremendous impact on the future life of a young cancer survivor.

We happen to do it here in Smithtown.

Dr Schoor

Tuesday, April 14, 2015

High quality ultrasound localization for kidney stones.

Having multiple imaging options for stone localization is important for stone treatment success, patient safety and medical personnel safety.  

Friday, April 10, 2015

A male infertility center of excellence.

1:  On site CLIA Lab for advanced semen analysis with morphology

2:  On site NY State licensed client depositor sperm cryo-storage facility 

3:  On site ultrasound imaging 

4:  In office sperm retrieval procedures, vasectomy, and vasectomy reversal

5:  Advanced electronic infornaltion technology and patient communication platform   

No other urologist on Long Island has this capability.  

Call now for a consult.   631-326-6035

Tuesday, February 10, 2015

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