Welcome to Uro Center of New York, home of Jerry Blaivas MD, FACS. Dr. Blaivas is a world-renowned urological expert, surgeon, distinguished author, educator, and medical pioneer. He was one of the founders of urodynamics and pioneered many of the current surgical procedures used to correct stress incontinence, urinary fistulas, urethral diverticulum, overactive bladder and neurogenic bladder.
He is also one of the few surgeons who routinely performs reconstructive surgery for prolapse and incontinence without the use of mesh, as well as surgery for mesh complications. His success in this area has led him to publishing one of the largest series in the world on treatment of mesh complications.
Dr. Blaivas possesses decades of experience providing urology care to some of the most complex cases ever encountered, bringing academic and research-based modernization to the clinical forefront. His research in developing new medical techniques has become the standard in patient care.
Are you suffering from a medical condition that requires expert diagnosis and care? Perhaps you have been misdiagnosed or left wondering what is really wrong with you or a loved one? We offer second and third opinions to patients who have not been helped by a previous diagnosis and who require a highly individualized treatment plan.
Dr. Blaivas does not participate with private insurance plans. He is considered an “Out of Network” physician, which means that payment in full is expected at the time of the visit and you will be reimbursed directly according to your insurance plan. As a courtesy, we offer to complete and mail claims on your behalf and assist you in obtaining timely reimbursement.
When you feel like you have to go and can’t… the cause could be a Urethal Stricture; which is a narrowing of the lining of the urethra that inhibits the flow of urine from the bladder. This condition affects both men and women and negatively impacts their quality of life. To better understand what people go through with this condition you can view a video HERE.
Those suffering from a Urethal Stricture may have symptoms including:
To demonstrate what a urethal stricture is, in this X-ray, figure 1, dye is injected into the urethra, which looks like a tube and appears dark gray. The stricture is the sharp narrowing in the tube where the arrow is located. This causes the restricted flow of urine.
One of the major problems facing patients with urethral stricture was the lack of a way to categorize strictures so doctors can share information and correctly evaluate the patient’s current stage and progress. That is until now.
The Blaivas staging system categorizes strictures based on examination with a 16 French flexible cystoscope which is a narrow tubular instrument that is passed through the urethra to examine the interior of the urethra and the urinary bladder.
This is a 5 stage rating system:
STAGE 0 represents the absence of any stricture.
STAGE 1 describes strictures that allow easy passage of the cystoscope.
STAGE 2 allows passage but requires gentle dilation with the cystoscope.
STAGE 3 strictures are impassable, but the lumen (the space inside any tubular structure in the body) is visible.
STAGE 4 strictures are those with a completely obliterated lumen.
Currently Dr. Blaivas is working to refine the staging system so that it takes into account stricture location, number, and length.
“We were prompted to develop this urethral stricture staging system recognizing the lack of a common lexicon for describing anterior urethral strictures and our belief that strictures should be treated as a graded phenomenon for both patient care and research studies,” said Dr. Blaivas.
This cystoscopy-based system can be used almost universally by all urologists and will provide a framework for collecting data that will help determine appropriate follow-up for patients with strictures while also aiding general urologists in knowing which stricture patients should be referred to a reconstructive specialist.
“The Patient care I received from the URO Center was absolutely the best you could want. My condition affected me both physically and emotionally… I was depressed, angry and hopeless. What a difference from then to now. I am optimistic, grateful and normal! My advice to you is – Run don’t walk to see Dr. Jerry Blaivas. He is concerned, dedicated and a Brilliant Doctor!”
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