quick story after the procedure I was in soo much pain and called the office on cialis without prescription in england a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me. highly qualified diagnostician by Vladimir via Google.com on Sep 23, 2020I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception. successful procedure by Grant via Google.com on Aug 20, 2020To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure.
I healed in 5.5 weeks but his recommendation is 6 weeks to heal so that means zero “activity” for 6 weeks to avoid damaging the stitching. The surgical glue I pulled off at 5.5 weeks. It is important to not remove it before! The lower posterior of my shaft did not look good at first, especially w/ the surgical glue on it, but over weeks it looked better and better w/ the final results by 5.5-6 weeks being excellent When the doctor injected the anesthetic, it was painful since he must inject it deep ~6-8times. During the surgery my discomfort was maybe a 1/10, so tolerable.
Make sure to buy lots of bandages/gauze before/after for daily change for 5-6 weeks Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions Very Pleased by A. Pereira via Vitals.com on Jan 21, 2021Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. I’d refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care. I am very happy with this doctor. by Maria via Google.com on Aug 12, 2020I am very happy with this doctor. He is very patient and he understood all my problems.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Super Active | 20mg | 90 + 10 Pills | 314.14€ 299.18€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Cialis Soft Tabs | 20mg | 10 Pills | 39.03€ 37.17€ | |
| Cialis Black | 80mg | 60 + 4 Pills | 150.98€ 143.79€ | |
| Cialis Original | 20mg | 92 + 4 Pills | 377.99€ 359.99€ | |
| Cialis Professional | 20mg | 90 + 2 Pills | 241.49€ 229.99€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ | |
| Cialis Professional | 40mg | 270 + 6 Pills | 898.37€ 855.59€ | |
| Cialis Original | 20mg | 22 + 2 Pills | 129.20€ 123.05€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ | |
| Cialis Generic | 40mg | 20 Pills | 59.47€ 56.64€ | |
| Cialis Generic | 20mg | 360 + 10 Pills | 427.34€ 406.99€ | |
| Cialis Black | 80mg | 10 Pills | 43.27€ 41.21€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ |
He also answered my questions and gave me some good advice. very friendly staff by via HealthGrades.com on Apr 12, 2020excellent doctor and all very friendly staff 2 years free of any UTI by Lucretia via Vitals.com on Apr 09, 2020This urologist has helped me for my constant UTI’s He gave me a few tests, diagnosed the problem and now I’m 2 years free if any UTI.
Doctor Shteynshlyuger provided me with the care I needed by Christopher via Google.com on Mar 11, 2020The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief.
| Population | Considerations | Comments |
|---|---|---|
| Elderly | Dose adjustments may be necessary | Increased sensitivity to side effects |
| Patients with Liver Disease | Use with caution, lower doses may be required | Liver metabolism may be impaired |
| Patients with Renal Impairment | Dose adjustment needed, especially in severe cases | Clearance may be reduced |
| Women | Not approved, safety not established | Off-label use is discouraged |
I followed his instructions and my issue was resolved. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Shang Ring circumcision by via HealthGrades.com on Oct 29, 2019Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I’m pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I’d recommend him.
The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.
Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions by via HealthGrades.com on Aug 14, 2019Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions Office very convenient location by via HealthGrades.com on Aug 13, 2019Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger positive experience by via HealthGrades.com on Aug 09, 2019Dr. I had a positive experience with him. Peronis Disease by Robert Clarke on Aug 04, 2019Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.
S THEY TREAT YOU LIKE FAMILY by Luis via Google.com on Jan 11, 2021THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU treatment from New York Urology by Anthony via Healthgrades.com on Jan 07, 2021My problem with ED is gone with my treatment from New York Urology! Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions recommend Dr. Shteynshlyuger by via HealthGrades.com on Jan 04, 2021Yes I would recommend Dr. Shteynshlyuger . finally able to enjoy life again by Josh via Google.com on Dec 16, 2020Dr.
Alex absolutely changed my life and restored my faith in doctors. When my condition first started I saw four different urologists over a period of about 6 months. All four either laughed me out of their office saying there’s nothing they could do to help, that my pain was normal, or prescribed me something that did not help or made everything worse. I prepared to live my life (22 years old now) with chronic pain that made participating in every day activities extremely difficult. Finally after getting the courage to start looking for new doctors again I found Dr. Review by Jim on Jul 26, 2019The staff are very friendly and efficient.
Alex Shteynshlyuger and decided to give his office a call. I proceeded to see him shortly after my call, and now a few visits and months later I am finally able to enjoy life again. Dr. Alex took the time to do the tests that other doctors did not even mention. He took different approaches, gave well explained answers to all of my questions, and made me feel like there are some doctors who really do care.
On top of all of that he has some of the most helpful and kind staff I have come across. I cannot stress enough how thankful I am for Dr. Alex! No pain at all by Elson via Google.com on Nov 25, 2020This was a very fast and easy process. No pain at all and the job was very well done. Dr. S. is terrific diagnostician, answers your questions quickly tries to assess how you are doing and focus on the purpose(s) of our visit Treatment alternatives are discussed . The longer you are a patient, the better the experience is. 3P Removal by Karl Henry on Jul 24, 2019Went to get my penile papule remove.
Got done same day, it was fast, great staff, and most importantly, pleased with the result.
Review by Armando Santos on Dec 16, 2021Great experience best urology doctor by Winston – via Healthgrades.com on Feb 14, 2021Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his. solved my problem with ED by via HealthGrades.com on Jan 29, 2021Dr.
Shteynshlyuger helped to solve my problem with ED 100% perfect circumcision by via HealthGrades.com on Jan 21, 2021Dr. Shteynshlyuger did what I would call an 100% perfect circumcision on me. He cut the precise right amount of skin. I now feel extremely happy, confident, and proud of how it looks. I am 100% satisfied with my results and I would recommend him to any guy seeking an adult circumcision. Recommendation by JOHN on Jul 18, 2019Therefore I would like to recommend you to anyone who need your services. Urology Visit by Oliver on Jul 18, 2019Staff were all very welcoming. Dr.
He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!! Great place by Yannis via Google.com on Nov 09, 2020Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. I would highly recommend it to anyone by Javier – Via Google.com on Oct 11, 2020I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don’t regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
| Medication Type | Specific Drugs | Potential Effect |
|---|---|---|
| Nitrates | Nitroglycerin, Isosorbide dinitrate | Severe hypotension risk |
| Alpha-blockers | Tamsulosin, Doxazosin | Enhanced blood pressure effects |
| CYP3A4 inhibitors | Ritonavir, Ketoconazole | Increased Cialis levels, risk of side effects |
| Other PDE5 inhibitors | Sildenafil, Vardenafil | Increased risk of adverse effects |
Outstanding by Allan B. on Jul 09, 2019Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. Tadalafil (Cialis) is used for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) in adults. It belongs to the drug class called phosphodiesterase 5 (PDE-5) inhibitors. For ED, you can take a dose either just before sex or once every day. Tadalafil (Cialis) can interact with many medications, including blood pressure medications. Some drug interactions can lead to very low blood pressure and dizziness. Tadalafil (Cialis) is available as a brand-name and generic version. It works by blocking a protein in the body called PDE-5.
| Focus Area | Current Status | Potential Impact |
|---|---|---|
| New formulations | Extended-release versions available | Longer lasting effects, improved convenience |
| Combination therapies | Studied with other agents | Enhanced efficacy, reduced side effects |
| Genetic markers for response | Under research | Personalized treatment plans |
| Novel PDE5 inhibitors | In development | Better tolerability, fewer interactions |
For ED, blocking PDE-5 causes the muscles in the penis to relax. This allows the penis to fill with blood when you're sexually aroused. It helps you have an erection and maintain an erection. For BPH, it's not fully clear how the medication works to help treat symptoms. But researchers think it helps relax the muscles in the prostate (a small gland in the groin). The following side effects may get better over time as your body gets used to the medication.