Advanced Urological Care

Physicians & Surgeons, Urology, Physicians & Surgeons, Physicians & Surgeons, Cardiology

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Advance Urological Care PC

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Physicians & Surgeons, Urology, Physicians & Surgeons, Physicians & Surgeons, Cardiology, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Sexual Dysfunction, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Vascular Surgery

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Phone: (212) 535-6690

Address: 435 E 63rd St, New York, NY 10065

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Advanced Urological Care

General Practitioners

Arthritis
Primary Care
Eid J.F, Sadovsky R. “Primary care: A perfect setting for discussing sexual health.” Cliniguide to Erectile Dysfunction. New York, NY: Lawrence DellaCorte Publications, Inc; 2001.
Male Infertility
Erectile Dysfunction
Electrocardiogram
For out of state or international patients all preoperative testing, including blood and urine tests, EKG and cardiac clearance can be performed locally next to your home. In order to schedule your procedure, we require an initial phone or video consultation with Dr. Eid to determine that you are a good candidate for the penile implant, we obtain a complete medical history and we answer all of your questions. Only one preoperative office visit will be necessary on the day before the procedure to meet you; this will give us the opportunity to answer any additional questions that you may have about penile implants, provide you with post-operative instructions and perform penile measurements. During this visit you will be shown what the size of the erect penis will be after the implant as well as which penile implant model or brand will be the best fit for your anatomy. Medicare and some commercial insurance plans require that the initial office visit be scheduled at least 48 hours before the procedure date.
Urinary Incontinence
My goal is to provide world-class patient care helping men overcome issues of erectile dysfunction (ED) and urinary incontinence with the most effective treatments available. My dedication to sexual rehabilitation through penile implant surgery is evident in my innovative No-Touch Technique. I am confident that I can help you and your partner enjoy normal, more fulfilling sexual intimacy once again. I look forward to offering my many years of surgical experience and ED treatment expertise to patients around the world through easy telemedicine appointments.

Female Infertility
Pregnancy

Bladder Cancer
Urology
Dr. Eid earned his bachelor’s degree in biomedical engineering at Brown University, in Providence, Rhode Island. He went on to complete his Doctor of Medicine at the prestigious Cornell University, in Ithaca, New York. Dr. Eid served his internship and urology residency at the New York Presbyterian / Weill Cornell Medical Center. He’s a member of the American Urological Association and the International Society for Sexual Medicine.
Colon Cancer
For many men who have chronic conditions such as prostate or colon cancer, and who require medical monitoring, an Internal Penile Prosthesis Pump™ will solve the erectile dysfunction, and the patient will have one less medical problem to be concerned with. They are cured of their erectile dysfunction.
Prostate Cancer
Penis shrinkage can be caused by erectile dysfunction in men suffering from Peyronie’s disease, in patients with diabetes, and especially in men that have had prostate cancer surgery that caused nerve injury.

Endocrinologist

Diabetes Care

Ultrasound
After review and evaluation, a surgical strategy tailored to each individual case is formulated, and a thorough discussion implemented with the patient outlining risks, benefits and chances for success.
Radiation Oncology
Eid, J.F.: “Elucidating the Etiology of Erectile Dysfunction after Definitive Therapy for Prostatic Cancer.” International Journal of Radiation Oncology, Biology, Physics, Volume 40, 129-133, 1998.

Orthopedics
Orthopedic Surgery
In the 1890s, Sir William Arbuthnot Lane developed a “no-touch” surgical technique as part of his effort to maintain a more aseptic environment during open reduction of orthopedic fracture using screws, wires, and steel plates.7, 8 and 9 The technique involved the use of thick gauze to cover the patient’s skin and wound edges, as well as long-handled instruments that increased the distance between the surgeon’s hands and the open incision. Additionally, the knife used to make the initial skin incision was discarded and a new knife was used in the wound, and Lane’s operating room assistants used forceps to pass instruments to him and thread needles for suturing.
Neurosurgery
Ashpole acknowledged the benefit of using a “no-touch” technique when implanting ventricular shunts, but noted that it was difficult to accomplish due to the “small and slippery” shunt components.10 He therefore designed a set of instruments that could be used to handle and assemble shunt systems without touching them. The instruments included a block to hold the valve, as well as several different types of forceps, each for specific tasks. In addition to reducing the risk of infection, he pointed out that the technique decreased the risk of damaging the shunt-related devices and catheters, although no data were provided for either endpoint.Faillace avoided some of challenges noted by Ashpole by using a 1-piece shunt that did not require assembly, thus circumventing the need for special instruments.11 His “no-touch” approach attempted to avoid bacterial contamination by taking extreme care not to touch the skin incision edges and shunt components during the implantation procedure. Instead, only instruments were used to handle the shunt and shunt sutures, and those instruments were kept separate from the instruments used to dissect the skin and soft tissue. When compared with his previous surgical protocol, the “no-touch” technique decreased the postoperative shunt infection rate from 9.1% (based on 120 surgeries) to 2.9% (based on 67 surgeries), reflecting a clinically significant improvement. Table 1 describes the differences in the 2 protocols.
Vascular Surgery
Laparoscopy

Plastic Surgeons

Liposuction
Question: I live in Missouri & found no one does this procedure locally. So here I am reaching out to you. I AM VERY interested in having my penis longer & thicker. I’ve read your information, which has lifted my spirit & hopes of feeling like a normal man. The detaching of the suspensory ligament as well as pubic liposuction both I feel is needed for me. I read that fat can be taken from the person’s body & added that to make it thicker & longer. It really caught my eye with the implants. It was a little confusing on how it works. I am looking to go from an average 6 or 7 inches to 10 or 11 inches. I’m sure the pubic liposuction will help greatly. So where do I start as far as insurance (will insurance cover this), time frame, visits... etc? Answer: Thanks for your inquiry and sharing all your information with me. The inflatable penile implant was invented in 1973 and has undergone much advancement. The implant was never designed as an instrument to lengthen the penis however and the procedure of cutting the suspensory ligament will not increase the length of the penis either. Fat injections will make the penis look fatter but the fat will not be distributed evenly around the shaft of the penis giving it a “lumpy bumpy” appearance. The procedures you mention rarely give a satisfactory outcome and should be avoided.
Breast Augmentation
Use of a “no-touch” technique has also been reported by several different plastic surgeons for breast augmentation or reconstruction procedures. For example, Mladick used a “no-touch” technique for 557 saline implants during a period from 1987 to 1992.12 He described it as a “superiorly sterile technique that eliminates any possible source of bacterial contamination,” although he acknowledged that the technique described by Fairbank was more strictly sterile. The objective of Mladick’s technique was to avoid contact between the implant and the patient’s skin, as well as to minimize contact with the breast tissue. For example, to insert a drain without touching skin or breast tissue, the surgeon grasps a long trocar with a sterile sponge instead of a gloved hand, while an assistant uses a hemostat instead of a gloved hand to hold the drain. Then, to insert the implant, the surgeon wears a new pair of gloves that have never touched the patient, and retractors are placed by the assistant to ensure that the implant is inserted in a manner that avoids contact with the skin and breast tissue. Or, if the size of the incision is so small that contact between the implant and tissue cannot be avoided, a sterile sleeve is placed over the implant.Mladick retrospectively compared complications during 2 periods, from 1980 to 1986 (ie, prior to using the “no-touch” technique) and from 1987 to 1992 (ie, while using the “no-touch” technique); however, he noted that the study included a number of uncontrolled variables and only modest follow-up. There were no infections during either period. Mladick reported significantly less wrinkling (visible folds), deflations, and capsular contracture during the second period, and attributed the latter at least in part to the theory that the “no-touch” technique may help decrease the rate of subclinical staph epidermidis contamination, which is a significant cause of contracture.More recently, Moyer et al studied the use of the Keller Funnel, a device developed to permit “no-touch” insertion of a breast implant.5 By painting the thorax of cadavers with fluorescein dye prior to implantation and then measuring fluorescein emission from the implant following insertion, the investigators determined that use of the funnel permitted a 27-fold decrease in skin contact when compared with a digital implantation technique (P =.00059). By swabbing the cadaver breast tissue with methicillin-sensitive Staphylococcus aureus and then culturing the implant surfaces following implantation, the investigators also determined that use of the funnel decreased bacterial contamination from breast parenchyma to less than half the contamination rate observed with the digital implantation technique; however, this finding approached, but did not reach, statistical significance (P =.06).Instead of using a funnel, Zhang and Blanchet modified a Devon Lite Glove (a light handle cover; see Figure 1) by cutting off the closed
Breast Reconstruction
This paper will review the use of a relatively novel “no-touch” technique found to reduce the risk of postoperative infection following surgery for orthopedic fracture, cerebrospinal fluid shunt placement, breast reconstruction/augmentation, and penile prosthesis implantation. It will focus primarily on the latter application.
Plastic Surgery
The use of a “no-touch” technique during surgeries as varied as orthopedic fracture repair, cerebrospinal fluid shunt placement, breast reconstruction/augmentation, and penile prosthesis implantation highlights a common concern about contamination of implanted devices by skin flora. Although modification of a device surface to inhibit bacterial presence in the biofilm (ie, with an microbial coating or other type of infection retardant) is one of the most commonly used methods of preventing device-related infection, its success appears to depend on variables such as device location, type of infecting pathogens, and coating agents used.2 However, improvements in the incidence of infections caused by the use of these coated devices is further evidence that bacterial contamination occurs during implantation and provides an incentive to develop a surgical technique which completely isolates the skin from the device. The first publication on the use of the “no-touch” technique for penile prosthesis surgery was published by the author in 2012 to explore whether a “no-touch” enhancement to the penoscrotal surgical approach further reduced infections beyond the use of coated implants.15 In the case of inflatable penile prosthetic implantation, augmenting the use of a coated device with a “no-touch” technique appeared initially to further reduce infection rates from 1.8% to 0.46%.15 The current review aims to examine whether this low infection rate could be sustained for a larger number of implant procedures. For the next 4 years the total number of implanted patients increased from 1511 to 2506 and the infection rate remained at 0.44%. In addition a review of the literature on the use of the “no-touch” technique in other types of surgeries was made to further support its use for penile prosthesis implantation. Indeed, similar results have been reported in the fields of orthopedic surgery, neurosurgery, and plastic surgery; however, many of those studies were published more than a decade ago.6 and 8

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