In-office ultrasound
Look beneath the symptoms with imaging that helps inform the next decision.
Explore imaging ↗THE INFORMATION-FIRST UROLOGIST
Advanced diagnostics before treatment decisions.
Minimally invasive options, right here in the office.
Information first. Intervention when needed.
01 / THE MODERN APPROACH
“I try to have the information upfront before I make these treatment decisions.”
DAVID SHUSTERMAN, MD Practice philosophy · edited for clarity
Our approach brings diagnostic tools and office-based treatment options together. The aim: understand your condition, explore the alternatives, and choose an appropriate path with the least necessary intervention.
Your history, symptoms, imaging, and relevant testing.
Discuss what the results mean in the context of your health.
Balance likely benefit, invasiveness, risks, and your priorities.
02 / DIAGNOSTICS BEFORE DECISIONS
Explore the tools that help us build your clinical picture.
Testing is selected for your symptoms—not a fixed checklist.
Look beneath the symptoms with imaging that helps inform the next decision.
Explore imaging ↗A noninvasive pressure-flow test for selected men with urinary symptoms. Further testing may still be needed.
About the UroCuff test ↗Relevant laboratory findings, considered alongside your history and imaging before a treatment plan is made.
Discuss your evaluation ↗Animated conceptual diagrams. They do not show actual patient results or equipment output.
03 / MORE POSSIBILITIES IN THE OFFICE
Explore the condition. Understand the options.
Choose care that fits your clinical needs.
EXTERNAL SHOCK WAVE LITHOTRIPSY
In-office ESWL uses shock waves to break suitable stones into smaller pieces. We prioritize a stent-free approach when clinically appropriate.
Stone size, location, infection, and blockage affect treatment choice. Some patients need a stent, another procedure, or additional treatment.
PROSTATE ARTERY EMBOLIZATION
Our in-office PAE program offers a minimally invasive option for selected patients with urinary symptoms caused by an enlarged prostate.
PAE reduces blood flow to targeted prostate tissue. Suitability, alternatives, risks, and the possibility of retreatment are discussed during evaluation.
BLADDER BOTOX
In-office bladder Botox is one option for appropriate patients with overactive bladder symptoms.
We discuss likely benefit and risks, including urinary tract infection and urinary retention that may require catheterization.
OFFICE-BASED HYDROCELE CARE
An office consultation can assess whether the practice’s hydrocele treatment approach is suitable for you.
The exact procedure, recurrence risk, and surgical alternatives need to be discussed. Fluid drainage alone may not provide lasting relief.
PERSONALIZED ERECTILE DYSFUNCTION CARE
Office-based injection evaluation and teaching, including Trimix when appropriate, can be part of a personalized erectile dysfunction plan.
Injection treatment requires individualized dosing and training, including a plan for a prolonged erection. Penile implants remain an option for suitable patients.
INNOVATION WITH AN HONEST CONVERSATION
Some sexual-health treatments have a different evidence base. The AUA considers low-intensity shockwave therapy for ED investigational and PRP experimental. PRP is not presented here as a proven method of penile growth.
If you are considering a peptide treatment, ask about the specific medicine, intended use, supporting evidence, and approval status. These details matter when weighing potential benefits and risks.
Read the AUA guidance ↗
THE PHYSICIAN BEHIND THE APPROACH
The goal is thoughtful, effective care with the least necessary intervention. That means investing in diagnostic capability, taking your concerns seriously, and explaining the reasoning behind your options.
Meet Dr. Shusterman ↗GO DEEPER
PROSTATE HEALTH / WATER VAPOR THERAPY
A targeted option for an enlarged prostate. Start with understanding why you are having urinary symptoms.
Read the treatment guide ↗PROSTATE HEALTH / IMAGE-GUIDED TREATMENT
Explore a minimally invasive approach to enlarged-prostate symptoms, with urology and interventional radiology working together.
Read the treatment guide ↗KIDNEY STONES / SHOCKWAVE LITHOTRIPSY
An incision-free way to break up selected stones. Our priority is choosing the right treatment—and avoiding a stent when it is appropriate.
Read the treatment guide ↗EXPLORE THE FULLER PICTURE
Office-based care is part of a broader urology practice. Explore these additional areas; setting and treatment depend on your individual evaluation.
WHAT MAKES THE APPROACH DIFFERENT
Compare a pathway with testing and treatment coordinated across separate visits with the integrated office model Dr. Shusterman aims to provide. Individual practices and patient needs vary.
| Your care | A traditional, separate-visit pathway | Our Modern Urology approach |
|---|---|---|
| Getting answers | Testing may be arranged at separate facilities before a follow-up discussion. | Bring appropriate ultrasound, urine testing, blood collection and functional assessment into a connected office pathway. |
| Making decisions | Results may arrive across different appointments. | Gather useful information upfront and explain how the findings shape your treatment options. |
| Choosing treatment | Procedures may require a separate referral or facility. | Consider suitable office-based options, including ESWL, bladder Botox and prostate treatments, alongside alternatives. |
| Understanding the plan | Education may focus on the immediate visit. | Extend the discussion through physician-authored books, treatment resources and specialty care information. |
A CAREER BUILT AROUND MODERN UROLOGY
For more than 25 years, Dr. Shusterman has focused on refining high-tech, minimally invasive urology.
His approach connects the information gathered in the office with the decision that follows: what is causing your symptoms, which options fit, and how much intervention is actually necessary.
CONNECTED EXPERTISE
Explore the specialty practices and resources across our network. Each has its own clinical focus and care team.
Explore shockwave therapy for erectile dysfunction, patient selection and the evidence.
Explore ErectionWave ↗02 / Hormone healthPhysician-led testosterone assessment, replacement options and ongoing monitoring.
Explore AndroMD ↗03 / HealthspanExplore longevity medicine, prevention and a broader view of men’s health.
Explore UroLongevity ↗04 / Women’s healthMeet the gynecology team and explore its approach to office-based women’s care.
Explore Elite Gynecology ↗05 / Comprehensive urologyExplore the practice, care team, conditions and locations in Manhattan and Queens.
Explore NY Urology ↗06 / Kidney stone careExplore kidney stone evaluation, shockwave lithotripsy and treatment options.
Explore NY Litho ↗Shockwave therapy for ED remains investigational under AUA guidance. Treatment suitability, evidence and clinician availability vary by service.
THE PHYSICIAN. THE AUTHOR.
Books by David Shusterman, MD, bring his clinical perspective to prostate health, urinary symptoms, sexual health and longevity.
Explore urinary, sexual and whole-body health through a urologist’s perspective.
Discover the book and reader resources ↗





Publication labels reflect the publisher’s current catalog. Visit the book page for the latest availability.
IN THE CONVERSATION
Selected media coverage featuring Dr. Shusterman’s perspective on urology and the changing role of technology in healthcare.
A CLEARER PICTURE. A MORE PERSONAL PLAN.
Explore what an information-first approach could mean for your care.
Book a consultation ↗