A New York City urologist has found that more patients are demanding a procedure that facilitates the need for urination.
The wealthy of NYC hope to eliminate the need to travel long distances to their summer homes.
Some people get “Blatter Botox” to avoid the “Hamptons Blatter” conflict in the car.
The traffic on the way to Hamptons has gotten so bad that some good heeled New Yorkers are streaming to the doctor for medical treatment so they don’t have the urge to urinate frequently on the road.
Crawling through the unbearable summer traffic to get to and from their second home 100 miles away caused many of the city’s wealthy – especially the elderly – to have increased urinary problems because they often could not park anywhere on the long highway. – Hour journey.
To combat “Hamptons’ bladder”, New Yorkers living in the exclusive Long Island Enclave seek a pair of specialized medical procedures: prostate artery embolization (PAE), which lowers the level of the prostate in men, and “Bladder Botox”, which reduces urination in women.
“A lot of people have problems with this problem. They have to come out of the hamptons and stop four or five times along the way, but can’t find a toilet,” said Dr. David Schusterman, a New York City urologist. Advertising practices with the slogan “Race to the Hamptons, not the bathroom”.
Schusterman said this spring saw a 20 percent increase in patients seeking PAE procedures. “I didn’t see them until May. Suddenly May came and they became more concerned,” he said. “When they get in the car with the crowd, they are embarrassed because they have to go to the bathroom every hour.”
He said he has been doing about 10 PAE procedures a week with Botox to urinate once or twice a week for the past few months.
Shusterman said when patients had to get off the road and find a toilet, patients told him about the collisions in the car and to no avail. “Every week thousands of people struggle with this,” he said.
The doctor can contact himself. “I personally can’t say how many arguments I’ve been involved in – I lost three friends because I was a driver and refused to stop for them,” Schusterman said. “No place to park.”
For half of men between the ages of 50 and 60, the prostate is enlarged, causing frequent and urgent trips to the bathroom, Shusterman said.
The one-hour PAE procedure, performed in conjunction with an interventional radiologist, stops the flow of blood to the prostate and reduces its volume. Recovery is usually quick and relatively painless, with patients going home the same day and the risk of sexual side effects or urinary incontinence is very low, Shusterman said.
Although the practice can be covered by Medicare and insurance, Schusterman said some unprotected patients could pocket $ 20,000.
Meanwhile, women who struggle with frequent triggers on the road turn to Schusterman for “Blatter Botox”, which seems right. Shusterman anesthetizes patients in an endoscopic-like manner, then inserts a small scoop through the urethra and uses a special needle to inject the drug. The effects will last for six months, so “you will be protected for the entire summer,” Schusterman said.
He said injections are given to women of all ages between the ages of 20 and 80. The process is usually covered by insurance, but can cost a few thousand dollars if paid out of pocket.
The 60-year-old, who underwent a PAE procedure this spring, said he was thrilled to avoid the need to plan rest stops before the hour’s trip to his Hampton home, which has gotten worse in recent years. “Because of the epidemic, most of New York went to their Hampton home,” he explained. “They were displaced, causing traffic congestion.”
Before the procedure, the person said, “It may have been stuck in traffic for four hours and there were no rest stops. I had to get out and find a bathroom.” After receiving the PAE, he said, “Now there is no fear. I’m like a baby.”
Dr. Art Rustinhat, an interventional nephrologist in NYC, said that PAE is relatively less risky compared to alternative routes, as it may seem more likely to involve selective surgery to avoid conflict on the road.
Dr. Vikram Rajpurohit, Interventional Radiologist at NYU, who conducts PAE procedures, said that oral medications are usually the first step towards an enlarged prostate. But “they have side effects that many patients want to avoid,” said Rajpurohit, which includes a decrease in libido and lower blood pressure.
“Of course I would not prescribe PAE to a patient whose symptoms have not significantly affected their lives or who have not tried oral medications,” Rustinhat said. “But when the Hamptons ask about their intercepted drives, I find that usually the only problem is at the tip of the iceberg.”
For those who are not in the process of looking for a medical procedure, Schusterman has given some advice to prevent collisions during long car rides this summer: Stay away from that Hampton Rose.
“Alcohol is very bad – it has a direct irritating effect on the bladder,” he said. “Drink plain water. Hydrate, but do not over-hydrate. You do not want to get stuck on the road without going anywhere.”
Read the original article in Insider