David S. Breslin, M.D., F.A.C.S. – profile

Dr. Breslin has been in private practice in the Hudson Valley region for 10 years and sees patients with urologic problems who live anywhere between Dutchess County and Lower Westchester. He is a board-certified urologist and a Fellow of the American College of Surgeons.

Dr. Breslin graduated from the Mount Sinai School of Medicine in New York, and also completed his two-year general surgery requirement there, and at the adjoining Mount Sinai Hospital, before matriculating at Lenox Hill Hospital, for his four-year residency in urology. Desiring additional training in his area of special interest, he completed a one-year fellowship in the sub-specialty of female urology, urodynamics, and voiding dysfunction, at Beth Israel Hospital in Boston, a major affiliate of Harvard Medical School. While a fellow at Harvard, and under the direction of Dr. David Staskin, he authored or co-authored multiple journal articles and chapters on various topics related to incontinence and bladder control issues. Following his fellowship, he joined Premier Urological Care and the practice of Dr. Michael Altamura.

In his practice, Dr. Breslin sees a wide variety of patients, male and female, with the following problems:

– Urological cancers, including prostate, bladder, kidney.

– Kidney stones.

– Male infertility.

– Urinary incontinence, male and female.

– Erectile dysfunction.

– Enlarged prostate.

– Urological infections.

Dr. Breslin performs many procedures such as prostate biopsies, cystoscopies, and vasectomies, previously performed only in the hospital, in the comfortable setting of his office, with local anesthesia or under the care of a board-certified anesthesiologist.

For women with urinary stress incontinence, Dr. Breslin performs a minimally invasive urethral sling procedure, known as a Monarc™ sling, which usually does not require an overnight stay. For men with prostate cancer who have failed radiation therapy, or who don’t want surgery or radiation, Dr. Breslin performs cryoablation (freezing) of the prostate. Both of these procedures, as well as many others performed at Premier Urological, are at the cutting edge of urology.

Dr. Breslin is also an assistant clinical professor of urology at New York Medical College and Westchester Medical Center, where he specializes in female urology, incontinence, and urodynamic testing of patients with a wide range of bladder and urination problems.

To make an accurate diagnosis, the doctor will prescribe you a number of necessary examinations:

– VCUG (x-ray of the urinary bladder).

– IVP (x-ray of the kidney).

– Ultrasound of the prostate with/without biopsy and/testicles.

– KUB (Basic x-ray of the abdomen).

– Other minor radiological procedures.

– Cystoscopy – An exam of the bladder via a Cystoscopy can be done in the office. Other than a local anesthetic, the procedure is usually tolerated without a need for further anesthesia.

– Ultrasound prostate biopsy – An exam that requires an ultrasound probe to be placed in the rectum. When the abnormality (lesion) is identified, the needle is placed in that area to obtain a piece of tissue. This is because many prostate cancers cannot be seen on ultrasound.

– Urodynamics. This is a simple test that does not require anesthesia or pain medication. Urodynamics is done to determine bladder capacity, sensation, and the ability of the bladder to properly expand as it fills. It can also show if an obstruction or blockage exists. Urodynamics is conducted by skilled technicians, who understand the importance of preserving your privacy and confidentiality.

Dr. Breslin uses in his practice the latest and most safe methods of treating urological problems, including vasectomy and an Indigo Laser.

– Indigo Laser involves threading a special Indigo fiber through the urethra and into the prostate, positioning the tip of the fiber in the targeted treatment area. The fiberoptic tip delivers controlled laser energy that coagulates, or destroys, very precise areas of the prostate. No incision or cutting of tissue is involved. The procedure lasts approximately 30-60 minutes. Anesthesia will be given depending on the comfort level of the patient and the size of the prostate.

– Vasectomy – A procedure that is the safest, simplest, and most dependable method of birth control. The minor procedure can be performed in about thirty (30) minutes through a small incision in the scrotal wall under anesthesia. The recovery from this procedure requires little or no loss of time from work.

Please feel free to call Dr. Breslin’s office to schedule an appointment to discuss any urological issues. He is warm, friendly, and very approachable, and enjoys explaining these problems in an easy-to-understand manner.

David S. Breslin has extensive training in many aspects of urology and uses the latest medical technology available to treat many of today’s common urologic problems. He also incorporates computer technology into his practice to provide the most efficient and informative care possible.

No matter how severe or specific the disease is, a good urologist will never disseminate information about the patient. Exceptional decency, caring for their patients are mandatory qualities of a professional doctor.

You can finally make sure that you have come across a good specialist only after successful treatment, but actively and interestedly approach the choice of a doctor – that means to take the first and, possibly, the most important step on the path to recovery.

 

This article was written by Dr. Breslin, a private certified urologist and Fellow of the American College of Surgeons, a former research fellow at the Harvard Institute, and the author of scientific articles related to urinary incontinence and bladder control.
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