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Dr. Ryan J. Chuang, MD, MPHIL is an urologist in Patchogue, NY specializing in urology (urinary tract disease). Dr. Ryan J. Chuang, MD, MPHIL is affiliated with NYU Langone Medical Associates—Patchogue, 100 Hospital Road.
Benign Prostatic Hyperplasia (Enlarged Prostate)
Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.
Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:
If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.
Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.
Kidney Stones
Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.
Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.
The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:
People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.
Shock Wave Lithotripsy
Stones are formed when mineral deposits build up and harden in an organ or gland. For example, urine contains minerals that can form crystals and result in kidney or bladder stones. Stones can also occur in other parts of the body, like the mouth. Salivary gland stones form when the chemicals in the saliva harden and get stuck in the tiny ducts of the salivary glands. Pain and swelling are the most common symptoms associated with stones.
Lithotripsy is a procedure used to break up small stones. Shock wave lithotripsy, the most common type of lithotripsy and least invasive way of treating stones, does this using high-powered sound waves. This procedure can treat many types of stones in the body, but it is most frequently used for urinary stones, such as kidney and bladder stones.
Shock wave lithotripsy can be done in one of two ways. Conventionally, this procedure is performed when someone is sitting in a tub of water, and the sound waves travel through the water to their body. A more recent alternative is to send the shock waves through cushions while a patient is lying on a table. Although shock wave lithotripsy is not surgery and requires no cutting, the patient will be given anesthesia before the procedure. Their body should be able to pass the broken-up urinary stones naturally in their urine after treatment. For other types of stones, another minimally invasive procedure may be required to remove stone fragments left by shock wave lithotripsy.
He completed residency at University of California, Los Angeles (UCLA) Affiliated Hospitals. He has a state license in New York.
Residency: University of California, Los Angeles (UCLA) Affiliated Hospitals (2022)
Licensed In: New York
Dr. Ryan J. Chuang, MD, MPHIL is associated with these hospitals and organizations:
Dr. Ryan J. Chuang, MD, MPHIL appears to accept the following insurance providers: Aetna HMO, Local 1199 - NYU Hospital Member Choice, Aetna Medicare, Aetna Indemnity, Local 1199 PPO, HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, Medicare Part B, United Healthcare Medicare, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, First Health PPO, United Healthcare Navigate, Aetna POS, Great-West Healthcare HMO, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, Group Health Incorporated (GHI), CIGNA PPO, EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, HealthSpring, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Surest, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, Qualcare Inc, Oscar Platinum Edge Exchange, Healthfirst Essential Plan 1 & 2, Insurance Design Administrators, Aetna EPO (American Express employer), Health Net of California, Oscar Bronze Edge Exchange, Global Excel, NYC Employees PPO Plan, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, American Plan Administrators, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, Healthfirst Gold Total, Pro, Plus EPO, AXA Assistance USA, Nippon Life-Aetna, Fiserv Health, UMR GEHA, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, Meritain Health, Aetna Choice POS II Choice Plus Plan (NY University Employees), CenterLight Healthcare DIRECT, HIP VIP Medicare Bold, Administrative Concepts, Healthfirst Silver Total, Pro, Plus EPO, Oscar Gold Edge Exchange, BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), NY Fire Department - WTC, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, Aetna Signature Administrators PPO, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, Global Health, Oscar Secure, Healthfirst Bronze Leaf Exchange, Nippon Life of America-Aetna, World Trade Center - Sedgwick, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., CenterLight Healthcare PACE, Oscar Silver Edge Exchange, Aetna International, Hamaspik Choice Medicare DSNP, Aetna Choice POS II Value Plan (NY University Employees), Medicare Part A and B, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Aetna Meritain Health, Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Centerlight Pace Medicare HMO, Allied, Oxford Metro, Empire Mediblue Healthplus Dual, Aetna Medicare Value Select HMO, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, Longevity Health Plan Medicare, WTC Health Program, CenterLight Healthcare Select and BCBS Federal Program.
According to our sources, Dr. Ryan J. Chuang, MD, MPHIL accepts the following insurance providers:
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These charts describe general payments received by Dr. Ryan J. Chuang, MD, MPHIL. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$116
Moses 550 D\F\L $116 |
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$70
Urolift $70 |
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Dr. Ryan Chuang specializes in urology (urinary tract disease). His clinical interests include bladder cancer, shock wave lithotripsy, and laparoscopic partial nephrectomy. Trustmark, Anthem, and Blue California are among the insurance carriers that Dr. Chuang honors. His medical residency was performed at a hospital affiliated with the University of California, Los Angeles (UCLA). He is professionally affiliated with NYU Langone Health.
