Dr. Alan Kling MD. – Kling Dermatology Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC
1000 Park Avenue New York, NY 10028
Manhattan , 1000 Park Avenue New York, NY 10028 10028 Manhattan
Dr. Alan Kling MD. – Kling Dermatology
Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC I was referred to Dr. Kling’s office because of a recurrent problem I’ve had for awhile. I had already seen two other dermatologists and I kept having a problem and it seemed like this thing would keep going on forever. I asked my internist for a referral and he said that Dr. Kling was the absolute only guy I should go to for this problem. I was already I little fed up with doctors but I decided to go anyway for a consult. Boy, am I glad that I did! Dr. Kling explained what was going on and gave me reading material so I would understand what was going on. I followed his advice and I finally have this condition under control. I finally feel normal again. He really did a lot for me.. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn?t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that? Dr. Kling has been treating me for psoriasis for a long time. Dr. Kling placed me on many different medications over time until he found a regimen that worked best for me. I was most impressed by the fact that whenever there was a new medication or treatment he would research it and explain it to me thoroughly beforehand, so I knew what to expect. He also once stayed late in order to remove a large cyst on my back that had started to drain. He rescheduled something else he had going on in order to get this done because he knew that I would not have been able to go into work the next day if it wasn’t first removed. He really went out of his way to help. I am aware that dermatology seems to appeal to the vanity in all of us. We go to a Doctor and expect miracles even if we’ve had problems for a lifetime. What I feel I have to say and what is probably the most important is that Dr Kling takes the right approach. He sits you down and truly formulates a treatment path that makes sense and actually works! I’d had a host of issues and one by one he explained the relationships between all of them. The myth and mystery were stripped away and even though my problems were of a personal nature I was always made to feel comfortable and in the best of hands. I no longer hesitate going for treatment, as Dr Kling has made me at ease and comfortable . It’s nice when you’ve found the “Right Guy”. Doctor Kling really listened to my concerns and talked to me thoroughly before recommending a course of action. He didn’t pressure me and took his time to make sure that all of my questions were answered once he recommended a treatment. He’s very friendly and seems to have a great deal of experience. I’ve seen a few dermatologists in NYC and Dr. Kling is definitely the best so far. Also, his staff is extremely helpful, knowledgeable, and patient (unlike any other office staff I’ve seen). The entire staff was very accommodating and friendly. Dr. King is professional, courteous, and genuinely cares about your well being. Some of the reviews made me hesitant to make my 1st appointment. As yet, my experience was just great and Dr. King engaged for more than thirty minutes explaining and clarifying my questions. I certainly recommend Dr. King to family and friends. I’ve been seeing Dr. Kling for about ten years. My complexion was bad with the stress I was having from work and the medications other doctors were giving me weren’t really working that well. Dr. Kling go me on a regimen that worked and everything is now (finally!) more or less under control. Those injections he gives me make the acne bumps go down in a day or two. They are great when you know an important business meeting is coming up or something social is going on. I was seeing Dr. Kling on a regular basis for several months before my wedding to make sure that I looked good for my big day and it turned out so well that I continued to see him on a regular basis ever since. He also helped me out with this contact allergy I had to the nickel in my wedding ring (can you believe it?), but that’s another story. . What does this man do to keep himself looking young? I have had every imaginable combination of chemical peels, Botox, filler, sclerotherapy and I’m really happy with the results but he says that he doesn’t do any of that stuff for himself. What does this man do to keep himself looking so young? He says that he uses sunscreen. I’ve gone to him for over twenty years and he looks the same age. Whatever he has, I want it!. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn’t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that?. I teach at a private school close to Dr. Kling’s office. There are many other teachers there who go to his office and they all think that he does great work. There are also many students who have been referred to him through the years and they have also been very enthusiastic about him. I have seen Dr. Kling on and off for about ten years and he has helped me a lot with my condition. I was referred to Dr. Kling by my internist. I had previously been seeing another physician but the condition I had was not getting better. Dr. Kling was extremely meticulous and thorough. I saw him on a regular basis and eventually it got better. I am now going to graduate school out of town at a place which is several hours away from NYC, but I make the follow up visits back to NYC to see Dr. Kling. I am not switching doctors. It’s not so easy to find somebody who knows what they are doing.. I was originally referred to Dr. Kling by my best friend, who spoke very highly of him and strongly encouraged me to go. I have been going to see Dr. Kling on and off for about 20 years for lots of different stuff that just comes up. I’m amazed that he always gets the diagnosis right. Sometimes the stuff that I had was pretty straightforward. Other times, he would ask question after question and then zoom in on what it was. The most important thing is that I always got better. I have many friends and co-workers who have gone to him both at my old firm and the firm where I am now, and they all had really positive experiences with him. My wife and my daughters have also gone to him and he has also been very helpful with them. I first saw Dr. Kling years ago when I had a bad infection. He gave me a prescription and samples of the medication that he had in the office to make sure that it had a chance to work as soon as possible.. He spent a lot of time explaining my condition to me. I was really scared and I called him with a lot of questions. He was very patient. I still come to the office now for other things. He was very helpful. Both my wife and I have gone to Dr. Kling. I had a pretty perplexing skin condition and I was told by my family doctor that Dr. Kling was the person to see to figure it out. He spent a lot of time talking and explaining things to me. I had seen two other doctors before, and I realized that educating me about what I had was the most important step so that I was motivated to do what I had to do in order to get it under control. I’ve bumped into Dr. Kling at social things over the years and I am always glad to see him. I like talking to him..
Rating: 4 / 5 stars

CIRCUMCISION STATUS OF THE MAN

hpv-kling2ALAN KLING, M.D

Dr. Alan Kling is recognized as one of the foremost specialists in the field of HPV infections. Throughout his years as an HPV specialist, Dr. Kling has contributed to research and lectured at various medical schools, including Columbia, Cornell, Mount Sinai, NYU, and Yale as well as having been a part of a number of national panels on HPV and HPV prevention. His extensive research has allowed him to keep up with the latest HPV treatment protocols and to educate others in the field as well. While HPV is an important field of dermatological study for many physicians, Dr. Kling has clearly separated himself from the pack, making him the top HPV treatment specialist in NYC today.

Dr. Kling's private practice offices are located at his Park Avenue practice on the Upper East Side and in Park Slope, Brooklyn.

Q: What is circumcision?
A: Circumcision is when the naturally-occurring skin that covers the penis is removed. The prepuce refers to the part of the foreskin which covers the tip of the penis.

Q: What is the role of circumcision the prevention of HPV?
A: The prevalence of both high risk and low risk HPV strains or types among circumcised men is significantly lower than in uncircumcised men. Circumcised men do not develop genital warts or condyloma as frequently as uncircumcised men, and their partners have a lower chance of contracting an infection from them. Genital warts in uncircumcised men also recur more frequently than in circumcised men.

Q: How does the circumcision status of the man affect the woman’s chance of getting cancer of the cervix?
A: There is a higher chance of a woman getting cancer of the cervix after sexual contact with a man who is uncircumcised compared to a man who is circumcised.

Q: How much less frequently do the different HPV strains occur in men who are circumcised?
A: Both high-risk and low-risk HPV types occur 20%-70% less in circumcised men compared to uncircumcised men.

Q: Why is there an increased chance of a woman getting cancer of the cervix from an uncircumcised man?
A: The uncircumcised man is more likely than the circumcised man to be harboring the high risk strains of HPV.

Q: Why is an uncircumcised man more contagious than a circumcised man?
A: The foreskin that is present in an uncircumcised man gets easily traumatized. Multiple small breaks occur on the foreskin, HPV gets under the skin through these breaks and an infection is established.

Q: Why is the foreskin so easily infected?
A: The foreskin provides an increased surface area that the HPV virus can infect. Infections on the foreskin are much more resistant to treatment and are associated with increased recurrences after treatment compared to treatment in circumcised men.

Q: What happens when the foreskin is removed?
A: When the foreskin is removed the area of the skin that was previously more prone to get traumatized and infected is no longer present after a circumcision. Circumcised men have a lower chance of being carriers for HPV and of transmitting the infection compared to uncircumcised men.

Q: What happens to the penis after the foreskin is removed?
A: The skin on the penis gets thicker after the foreskin is removed. The thicker skin is a more effective barrier against HPV, as well as other infections. Chlamydia, for example, which is a co-factor that promotes the chance of a man getting an HPV infection, is also less likely to occur in the circumcised man.

Q: Are there any other benefits to circumcision?
A: The malodorous accumulation of the cheesy material under the foreskin known as smegma does not occur in men who are circumcised. There is less odor in the genital area when the man is circumcised because is easier to keep the area around the penis clean. Men who are uncircumcised complain that it can be virtually impossible to maintain good penile hygiene regardless of how often they wash themselves during the day. This odor is not infrequently an issue for both the men and their partner(s).

Q: What would you expect to occur after a man is circumcised?
A: The circumcised man will have a lower chance of getting or transmitting an infection with both the high and low risk HPV strains.

Q: How are the chances of a woman getting an HPV infection affected by the circumcision status of her male partner?
A: Women who are exposed to men who are carriers of high-risk HPV viruses are less likely to acquire infection if their male partner is circumcised.

Q: Why are men who are not circumcised more likely to get an HPV infection than men who are circumcised?
A: Men who are not circumcised are more likely to get an HPV infection than men who are circumcised because more breaks occur on the fragile foreskin through which the HPV virus can establish an infection. The heat and moisture under the foreskin also creates a more hospitable environment in which the HPV virus can grow and thrive.

Q: Are HPV infections in uncircumcised men more difficult to treat?
A: HPV infections in uncircumcised men are more difficult to treat, have higher recurrence rates and are more likely to infect a partner than are infections in circumcised men.

Q: What is the status of male circumcision in the United States today?
A: The number of uncircumcised males in the United States is increasing. The initial trend after World War II was to circumcise males shortly after birth because it was believed that this would result in better hygiene and better health. Although the role of circumcision in preventing infections and certain unwanted medical conditions is acknowledged, the views encouraging circumcision are not as adamant as they had once been.. As a consequence, more parents are now choosing not to circumcise their sons.

Q: Are there any other reasons why the number of uncircumcised men in the United States is increasing?
A: Over the last several decades there has been increased immigration from Asian and Hispanic countries, where circumcision is not routinely practiced and it is not part of the culture. These groups tend to carry on the family tradition of not getting circumcised. Whereas before there used to be firm healthcare guidelines unequivocally encouraging parents to circumcised their sons, the Department of Health has taken and is now offering a more watchful waiting and active surveillance approach.

Q: How will the increasing numbers of uncircumcised men in the United States affect the prevalence of HPV infections?
A: There will most likely be an increased incidence and spread of HPV amongst the female and male population exposed to men who are not circumcised. HPV infections in uncircumcised men have been associated with a greater number of lesions, more extensive involvement and higher rates of recurrence compared to infections in men who are circumcised.

Q: How often do men decide to get circumcised as adults in order to get an HPV infection under control?
A: The rate of circumcision in adult men is very low. Adult men who decide to get circumcised usually have other additional issues which make circumcision advisable. Adult men who decide to get circumcised in order to manage especially resistant and recurrent HPV infection s are rare.

Q: What can a man who is not circumcised and/or his partner do in order to minimize their chances of getting an HPV infection?
A: The HPV vaccine would be an especially helpful and valuable approach to minimize the chance of an HPV infection in men who are not circumcised and in their partners.

Q: Will the HPV vaccine help treat an uncircumcised man and/or his partner who are already infected with HPV
A: The HPV vaccine works well to protect a person against those strains of the virus which are in the vaccine to which they have not been previously exposed, but will not give increased immunity against those strains of the virus with which they have already been infected. The vaccine is preventive and not therapeutic. The vaccine will not help a current infection that has already been established.

Q: What percentage of men in the United States are circumcised?
A: According to the CDC (Center for Disease Control), the circumcision rate for newborn infant males in the United States has experienced a significant decrease over the last several decades. 32% of male infants born in the United States in 2009 were circumcised, compared to a 56% circumcision rate in 2006 and a rate that was over 80% in the 1970’s and the 1980’s.

Q: What were the previous circumcision rates in the United States for infant boys?
A: The circumcision rate in infant boys in the United States peaked in the 1970’s and 1980’s when over 80% of newborn male infants were circumcised.

Q: Are there regional differences throughout the United States?
A: There are regional variation in circumcision rates. The western Untied States has the lowest rate of infant circumcision, ar below the national average of 32% in 2009. Circumcision rates tend to be high in areas with significant Jewish and Muslim populations, where circumcision is traditionally associated as part of the religious and cultural practices of these groups.

Q: Is the percentage of circumcised males in the United States going up or going down?
A: The percentage of males in the United States continues to decline.

Q: What is the medical profession’s recommendation on circumcision?
A: The American Academy of Pediatrics (AAP) released a statement (August 27, 2012) that states that new scientific evidence shows the health benefits of newborn male circumcision outweigh the risks of the procedure, but the benefits are not great enough to recommend routine circumcision for all newborn boys.

Q: What are the scientific research show?
A: Scientific research shows that circumcision offers clear health benefits that includes lower risk of acquiring HIV, genital herpes, human papillomavirus and syphilis. Circumcision also lowers the risk of penile cancer over a lifetime, reduces the risk of cervical cancer in sexual partners, and lowers the risk or urinary tract infections in the first year of life.

Q: Would you expect a position more strongly favoring circumcision by the American Academy of Pediatrics based on this data?
A: The scientific evidence and medical advantages of circumcision are clear. Circumcision is an emotional decision for many parents. No turnaround in the circumcision rate will occur unless a prestigious and respected organization like the American Academy of Pediatrics or a federal agency or organization takes a firm and clear position on the issue based on health considerations. The American Academy of Pediatricians has punted and taken the politically-guided noncommittal position that the decision should be made by the parents in the context of their religious, ethical and cultural beliefs.

Q: How does the circumcision status of the man affect his chances of getting an HPV infection?
A: Uncircumcised men have a greater chance of contracting an HPV infection.

Q: How does the circumcision status of the man affect his female partner’s chances of getting an HPV infection?
A: A woman has a higher chance of getting an HPV infection from a man who is uncircumcised than from a man who is circumcised. The circumcision status of the man is one of the important co-factors in the male partner that affects a woman’s chance of developing HPV infections and cancer.

Q: How do the treatment results compare in men who are circumcised compared to those who are uncircumcised?
A: Men who are not circumcised have a higher chance of getting recurrent HPV infections after treatment compared to men who are circumcised.

Q: Does the circumcision status of the man affect the number of treatments the man will need in order to get their infection under control?
A: Men who are uncircumcised usually require a greater number of treatments in order to get their HPV infection under control compared to men who are circumcised.

Q: How does the rate of transmission of HPV to their partner(s) compare in men who are circumcised compared to men who are not uncircumcised?
A: The rate of HPV transmission is decreased in men who are circumcised.

Q: Should men who are uncircumcised who have HPV infections get a circumcision?
A: Men who are uncircumcised should not be routinely advised to get a circumcision . The infection can be managed and contained with traditional treatments and diligent follow up evaluations. Circumcision should be reserved as an option only for the most extreme of cases.

Q: How does a man’s circumcision state affect the chances of him getting an HPV infection?
A: Men who are not circumcised have up to a 30% increased chance of getting an HPV infection.

Q: Is there any difference in the man’s response to treatment if he is circumcised compared to if he is not circumcised?
A: There is a 30% increased persistence rate of HPV infections in men who are not circumcised compared to men who are circumcised.