Attila Toth, NY, Obstetrician & Gynecologist

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Attila Toth, NY, Obstetrician & Gynecologist

Post by webslave »

This gentleman is well known to be an injector of the prostate to treat men with prostatitis. I have seen no cure stories from his treatment, but plenty of negative comments such as
  • "Needles traumatized and inflamed prostate so much, had to self-catheterize during and after treatment."
  • "Came back from Toth's last month ... I'm much worse since injections."
  • "Toth said I had chlamydia but also warned I might have something viral going on. Suggested I do some praying."
  • "Dr Toth finds chlamydia in most, maybe all his patients, and at least in my case it was a false positive which caused my g/f and I undue misery. Do you want to pay 2 grand, travel to New York for bogus testing?"
On the basis of these comments, I suggest caution. :!:
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paininmypp
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by paininmypp »

In despair from CP I did a telephone consultation with Dr. Toth last year. Although gullible given my suffering, I chose not to proceed with his treatments. Upon taking up yoga, learning to relax and not putting myself into compromising positions/situations, hence no more anxiety, I've been asymptomatic for over 8 mos. This was following care of three different urologists, 750 mg of Levaquin and daily Zithromax, etc. My sense is, as posted by many and supported by Dr Weiss, chronic prostatitis / chronic pelvic pain syndrome is typically a by-product of anxiety.

Happy to share more observations as time permits as my life is back in order and I owe it to both fellow sufferers and those so desperate to be considering Toth. While his work with couples suffering from infertility seems quite convincing (I'm on the message boards in his yahoo group), I frankly found him to be an idiot. In my life I've had great success reading people by their voice only, eliminating anything that accompanies it (which can only be done over telephone), and I would not trust him.
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by snowbro »

To start off, I am a physician suffering from CP for 6 months now.

I finally consulted with Dr. Toth since I was convinced my CP had an infectious origin, and nothing was helping.

Everything started after an episode of urethritis and epididymitis back in May 2012. I took Azithro and Rocephin and the symptoms resolved. Unfortunately the diagnostic tests were delayed by 2 days, and when repeated, everything was normal. My concern was possible chlamydia or gonorrhea infection, however, multiple tests were always normal.

The symptoms of CP developed a few weeks later and have persisted since then, despite multiple courses of azithro, levaquin, Cipro, doxy, septra, you name it. I tried supplements, prostate massage, NOTHING worked. I had 2 urologists and 1 infectious disease specialist working with me on trying to resolve this issue btw.

Dr. Toth was actually very reasonable as to what his expectations were etc. I asked for the number of patients of his treated and the success rate of his treatments. He actually had some student collate the data at some point (I think 160 patients at that first analysis), and he showed me the numbers (this is unpublished data at the moment). At 6 mo after injections, a good 10% were completely cured, 30% improved 60-80%, 25% improved 50%, 35% improved only 20-40%, and 10% had no benefit. (I am approximating here, but you get the gist). This seemed to parallel the improvements seen with Dr. Duke Bahn and the Italians who practice a similar approach.

I figured, it couldn't hurt too much to try and at least rule-out definitively for once and for all that this was or wasn't an infectious problem.

Dr.Toth starts off by doing a transrectal ultrasound (I am very familiar with these, since I do them often in my line of work). He noticed bilateral calcifications in my gland and explained the calcifications seen are possibly due to old or active infection. He also described thickened walls in the seminal vesicles as possible indications of chronic infection. This is of course all subject to interpretation, since without a baseline, pre-symptomatic transrectal US, who knows what the answer really is.

He was very clear that if there was no improvement after 2 injections, then an infectious cause was highly unlikely, and that he wouldn't be the doctor for me. His injections consist of the following: gentamicin, clindamycin, metronidazole, moxifloxacin, diflucan, azithromycin, and medrol. When directly injected into the prostate and/or seminal vesicles the concentration of these antibiotics is VERY high, 1000x higher than orally administered. My infectious disease specialist colleague agreed that NO bug could survive this. I was able to see his technique. He is very sterile, does a very minimal poke into each lobe of the prostate, and infiltrates 3cc of the above solution. He takes care to avoid the highly vascular regions (to prevent bleeding). The seminal vesicles are also injected if there are signs of chronic infection.

I ended up doing 3 sessions of injections, and then we decided to stop, since my symptoms had not improved. In fact, for the day of, and the following day after each injection, the symptoms were exacerbated.

Dr. Toth was very reasonable, and did not promise a cure. I knew going in to this that there was a small chance of side effects, and a small chance for cure. At the very least however, I feel I can close that "CHAPTER" of my CP life and move on to trying other techniques, like pelvic muscle relaxation, etc.

Of note, there was another patient I met at Dr. Toth's office, and he was significantly improved after several injections. I guess, it all depends on the specific etiology of your particular case of CP.
Age: 34| Onset Age: 33| Symptoms: waxing and waning pelvic, perineal, and urethral pain, occasional urgency| Helped By: massage/distraction/exercise/sex | Worsened By: stress/sitting| Other comments: I am a physician trying to solve this problem in a systematic fashion
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by webslave »

Welcome. We have a few other physician members, the most active being Ralph.

Your experience of Toth seems to be par for the course. It's always the other patients who are cured/helped, with Toth.

We have a member called James-D who reported a cure via intraprostatic injections that included steroids. Unfortunately, it was not durable
viewtopic.php?p=41226#p41226

This whole approach smacks of treating the symptoms and not the cause.
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by snowbro »

Thanks. It is such a frustrating condition. I am going to be seeing a pelvic floor physiotherapist mid-January. Hopefully she has some ideas.

I am also going to be doing a caudal epidural block, recommended by chief of anesthesiology (pain specialist) at University of Miami. The theory is that sometimes the stimulus is gone, but the pain circuit continues. Calm the circuit and you can maybe put the bodys "harmonics" back into order, or so he says. If there is any soft tissue damage, that would be addressed with the pelvic physiotherapy.

Hope this works...
Age: 34| Onset Age: 33| Symptoms: waxing and waning pelvic, perineal, and urethral pain, occasional urgency| Helped By: massage/distraction/exercise/sex | Worsened By: stress/sitting| Other comments: I am a physician trying to solve this problem in a systematic fashion
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by webslave »

I am also going to be doing a caudal epidural block, recommended by chief of anesthesiology (pain specialist) at University of Miami. The theory is that sometimes the stimulus is gone, but the pain circuit continues. Calm the circuit and you can maybe put the bodys "harmonics" back into order, or so he says.
I have some sympathy with that idea. I've advocated for any measure that can calm the regional nerves and allow a 'reset' to occur.
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by changejobs »

Has anyone ever had success with Toth?
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by webslave »

Forget Toth, try Moldwin or better yet, Freedman.
http://pelvicology.com/
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M Friedman

Post by robertpagen »

Ms Friedman was a very nice woman. Quirky. But I just saw little to support the reputation which she has as having exceptional results in this area.

Generally I have found that good reputations can become self perpetuating, with comments in the third person like, I hear this person is excellent.

If you ask me the best practitioners in this area are the two women in San Francisco who used to work for Jerome Weiss. Brilliant minds the both of them. Their view of pelvic pain is much more nuanced and complexed than merely pushing on muscles.
Age: 43 | Onset Age: 17 | Symptoms: previously: constant urgency, premature ejaculation, burning at tip of penis, pelvic ache current: semi annual flares. | Helped By: PT, yoga, stretch, keeping warm(long johns) boxer briefs, regular sleep routine | Worsened By: cystoscopy, antibiotics (fluoroquinolones) alcohol, coffee, stress, masturbation, cold
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by emt4747 »

Snowbro did you ever follow up with the anesthesiologist - did it work?
Age 29 | onset 26 | Symptoms: right sided perineum, testicle, inner thigh, bilateral groin. Status- 40% better Treatment- quercetin, bee pollen | Helped By: baths, lying down, relaxing, the above treatments | Worsened By: stress, weight training, repeated ejaculation | Other comments: modern science is a disgrace- together we can defeat this. :-D
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Re: Injections

Post by David35 »

My experience with Toth was devastatingly negative. Prior to seeing Toth I had lost my libido and pleasurable sensation during ejaculation but had no performance issues, sexually. After seeing Toth I become totally impotent. He took no responsibility for the Erectile Dysfunction that I suffered after seeing him. I'm not exaggerating, I had zero erectile dysfunction before seeing him and after a series of injections with him I completely lost my ability to get an erection. It was the worst decision of my entire life and I would give anything to be able to go back in time and not have seen him. Also my libido and sexual pleasure did not improve at all. He did nothing but make my condition horribly worse. This was my sincere experience.
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by robertpagen »

I haven't seen Toth but his website is really substantive.
Age: 43 | Onset Age: 17 | Symptoms: previously: constant urgency, premature ejaculation, burning at tip of penis, pelvic ache current: semi annual flares. | Helped By: PT, yoga, stretch, keeping warm(long johns) boxer briefs, regular sleep routine | Worsened By: cystoscopy, antibiotics (fluoroquinolones) alcohol, coffee, stress, masturbation, cold
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Re: Attila Toth, NY, Obstetrician & Gynecologist

Post by webslave »

robertpagen wrote:I haven't seen Toth but his website is really substantive.
Surely you jest! His website is full of blatantly incorrect information. Example: "The majority of my patients come to me with the diagnosis of nonbacterial prostatitis. In our laboratory it is exceedingly rare to find negative EPS"

Routinely finding bacteria in chronic prostatitis / chronic pelvic pain syndrome patients is the gold standard of quackery, a hallmark of dishonesty and/or stupidity.

Here are some of his reviews:

D M.
New York, NY
1.0 star rating
11/7/2013

The other reviews are spot on. Spend a fortune, endure ridiculous pain and discomfort for weeks, and not only show 0 positive results - but took a huge leap backwards with respect to fertility. My wife hasn't been the same since and the treatment had serious detrimental effects on our fertility. And Yes, beware the phantom chlamydia findings. Yes, same experience here as the other reviewer. That's always an interesting conversation to have with your significant other. Never once had my wife or I been diagnosed but somehow Dr. Toth found some odd strain. Sort of makes you feel good that you may be on the road to recovery that you may have killed some bacteria, but if it doesn't really exist - its just a scam. Soaks you for your $, gives you a warm fuzzy, makes his procedure seem legit and you'd be missing out on life if you don't do it. Stay far far away!!
Iris K.
Los Angeles, CA

1.0 star rating
8/7/2009

I came to see Dr. Attila Toth after I had done an extensive research on the web. According to some reviews, he is a "king of antibiotics", "inventor of revolutionary approach to infertility treatment", and "an exceptional person." His services and test cost at least 20K for a couple.

I first set up the phone consultation. It costs 375$ for an hour. The conversation with Dr. Toth left me with a weird, better say, an unpleasant feeling. The guy sounded extremely arrogant and inconsiderate. He was talking without a break the whole hour, and when I tried to put a word, he said: "Your time is over, I have other things to do." This was it.

I decided to try again. This time I made an appointment in his office. I flew from Washington to NYC.

He looked and sounded wacky. Very bourgeois, self-obsessed, with terrible bedside manners, on the one hand. Very convincing and optimistic about outcome of the treatment, on the other hand. Most of the time during consultation he was asking senseless, unceremonious questions. Then he proposed to have culture study and a sonogram. I agreed. It cost me $ 1 815. In the end he said: "You should not be worried anymore. I'll take care of everything. I'll cure you." Well... I came back home very encouraged, and convinced my husband to have all tests as well. He did so. It cost him $ 1 815
($ 3 630 for both).

After 4 weeks of wait, we got an email from Dr. Toth with culture study results. He found chlamydia, which was never found before and after by other OBGYNs. The final words were: "My advice to both of you would be to contact your LOCAL gynecologist and urologist respectively and request proper therapy for this infectious condition." What???

I called back and asked whether he wants to work with us. I've already changed my plans for the next month so that to spend two weeks in NYC for treatment at Dr Toth office. It turned out that doctor had changed his mind afterward, and would NOT have us as patients.

My question to him was if he could recommend any other doctor who would work with his test results. The answer was "NO." He sounded very rude and annoyed.

As I said, no other doctor have found chlamydia afterwards. It means the following: (1) Dr. Toth, most probably, falsified results; (2) we wasted our money and time; (3) this guy prefers to deal with rich people, we didn't belong to his "target audience"; (4) he is is a dishonest, irresponsible and unreliable person.

CONCLUSION: IF AFTER ALL THIS YOU'LL DECIDE TO DEAL WITH DR. ATTILA TOTH, BLAME YOURSELF FOR CONSEQUENCES. OR BETTER - STAY AWAY FROM HIM!
Ira L.
Los Angeles, CA
1.0 star rating
8/7/2009

Toth is a nice old man, with a funny mustache and a bit of humor. He is also rude, condescending, unhelpful, extremely obnoxious and unapproachable. Especially after he asks what you do and learns you don't have all that much money. He then sends a nice letter saying that we have different "medical philosophy" and I better look for another (read: cheaper) doctor. Nice going. So, if you have a trust fund - he will be happy to have you share it with him. If you don't, this is a complete waste of time and resources - he just doesn't care for your kind...
Claudia D.
New York, NY
1.0 star rating
2/15/2011

Dr. Toth is a complete fraud.
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