Currently one of the most controversial diseases regarding the necessity to diagnose and treat. Establishing if the cancer is localized or advanced is paramount. Robotic Surgery, Radiation, HIFU, Cryotherapy, Hormonal therapy, and combinations of all of these options have curative results.
The most common presentation is passing blood in the urine. A majority of the time it is caught early on in the disease process. Treatment usually involves an endoscopic resection of the tumor. Occasionally, supplemental treatment by instilling medications into the bladder may be necessary. For invasive disease, surgery that preserves continence and normal anatomic function can be performed.
Although it can present with blood in the urine, many times it is picked up as an incidental finding during the evaluation for another problem. Advances in Laparoscopic Surgery have allowed the preservation of normal kidney tissue and excising only the diseased tissue thus reducing the risk of kidney failure.
More commonly seen in younger men and adult teens. Although removal of the testicle is standard treatment, normal erectile function and fertility can be maintained by the remaining solitary and healthy testis. The cure rate is very high even in advanced disease cases when further surgery, chemotherapy and/or radiation therapy may be required.
Involuntary loss of urine is upsetting whether it’s from exercise, activity, uncontrollable urgency, bedwetting or constant dripping. The feeling of social embarrassment takes hold. Treatment with behavioral therapy, exercise, medication or minimally invasive surgery can return a person to normal daily activity.
The inability to maintain and or obtain an erection can change the relationship of any couple, young or old, a relationship just beginning or long established. Men do not want to talk about it and their partners are afraid to bring it up. Treatment with oral medication, injections, surgery or mechanically assisted devices can all restore and support a healthy sexual relationship.
The crystallization and binding of metabolites in the urine can lead to painful stone disease. The sudden onset of pain from a kidney stone often necessitates a trip to the emergency room. Prevention through diet, medication and drinking fluids can avoid the agonizing pain that comes from a blocked kidney stone. Non-invasive shock wave lithotripsy or minimally invasive ureteroscopy can fragment and eliminate a kidney stone and rapidly return a person to normal activity.
Benign Prostatic Hyperplasia
The most common problem a man confronts as he gets older. Symptoms commonly include: getting up at night, going frequently during the day, a feeling of not emptying, increasing urinary urgency and a decrease in the force of the stream. Medication to help reduce the size of the prostate and minimally invasive laser and vaporization surgery have offered successful alternatives to the old traditional approaches and improve urinary control and function.
A male factor to a couples inability to achieve a pregnancy can be present over 1/3 of the time. A semen analysis is an easy first step and with new assisted reproductive techniques the success of fertilization is higher than ever before.
The cutting of the Vas Deferens, the tube that carries sperm cells, can be done painlessly in an office setting. The ability to ejaculate and have normal sexual relations is maintained while the worry and anxiety of an undesired pregnancy is eliminated.