Urology Specialists of Milford, LLC Blog
By UROLOGY SPECIALISTS OF MILFORD, LLC
March 26, 2020
Tags: Prostate Cancer  

Are you a man approaching age 50? Know that your doctor will want you to begin routine prostate cancer screening. At Urology Specialists of Milford, board-certified urologist, Dr. Jeffrey Steinberg, checks numerous Milford, MA, male patients for signs of prostate cancer and also provides innovative diagnostic testing and treatment.

What is the prostate?

It's the walnut-sized organ surrounding the urethra in the male urinary tract. Responsible for semen production, the prostate tends to enlarge with middle-age. This condition is called Benign Prostatic Hypertrophy, or BPH.

BPH is not prostate cancer. However, the incidence of malignancy in the prostate increases coincidentally in older men with enlarged prostates.

What is prostate cancer?

The prostate is a site for malignancy within the capsule of the organ itself. Unfortunately, the cancer can spread—albeit slowly—outside the prostate to other areas of the body.

The Centers for Disease Control (CDC) says that 13 percent of American men will receive a prostate cancer diagnosis in their lifetimes. Two to three percent of that number will die from this cancer. That's why routine screening is so important.

Diagnosis of prostate cancer

To screen for prostate cancer, your Milford urologist uses two tests. One is the digital rectal exam, or DRE, a quick palpation of the prostate through the rectum. Additionally, Dr. Steinberg uses the Prostate Specific Antigen test, or PSA, a simple blood test that detects the markers for prostate cancer.

Risk factors

Age is the biggest risk, along with ethnicity. The CDC states that African-American men are more prone to develop this cancer. Additionally, smoking, diet, and heredity factor into the diagnosis.

Symptoms

Symptoms vary widely. In fact, many men exhibit no symptoms. However, you should inform your urologist if you display the following:

  • Weak or interrupted urine flow
  • Painful ejaculation
  • Blood in urine or semen
  • Frequent urination at night
  • Urine retention after voiding

Treating prostate cancer

Dr. Jeffrey Steinberg is a prostate cancer expert, making available the latest in treatment techniques. To refine your diagnosis and your treatment plan, Dr. Steinberg may use:

  • A complete medical history and physical exam
  • A 4K score, a blood test which predicts future spread of the disease after treatment and a negative biopsy
  • Prostate MRI (magnetic resonance imaging)
  • Transrectal ultrasound biopsy
  • Genetic marker testing after a positive biopsy

You can conquer prostate cancer

Urology Specialists of Milford will partner with you in overcoming this disease. If it's time for your routine screening, or you have a concern about your urinary tract health, please contact your Milford, MA, urologist, Dr. Jeffrey Steinberg, for an appointment. Phone (508) 473-6333 today.

By UROLOGY SPECIALISTS OF MILFORD, LLC
February 20, 2020
Category: Kidney Stones

How your urologist in Milford, MA, can relive your kidney stone pain

If you’ve ever had a kidney stone, you know how excruciating they can be. Fortunately, Dr. Jeffrey Sternberg, your urologist at Urology Specialists of Milford in Milford, MA, offers a few kidney stone treatments to help you feel better.

More about Kidney Stones

You may have a kidney stone if you experience:

  • Blood in your urine
  • Pain when you urinate
  • A feeling of having to urinate often
  • Pain on your side or back
  • Pain in your abdomen
  • Fever, nausea, and vomiting

A kidney stone forms when minerals and other materials in your urine bind together to form a small mass. If you are lucky enough to have a small kidney stone, sometimes it will leave your body through your urine without causing any pain or problems.

Unfortunately, some kidney stones are large and very painful. In these cases, it’s best to visit your urologist for treatment. At our Milford office, we may recommend:

  • Extracorporeal Shock Wave Lithotripsy, also known as ESWL: This treatment uses shock waves to break the kidney stone into small pieces that can easily pass out of your body. Performed on an outpatient basis and under IV sedation, ESWL is non-invasive, safe, and effectiveyou will need to bring someone with you to drive you home. After the procedure, the small pieces of kidney stone typically pass in your urine within a few weeks.
  • Ureteroscopy and Laser Lithotripsy: this treatment uses a ureteroscope, a thin instrument inserted into the urethra which allows the doctor to see the stones. The scope is inserted in the bladder and up into the urethra. Once the stone is found, it is broken up into smaller pieces which can be passed through the urine. No incisions or surgery are necessary.

Need Relief From Kidney Stone Pain? Give Us a Call

To find out more about ESWL and other treatments for kidney stones, talk with an expert. Call Dr. Jeffrey Sternberg of Urology Specialists of Milford, in Milford, MA, today.

As they age, men run the very common risk of having an enlarged prostate, also known as Benign Prostate Hyperplasia or BPH. While most men will experience some sort of prostate issue during his life, the good news is that an enlarged prostate does not always indicate a more serious condition such as cancer. However, an enlarged prostate does bring with it its own set of inconveniences and problems. If you are experiencing any of the following signs, changes are you may have an enlarged prostate and should seek treatment as soon as you can before matters become worse.

Nocturia: midnight bathroom runs.

It starts innocently enough, with a few midnight trips to the bathroom. But over time, the trips become more frequent, making long car rides or meetings at work difficult to bear without removing oneself to void.

Difficulty urinating.

When the prostate gland, which surrounds the urethra, enlarges, it can shut off the ability to urinate, making urination difficult and sometimes painful. Urinary hesitancy occurs when the stream starts slowly until it becomes consistent. At times, there is a sensation of wanting to urinate, but with moot results. Weak flow is also a symptom of an enlarged prostate.

Frequent urinary tract infections.

When the bladder doesn’t fully void, there runs a risk of developing chronic urinary tract infections. While more common in women, UTIs are do occur in men with enlarged prostate; that’s because bacteria can build up over time if it is not carried away through urination. Any sort of burning sensation, chills, or cloudy urine may be signs of a urinary tract infection and, thus, an enlarged prostate.

Blood in Urine

An enlarged prostate may also present as blood in the urine; this may mean that there are other complications involved, such as an infection or possibly cancer.

Treatment

Treating BPH depends on the extent of one’s symptoms, the size of the prostate, the age of the patient and the amount of discomfort caused by the prostate’s enlargement. After confirming your condition with a series of tests, your urologist may choose a more conservative measure of treatment, such as medication; or surgical treatment if your symptoms are more advanced

Your Urologist in Milford

If you have any of the above symptoms of an enlarged prostate or are experiencing any other urological concerns, contact the Urology Specialists of Milford by calling (508) 473-6333, or request an appointment online. Don’t suffer in silence, an enlarged prostate is extremely common and fairly simple to treat, as long as you are willing to get checked. Trust your prostate health to the best – call us today.

Kidney stones form when urine is concentrated, and the minerals crystallize and stick together. Passing the stones can be extremely painful, and the pain is worse the larger they are.

Normally, drinking a lot of water can help flush out the stones before they get to be too large to pass through the ureter. If you have abdominal pain and you’re wondering whether it may be a kidney stone, let’s talk about what the symptoms are and what can be done about them:

Symptoms of a Kidney Stone

If you have a kidney stone, you will experience one or more of the following:

  1. The increased need to urinate
  2. Severe pain that radiates to the lower abdomen and groin from the sides and back, below the ribs
  3. Pain in the abdomen that comes in waves and changes in intensity
  4. Painful urination
  5. Discolored urine that is cloudy, pink, reddish, or brown, and has a foul odor
  6. Nausea and vomiting
  7. Fever and chills
  8. Only urinating in small amounts
  9. Pain that feels like it’s moving around

See a doctor right away if you are experiencing any of these symptoms listed above. Do not attempt to self-treat it, because the stone could become larger and more difficult to pass through your system.

What Causes Kidney Stones?

There are actually several different types of kidney stones that form due to a number of different reasons, including the following:

  • Calcium stones form when you have too much calcium, phosphate, vitamin D, and other substances in your system, and too little liquid to flush them out.
  • Struvite stones form in response to a urinary tract infection or other types of infection.
  • Cystine stones are caused by a disorder that causes the kidneys to excrete too much of a certain type of amino acid (cystinuria).
  • Uric acid stones form if you don’t drink enough fluids or you eat a diet that is very high in protein.

To prevent these stones from recurring, drink lots of water to ensure a high-enough urine output to flush any potential small stones. Certain foods may be contributing to the formation of stones, such as salts, animal proteins, and oxalate-rich foods like chocolate, soy, nuts, tea, and certain vegetables.

If you have had a kidney stone, stay away from calcium supplements. Calcium is OK in your food, but you do not need it in concentrated supplemental form.

How Are Kidney Stones Treated?

Kidney stones that cause problems may require medical intervention. Depending on the size and location of the stones, the doctor may recommend extracorporeal shock wave lithotripsy (ESWL). This procedure uses sound waves that are targeted at the stones to break them up into smaller pieces, so they can be passed in less than an hour.

If the stone is small but is stuck either in the ureter or the kidney, the doctor may go in through the urethra and bladder. Once the stone is located, the doctor will use a thin lighted ureteroscope with a camera and special tools to either break it apart or to extract it.

Urologists in Massachusetts

If you think you might have a kidney stone and are in the Milford area, contact us right away at Urology Specialists of Milford.

Call us at (508) 473-6333 or request an appointment online now, and let us give you an evaluation and proper treatment so you can start feeling better again.

The symptoms of an enlarged prostate can become a problem for men as they age. You may have been the kind of person who never suffered from an overactive bladder when, all of a sudden, it seems like you are waking up to use the restroom every night. This increased frequency of nighttime urination (nocturia) can be one of the first signs of an enlarged prostate.

Nearly 50 percent of all men suffer from an enlarged prostate by the age of 60, according to the American Urological Association.

The telltale signs of an enlarged prostate, or benign prostatic hyperplasia (BPH), include having difficulty emptying your bladder, having to urinate frequently or feeling like you need to urinate and not being able to. Symptoms like these, unfortunately, can start slowly before they begin to affect your daily life. Most men experience symptoms when the enlarged prostate blocks the free flow of urine from your bladder through your urethra. 

Not only is an enlarged prostate uncomfortable, but it can also be painful, frustrating, and put you at risk for other health issues. If you aren’t able to fully empty your bladder, you have a higher risk of developing a urinary tract infection (UTI), bladder stones, or having blood in the urine. 

Although an enlarged prostate may seem like an embarrassing problem, it’s actually incredibly common. Thankfully, there are plenty of remedies that can help relieve the symptoms of an enlarged prostate, including: 

Alpha Blockers

While alpha blocker medications do not actually reduce the size of an enlarged prostate, they do help to relax your muscles. So, while your prostate may still be causing a urinary tract blockage, relaxed muscles around the bladder allows you to urinate more easily without pain, strain, or frustration.

Noninvasive Therapy

Transurethral microwave thermotherapy (TUMT), is a type of treatment that uses a microwave of sorts to heat and destroy prostate tissue that is blocking urine flow. Considered a minimally invasive treatment, TUMT involves inserting a narrow antenna through the penis tip to the location of the urethra blockage. This type of treatment can help reduce urinary frequency and urgency, and make it easier for you to empty your bladder. 

Surgical Procedures 

There are plenty of options to relieve the symptoms of an enlarged prostate if you are open to a more invasive approach. 

Your doctor can insert a stent, or small metal coil, in your urethra in order to widen it and keep it open. This is usually performed as an outpatient procedure.

A transurethral incision of the prostate (TUIP) involves making one or two small incisions to open the urinary channel.

One of the most common types of surgery for an enlarged prostate is a transurethral resection of the prostate (TURP), which surgically removes the overgrown prostate tissue. 

Prostate laser surgery uses concentrated light energy to destroy prostate tissue. The advantages of this type of laser surgery include less bleeding, a less invasive procedure and faster recovery. 

To learn more about benign prostatic hyperplasia (BPH), contact the Urology Specialists of Milford. Dr. Jeffrey Steinberg, a board-certified and highly experienced urologist, specializes in urological disorders, especially prostate enlargement and its symptoms. To schedule your consultation, call us at (508) 473-6333 or use our convenient appointment request form.





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