Vasectomy offers a permanent way to prevent pregnancy. The minor surgical procedure may be a good choice if you're happy with the current size of your family or know that you never want to have children. Your urologist in Milford, MA, Dr. Jeffrey Steinberg of Urology Specialists of Milford, can help you decide if a vasectomy is the right choice for you.
How does a vasectomy prevent pregnancy?
A vasectomy prevents sperm from being ejaculated, or released, through your penis. You'll still produce semen, the white fluid that transports the sperm, but it will no longer contain sperm.
Two types of vasectomy procedures prevent sperm from being ejaculated. During a conventional vasectomy, your urologist makes one or two small cuts in the skin of your scrotum, the sac that holds your testicles. He cuts the vas deferens, the small tube that carries the sperm from the testicle. The cut ends of the vas deferens are tied or closed with heat. The procedure is then performed on the other vas deferens.
The size of the cut is much smaller with a no-scalpel vasectomy. Your urologist uses a microblade to make a tiny hole in your scrotum, then lifts your vas deferens through the hole to cut and seal it.
Where are vasectomies performed?
Most vasectomies are performed in the Milford urology office using local anesthetic. You may notice a little tugging when your doctor cuts the vas deferens, but you won't feel any pain. Before the procedure begins, your scrotum will be shaved. Depending on the procedure used, you may have a few stitches that will dissolve on their own in a few weeks.
Using an ice pack for the first 24 hours after surgery will help control pain and swelling. Mild pain or discomfort that may occur for a few days can be controlled with over-the-counter pain medication.
When can I have sex again?
You'll be able to have sex about a week after your procedure. Keep in mind that you or your partner will need to use birth control until there is no sperm remaining in your semen. In most cases, it will take about three months for this to happen.
Are you considering having a vasectomy? Call your Milford, MA, urologist, Dr. Jeffrey Steinberg of Urology Specialists of Milford, at (508) 473-6333 to schedule an appointment.
Kidney stones are a common urinary tract problem. Characterized by intense flank pain, these salt and mineral combos block ureters, cause infection and really make you sick. At Urology Specialists of Milford, Dr. Jeffrey Steinberg sees many Milford, MA, area patients suffering with renal calculi. He helps them, and he can help you, too.
How kidney stones form
These little rocks occupy the interior of the kidney or the ureter, the narrow-diameter tube between the kidney and bladder. Either situation is extremely uncomfortable with pain in the flank and/or groin. These calcium oxalate stones (the most frequent chemical composition) also cause:
- Pain on urination
- Bloody urine
- Nausea and vomiting
- Urinary urgency
If the stones are small enough, the person may pass them with sufficient water intake. Larger stones may lodge in the kidney or ureter, causing the characteristically excruciating pain.
The National Kidney Foundation says that half a million Americans struggle with kidney stones each year. Risk factors may include:
- Diets rich in calcium and oxalates (found in nuts, chocolate, pickles and high fructose corn syrup)
- Sedentary lifestyle
- Inflammatory Bowel Disease or Crohn's Disease
- A first degree relative (parent, sibling) with a history of kidney stones
Treating kidney stones
When you visit Urology Specialists of Milford, your urologist will review your symptoms, ask for a urine sample (including a 24-hour urine), order blood work and X-rays, a CT scan or a specialized Intravenous Pyelogram with contrast. With the information garnered, he can set you on a path to wellness with dietary changes, weight management, pain relief and stone removal.
Extracorporeal shock wave therapy, or lithotripsy, is a common and highly effective treatment. While under sedation, the patient receives sound waves that break up the stone into tiny pieces that easily pass through the urethra.
Another treatment is ureteroscopy. Dr. Steinberg uses a thin, lighted scope inserted through the ureter. It has a tiny metal snare that grabs and extracts the stone. Sometimes, a temporary stent keeps the ureter open for a period of time post-operatively.
Preventing kidney stones
Prevention truly is the best medicine. To stop kidney stone formation, stay well-hydrated, lose weight, be physically active and limit salt, calcium- and oxalate-rich foods and animal protein. Ask Dr. Steinberg for recommendations pertinent to your particular type of kidney stones.
Find out more
Optimize your urinary health by seeing Dr. Jeffrey Steinberg of Urology Specialists of Milford at the first sign of a kidney stone. This urologist offers a full range of genito-urinary services. Call us at (508) 473-6333.
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.
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 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.
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.
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.
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.
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