Urology Specialists of Milford, LLC Blog

Posts for category: Urological Conditions

By UROLOGY SPECIALISTS OF MILFORD, LLC
January 26, 2021
Tags: Nephrolithiasis  

Hint: it’s just a scientific way of saying that you have kidney stones!
 

Anyone who has ever had to deal with kidney stones knows pain! Unfortunately, about 1 in 11 people in the US will deal with nephrolithiasis during their lifetime. While this solid deposit made from salt and other minerals may pass through the urinary tract on its own, sometimes you’ll need to turn to our Milford, MA, urologist Dr. Jeffrey Steinberg right away for treatment.
 

How do I know that I’m dealing with kidney stones?
 

Some of the warning signs that you might have a kidney stone include,
 

  • Lower abdominal pain that may radiate to the groin
  • Severe pain in the back or sides
  • Pain that comes and goes
  • Burning or pain when urinating
  • Blood in the urine (this requires urgent medical attention)
  • Fever
  • Chills
  • Nausea and vomiting

The only way to truly know whether you’re dealing with nephrolithiasis is to have our urologists perform urine and imaging tests to detect stones.
 

What causes kidney stones?
 

Certain risk factors can leave you prone to dealing with kidney stones. Some of these risk factors include,
 

  • Being obese
  • Not drinking enough water
  • A family history of kidney stones
  • A high-protein diet, or a diet high in salt and sugar
  • Inflammatory bowel disease
  • Undergoing digestive surgery
  • Certain medical conditions such as hyperparathyroidism or recurring UTIs
  • Certain medications (e.g. laxative; calcium-based antacids)

How are kidney stones treated?
 

Like we said earlier, small stones may pass without needing to see a doctor. Make sure you are drinking enough water during this time. If you’re experiencing any pain or discomfort, an over-the-counter pain reliever can help.
 

However, larger stones may not be able to pass on their own. To prevent kidney damage or bleeding, you will want to turn to a urologist for treatment. One of the most common ways to treat kidney stones is with shockwave therapy, which breaks up the stones so they are easier to pass. If you are dealing with very large stones, surgery may be necessary.
 

If you are experiencing symptoms of nephrolithiasis here in Milford, MA, you must see a urologist as soon as possible. The team at Urology Specialists of Milford can provide you with the treatment and care you need when kidney stones occur. Call us today at (508) 473-6333.

By UROLOGY SPECIALISTS OF MILFORD, LLC
November 19, 2020
Tags: Kidney Stones  

How your urologist in Milford, MA, can help if you have kidney stones

Kidney stones can be excruciating. They can make it difficult to think about anything else. Fortunately, your urologist can help you get relief from kidney stone pain. Dr. Jeffrey Steinberg at Urology Specialists of Milford, in Milford, MA, offers comprehensive medical care for urological conditions, including treatment for kidney stones.

There are a few factors that can put you at greater risk of developing kidney stones. For example, men are much more likely to get kidney stones than women. Other risk factors include:

  • A history of previous kidney stones
  • A family history of kidney stones
  • Not staying hydrated by drinking enough water
  • Eating a high protein, high sodium, or high sugar diet
  • Being overweight or obese
  • Having had intestinal or gastric bypass surgery
  • Having cystic or polycystic kidney disease
  • Taking diuretics or calcium-based antacid medications
  • Having a condition causing swelling or irritation of your joints or bowel
  • Having a condition which causes high levels of cystine, uric acid, calcium, or oxalate in your urine

Kidney stones are small masses caused by minerals and other substances combining in your urine. Sometimes these small masses will pass out of your body through your urine stream without causing any signs or symptoms. Other times, a kidney stone may be large enough to stay in your body, causing noticeable signs and symptoms like these:

  • Blood in your urine or pain when you urinate
  • A feeling of needing to urinate frequently
  • Back, side, or abdominal pain
  • Vomiting, nausea, and a fever

If you have large, painful kidney stones, Dr. Steinberg can help. A very successful kidney stone treatment he may recommend is Extracorporeal Shock Wave Lithotripsy, also known as ESWL. The treatment works by using shock waves which break the kidney stone into smaller pieces, which then pass through your urine stream.

ESWL is non-invasive and has been proven safe and effective for the treatment of kidney stones. It is provided on an outpatient basis while you are sedated. The kidney stone pieces typically pass out of your body in a few weeks.

If you think you might have kidney stones, don’t wait! Talk with your urologist. Call Dr. Jeffrey Steinberg of Urology Specialists of Milford, in Milford, MA, at (508) 473-6333. Call now!

By UROLOGY SPECIALISTS OF MILFORD, LLC
July 23, 2020
Tags: Kidney Stones  

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
  • Fever
  • 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.

Risk factors

The National Kidney Foundation says that half a million Americans struggle with kidney stones each year. Risk factors may include:

  • Obesity
  • 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
  • Dehydration
  • 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.

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.

If it seems like you are losing interest in your partner – or your partner is losing interest in you – it might be low testosterone that’s to blame. In addition to a lowered sex drive and difficulty performing, other consequences of Low T include sleep problems, and a general lack of motivation or energy. All of these could be signs of low testosterone levels. Keep in mind that the normal range of testosterone levels for otherwise healthy men is 300-900 ng/dL (nanograms per deciliter).

Low testosterone levels, however, can indicate serious health issues beyond sexuality. Low T levels can affect a man’s overall health and has been linked to problems with diabetes, obesity, and osteoporosis. Recent studies cited by medical experts suggest that low testosterone has been linked to a lower life expectancy.

If you seek out a doctor for what you suspect could be signs of low testosterone, they might suggest lifestyle changes before deciding to prescribe medication or other options. This means getting regular exercise, eating well, trying to get enough sleep, and managing your stress in a healthy way. If these lifestyle adjustments yield no change in your testosterone levels, your doctor will want to confirm your Low T with a blood test.

Testosterone Replacement Therapy

Your doctor might suggest you try testosterone replacement therapy, otherwise known as TRT. Before deciding on TRT, it’s important to weigh the pros and cons, familiarize yourself with the risks of testosterone replacement therapy and how it can help with some symptoms of Low T.

Health experts agree that TRT was designed to elevate your low levels of testosterone, which should improve performance in the bedroom, but there are no guarantees that it will necessarily solve all issues that arise from Low T levels. A side effect of TRT includes an increased risk of blood clots and stroke.

How does TRT work? Testosterone replacement therapy can be applied to your body like a gel, but it is important that women and children do not come in contact with the application area for a few hours, as TRT contact can cause negative effects in women and children – such as hair growth and early puberty.

Talk to your doctor about TRT to learn if it could be an option for you. If you are experiencing the symptoms and see the signs of low testosterone levels, you don’t have to live with it forever; there are options to get you back to your old self. Call the medical experts at Urology Specialists of Milford at (508) 473-6333 or request an appointment online.