Urology Specialists of Milford, LLC Blog

Posts for category: Urological Conditions

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.

It is inevitable that most men, especially as they age, will at some point experience some sort of urological problem. These complications could also be a result of certain conditions, injury, genetics, or even a birth defect. Urinary health is a vital component of a man’s healthcare. Urology focuses on the health of the urinary tract, which encompasses the kidney’s, bladder, urethra, and reproductive system, and is responsible for removing waste (urine) from the body.

Urologists have special training and knowledge of men’s health and what to do for the male urinary tract and reproductive system, should an issue arise. Many times, problems like urinary incontinence, infertility, and bladder infections (UTIs) are common problems that are often associated with women. However, this is not always the case, as men can be affected too. This can often cause embarrassment, and effect self-esteem, confidence, and quality of life. Therefore, when issues do arise, it is crucial that a man seek help from a urologist as early as possible, so further complications do not occur.

Here are a few of the most common urological conditions that affect men: 

  1. Enlarged Prostate (BPH): Having an enlarged prostate is one of the most common issues for men, especially older men. This condition is called Benign Prostatic Hyperplasia or BPH. BPH occurs when the prostate, a walnut shaped gland located between the bladder and urethra, becomes enlarged, making it hard to urinate. Some men experience a sensation that they need to urinate, but nothing comes out, due to swelling of the bladder and prostate. BPH can be dangerous if left untreated, with kidney problems and infections a distinct possibility. The urologist will test a man’s PSA level (Prostate-Specific Antigen, a protein produced by the prostate), and if levels are high, it can indicate a possible diagnosis of prostate cancer.
  2. Prostate Cancer: Prostate cancer happens to be the second leading cause of death for men. It occurs when cells in the prostate become cancerous and start to grow uncontrollably. All men need to have their PSA level checked annually as well as have a digital rectal exam. Depending on the man’s PSA levels, and severity of the cancer, treatment options will vary and may include chemotherapy and radiation.
  3. Erectile Dysfunction (ED): Erectile Dysfunction is a common condition that affects men, with 52 percent of men age 40 and up experiencing ED in the United States. ED occurs when a man is unable to get or maintain an erection for sexual intercourse. It’s not uncommon for a man to feel embarrassed or depressed in this situation, as sexual health is an extremely important part of an intimate relationship. If they feel like they are not providing or pulling their weight, it hurts their confidence and self-esteem. Fortunately, the urologist has many treatment options for erectile dysfunction, including medication, hormone replacement, surgery, etc. 
  4. Prostatitis or UTI: Men can get a urinary tract infection just like women can. If it burns when you pee, or the urine is cloudy, this can be a sign that bacteria are in your urinary tract and could result in a UTI. Generally, a UTI can be treated with antibiotics. Prostatitis is an infection in the prostate that is similar to a UTI, but can cause painful urination, abdominal pain, pelvic and lower back pain.
  5. Urinary Incontinence: Urinary incontinence is a more common condition for men as they get older. This occurs when muscles in the pelvic wall weaken, causing a person to lose control of their bladder, causing leaking, or someone to have to pee frequently.

Infertility: Infertility doesn’t only affect women. A man is the other part of the equation. 15 percent of couples are infertile, meaning after having sex for about a year, they are unable to conceive a child. Half of that percentage of couples contributes to the male side.  A urologist can help properly diagnose the cause of infertility and help create a treatment plan. Treatment for infertility depends on what is causing it, which could be hormone levels, mood, stress, low sperm count, etc.

To learn more about the common urological conditions that could affect men, and what treatment options are available, call Urology Specialists of Milford at (508) 473-6333, or request an appointment online. A Harvard trained and board-certified urologist, Dr. Steinberg has extensive knowledge of the many ways that men’s health can be affected. He will diagnose your condition, and find the safest, most effective treatment for each individual.