Urology Specialists of Milford, LLC Blog

Posts for category: Urologist

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.

July 12, 2019
Category: Urologist
Tags: Urologist   Urology   bladder   kidneys   penis   prostate   testes   ureters   urethra  

Urology is a specialty. A urologist specializes in treating issues of the urinary tract and also external reproduction organs. Urologists treat issues that affect kidneys, bladder, ureters, urethra, testes, penis and prostate.

Urology Specialists of Milford, LLC treats a wide range of urological disorders. A few follow below.

Urinary Tract Infections

Urinary tract infections can be a recurring problem for both men and women, though women are plagued with urinary tract infections 10 times more than men. UTI’s are an issue that affects the bladder and urethra in the lower tract and the kidneys and ureter in the upper tract. For women, lower tract infections may originate during sexual activity, when bacteria are carried to the urethra through the urinary tract. The proximity of the urethra and the genital area for men and women facilitate the occurrence.

Reducing the risk of an infection to the urinary tract is possible by taking a few precautions. 

  • When you feel the urge to urinate, don’t put it off. Urinate when needed. This is especially important following sexual intercourse. Urinating will assist in removing bacteria from the urinary tract. Women should remember to wipe from front to back to avoid transferring bacteria.
  • Reducing the number of sexual partners will also reduce the chance of chronic urinary tract infections and of course of sexually transmitted diseases, too. 
  • Before and after sex, partners should wash their hands. There are a proportion of bacteria located at the groin, rectum and anus areas. Transferring bacteria to the urethra can occur through touch.
  • If urinary tract infections commonly reoccur, then ask your physician about a preventative routine that could include antibiotics.  

Enlarged Prostate

A urologist treats an enlarged prostate, which is most common for men who are 40 years of age and older. When the prostate gland begins to grow larger it can be associated with the aging process. The natural process is called benign prostatic hyperplasia. However, if the prostate becomes abnormally large, it can be a signal that something is wrong, as it causes the urethra to become narrow and problems with urination can ensue. It is a health issue that is common in men that are 60 years of age and older. See a urologist if you have difficulty urinating or if dribbling occurs following urination. An enlarged prostate may also cause a man to leak urine or to have an increasing number of trips to the bathroom at night to urinate. Blood in the urine is also a symptom.

Kidney Stones

Mineral deposits that develop in the urinary tract are commonly known as kidney stones. The minerals gather and cluster together in urine. Smaller stones can be passed during urination, but larger stones may block urine since the deposits block a ureter coming from the kidney. 

A few symptoms of kidney stones include constantly feeling as if you have to urinate, an intense burning sensation during urination, blood passed through the urine and extreme pain in the area of the kidneys. A person with a kidney stone might also experience nausea and vomiting might follow. If symptoms continue to worsen, see a medical professional.

Infertility

A urologist will treat male infertility. The treatment is dependent upon what’s causing infertility. The specialist will conduct a health history and tests to make a diagnosis and to move forward with the case. There are three different types/categories of treatment: Non-surgical, surgical and treatments for unknown causes of male infertility.

Cancer

Dr. Jeffrey Steinberg of Urology Specialists of Milford, LLC is a leading expert in prostate cancer and also treats men with testicular cancer and kidney and bladder cancer in both men and women.

The second leading cause of cancer death for men is prostate cancer. The blood test for prostate cancer is simple, only taking 15 minutes to receive results. Make an appointment to check for prostate cancer, especially if you have a family history of the disease. In addition to checking for prostate cancer, Urology Specialists of Milford, LLC, will also treat kidney and bladder cancer. We also have a kidney stone center where we can evaluate and treat your condition.

The medical advances and options available today can make it very confusing to not only understand a health condition but to find the right specialist to treat it. In general, you want someone with whom you can build a rapport and feel comfortable with; someone who can answer any embarrassing questions you may have and provide the information and care you need.

Urologists are physicians and surgeons who are trained to address issues and illnesses of the “body’s plumbing,” or organ systems including the ureters (tubes connecting the kidneys to the bladder), and the urethra (the duct that drains urine from the bladder out of the body). Other common conditions they treat are sexual dysfunction, kidney stones, an overactive bladder, urinary tract infections, and even cancer.

Make sure you’re getting the help you need. Go to your first appointment with a urologist armed with a list of queries. And remember: there are no stupid, trivial or questions that are too gross.

Here are some potential questions you may want to ask a urologist:

1. What might be causing my symptoms?

If you have an inkling of what may causing your symptoms, be sure to tell the doctor. He or she may be able to rule out some of those suspicions. And if you’re provided the most common cause of your symptoms, but that doesn’t seem likely to you, be sure to follow-up with “What else might be causing my symptoms?”

2. Can you tell me specifically what my diagnosis is?

Ask for as specific a diagnosis as possible. What do you do next? Are there any choices? If further tests or treatment are needed, you should always ask why they are needed and what other alternatives exist.

3. Do I need to be screened for prostate cancer?

The American Urological Association recommends yearly screenings for men aged 50 - 75 years. This includes a prostate-specific antigen (PSA) blood screening and a digital rectal exam. Men with a family history of prostate cancer and African-American men are advised to begin screenings at age 40.

4. Why is my sexual drive lower than normal?

The doctor may conduct a morning test of your testosterone levels. If it is normal, most urologists do not recommend additional doses of testosterone. Erectile dysfunction at a young age (under 50) may be caused by past trauma, vascular problems or diseases like diabetes or hypertension.

5. Why do I feel the urge to urinate more frequently?

The urge to urinate usually begins to occur more frequently as men get older. Caffeine and alcohol can make the problem worse by preventing the kidneys from reabsorbing the water one needs to pee. 

6. Why does it take a long time to urinate? 

Many prostate-related urinary problems are the result of benign prostatic hyperplasia (BPH), or an enlarged prostate that is putting pressure on the urethra, reducing the flow of urine. Medications can help, but in severe cases invasive interventions may be needed.

7. Why do I have an unusual pain/discomfort/swelling/lump in my genital area?

Don’t be embarrassed about asking questions like these. They may be indications of a urological conditions that need to be treated. 

8. Is my semen normal? 

Normal semen is thick and white. The consistency might vary. Persistent blood in the semen is called hematospermia and may indicate a prostate issue. If your ejaculate is painful or has an odor, it may mean an infection.

9. Can a man break his penis?

A penile fracture occurs when the fibrous connective tissue around it “breaks” during intercourse. There’s usually a very loud, painful snap followed by detumescence (when the erection subsides). The result is bruising and swelling, and it is considered a surgical emergency.

10. What is your experience with this type of cancer?

If you have a confirmed diagnosis of prostate or testicular cancer you need to ask: What is your level of experience, and are you board certified in this particular area?

You need to have the best treatment for best outcomes, quality of life, and chance of survival. Make sure the urologist you choose is up-to-date on the latest technology and procedures.

After your visit, evaluate how it went. Did you like the way the urologist interacted with you? Did he or she seem knowledgeable and trustworthy? Do you want a second opinion? Does he or she understand and respect you?

To learn more about why you should visit your urologist, call Urology Specialists of Milford at (508) 473-6333 to request an appointment with board-certified urologist Dr. Jeffrey Steinberg.

The medical field of urology focuses on caring for the health of the urinary system, meaning the kidneys, ureters, bladder, urethra, the prostate gland, and your reproductive health. In other words, urologists can diagnose, treat, and monitor disorders of the urinary tract and the external genital organs. Urological concerns can include the kidney, ureter, urethra, bladder, reproduction problems and prostate issues.

Going to the doctor is not something that people like to do. Research shows that men in particular are often the ones who refuse to go to the doctor as much as they should. This seems to be true, especially when needing to see a urologist. Men are often embarrassed about having to see a urologist for problems such as erectile dysfunction (ED), but there are conditions and other problems that should not be ignored. Whatever you do, don’t put yourself further at risk by ignoring your symptoms.

Just because you think nothing could happen to you, it certainly can. While there is no recommended age for a urologist visit, as men get older there are certain things that should be screened for. And if you are experiencing some of the more obvious urological concerns you should make an appointment right away. Early diagnosis and treatment can make all the difference. Here are several of the more common situations that should warrant a visit to the urologist: 

  1. Blood in Urine: Having blood in your urine is abnormal, and this often indicates that something is seriously wrong. This could be a condition called hematuria, which occurs when your kidneys or other parts of your urinary tract allow blood cells to leak into urine. Urinary tract infections or other conditions can arise as a result if left untreated.
  2. Erectile dysfunction (ED): Erectile dysfunction (ED) is when a man has trouble getting or maintaining an erection for or during sexual intercourse, which could be caused due to a variety of factors, including hormones, low libido, stress, mood, etc. Sexual satisfaction is known to be an important part of overall relationship satisfaction, and therefore men who have these conditions are embarrassed because they can’t perform. A urologist can help evaluate your symptoms and give you the right form of treatment. While it does seem like a personal matter, it is one of the many sensitive subjects that your urologist is trained to help you with. They will not judge, they will only help you solve your ED so that you can get back to regular life.
  3. Male infertility: Male infertility is rare, but still accounts for 25 percent of infertility issues. Male infertility, such as low sperm count, can also be a sign of testicular cancer and should be seen by a urologist, as this can affect you and your partner’s chance of having children.
  4. Elevated PSA levels: Your Prostate Specific Antigen (PSA) levels are used to detect early prostate cancer. While a change or higher level of PSA in the blood is not entirely indicative of prostate cancer, a urologist can determine the cause.
  5. Urinary Incontinence: Urinary incontinence is the loss of bladder control. It is very common and your urologist can help treat it.
  6. Testicular Pain: Pain in the testicles can be a sign of testicular cancer. If you see an abnormal lump, get it checked by your urologist immediately.
  7. Urinary Tract Infections (UTI): Urinary tract infections commonly affect women, but can also happen to men. Men are more prone to UTIs if they are also experiencing urinary incontinence. This is an infection in any part of the urinary system, meaning the bladder, kidneys, or urethra.
  8. Difficulty Urinating: Not being able to pee can be frustrating and cause discomfort. This is typically a sign of an enlarged prostate, and your urologist can prescribe medication to shrink the prostate, relieving the bladder and allowing you to urinate.
  9. Painful Urination: Having pain when you pee is an awful feeling. This could be a sign of bacteria being in your urinary tract, or there could be a blockage such as with a kidney stone. Your urologist can target the cause of the infection and administer the correct form of treatment.
  10. Kidney Problems: Kidney problems can be painful, and one of the most common is kidney stones. Kidney stones are stones that form in the urinary tract, and causes severe pain in the lower stomach, back, groin or testicles. Left untreated, stones can cause many problems for the kidneys and if severe enough, could cause permanent, lasting damage. Staying hydrated, by increasing the amount of water you drink could help reduce the occurrence of kidney stones. 

To learn more about reasons to visit your urologist, call Urology Specialists of Milford at (508) 473-6333 to request an appointment with board-certified urologist Dr. Steinberg.