Urology Specialists of Milford, LLC Blog

Posts for: July, 2020

July 23, 2020
Tags: Vasectomy  

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.

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.