Urology Specialists of Milford, LLC Blog

Posts for tag: Urology

If you notice a significant curve to your penis, especially with an erection, you may have Peyronie’s disease, indicating that years of trauma may be catching up with you.

Peyronie’s disease is caused by the development of scar tissue inside the penis. The condition can cause painful erections, erectile dysfunction, and cause the penis to significantly curve. This doesn’t necessarily mean that every penis that curves is the reason to see a doctor, but any trauma to the penis should be a cause for concern.

Symptoms of Peyronie’s disease may appear suddenly or occur gradually over time, as scar tissue builds up due to trauma to the penis. This trauma can be the result of injury during sex, contact sports, or accidents.

In a penis unaffected by Peyronie’s, increased blood flow stiffens the penis, causing an erection. However, a penis affected by Peyronie’s will curve significantly due to the disorganized manner of scar formation under the skin of the penis, making it difficult and painful to achieve an erection. 

When do you know if you need to seek out medical treatment? Doctors say that the condition is officially a cause for concern if it is hindering your ability to achieve an erection and have sex without pain. While you may be able to live with the condition if its progression has stabilized, it will likely only get worse.

How do you know it is Peyronie’s disease and not just a normal curvature of the penis? For one, you should be able to feel with your fingertips the scar tissue under the skin of the penis. If it is something you have not felt there in the past, then that could be a sign the condition is progressing. The most telltale sign of Peyronie’s disease is the indicative bend to the penis during erection.   

Another sign of Peyronie’s is having issues experiencing an erection or maintaining it. Again, if this is a common occurrence for you and you are not experiencing any other symptoms of the disease, this is not a reason to panic. It is really the combination of penis curving during erection, with or without pain, that most easily points to it being Peyronie’s disease. But you should definitely seek out a medical professional’s opinion before attempting to diagnose yourself. 

If you suspect you might be suffering from Peyronie’s disease, speak to a medical professional as soon as possible. Call Urology Specialists of Milford at (508) 473-6333 or schedule your appointment now.

Most people are familiar with the primary duty of the bladder. Your bladder’s main job is to hold the urine that your kidneys produce until you are ready to go to the bathroom to release it. Some people claim to have tiny ones to justify frequent bathroom trips, but that’s usually not a sign of something serious or more concerning – such as bladder cancer.

Bladder cancer can develop for some people when the cell growth within your bladder grows out of control. Once a tumor grows from that cell growth, it can spread to other areas of your body, like the lymph nodes or your liver.

If you suspect that you may have bladder cancer or could be at risk, keep in mind that the most common symptom of the disease is blood in urine, not just frequent bathroom trips. The disease itself is also incredibly rare, making up only about 5% of new cancer cases. Your risks of getting bladder cancer, however, may go up if you have a past history of smoking, a history of bladder infections, or are taking certain medications for diabetes.

Seek out a medical professional if you suspect that you could be at risk, or just for a precautionary screening of your bladder. First, your doctor would likely ask about your family history, as the cause for bladder cancer is mostly unknown and genetics is the likely cause in most cases. Has someone in your family suffered from bladder cancer or cancer of the urinary tract? That could be a red flag that doctors look for.

Your doctor will also order several tests, ranging from a DRE (digital rectal exam) to a urinalysis, a test to analyze your urine for any substances, blood, or other signs of trouble. These exams are all considered non-invasive, which are ideal routes your doctor will take before deciding to continue with more invasive exams. Imaging tests like MRIs or CT scans can also be ordered so that your doctor can get a clearer picture of your bladder’s health.

Depending on the results of imaging and other testing, your doctor will provide a diagnosis and more information on whether the disease has progressed into a specific stage or not. Bladder cancer is usually classified into different stages, known as TNM: T for the tumor stage, N for the lymph nodes stage, and M for metastasized, when the disease has spread to other organs.

It will also be classified by numbers how much the disease has progressed, as is traditionally done with any other cancer diagnosis. Stage 1 indicates that the bladder cancer is still within the cell wall. Stage 2 indicates bladder cancer that has now grown through the tissue and into your muscle. Stage 3 indicates the invasion of your nearby fat cells and may have spread to nearby organs like the vagina, prostate, or uterus. Stage 4 indicates that the cancer has spread to multiple organs and may or may not have already infiltrated the lymph nodes.

Depending on your prognosis, your doctor will decide the best course of treatment. Your bladder cancer might be treatable with surgery or a cystectomy, which is when they remove a part or your entire bladder. If the disease has progressed further, radiation or chemotherapy will be recommended.

If you suspect you might have bladder cancer or notice blood in your urine, speak to a medical professional as soon as possible. Call Urology Specialists of Milford at (508) 473-6333 or request an appointment online.

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.

Urinary Tract Infections (UTI) occur when bacteria or, less commonly, viruses or fungi enter the urinary tract. Most exit the body in the urine, but if any remain, they can be a source of infection.

Kidneys, ureters, the bladder, and urethra are all part of the urinary tract.  A UTI can happen at any point along this path, though it is most common in the lower tract – the bladder and urethra that respectively hold and eliminate urine from the body.  This infection is known as cystitis.

Generally, when one hears about UTIs, it has to do with women.  But UTIs are not only for women.  Basically, if you have a urinary tract (which you do!) you too can get a UTI.

UTIs in Women

Women are always at high risk of getting a UTI, and for many women the condition becomes chronic.  In fact, about half of all women will get a UTI in their lifetime, with one in five contracting a second one.

One reason why women are at greater risk is because their urethra and anus are very close together.  Believe it or not, simple things like wiping front to back after going to the bathroom can keep bacteria and other havoc-starters at bay. 

Genetics can also play a role:  for example, some women may have structural abnormalities in their urinary tract. Menopause causes changes in the protective vaginal flora, as does dehydration.

Sexually active women must stay vigilant with regard to UTIs, and the risk rises with the frequency of sexual activity:  bacteria flourish with improper use of diaphragms; spermicidal products can trigger genital inflammation; and douching, deodorants and feminine hygiene products may invite invasion by bacteria.

Diabetes compromises the immune system as well and may make the patient vulnerable to UTIs.  Other conditions posing risk include pregnancy, kidney stones, spinal injuries, stroke and multiple sclerosis.

UTIs in Men

Although rare, the risk of UTIs in males increases with age.  UTIs are most common in men over 50 years.

In men, a UTI is often related to an underlying medical condition, such as an enlarged prostate or kidney stones that obstruct urine flow and allow bacteria to fester in the bladder.  Diabetes and other health conditions may further weaken the immune system.  A bladder catheter insertion can pave the way for infectious bacteria.  An uncircumcised penis may harbor harmful bacteria under the foreskin.

Symptoms of UTI in men are generally the same. But one symptom is specific - fluid seepage from the penis.  This would need an immediate medical diagnosis.

UTIs in Children

By the time they are 11 years, about 1% of boys and 3% of girls will have developed a UTI.  The most common symptom is a fever.

If a child does not urinate often, later their muscles may not relax enough to empty their bladder and flush away bacteria in the urine.  Some children may have a structural abnormality that impedes urine flow or lets it reverse from the bladder to the kidneys.  This will cause chronic kidney infections and damage.

Potty training can also lead to UTIs, especially in girls but also in uncircumcised boys.  Again, wiping from back to front after urinating or having a bowel movement, instead of the opposite, is a common cause, and dirty diapers or not cleaning a child properly while diapering can also raise the risk of UTIs.

Symptoms among children are the same as in adults.

UTIs in Infants

Infants cannot verbalize their discomfort.  The only way is to know if they have a UTI is to analyze their symptoms, then report your findings to your pediatrician:

  • Unexplained fever.
  • Strange-smelling urine.
  • Poor appetite, slow weight gain or vomiting.
  • Fussy, irritable behavior.
  • Vomiting or diarrhea.

A suspected UTI in an infant must be seen to immediately to prevent deterioration and kidney damage.

UTIs in the Elderly

UTIs are among the most common infections in the elderly, but their symptoms are often vague and non-specific.

Fatigue, agitation, incontinence or delirium, along with other behavioral changes, may be the only sign of a UTI in this demographic, both for male and female.  The elderly are also more likely to develop serious complications from UTIs.

If you are experiencing any of the following symptoms, you may have a UTI.

  • Burning, pain (dysuria) sensation, as well as a repeated, strong urge to urinate (especially at night).
  • Pain or pressure in pelvis, lower abdomen or back
  • Cloudy, dark or odorous urine.
  • Fatigue and trembling.
  • Fever, chills, nausea or vomiting (especially if the infection reaches the kidneys).

Dr. Jeffrey Steinberg can expertly evaluate and treat UTIs and help prevent them from recurring. To find out more, call Urology Specialists of Milford at (508) 473-6333 to request an appointment.