Men’s Health

General Prostate Health

We highly recommend an annual rectal examination and PSA blood test for all men over the age of 45. Though prostate cancer is the second leading cause of cancer deaths in the U.S., an early diagnosis drastically improves your chances for successful treatment. Men with a family history of prostate cancer should begin their annual exams at the age of 40.

As a preventive measure,research indicates you should maintain a healthy, low-fat diet and consider adding foods and/or supplements containing lycopene, selenium, and vitamins D and E to your diet. You should continue to stay active as well and get plenty of exercise.
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BPH (Enlarged Prostate)

The Reality: An enlarged prostate. According to AFUD (American Foundation for Urological Disease), over 50% of men over the age of 60 have BPH. That percentage increases with age. It can be diagnosed with a simple digital rectal exam during your annual prostate screening. This condition doesn’t mean you have cancer (though some men have both cancer and BPH). In most cases, BPH does not effect sexual activity.

What are the symptoms? There are no symptoms with some men. Others experience discomfort and/or increased frequency of urination. If the condition becomes overly bothersome and/or uncontrollable, you should give us a call.

How do we treat it? We offer two minimally-invasive treatments on an outpatient basis in our office – Indigo Interstitial Laser Therapy and Coretherm Microwave Prostate Therapy (TUMT). In other situations, we may recommend non-surgical medications/procedures or surgical options depending on the specific diagnosis.

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Prostate Cancer

The Reality: One in five men over 60 will get prostate cancer. In the next 20 years, the number of men with prostate cancer will triple and the number of deaths will double. However, early diagnosis allows us to successfully treat the cancer while it is still confined to the prostate. If it’s not confined, we offer the most state-of-the-art surgical treatment options in northern Michigan.

What are the symptoms? In most men, there are no symptoms in the early stages of the disease. For others, the symptoms can include discomfort and/or urination control, blood in the urine, painful ejaculation, sudden loss of weight and/or appetite, or pain in the lower back, hip or upper thigh area. If you have any of these symptoms, it is probably wise to call us and schedule a thorough urological examination.

How do we treat it? Depending on the stage of the cancer, treatment options include hormonal therapy to reduce the level of testosterone or one of many different surgical techniques, some less invasive than others (nerve sparing retropubic prostatectomy and perineal prostatectomy, prostate brachytherapy).

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Incontinence

The Reality: The inability to hold your urine. 90% of all incontinence patients in the U.S. are cured or significantly improved. Sadly, only one in 12 suffering from incontinence seeks medical attention. We know why, and we want to help.

What are the symptoms? Poor bladder support, an overactive bladder, and a bladder that empties improperly are some of the physical explanations of this disorder. It can be caused by any number of factors including medicines you’re taking, infections you have, post-surgical conditions, physical blockage, and muscular weakness. It can effect you emotionally, psychologically and drastically restrict your social life. It effects men of all ages.

How do we treat it?: We begin with a private, confidential, and thorough physical examination and discussion with you in our office. After we get the results, we will discuss treatment options with you. Our recommendations may include muscular training, medication, dietary changes, collagen injections, biofeedback therapy, and surgery. We will give you the least invasive and best solution for your particular condition.

Please note: We have a full fiberoptic urodynamic lab in our office featuring cystometrics, uroflow, and pressure-flow studies.

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Kidney Stones

The Reality: Mineral deposits that build up in the kidney and ultimately block the ureter connecting the kidney to the bladder. Sometimes, by increasing liquid intake, they will naturally pass out with your urine. If not, give us a call for an immediate appointment.

How do we treat them? We offer two kinds of lithotrypsy (shock treatment) in our office, extracorporeal and electrohydraulic. We may recommend a metabolic assessment to see if we can prevent reoccurrence.

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Male Infertility

The Reality: Any condition that prohibits a male from producing or delivering properly-developed sperm to his female partner.

Infertility affects roughly 15% of all couples trying to have children. It is estimated that, half the time, it is due to a male-related reproductive condition. The most common causes of male infertility are inadequate sperm production and development.

What are the causes?: Vericose veins of the testicles are by far the most common cause of male infertility in the United States. Other causes, much more difficult to diagnose, include prior illnesses, hormonal deficiencies, previous surgeries, and previous trauma.

How do we treat it? We begin with a complete history and thorough physical examination. Frequently, our next step is to do an analysis of your semen. We encourage you to bring your female partner and to discuss your concerns and address your questions together.

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Other Urological Cancers

In addition to prostate cancer, we also treat these other forms of cancer in men: bladder, kidney, and testicular.

Bladder Cancer The Reality: 90% of bladder cancers are related to cigarette smoking.

What are the symptoms? If you’re fortunate, you will have blood in your urine as a warning. A small number of patients may have painful and/or increased frequency of urination.

Kidney Cancer The Reality: Kidney cancer accounts for 2% of all human cancers. If discovered early, survival rates range from 79-100% depending on the specific type.

What are the symptoms? You may experience pain in your side or abdomen, blood in your urine, or feel a distinct mass. You should give us a call if you do.

 

Testicular Cancer The Reality: A very uncommon form of cancer that mainly affects men between the ages of 20-34. 99% of the time it is curable if detected in the early stages. Men who have had an undescended testicle that was previously treated are at much higher risk of getting testicular cancer.

What you can do: Perform a regular self-exam while you’re in the shower (note: not more than once a month so you can detect subtle changes). Check for any noticeable changes in testicular shape or the presence of any distinctive lumps. Immediately contact us if you find anything irregular. For some reason, men tend to delay contacting a physician about a testicular problem. You can’t afford to wait.

Post-surgical concerns: Removal of a testicle does not reduce sexual potency.

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Sexual Health

The Reality: Impotence afflicts men of all ages and is far more common than you may think. According to American Foundation for Urological Disease, erectile dysfunction (ED) effects 20 million men in the U.S. Sad but true, less than 10% of those affected seek treatment. 95% of those who do seek medical treatment are successfully treated.

What are the symptoms? The inability to achieve or sustain an erection. You be the judge. If the condition is persistent, it’s time to call and make an appointment at our private, confidential clinic.

How do we treat it? This condition can be caused by physical, psychological, and/or emotional factors. The first step is for us to give you a comprehensive physical examination and to talk with you (and your sexual partner) candidly about your symptoms and medical history. Using the results of those tests, we will suggest treatment options. These include:

  • Hormone replacement therapy
  • Medical therapy
  • Injection therapy
  • Vacuum therapy
  • Surgical therapy

Please note: We have a full vascular erectile dysfunction lab in our office featuring Doppler penile vascular assessments, medicare-approved vacuum devices and a complete line of penile prosthetics.

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