Common Questions and Answers
What is a kidney stone?
What are treatment options for prostate cancer?
Kidneys are fist-sized organs located in the back of the body that remove waste products from the blood. These waste products mix with water and leave the body as urine. A kidney stone occurs when there is an accumulation of mineral waste products (usually calcium and oxalate) which form a stone. Most stones are under five millimeters in width and pass in a few days.
What is prostate cancer?
Prostate cancer is common, and autopsy studies have shown that about 30% of men over age 50, and 80% over 80 have prostate cancer. Fortunately, most prostate cancers are slow growing. In fact, if the tumor is classified as “low risk” there are recent studies that show that the vast majority of men >65 who undergo treatment will not live any longer. On the other hand, about 1 in 34 men in the US will die from prostate cancer. Thus, men with a new diagnosis of prostate cancer face a difficult question: Is my cancer potentially life threatening or can I leave it alone and watch it, at least for now?
What is overactive bladder (OAB)?
- Heat Treatments
By definition, OAB is urgency (the sudden desire to void), with or without urge incontinence (leakage) and usually with frequency (voiding >7 times in 24 hrs) and nocturia (getting up to void at night). It can only be diagnosed if there are no infections or other problems - for example a bladder tumor or prostate problem.
How is OAB treated?
Initially behavioral adaptations are done, including fluid restriction, intentional increase in frequency of voiding, wearing pads and even restriction of social activities. There are medications that can help, and newer formulations are more potent, better tolerated with just once a day dosing. These medications, known in general as anticholinergics, can cause a dry mouth or constipation but are generally considered quite safe. They should be used with caution in patients with a rare type of glaucoma.
What is a vasectomy?
A vasectomy is considered a permanent method of birth control. A vasectomy prevents the release of sperm when a man ejaculates. During a vasectomy, the vas deferens from each testicle is clamped, cut, or otherwise sealed. This prevents sperm from mixing with the semen that is ejaculated. An egg cannot be fertilized when there are no sperm in the semen. The testicles continue to produce sperm, but the sperm are reabsorbed by the body. Because the tubes are blocked before the seminal vesicles and prostate, you still ejaculate nearly same amount of fluid.
What is No-scalpel vasectomy?
It is a technique that uses a small clamp with pointed ends. Instead of using a scalpel to cut the skin, the clamp is poked through the anesthetized skin of the scrotum and then opened. The benefits of this procedure include less bleeding, a smaller hole in the skin, and fewer complications. No-scalpel vasectomy is as effective as traditional vasectomy.
What is No-needle vasectomy?
It is a technique that appeals to the ‘needle-phobic’ that uses a high powered jet injector to spray the local anesthetic into the skin-no needle is used.
What is an enlarged prostate (EP)?
The prostate is a walnut-sized gland located between the bladder and the penis. The prostate is just in front of the rectum. The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body. The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra, and it’s expelled with sperm as semen. The vasa deferentia (singular: vas deferens) bring sperm from the testes to the seminal vesicles. The seminal vesicles contribute fluid to semen during ejaculation.
EP is the nonmalignant enlargement of the prostate gland that typically begins in men over age 40. . It has also been called Benign Prostate Hyperplasia (BPH). Prostatic growth and enlargement is a natural process that occurs in all men as they age. It occurs to varying degrees; in some men growth can be excessive and can obstruct the flow of urine. For example, those with EP might find they have a decreased flow of urine or that they have to strain more than previously to start their urinary stream. Also they might find that they have to get up once, twice, or even three times during the night to urinate. Occasionally EP causes urine to be retained in the bladder. When this happens, urine may back up into the kidneys, which can result in kidney failure, inability to empty the bladder (urinary retention), formation of stones within the bladder, or urinary tract infections (that are otherwise rare in men.
About the Stone Clinic
Kidney stones are affecting more people, sooner in life. And they tend to recur-up to 50% within 5 years .It is now possible to identify the underlying cause of kidney stone formation in almost all cases. This leads to a better chance of prevention through lifestyle changes or medication. The SMG Stone Clinic is specifically for patients who have previously had stone surgery or passed a stone on their own. Our multidisciplinary stone clinic treats and manages kidney stone disease over the long term.
Patients are evaluated for both medical and dietary risk factors in stone formation through blood and urine studies. Based on this metabolic evaluation, a unique treatment and prevention plan is designed for each patient. This multidisciplinary approach means that the patient will be seen by a urologist with specialty training in the management of stone disease. Also, an internist with expertise in diagnosing and treating metabolic disorders that lead to stones is available for consultation. Finally nutrition specialists are available to help with identifying nutritious and lifelong low stone forming diets. Together, these specialists at the SMG Stone Clinic can design a specific treatment plan for the individual with the goal of achieving and maintaining a stone-free state.
To learn more, visit the stone clinic