Prostate Cancer, PSA testing, and the USPSTF

May 29, 2012

Lately there has been a lot of great discussion in regards to PSA, prostate cancer, and the USPSTF comments.  The best part of this discussion, is that it has engaged physicians, patients, politicians, and other interested parties in a healthy debate over how we diagnose, manage, and treat prostate cancer. As a member of the American Urologic Association, I would like to share with you important information in regards to… Read more

Low Testosterone?

May 25, 2012

One of the fastest growing parts of our practice has been the evaluation, treatment, and management of men with “Low T”, or low testosterone. Why?  I believe that media reports, advertising, and the fact that more and more of us are wanting to stay alert, mentally engaged, energetic, sexually active, and in general “young” despite what our age tells us we should be doing.  I see more and more men… Read more

DaVinci Partial Nephrectomy

May 22, 2012

Thanks to advanced imaging technologies, we are identifying tumors of the kidney earlier and earlier all the time. Whereas many doctors remove the entire kidney for a small tumor, advanced robotic surgery now allows us to remove just the part of the kidney with a malignancy, leaving the rest of the normal kidney behind.  It makes perfect sense, that the more blood-filtering ability your body has, the better.  In fact,… Read more

PSA Screening

May 21, 2012

There has been a lot of controversy regarding PSA testing.  I have been a long believer that there are two types of prostate cancer, one which is a indolent, or slow growing cancer that is more a “disease of natural aging”, and a second one, which is an aggressive cancer capable of causing an early death.  Although we continue to make strides in finding tests that are more accurate than… Read more

No-Needle Vasectomy in Austin!

May 18, 2012

Click here for more information on our vasectomy services! Typically, a vasectomy is a short, 15-minute procedure that is usually performed on a Friday, or on select Saturdays in the office. Two small incisions the width of this line —-  are all that are needed to perform the procedure, and going to work on Monday isn’t a problem at all.  Lidocaine numbing medicine is used throughout the procedure using a spray jet… Read more

Advances in Prostate Cancer Treatment

May 17, 2012

We continue to see exciting developments in the treatment of prostate cancer. Although DaVinci Robotic Prostatectomy and Radiation therapy continue to be mainstays of therapy, we continue to see improvements in the diagnosis and treatment of prostate Cancer. Several recent articles came out just recently, see below for more information: The Wall Street Journal (5/17, Dooren, Loftus, Subscription Publication) reports that a study examining a group of men with prostate cancer found… Read more

San Antonio Vasectomy

May 16, 2012

Recently we had a few patients drive up from San Antonio to have their vasectomy performed with us in Austin.  Why drive 90 minutes up the street to have your vasectomy done?  For starters, we offer a cash-price for our Vasectomy that allows many men and their families to choose this convenient form of birth control.  We realize that although for most individuals with insurance, that vasectomies are 100% covered… Read more

Proton therapy for Prostate Cancer?

May 14, 2012

There are many options for management of prostate cancer.  This includes, but is not limited to, observation or active surveillance, radiation therapy (includes brachytherapy, external beam therapy, IMRT), cryotherapy, HIFU, surgery (robotic DaVinci or open), and proton therapy.  I tell my patients when there are so many options, you know that there is no one best therapy for each patient.  Instead, depending on your age, risk factors, amount and grade… Read more

Renal Cell Carcinoma

May 14, 2012

Patients have been undergoing surgery for kidney cancer, or renal cell cancer for a long time.  New to the fight has been the utilization of robotics, for what we call nephron-sparing surgery.  What is nephron-sparing surgery? Well, why remove the whole kidney, when only part of it has a malignancy in it?  I describe it like removing the part of a cheese with the mold in it, but without tossing… Read more

Urinary Tract Infections

May 9, 2012

Read a great article about how there is increasing resistance to powerful antibiotics, mainly through over-use of medications for urinary tract infections.  At the Austin Urology Institute, we use a thorough, extensive process looking at the kidneys, ureters, and bladder for sources of UTIs, such as blocked kidneys (UPJ obstruction), kidney stones, or tumors.  After that evaluation, we look at anatomic issues of the bladder.  In short, rather than treat… Read more

Saturday Vasectomy Clinic

May 6, 2012

We are proud to announce that our Saturday Vasectomy Clinics have been met with great response, so we are now going to make them part of our regular schedule.  Busy dads with little time have found that being able to get this simple, fast procedure performed without taking time off from work has removed a significant barrier to getting a vasectomy done.  Recovery is usually fast enough that our patients… Read more

Peyronie’s Disease

May 4, 2012

Saw a patient today with severe Peyronie’s Disease.  This is a disease involving curvature of the penis. Usually excessive forces on the penis during intercourse, at a particular moment, or over time, cause micro-fractures of the tunica, or fascia that surrounds the penis.  Instead of normal healing processes, the body “over-heals”, replacing normal tissue with collagenous, thick, fibrous tissue.  Since the penis goes from flaccid to erect, this fibrous area… Read more

Urology Austin

May 2, 2012

Patients and others often wonder what a Urologist does.  Well, I call myself a “plumber for people”  That means that I handle all things that involve the urinary system, beginning from the kidneys, down the ureters (urine tubes) connecting down to the bladder.  We deal with all types of issues, including kidney stones, kidney cancers, blockages of the ureter, bladder cancer, prostate enlargement, erectile dysfunction, and testicular issues.  We also… Read more

Vasectomy Austin

May 2, 2012

When it comes to family planning, often husbands and wives look at each other, and wonder, “who’s going to go first!?!?”  Although a significant number of women elect for tubal ligations for permanent sterilization, more and more men are stepping up to the plate to choose vasectomy.  There are numerous benefits of vasectomy.  1) This is an outpatient procedure, done in our offices (tubal ligation takes approximately 1 hour, and… Read more