Check out UroLift!

5 09 2017

UroLift Brochure

Tired of taking Flomax?  A new minimally invasive treatment for enlarged prostate.  Very little down time, no catheters, and virtually no side effects.  This exciting new procedure now has 5 year durability data which looks great!

Congrats on a successful #zeroprostatecancer Run!

27 09 2014

Thanks to our whole crew who made our first annual Zero Prostate Cancer Run/Walk a huge success!

Check out:

for race results and other cool stuff.  We raised over $65,000 to help fight Prostate Cancer!!!!  Big thanks to Heather Eissler, our race coordinator for all of her hard work.  We also can’t say enough about our corporate and local sponsors!

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Precancerous Lesions of the Prostate

7 01 2013

Precancerous Lesions of the Prostate.

Not all prostate biopsies are negative.  Not all are positive.  Some are “in between.”  High Grade PIN is a lesion noted in about 15% of biopsies that, from a cellular architecture, is benign.  It does, however, require close follow up, and in more involved cases, repeat biopsy.  The link above provides a comprehensive overview.

Saw palmetto seems safe in men with urinary problems | Reuters

23 10 2012

Recent study in the Journal of Urology shows that Saw Palmetto is safe but not effective.  Don’t spend a lot of money!

Saw palmetto seems safe in men with urinary problems | Reuters.

Know Your Stats || Home

24 09 2012

September is Prostate Cancer Awareness month.  Check out this link:

Know Your Stats || Home.

Is Your Get Up and Go Gone?

19 07 2012

The truth about Testosterone in the aging male.

The process of aging typically results in a gradual, progressive decline in function of the testicles.  The age of onset and the trajectory of decline is highly variable.  The syndrome, known as andropause (compared to menopause in our female counterparts), has become increasingly recognized and treated over the past decade.  Unlike female menopause, which is fairly predictable and abrupt in onset, this is more insidious.  The prevalence of hypogonadism in men over 45 years old has been estimated at 39%.  It manifests itself in a number of ways.  Decreased libido, erectile dysfunction, loss of body and facial hair, weakness, fatigue, increased body fat and decreased bone density are some of the most common manifestations.  Hypogonadism is defined as 2.5 standard deviations below the mean (average) normal Testosterone value in found adults, or roughly 300 ng/dl.  It is important to note that hypogonadotropic men interested in fertility require special evaluation and stimulation of their pituitary axis, as simply supplementing with exogenous testosterone can further impair spermatogenesis.  Testosterone should be measured in the am, as it has a circadian rhythm.  Total T is sufficient for screening.

Risk of Prostate Cancer?  Fact or Fiction?

There is also a myth that supplementing Testosterone can increase the risk of prostate cancer.   This has been largely debunked, by Shabsigh et al, who demonstrated in a meta-analysis of 44 studies, that there is no correlation between testosterone replacement and increasing the risk of PCa or increasing the risk of higher grade tumors.1  However, prior to therapy, men should be screened for the presence of prostate carcinoma, because there is unequivocal evidence that T can stimulate growth and aggravate symptoms in men with locally advanced prostate cancer.


There are various ways to supplement low testosterone.

  1. Intramuscular injections – these are long actin and reach a max. concentration in 72 hours.  They are normally administered every 2-4 weeks, and do not have a circadian pattern to them.
  2. Topical Therapy – there are a variety of topical gels/creams available.  These include products like Testim, Androgel, Axiron, Fortesta.  These require daily applications to upper abdomen, chest, or upper arms, avoidance of showers for 2-4 hours, and avoidance of skin-to-skin contact with other persons during that window.  They can be costly, but most insurance companies will have one on formulary and most manufacturers offer discount cards to help with co-pays.
  3. Implantable Pellets – Timed release pellets placed under the skin in a 5 minute office procedure.  They typically last 3-6 months.

If you are concerned about low testosterone, or would like to discuss treatment options, contact your doctor or call my office.