When Should You Get a PSA Test – Dr. Yaser Bassel

My name is Yaser Bassel. I’m a board certified urologist with Advanced Urology Institute.

In particular it’s important for men with a family history of prostate cancer or Afrtican-American males to start screening at age forty (40). That’s typically done with an annual PSA blood test and also a digital rectal exam (DGA). For the general population, the American Urological Association now recommends screening at age fifty-five (55)

How is a PSA test done?

It’s pretty simple. It involves a simple blood test that’s done once a year and also a prostate exam or a digital rectal exam

Vaginal Dryness: Causes, Symptoms, and Treatment

Has sex been giving you more discomfort than pleasure lately? Do you experience pain, irritation, burning or dryness? Is there bleeding or spotting during or after sex?

If there is, then you might be experiencing vaginal dryness.

For this condition, you may need to speak with a female pelvic medicine and reconstructive surgery (FPMRS) physician for help. At Advanced Urology Institute, we have FPMRS physicians at our Fort Myers center to ensure you get prompt attention from a location near you.

But first, what is vaginal dryness?

Vaginal dryness refers to a persistent irritating, burning, or itching sensation in the vagina. It is due to inadequate vaginal moisture that makes it feel too dry or too tight. The condition is more noticeable during sexual intercourse as it results in pain and discomfort.

Learn more about vaginal dryness, it’s causes, symptoms and treatment.

What is vaginal pain?

If something does go wrong down there, it can hurt a lot, incessantly presenting with a sharp pain or a constant unbearable ache. This pain can interfere with your sex life, your ability to socialize, and ultimately your quality of life.

What is vaginal pain?

It is chronic pain and discomfort in the vagina, usually with no known cause. Although the specific form of the condition varies with the underlying condition, it can be severe and excruciating to the point of interfering with your life. That’s why you need to see a female pelvic medicine and reconstructive surgery (FPMRS) physician for help.

At Advanced Urology Institute in Fort Myers, we have FPMRS physicians who ensure you get a diagnosis and treatment for vaginal pain.

Know more about the causes, symptoms and how it’s treated here.

How effective is a vasectomy reversal?

My name is Yaser Bassel. I’m a board certified urologist with Advanced Urology Institute.

When we counsel patients before they get a vasectomy, we do tell them that this is considered a permanent form of sterilization. However vasectomies can be reversed. The vasectomy reversal process is typically one that is not covered by insurance so it can be expensive but it is possible and typically with seventy-five to eighty percent (75-80%) success rates. [While], I do not personally perform the vasectomy reversals themselves, I do have a partner that specializes in that area. So if that is something men are interested in, that is something that is offered by our practice.

What is chronic pelvic pain?

Do you feel pain in the lower part of your torso, just between your hips? It is not a pleasant feeling, and you can’t get a good sleep or engage in quality exercise. At times, you have to miss work. It’s the kind of pain that comes and goes—sometimes dull and sometimes sharp—but never resolves. Next thing you know, six months have gone by and yet the pain is still there.

You might be experiencing chronic pelvic pain.

For this condition, you will need a female pelvic medicine and reconstructive surgery (FPMRS) physician to help you.

At Advanced Urology Institute, we have FPMRS physicians who can help you at our Fort Myers center.

What is chronic pelvic pain?

Chronic pelvic pain (CPP) is a persistent, non-cyclic pain perceived to exist in the pelvis’s structures. Typically, it occurs in the area below the belly button and between the hips. It becomes a medical condition if the pain lasts for at least six months.
Read more about Chronic Pelvic Pain here.

What are the most common bladder issues?

Ladies, do you have bladder problems that keep you from pursuing your goals? Do you want to exercise, work, travel, go out more and not worry about “accidents” happening?

If so, we have the help you need.

Bladder ConditionsAt Advanced Urology Institute, we know that you value your social life and we want you to keep enjoying the things you like doing.

Through our female pelvic medicine and reconstructive surgery (FPMRS) physicians at our Fort Myers office, we provide effective treatment for bladder issues in a compassionate, personalized, and multidisciplinary way, ensuring a high rate of success and uninterrupted social life.

You may not know it, but bladder problems have treatment options that dramatically improve symptoms from these conditions. With treatment, you will never have to reduce your physical activity or remain in isolation. Instead, regain your freedom and enjoy an improved quality of life. That is why you should see a physician with expertise in urogynecology to receive the specialized attention necessary for a quick and complete recovery.

[continue reading more about bladder conditions here]

Common Prostate Health Issues – Dr. Yaser Bassel

My name is Yaser Bassel. I’m a board certified urologist with Advanced Urology Institute.

Most patients that come to us with regards to prostate health issues, the majority of them are dealing with benign disease, in particular something called Benign Prostatic Hyperplasia or BPH. Oftentimes those types of diseases and those types of symptoms can be addressed with medication and then beyond that, there are treatments for BPH that include in-office procedures and then beyond that, surgical procedures as well. 

The other spectrum is malignant prostate disease which is prostate cancer. Typically that is found with prostate cancer screening. We use the Prostate-specific Antigen (PSA) blood test for that and also digital rectal exam (DGA) to detect prostate cancer oftentimes in asymptomatic men. Typically treatments range from robotic prostatectomy, radiation therapy and now there are some newer technologies such as high intensity frequency ultrasound at our disposal. Beyond that, there are also new advanced prostate cancer therapies for prostate cancer that have gone out of the prostate as well.

Advances in ED treatment

My name is Brian Hale, I’m a board certified urologist working with Advanced Urology Institute.

When I first started urology we had injection therapy and surgery, so we did a lot of surgery for erectile dysfunction. When Viagra came out in the late 90s that obviously changed everything, and now we have a lot of options besides Viagra, medically. So the treatment of erectile dysfunction transitioned from a surgical problem to a medical problem. We still do treat men with surgery if they fail the medical options but the numbers now are very low for patients who undergo surgery for erectile dysfunction.

Frequently Asked Questions About Urinary Incontinence

As we grow older, our lives go through many changes, not to mention our bodies as well. These varieties of physical changes may be inconvenient, difficult, or even devastating.

One common uncomfortable change that the body goes through as it ages is urinary continence.

What is urinary incontinence?

Urinary incontinence is the loss of bladder control which results in accidental urine leakage. The leakage can happen suddenly, in small or large amounts.
Urine is a liquid by-product produced by the kidneys when it filters waste from the blood. It then flows through the ureter and is stored in the bladder. When the bladder is full, its nerves will send a signal that will make you feel the need to pee. When you urinate, the bladder muscles will tighten to push and release urine out through the urethra.

The urethra has sphincter muscles that control the release of urine. These muscles are strong enough to keep the urethra shut, which then helps you hold your pee.
However, when you have incontinence, your bladder muscles tend to suddenly tighten while the sphincter muscles are too weak to keep the urethra shut. As a result, you may experience a sudden, strong urge to pass urine, and are more likely to experience urine leakage from stress and pressure from activities, such as exercising, or even just by sneezing and laughing.

[Continue reading here…]

Surgery or Radiation for Prostate Cancer – Dr. Amar Raval


My name is Amar J. Raval and I’m with Advanced Urology Institute.

Surgery is surgery at the end of the day and it does have its own complications [such as] when making incisions. With radiation, I like to give it to patients who are older, who want treatment and also have medical comorbidities or different things that may limit them from being successful from a surgical outcome. It’s a big conversation to have and ultimately I give my thoughts but I leave it up to patients to decide what they want to do.