Becoming a Urologist – Dr. Arash Rafiei

Requirements To Become a Urologist

Like Dr. Arash Rafiei, all urologists are required to complete at least three years of college before they enter medical school. Most students complete four years of college with a Bachelor of Science in Chemistry or Biology. After graduation from medical school, the urologist-in-training will complete a residency at a hospital, usually one with a specialty in urology. The residency is a minimum of five years. Time during residency may be split in some programs as two years in general surgery residency and three years in urology. Board certification takes another two to five years. So, effectively, urologists can expect to spend 13 years in study or residency before board certification.

Selecting Your Urologist

Dr. Arash Rafiei - Orange CIty, FLWhen choosing a urologist, you can specify that you would like a board certified doctor for your urology treatment. Make sure you write down all your questions for the doctor, and seek someone who will take into consideration your individual preferences. Ascertain that the facility and medical staff keep up to date on the latest technologies, such as minimally invasive techniques, as well as proven treatment guidelines.

What does a Urologist do?

Urologists are medical doctors who specialize in the male and female genitourinary tract, including the urinary bladder, urethra, kidneys, adrenal glands and male reproductive organs. They often diagnose and treat male fertility, prostate cancer, and receive ongoing training in other medical and surgical problems related to these organs.
Advanced Urology Institute is a center for excellence in urology with board-certified specialists to treat all areas of this field. If you need an appointment with a urologist in Orange City, Florida, our team specializes in:

  • prostate cancer treatment
  • kidney stones
  • problems with the bladder, including overactive bladder
  • prostatitis
  • erectile dysfunction (ED)
  • urinary tract infections
  • general urology
  • and other urology conditions.

Dr. Arash Rafiei, MD is board certified and a member of the American Urological Association, the American College of Surgeons, and the Iranian American Medical Association. For more information, call the office of Dr. Rafiei at (386) 774-2121 or call one of our many Advanced Urology Institute locations. Our doctors will answer your questions and deliver the best service and care based on your needs.

Diagnosing Prostate Cancer

Prostate cancer is the most frequently diagnosed cancer for men, with nearly 10 percent of all men getting it in their senior years. About 99 percent of all prostate cancers occur in men over 50 years old, though younger men should not ignore its risk. While it is one of the most common cancers for men, it also has some of the best survival chances, with over 98 percent of all men diagnosed with prostate cancer surviving at least another five years. This is in part because most prostate cancers grow slowly, and also because there are a lot of simple techniques to notice and diagnose its presence. After diagnosis, there are many effective treatments; however, nearly one out of every 41 men will die from prostate cancer.

Just as women should regularly check their breasts for lumps, men also should check their groin areas. However, that is not commonly taught by most doctors to their male patients, so men should ask their doctors how to do self-examinations.

Other signs that men can check could include any one or more of the following:

  1. The need to urinate more frequently
  2. Difficulty in starting to urinate
  3. Having a weak urine flow (it seems to come out too slow)
  4. Needing to sometimes rush to the toilet
  5. Straining to urinate, feeling one’s bladder has not really emptied
  6. Blood in either your urine or semen (which means something serious!)

A patient with any one of these symptoms should discuss them with his doctor. If a man has more than one of the symptoms for a week or more, he should see a doctor as soon as possible to check on possible causes. There are also more potentially treatable physical problems not related to the prostate gland that might cause those problems. A general practitioner through some simple tests should be able to then know if a urologist would be required.

Those uncomfortable “digital” rectal exams (DRE) men are asked to undergo can also detect prostate cancer, as well as another non-cancerous condition that can cause an enlarged prostate (BPH). If a general practitioner detects something unusual from a DRE that seems to be prostate-related, a prostate-specific antigen (PSA) blood test usually will be ordered. PSA is a prostrate-made substance that will tend to increase when men have cancer, inflammation, or even a simple infection of the prostate gland. Medical specialists will know when the PSA counts require specialists like those at the Advanced Urology Institute to further examine the patient.

A urology clinic can do most, if not all the following tests to determine if prostate cancer is the problem. They can use a transrectal ultrasound to get an ultrasound picture of the prostate gland and surrounding tissues. X-rays can detect if a cancer has potentially spread in a visible way. If the urologists determine there clearly are issues with the prostate, they perform a biopsy to discover the grade of the cancer, to discover how potentially aggressive the cancer is. A transrectal magnetic resonance imaging (MRI) may be required since some types of prostate cancer can spread out of the prostate into surrounding tissues and bones. Bone scans also may be utilized. Genetic tests on the biopsied tissues will help determine how aggressive the cancer may be. The clinic may use other types of exams and tests, depending upon medical findings.

After the urologist has completed the medical evaluations, the chances of recovery, the prognosis, can be discussed with the patient as well as the treatment options. The board-certified specialists at various clinics of the Advanced Urology Institute have years of experience working with patients, giving them the best advice for each of their unique situations. For more information, visit the Advanced Urology Institute website.

Why I Love Urology! Treating and Curing Urological Conditions

Why I Love Urology! Treating and Curing Urological Conditions


Urology is a medical field that deals in the diagnosis, treatment, curing and management of conditions that affect the male and female urinary system and the male reproductive organs. It is a dedicated branch of medicine and the physicians who are specialists in this field are called urologists.

The medical disorders treated by urologists include those that affect the kidneys, ureters, bladder, urethra, prostate, epididymis, testis, seminal vesicle, scrotum and penis. Common conditions include urinary incontinence, ejaculation problems, erectile dysfunction, vasectomy, cryptorchidism (undescended testes), vesicoureteral reflux and genitourinary cancers such as prostate cancer, cancer of the kidneys, bladder, penis and testicles.

Urologists love their jobs because it gives them opportunities to provide patients with life saving treatments as well as quality of life medical care. Conditions such as cancer of the testes, if diagnosed early, can be treated to give the patient a longer life span and one free of discomfort or pain during intimacy.

It is important to note that the work of a urologist also involves educating the general public on effective prevention practices. A good example is prostate cancer, an illness which has been on the rise recently. Research has identified potential causes, prevention and treatment. This knowledge has been shared widely by urologists. Men are now encouraged to use testing for early diagnosis. If caught in the primary stages, prostate cancer can be cured before it progresses to stage IV cancer or metastasizes to other parts of the body. The same applies to other conditions such as erectile dysfunction, a topic most men prefer to avoid. Despite the reluctance to acknowledge this medical problem, in recent years the public has been receiving education from the experts on the many causes and treatments of erectile dysfunction.

Urology is a field that specializes in treating urological physical ailments and the emotional concerns that accompany them. Each patient presents with different needs and urologists who love the work they do understand that. They take into account the presenting factors of each patient, their needs and concerns, and then tailor the consultations, medical treatment and follow up to suit the unique needs of each patient. Any person with concerns about a potential urological problem should pay a visit to a qualified specialist for a check-up. The experienced and caring professionals of the Advanced Urology Institute would like to remind us that the earlier a problem is diagnosed, the more successful the treatment will be.

Why Is Visiting a Urologist Mandatory For Men Over 40? – Dr. Stephen Weiss

Video: Why Is Visiting a Urologist Mandatory For Men Over 40? – Dr. Stephen Weiss

At age 40, most men worry about hair loss or a bulging waistline, but fewer pay attention to the health risks that come with age. A majority of male urinary and sexual problems are seen in men over a certain age, and the number of prostate cancer cases is rising worldwide at an alarming rate [Read Full Article…]

The PSA Test, Is it Still Recommended? – Dr. Stephen Weiss

Video: The PSA Test, Is it Still Recommended? – Dr. Stephen Weiss

Symptoms of Prostatitis are similar to those of benign prostatic hyperplasia so a PSA Test is still recommended by Urology Specialist to thoroughly detect this type of condition. Contact a urologist now and get treatment for this condition as soon as possible. [Read Full Article…]