I’ve got prostate cancer. Now what?

Being diagnosed with prostate cancer is a painful reality that can happen to any man. As Dr. Paul Arnold states, “Being diagnosed with prostate cancer is a very alarming, shocking, and scareful diagnosis.” A patient diagnosed with prostate cancer may experience a flood of thoughts, emotions and questions. For men recently diagnosed with cancer, the first step to a successful outcome will be having a trusted urologist answer questions and suggest treatment options.

Men recently diagnosed with prostate cancer will find there are many treatment options available to them. A trained and experienced urologist will be able to offer a number of treatment options tailored to their patient’s specific cancer type and circumstance. In some cases, when a cancer is not aggressive, a urologist may recommend staying away from treatment and instead monitor the cancer with the patient using active surveillance.

In cases where the cancer is more aggressive and the patient is healthy, a urologist may recommend surgery. Depending on how far the cancer has spread, the surgery could remove the entire prostate or just the prostate tissue where the cancer is found. In some cases, robotic surgery can be used for more precise procedures that cause less pain and quicker recovery times. Some of the common side effects of surgery are bladder incontinence and erectile dysfunction, although both usually go away with time.

Radiation therapy is an option for older patients, those who have other health problems, and patients who may have difficulty recovering from a surgery. For this treatment, radiation is used to kill the cancer cells. It also targets cancer that may have spread to bone. Although effective, the side effects of radiation therapy can be strenuous.

One newer option for prostate cancer treatment is High Intensity Focused Ultrasound (HIFU). This is a cutting-edge treatment option has been approved by the FDA since 2016 with exciting success. HIFU works by sending intense ultrasound waves directly to the area of the prostate that has cancer cells and these waves destroy the cancer cells. This is a minimally invasive treatment option with few side effects; however, only certain sizes and types of cancers can be treated in this way.

The fear and uncertainty caused by a cancer diagnosis is serious. Fortunately, experienced urologists at Advanced Urology Institute can help men find treatment options and guide them through this difficult time. For more information about prostate cancer, visit the Advanced Urology Institute website.

What happens when a man’s testosterone is low?

Testosterone is a male sex hormone that plays an important role in a man’s life. It is important to normal sex drive, energy and even mood. However, testosterone levels normally tend to decrease in men as they age. Although these decreases are generally normal and may even go unnoticed, they can also be severe and cause symptoms that are problematic.

Symptomatic low testosterone is a real problem that men can face when low levels of the hormone result in negative side effects. One of the most prominent symptoms is low energy and tiredness to the point of fatigue. A patient with low testosterone can also experience decreased libido or sex drive, or even erectile dysfunction. Personality can also be affected by low testosterone for those who experience moodiness, anxiety, and differing levels of stability.

Dr. Paul Arnold of Palm Harbor, FLThere are many causes of low testosterone, with simply aging being the most common reason. Men can also experience low testosterone after an injury to the testicles, chemotherapy, certain types of infections, or autoimmune diseases. In addition, there are also medications that can lower testosterone levels.

Many men with low testosterone experience no symptoms at all and, for these men, a urologist would not recommend treatment. For men who do experience the negative symptoms, one option is testosterone replacement therapy.

With testosterone replacement therapy, the hormone is brought into the body through gels, patches, or injections. The supplemental hormone brings testosterone back to normal levels and, in most cases, the patient will notice the change quickly. Energy levels, mood, and libido see quick improvements. And when testosterone replacement therapy is closely monitored by a urologist, the risks are minimal.

According to Dr. Paul Arnold, for patients receiving testosterone replacement therapy, “It’s like a light switch from their symptoms prior to treatment to post treatment.” Symptomatic low testosterone can be a difficult and depressing condition for those who miss the active life they once had. Fortunately, the urologists at the Advance Urology Institute can help you feel better and live with energy and a positive outlook again. For more information about testosterone replacement therapy, visit the Advanced Urology Institute website.

Becoming a Urologist with Paul Arnold, MD

From a young age, Dr. Paul Arnold knew he wanted to become a physician. Growing up as an athlete, he had to deal with many broken bones and made frequent visits to the doctor’s office. ”I found the physician as a healer,” he explains, “and wanted that as my path and destination from [when I was] very, very young. Didn’t know what kind of doctor, but my idols were my orthopedic surgeons that I would see all the time.”

Dr. Paul Arnold of Palm Harbor, FLAs a student at the University of Florida, Dr. Arnold became even more interested in scientific subjects, particularly in biology. He earned his undergraduate degree in zoology before moving on to the University of South Florida, where he attended medical school. During his surgical rotations, he realized that his interest was in the field of urology. He continued to research urology while in medical school and completed his residency in this field at Ohio State University. He holds certifications with the American Board of Urology and the American College of Surgery, in addition to a specialization in laser BPH surgery.

Having grown up in Miami, it made sense for Dr. Arnold to choose to practice urology in his home state. In addition to his work with AUI in Palm Harbor, Dr. Arnold has served as the assistant chief of staff at Helen Ellis Memorial Hospital since 2008; prior to that, he was the chief of surgery at Helen Ellis for two years. He is also an active member of the urological community. He participates in research for medical device and pharmaceutical companies and has published multiple papers on topics related to the diagnosis and treatment of urological issues. He specializes in the treatment of impotence and incontinence for both men and women. He also is experienced with the use of GreenLight Laser therapy and lectures internationally on the subject.

Part of the appeal of urology for Dr. Arnold is that it has a high patient success and recovery rate. As he puts it, “With urology, there is definitely a problem and a solution to it, and so you definitely have a high rate of accomplishment.” Like all physicians with the Advanced Urology Institute, Dr. Arnold’s goal is to diagnose and treat urological issues as quickly and effectively as possible in order to help his patients live the lives they deserve. For more information, visit the Advanced Urology Institute website.

HIFU Procedure for Prostate Cancer Treatment

High Intensity Focused Ultrasound (HIFU) is a cutting-edge technique used to remove tissue from the prostate. This treatment has been used to treat prostate cancer in some cases. Depending on the patient, the size of the prostate and the type and grade of the cancer, it can be an excellent alternative to other treatments. According to Dr. Paul Arnold, HIFU treatment gives patients the “best chance to retain erections and your continence.”

HIFU may seem complicated, but it is a fairly simple procedure. Imagine being a child using a magnifying glass to catch the sun and using that light to burn a small hole in a piece of paper. This is similar to how HIFU works, only HIFU uses sound waves instead of sun rays. The doctor aims the sound waves at the cancer cells in the prostate and uses the heat triggered by the HIFU to kill the cancer cells.

Dr. Paul Arnold from Palm Harbor, FLThe procedure takes from one to four hours and is very noninvasive. The doctor requires the patient to fast for about six hours before the surgery and performs an enema to make sure the bowels are empty for the procedure. The patient gets a simple catheter put in for urine collection during the procedure, and anesthesia is administered.

The doctor starts the procedure by inserting an ultrasound device into the patient’s rectum. The ultrasound uses waves to gather and build an image of the prostate. This image will guide the sound waves to the cancerous cells. Sound waves are then sent through the the wall of the rectum and into the targeted areas of the prostate where they destroy the cancer cells.

Once the procedure is over, patients are generally allowed to leave as soon as the anesthesia wears off. HIFU stands out as one of the treatments with few side effects. Patients initially may experience trouble getting an erection and may experience urinating issues as well as leakage between bathroom trips, but these side effects are temporary and will subside. There are also risks of urinary infections that your urologist will monitor with you.

HIFU is a game-changing tool in the treatment of prostate cancer. Doctors like Paul Arnold, MD at the Advanced Urology Institute are embracing these new technologies to achieve the best outcomes for their patients. For more information, visit the Advanced Urology Institute website.