Discussing a Sensitive Topic: Erectile Dysfunction

Erectile Dysfunction, also called ED, is the inability for a man to get or maintain an erection firm enough for sexual activity. It is a very personal and sensitive issue that can be difficult to talk about. Although ED is a common issue that affects many men, it can still cause feelings of embarrassment and shame. This makes open conversations, even with a trusted urologist, difficult in some cases.

Dr. Billy Vanasupa of St Augustine, FLA urologist is a doctor who specializes in the urinary tract and male reproductive system. They are the doctor a patient will most likely to go to about his ED. Urologists see countless cases of ED on a regular basis, and to them it is not a major issue at all. However, good urologists understand that ED can be an embarrassing issue for their patients and they immediately begin their visits by creating a comfortable environment where doctor and patient feel at ease discussing it.

One such urologist who works to create a comfortable environment is Dr. Billy Vanasupa. When talking about his approach with patients who see him for ED, Dr. Vanasupa says, “I always try to make my visits light, make some jokes here and there, and make them feel comfortable.” His goal is to make his patients laugh so they are less nervous and feel they can easily talk to him. Dr. Vanasupa removes the stigma of ED so he and his patient can openly discuss this sensitive topic.

Once everyone is comfortable discussing the topic, the urologist will ask background questions like whether the ED occurred slowly or abruptly. The patient will be asked if he has tried any medications. The doctor’s questions are to help determine root causes for the issue and will include asking about diet, alcohol and drug use, and stress factors. Finding possible causes for ED is an important first step in treating it.

The urologist and patient will discuss best treatment options for ED. In many cases, oral medication, possibly along with some minor lifestyle adjustments, will fix the issue and allow healthy men to return to their normal sexual activity. For some men, oral medication does not help. The urologist may suggest injections. Patients will learn in the office how to administer a very low-pain injection at the base of the penis. There are very few cases where neither the oral or injected medication solves the issue.

Outcomes are best when the patient feels comfortable talking to his urologist about sensitive issues. The Advanced Urology Institute has urologists who can treat erectile dysfunction in a way that puts a patient at ease. For more information, 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.

Becoming a Urologist with Amar Raval, MD

A urologist plays an important role in healthcare. The field of urology encompasses many issues that people face throughout their lives, especially as they start to age. As urologist Dr. Amar Raval notes, urology allows him the opportunity to “provide a service to others.” As a urologist he gets to make a positive impact on his patients’ lives by helping them with many of the common issues that prompt people to seek medical help.

Dr. Amar Raval from Palm Harbor, FLOne common problem is kidney stone disease. Kidney stones form for a variety of different reasons. They are particularly common in warm climates, like Florida. Symptoms can vary, but they include severe abdominal pain, nausea, fever, chills, difficulty urinating or blood in the urine. Kidney stones can be very painful and some people need assistance to pass them. A urologist can assess the stones and determine the best way to remove them. In some cases, experienced urologists can break up the stones using a shock wave treatment that is totally noninvasive.

Urologists also frequently see cases of prostate cancer, one of the most common cancers for men. The disease comes in many different forms, making each case unique. While some need to be treated with surgery, chemotherapy or radiation, other forms are non-aggressive and can be left alone. Urologists also may recommend cutting-edge technologies like HIFU. Whatever the diagnosis, it is important to work with your urologist to monitor your prostate and find the best treatment plan for you.

Urinary incontinence is a common problem that many patients are embarrassed to discuss with their doctor. A urologist deals with many patients experiencing urinary incontinence and is accustomed to having in-depth conversations with their patients about incontinence. They know how to discuss the problem with patients so they feel comfortable while also finding the underlying issue causing the incontinence. Whether it is caused by stress, infection, lifestyle or another issue, a urologist can find the best solution and help a patient maintain a healthy and confident life.

There are countless other issues that bring patients to see a urologist for help. Dr. Amar Raval at the Advanced Urology Institute is one of many dedicated urologists improve their patients’ quality of life. For more information, visit the Advanced Urology Institute website.

Prostate Cancer Treatment: How to Choose What’s Best for You

Prostate cancer is one of the most common types of cancer that affects men. The prostate is a small gland, similar in shape to a walnut, that produces the seminal fluid that helps transport sperm. Although anyone can get prostate cancer, it becomes more common as men age.

It can be difficult to detect prostate cancer as it has little to no symptoms in its early stages. For this reason, it is important for men to have their prostate routinely checked by their doctor. Only after the cancer advances do symptoms occur like trouble urinating, blood in semen, bone pain, erectile dysfunction and discomfort in the pelvic area.

Advanced Urology Institute Doctor: Dr. David HarrisSome prostate cancers grow slowly and, in some cases, need little to no treatment. Other cancers can be aggressive and spread quickly. It is important to see your urologist often to monitor your cancer, as the best treatment for you will depend on the type of prostate cancer you have and how it reacts to treatment.

Treatments for prostate cancer vary depending on multiple factors. Urologists will look at a patient’s age, health and the type of prostate cancer when deciding on the best treatment. In a healthy young patient, a urologist may recommend robotic surgery or a radical prostatectomy. These are well-tested and invasive treatments that can produce very good outcomes.

For patients who may be a little older and not in the best of health, radiation therapy may be their best option. Having access to quality radiation therapy can be a game changer in prostate cancer treatment and can create excellent outcomes. It also will be easier on a patient with other health issues.

There are also newer advances that can be used to treat prostate cancer. For example, cryotherapy uses extremely cold temperatures to destroy cancerous tissues in the prostate by freezing them. Another example is HIFU therapy. This stands for stands for High Intensity Focused Ultrasound and uses an intense ultrasound, focused on the prostate, to treat the cancer and is minimally invasive.

Prostate cancer is a serious and often frightening prospect. Many men will suffer from this cancer, but they are not alone. Along with their urologist, men can combat their cancer in a way that produces the best outcomes. Dedicated urologists, like David S. Harris, MD at Advanced Urology Institute, have an arsenal of treatment options and are ready to help men live healthy lives. For more information, visit the Advanced Urology Institute website.

Becoming a Urologist with Dr. John Pearson

Becoming a doctor requires a great deal of dedication and determination. Many choose this profession because, beginning at a young age, they feel a strong desire to help people. This desire becomes a commitment to put in the long hours and hard work needed to get through the tests, studying, papers and internships during medical school.

Dr. John PearsonThe result of their commitment is the dedicated professionals who are there for us when we need medical attention, including urologists who care for patients with medical problems that may be difficult to discuss. Urology covers a variety of conditions such as urinary incontinence, overactive bladder, vaginal prolapse and kidney stones to pelvic surgery.

One urologist who enjoys helping patients is Dr. John Pearson. After becoming sick as a child, Dr. Pearson had the chance to meet some terrific doctors who had a profound impact on his life. From an early age, Dr. Pearson knew he wanted to become a doctor and do the same for others. Now he gets to live that dream every day with his own medical practice treating patients with a wide range of serious and sometimes life-altering conditions.

Practicing urology has also allowed Dr. Pearson to live in different parts of the country. From his beginnings in southern Illinois to busy San Francisco, from cold and rural parts of Washington state to the warm weather of Florida, Dr. Pearson has seen patients from all walks of life. It has been especially rewarding for him to meet so many people while fulfilling his promise to serve others.

At the Advanced Urology Institute, Dr. John Pearson gets to make a positive difference in his patients’ lives every day, just like the doctors who inspired him. For a consultation about your urological needs, make an appointment with Dr. Pearson or one of the many highly qualified physicians at the Advanced Urology Institute.

Why Urology? with Dr. Bill Vanasupa

Becoming a doctor in any field of medicine requires a great deal of dedication and determination. Students wishing to become physicians put in long hours studying for tests and preparing for classes and internships. After graduating, many new doctors find their profession leaves little time for a personal life with friends and family. Their dedication to patient care can cause a difficult work-life balance.

Dr. Billy VanasupaDr. Bill Vanasupa thought he wanted to be a family practice doctor, seeing and growing with the same patients throughout his career. However, when he was an intern he discovered that although family practice is rewarding in its own way, it was not the right choice for him. When he assisted in surgery as part of his training, he discovered an aspect of medical care that he felt was his calling.

However, Dr. Vanasupa also knew about the challenges of practicing in certain fields of surgery, and he found himself considering where he could best serve patients with both surgical and non-surgical treatments.
As luck would have it, Dr. Vanasupa had a friend in college whose father was a urologist. He spoke to his friend’s father and a career in urology seemed like a good fit for him. Urology would allow him to create lifelong relationships with patients while also performing surgeries and keeping a desired work-life balance. By assisting patients with their urology problems, Dr. Vanasupa has the opportunity to create great patient relationships that last for years.

Today, Dr. Vanasupa is living his dream at Advanced Urology Intstitute by helping people by offering the most advanced medicine and surgical techniques available in the medical field of urology.

Becoming a Urologist with Dr. Rolando Rivera

Becoming a doctor in any field requires a great deal of dedication and determination. Medical school is known for its years of hard work, difficult tests, internships and endless nights of studying. The product of this hard work is the excellent care provided by dedicated professionals when we are in need of medical assistance.

Dr. Rolando RiveraBecoming a urologist requires a special kind of person. Urology is one of the more challenging specialties a doctor can choose. Urological problems are broad and can encompass issues ranging from urinary incontinence, overactive bladder, vaginal prolapse and kidney stones to the advanced realm of pelvic surgery. Urologists are required to have a large skill set in order to take care of their patients.

Although the extensive field of urology requires a great deal of work, it is also very rewarding. Because of the wide range of issues within this specialization, patients might have to see a urologist many times in their lives. This gives urologists a chance to build relationships with their patients and learn their unique medical needs over time. Urologists have the opportunity to create an almost primary care type relationship with their patients, which is rare in fields of specialty medicine.

The wide spectrum of needs in urology also works to the advantage of the urologist. There are some fields of medicine that can become routine over years of practice, where patients come in with the same set of issues, needing the same kind of treatment. This does not happen in urology. With a wide range of medical issues, requiring patient-specific treatment, the phyisican enjoys a greater degree of variety at work. And with treatment options ranging from prescriptions to various levels of invasive surgery, urology is consistently an interesting and diverse field of medicine for those who practice it.

One doctor who enjoys this ever changing field of medicine is Dr. Rolando Rivera. After shadowing a urology student and friend in college, Dr. Rivera knew that this was the medical specialty for him. And after graduating with honors from the University of Puerto Rico, he started a rewarding and cutting-edge career. Improving the quality of life for his patients has been the goal that motivates Dr. Rivera to provide the best care possible.

For those who are willing to put in the long hours and hard work required to become a urologist, the reward is a lifetime of making a difference in people’s lives while also never being bored with their profession. For anyone in need of seeing a dedicated urologist like Dr. Rivera, he and many more great doctors can be found at the Advanced Urology Institute. Their team of qualified and experienced specialists can help you with any concerns related to urological conditions. For more information, visit an Advanced Urology Institute location near you.

The Future of Medicine

As technology advances so does patient care. Genetics and artificial intelligence are two burgeoning fields that are already transforming patient care. Both have the potential to improve treatment and increase successful outcomes.

Dr. Michael GrableGenetics is still in its early stages, but it is already starting to fundamentally change patient care. Genetics is the study of how genes are inherited and the role they play in people’s health. Genetics produces a road map that shows the gene traits that exist within every living person. These traits, which are different in every person, can have positive and negative effects on people. By being able to read a patient’s genetic profile, doctors can create better and more personalized patient care.

For instance, by understanding a patient’s genetic profile, doctors are able to discover what genes may negatively affect a patient’s health now and in the future. This also allows doctors to start preventative care for patients with health issues that may not have started, or are in their very early stages. Beginning treatment early is one of the most important parts of successful treatment.

Doctors also can use genetic profiles to determine the best treatment for different patients. Because everyone has a different genetic makeup, they may react differently to the same treatment of a medical issue. Thanks to the use of genetics, doctors can determine the best treatment for patients on an individual level.

Much like genetics, artificial intelligence is in its early stages and looks to have a very bright future. Put simply, artificial intelligence is the development of computers and machines that can perform tasks that generally require humans. Thanks to the ability of computers to learn quicker and store more information than humans, there is substantial promise in the role artificial intelligence can play in the medical field.

Although artificial intelligence will never be able to replace personal human contact, it will assist doctors and advance patient care. Artificial intelligence will be able to offer doctors a fuller picture of their patients. It can monitor and perform advanced analytics on patients that has the potential to enhance patient care far beyond where it is today.

Genetics and artificial intelligence have made it an exciting time to be a doctor and a promising time for patients. Many doctors are already utilizing these advancements to better serve their patients and give them what they need for long-term success. Doctors, like the ones at Advanced Urology Institute, are enjoying being able to use these advancements and are anxiously looking forward to what they will offer next. For more information, visit the Advanced Urology Institute websit

What Are The Most Common Urological Issues

Urinary tract problems are broader in scope than most people think. Consider the following common terms that are often talked about: prostate cancer, kidney stones, overactive bladder, incontinence, erectile dysfunction, painful bladder syndrome, BPH, urinary tract infections, pelvic floor issues. They all concern some aspect of the urinary tract, and they require seeing a urologist for a proper diagnosis to begin treatment. Some issues may involve a treatment as simple as antibiotics. But more serious ones may require immediate medical intervention to confirm cause and to prevent overlooking a very serious, life-threatening situation.

Dr. Michael GrableKidney stones and bladder stones are frequent reasons people go to see urologists. These are accumulations of common minerals within urine that start to form particles, much like rock sugar, but they are not so nice when found in either the kidney or bladder. Smaller ones can often pass through the urinary tract totally unnoticed. But larger ones get stuck and only tend to get bigger over time, requiring medical intervention. A person may need to use the bathroom more frequently or feel pain. There may be other underlying reasons for stones to start, such as diabetes or an enlarged prostate, so certified medical personnel should be consulted.

Urinary tract infections (UTI) affect both men and women when bacteria starts negatively affecting any part of the urinary system. Symptoms may include a burning sensation during urination, itching, pain, foul-smelling urine, incontinence, or evidence of blood. In any of those situations, especially when fresh blood is observed, a doctor should be seen as soon as possible.

Benign prostatic hyperplasia (BPH), is more commonly known as a non-cancerous enlarged prostate gland. Many possible reasons exist for BPH, such as inflammation, a narrowing of the urethra, stones, and many of the same issues that can cause incontinence. This is something that, if noticed, the person should try to see a doctor quickly. But annual medical checkups also usually check for this problem.

Incontinence, when one leaks urine without intention, can have many different reasons. Some can be dealt with through simple types of exercises, but others may be from muscle damage, nerve damage, bladder stones, an enlarged prostate (BPH), or infections that may only be properly diagnosed by a professional urologist. It is best to always talk to a physician about any incontinence experienced, since it may be a symptom of something more serious.

Prostate cancer is surprisingly common in the elderly, and it is rarely an issue for most. But it does affect the prostate gland and can damage the urinary tract. Since it is relatively easy to detect through annual exams and blood PSA tests, it seldom goes unnoticed. A regular physician will usually be the first to notice a potential issue and refer the patient to a urologist. Surgical treatment may or may not be required, depending upon the severity of the cancer. If surgery is recommended, it is best to get a second opinion from a doctor in another medical group because of the potential side effects of surgery.

Erectile dysfunction and pelvic issues are both gender-based medical issues that are difficult to discuss with anybody, but it is important to talk about them with qualified medical personnel. The urologists at the Advanced Urology Institute are all qualified to diagnose, give second opinions and treat urological tract problems.

For more information, visit the Advanced Urology Institute website

Why Women Should See a Urologist

Urologists are doctors who specialize in the treatment of diseases and complications of the urinary system. They also treat conditions of the male reproductive system, a function which, in women, is performed by a gynecologist. Urologists treat more male conditions than female ones, and men therefore are advised to visit urologists more often than women. The result is that women suffer from conditions of the urinary system in silence or they try to self treat. In almost all cases, this approach makes the condition worse.

Reasons Why Women Avoid Urologists

The main reason women avoid urologists is that female urological conditions carry social stigma. A lot of women are afraid that if they reveal they have a serious urinary tract infection, it will say something about their personal hygiene. Conditions such as incontinence and pelvic organ prolapse are looked upon as shameful. This kind of social stigma prevents many women from going to urologists.

Lauren Masters, ARNPMost women also confuse a problem of the urinary system with a condition of the reproductive system. They visit gynecologists for most of their medical problems, even when they are of the urological system.

Women should be taught from a very early age to feel confident about seeking treatment for any part of their bodies. They also should be made aware that problems of the urinary system are extremely common and that treatment options are readily available from most urologists’ offices.

Common Problems of the Female Urinary System

There are several conditions that women suffer from and which should always be referred to a urologist. These include:

1. Urinary Tract Infections. These are more common in women than men. They have a tendency to recur and may be simple infections or serious ones related to another health problem. Urologists are well trained to treat these.

2. Urinary Incontinence. This is also referred to as urine leakage. It can get very complicated if left untreated.

3. Kidney stones. These are very painful and should be treated at the earliest stages.

4. Pelvic Organ Prolapse. This occurs when the bladder, the upper roof of the vagina or even the rectum droops into the vagina. It affects a lot of women but it is not widely discussed. It makes all aspects of a woman’s existence very uncomfortable. Urologists are uniquely qualified to treat it.

Women should understand that a urologist is as important to their health as a gynecologist. They also should know that urologists understand the need to make female patients comfortable. And women should know that female urological problems are treatable and that most urologists, such as the Advanced Urology Institute, have invested heavily in the treatment of these problems. Their team of specialists can answer your questions, help with diagnosis and treatment of problems with the urinary system. For more information, visit the Advanced Urology Institute website.