What is Urology?
Urology is a special area of medicine that focuses on diseases of the urinary tract and the male reproductive system. At Rosenberg Urology, our specialists are highly skilled surgeons trained to evaluate and treat disorders of the genito-urinary (GU) system. We offer our patients the specialized knowledge and technological resources needed to evaluate and treat genitourinary tract disorders and promote its healthy function.
All of our doctors are board-certified by the American Board of Urology, members of the American Urological Association, and licensed by the state of Louisiana.
What is the prostate and how is prostate enlargement treated?
The prostate is a walnut sized gland that forms part of the male reproductive system by supplying fluid to semen. It surrounds the urethra, the channel through which urine passes out of the body. As a man ages, it is common for the prostate to enlarge. This enlargement could potentially cause a blockage, or kinking, of the urethra, making it difficult for a man to urinate. Symptoms include straining to urinate,a weak urine stream, waking up frequently at night to empty the bladder, or going frequently and urgently. Treatments include medications such as alpha blockers and 5 alpha reductase inhibitors, which shrink the prostate, as well as outpatient surgical procedures, such as microwave therapy or laser ablation of the prostate, and transurethral resection of the prostate (TURP).
What is PSA?
PSA stands for Prostate Specific Antigen. It is a substance made by the prostate and acts to liquify semen. It is a useful blood test to screen for prostate cancer but is also elevated in benign conditions such as urinary tract infections and prostate enlargement. Determining the significance of an elevated PSA should be made in concert with your Urologist.
Should I be screened for prostate cancer?
Prostate cancer is the most common non-skin malignancy in men, affecting over 200,000 men this year alone. Approximately 1 in 7 men will be diagnosed with prostate cancer during his lifetime. About 1 in 36 will die of prostate cancer. It is a cancer common in the elderly; about 60% of cases are diagnosed in men over the age of 65. It is rare in men below the age of 40.
There are risks factors associated with prostate cancer. African American men have a higher likelihood of developing prostate cancer, including high grade prostate cancers, and are more likely to die of prostate cancer. Also, prostate cancer does run in families and those with first degree relatives should be screened sooner.
Screening for prostate cancer in men who are low risk is recommended yearly for those 50 to 69 years of age and includes a digital rectal exam as well as a PSA blood test. Men who are African American and who have one first degree relative diagnosed with prostate cancer, particularly at a young age (younger than 65) should begin yearly screening at the age of 45. Men with more than one relative diagnosed with prostate cancer should begin screening earlier, at the age of 40 years. !
I’ve been having difficulty with my erections. What treatment options are there?
There are many treatment options for erectile dysfunction. Most men start with a trial of Viagra, Levitra, Cialis or Stendra. These medications work in 70% of men take them. These, however, are not indicated in men who have a history of heart disease or who are taking nitroglycerin for chest pain or nitrates for high blood pressure. There are other treatment options available including suppositories, injections, vacuum devices and implants. In addition, lifestyle changes may also help with improvements in erection quality. These include cessation of smoking and alcohol use as well as maintaining a heart healthy diet.!
I’ve been unable to control my urine. Is this a normal part of aging or are there treatments?
Many women, and men, experience the inability to control their urine as they age. This leaking of urine, or incontinence, may occur due to stress, such as during a cough, sneeze or exercise, or due to a severe urge to urinate that one cannot control. Also, a bladder that is not emptying properly may leak simply because it is overflowing. Your Urologist which help you determine which type of incontinence you have and provide treatment options including exercises to strengthen the muscles, medications and surgical options.
I’ve noticed blood in my urine recently. Is this normal?
Blood in the urine, or hematuria, is not normal and should be evaluated by your Urologist. It may signal an underlying problem with the urinary tract such as kidney stones, an infection, kidney disease, or cancer of the genitourinary tract. It presents in two forms. The first is gross hematuria, or blood that you can see in the urine. The second is microscopic hematuria which may be found in the urine specimen you provided to your Urologist, or Primary care doctor, or the lab. Your Urologist will help guide you in determining which work up and treatments need to be performed.