Satisfactions of Being a Urologist – Dr. Scott B. Sellinger

When the term urology is mentioned, what comes to mind for many people is urine. But urology is a really huge medical field. It covers the diagnosis, treatment and management of a wide range of conditions affecting the female and male urinary tract and upsetting the male reproductive system. It is a dedicated medical field with highly trained and skilled specialist doctors called urologists.

“Urology is a massive field,” affirms Dr. Scott B. Sellinger of Advanced Urology Institute. “It is incredible the many problems we deal with. And when you have operated and developed worthwhile relationships with your patients, you go home every day feeling satisfied with your work. It is a truly exciting specialty.”

Problems resolved by urologists

Urology covers a broad spectrum of medical disorders affecting the ureters, kidneys, bladder, prostate, urethra, testis, epididymis, scrotum, penis and seminal vesicle. The most common conditions that urologists see are ejaculation problems, urinary incontinence, erectile dysfunction, cryptorchidism (undescended testes), vasectomy, vesicoureteral reflux, urinary tract infections and cancers of the kidneys, prostate, penis, testicles and bladder.

“As a urologist at Advanced Urology Institute, it is nice to come to work each day and look forward to fixing a female or male problem,” says Sellinger. “Urology is very unique because you work with the patients throughout the treatment cycle, right from diagnosis, treatment and recovery, so you get great satisfaction from seeing people recover and get on with their lives.”.

“While some specialists only diagnose but not treat the conditions and others just treat but are not involved in the entire disease management cycle, urologists are in the thick of it,” Sellinger explains. “I believe urology is the best-crafted medical field because you see everything as it occurs. It is gratifying.”

A hands-on field

“I love urology because I am a hands-on person,” says Sellinger. “In this field you physically do something and then see the results. I draw a lot of satisfaction from this.”

He adds, “The results are generally great in urology. In fact, many people with serious urological problems such as bladder and kidney cancers achieve great outcomes after our interventions.”

The work is very rewarding for the urologist too. “When you operate on people and they recover from their disorders and get on with life, it is fulfilling,” Sellinger notes. “I really feel happy about improving the quality of other people’s lives and relieving their pain.”

Personalized attention

In urology, each patient has different needs. It calls for a personalized approach to every patient. The urologist must take into account the factors presented by each patient, break down the needs and concerns, and then modify the consultations, diagnosis, treatment and follow-up interventions to meet the unique needs of the individual.

“The entire process of tackling urological problems is both challenging and thrilling,” says Sellinger. “Each case is unique and every patient requires a listening ear. So when you deal with a patient warmly and candidly, formulate effective treatment plans and then see positive results, the entire process brings indescribable joy, peace and satisfaction to the urologist.”.

Urologists also spend their time educating patients and the general public on preventive measures for various urological problems. For instance, they speak with men on when to go for screening for prostate cancer, alleviate fears about the risk factors and advise those diagnosed with the cancer on how to live positively with it.

“As urologists, we help relieve pain and distress and improve the quality of lives of men and women plagued by urological problems,” he explains. “We educate people on how to prevent some of these problems, encourage them to seek help early enough and administer treatments to help them recover. Many times, the results are great and satisfying.”

At Advanced Urology Institute, there is a big pool of experienced, caring and skilled urologists to help diagnose, treat and manage your urological problem. If you are experiencing any symptoms of a urological disorder, just visit the institute and have your problem fixed. For more information, visit the “Advanced Urology Institute’” site.

Treatment Options for Urge Incontinence

Urge incontinence is not an inescapable consequence of aging. In fact, a huge majority of women with the condition have been effectively treated or helped. The trick is simply not staying at home and giving up, but visiting a urologist as soon as possible for help.

Factors that affect the treatment decision

Effective treatment of urge incontinence in women depends on the kind of incontinence, personal preferences, underlying causes and severity of the symptoms. Where the condition has more than one underlying cause, the most serious cause will be dealt with first. Likewise, your urologist most likely will opt for the least invasive treatments first before moving on to invasive ones.

Treatments for urge incontinence include:

1. Behavioral techniques

These treatments include making certain lifestyle changes to improve bladder control. They include:

  • (a) Bladder training: Entails delaying urination once the urge to pass urine comes. You can begin by holding off urine for as short as 10 minutes and then extending the holding time to hours. The goal of holding off urine each time the urge comes is to lengthen the duration between your trips to the toilet by up to 2.5 hours to 3.5 hours.
  • (b) Double voiding: Means that you urinate and then wait for only a short duration (a few minutes) then try again to pass urine. The goal of double voiding is to achieve complete emptying of the bladder to avoid overflow incontinence.
  • (c ) Scheduled toilet visits: Planning your toilet trips so that you urinate every 2-4 hours instead of waiting for the urge to come, will help you improve bladder control.
  • (d) Diet and fluid management: To improve your bladder control, you may have to cut back or avoid acidic foods, alcohol and caffeinated drinks. By increasing physical activity, reducing liquid consumption or losing weight you can ease urge
    incontinence.

2. Pelvic floor exercises

Also called Kegel exercises, pelvic floor exercises can strengthen the muscles responsible for bladder control and urination. To help you learn and perform these exercises, your doctor may recommend that you work with a physical therapist or to try using biofeedback techniques.

3. Electrical stimulation

The urologist may choose to insert electrodes into the vagina to strengthen and stimulate your pelvic floor muscles. With gentle stimulation, urge incontinence may resolve. However, you may need several treatments over many months to be successfully treated.

4. Medications

There are several common medications that are effective in treating urge incontinence. They include:

  • (a) Anticholinergics: Include solifenacin (Vesicare), trospium (Sanctura), tolterodine (Detrol), fesoterodine (Toviaz), oxybutynin (Ditropan XL) and darifenacin (Enablex).
  • (b) Alpha blockers: These drugs relax bladder muscles and make bladder emptying easier. They include alfuzosin (Uroxatral), doxazosin (Cardura), silodosin (Rapaflo) and tamsulosin (Flomax).
  • (c) Topical estrogen: Application of a low dose of a topical estrogen, such as a vaginal patch, cream or ring can rejuvenate and tone the tissues of the vagina and urethra, helping treat urge incontinence.
  • (d) Mirabegron (Myrbetriq): This drug relaxes the muscles of the bladder, increases the quantity of urine that the bladder can hold and increases the amount of urine that can be passed at any one time. As a result, it helps to empty the bladder more completely and treats urge incontinence.

5. Medical devices and interventions

Devices such as urethral inserts and pessaries can help to treat or relieve urge incontinence. Interventional therapies such as using a sacral nerve stimulator,bulking material injections, botulinum toxin (Botox) injections and nerve stimulators also can be used to treat urge incontinence.

6. Surgery

The doctor or urologist also may use surgery to correct the underlying cause of urge incontinence. Common surgical procedures include bladder neck suspension, prolapse surgery, artificial urinary sphincter and the sling surgery procedure.

7. Catheters and absorbent pads

If the urologist finds that no medical treatment can completely eliminate the incontinence, various products can be recommended to help ease the problem, minimize discomfort and reduce the inconvenience caused by urine leakage. The most commonly used products are catheters, absorbent pads and absorbent garments.

Urge incontinence is a treatable condition. As a woman, you should not continue living with this problem since there are solutions to help you. At Advanced Urology Institute,we have helped thousands of women with urge incontinence recover from it. Come see us so we can fix the problem. For more information,
visit the “Advanced Urology Institute” site.

What is an Erectile Dysfunction? with Dr. James E. Renehan

Erectile dysfunction (ED) is a man’s inability or difficulty to get or keep erections that are firm enough to enable sexual intercourse.

While occasional ED is very common in men, particularly during times of stress, depression or fatigue, frequent ED can really ruin a man’s life. For instance, some men with erectile dysfunction may avoid contact with their partners for fear that they will have trouble satisfying them sexually in the bedroom while others may get into a complete emotional and psychological meltdown.

Forms of erectile dysfunction

According to Dr. James E. Renehan of Advanced Urology Institute, erectile dysfunction can take a variety of forms. For example, some men may be unable to get an erection under any circumstance, while other men with ED may occasionally get an erection. In other men, getting an erection is possible but the erections are not strong enough for satisfying sexual intercourse.

“Erectile dysfunction does not mean that you are infertile,” says Dr. Renehan. “In fact, the majority of the men having difficulties with getting an erection are still quite capable of achieving an orgasm and getting children. ED just means that you cannot consistently get or sustain an erection.”

What are the symptoms of erectile dysfunction?

You could be suffering from ED if you frequently have:

  1. Difficulty getting an erection.
  2. Trouble sustaining an erection throughout sexual intercourse or during sexual activities.
  3. Diminished interest in sex.

However, there are also a number of factors related to erectile dysfunction, such as:

  1. Premature ejaculation.
  2. Difficulty achieving orgasm even after ample stimulation (anorgasmia).
  3. Delayed ejaculation.

Experiencing such symptoms for 2 or more months may indicate that you have erectile dysfunction. So it is important to speak with your urologist to determine if you have a sexual disorder.

“Men should know that erectile dysfunction is not in the head,” says Dr. Renehan. “You will not simply get an erection by stimulation, as 80 percent of all cases of ED are usually caused by treatable physical disorders, such as high blood pressure, high cholesterol or diabetes. So make sure you visit your doctor for advice.”

Causes of erectile dysfunction

Erectile dysfunction may have several possible causes, including both physical disorders and emotional problems. The most common causes are:

  1. Diabetes
  2. Obesity (being overweight)
  3. Smoking, alcohol use or drug abuse
  4. Hypertension
  5. Cardiovascular disease
  6. Hyperlipidemia
  7. Injuries
  8. Stress, anxiety or relationship problems
  9. Damage from surgery or cancer treatment
  10. Increased age

Because there are many possible causes of erectile dysfunction, it is important to work with a urologist so that any underlying medical conditions are identified and treated.

Diagnosis of erectile dysfunction

When you visit your urologist, you will be asked questions related to your symptoms, health history, emotional and physical problems. You also should expect a physical examination in which the doctor will listen to your lungs and heart, examine your penis and testicles and measure your blood pressure. The doctor may order various tests to determine whether you have an underlying disorder, such as blood and urine tests. A rectal examination may be requested to check your prostate.

Treatment of erectile dysfunction

The treatment chosen by your doctor will depend on the type of symptoms and any underlying causes for the dysfunction. At times, a combination of treatments may be necessary. The most common treatments for ED include:

  1. Medications: The doctor may prescribe medications to improve blood flow to the penis and improve ED symptoms. The drugs commonly indicated include Alprostadil (Caverject), Avanafil (Stendra), Sildenafil (Viagra), Tadalafil (Cialis), Testosterone (Androderm) and Vardenafil (Levitra).
  2. Talk Therapy: If it is established that the erectile dysfunction is caused by psychological factors such as stress, depression, anxiety or post-traumatic stress disorder, the urologist may recommend that you see a therapist. Working with the therapist, you will attend several sessions in which you will be helped to recover from stress, anxiety, subconscious conflict or negative feelings around sex. A relationship counselor also may be called upon if the ED is affecting your relationship.
  3. Alternative Treatments: Treatments such as prostatic massage, acupuncture, yoga and pelvic floor exercises also may improve your condition. Likewise, lifestyle and diet changes, such as regular exercise, losing weight, lowering your blood pressure and avoiding cigarettes and alcohol can be recommended to help you overcome erectile dysfunction.
  4. Surgery: When medications and exercises fail to work, the urologist may perform a surgery to correct any problems in the penis or to add a penile implant. Penile implants help to generate spontaneous and controlled erections.

Erectile dysfunction is treatable

Most cases of erectile dysfunction are treatable. At Advanced Urology Institute, we have helped thousands of men to improve their symptoms and regain their confidence through compassionate, multidisciplinary, patient-centered treatment approaches. Depending on your condition, we will administer the right medications or treatments to ensure that you achieve an erection and be able to have satisfying sexual intercourse. Come and discuss your symptoms with us so we can fix your problem. For more information on help with erectile dysfunction, visit the “Advanced Urology Institute” site.

What is Da Vinci Robotic Prostatectomy?

The da Vinci system is a revolutionary, minimally-invasive surgical robot for treating prostate cancer. Designed by Intuitive Surgical to help overcome the shortcomings of both the traditional laparoscopic prostatectomy and open prostatectomy, the da Vinci system enables a surgeon to conduct highly precise, nerve-sparing surgery using several dime-shaped incisions. With the da Vinci surgical procedure, entire cancerous tissue or prostate can be removed, cancer completely eradicated and internal repair achieved without interference with sexual function, potency and bladder control.

Also called robotic prostatectomy, the da Vinci uses a finely-controlled robotic apparatus, including micro-surgical instruments and high-resolution cameras, to perform prostate surgery safely, achieving faster patient recovery and better treatment outcomes.

High-Precision Prostatectomy

During da Vinci robotic surgery, urologists use the “motion scaling” feature on the system to convert subtle hand movements made outside the body into extremely precise and accurate movements inside the body. The urologist controls the robotic arms of the da Vinci console by applying natural wrist and hand movements. Through motion scaling, filtration and seamless translation of hand-and-wrist movements, the urologist can achieve greater precision that is normally not achievable during traditional laparoscopic and open surgery procedures. The da Vinci system not only provides urologists with enhanced dexterity, range of motion and flexibility, but also enables surgeons to safely access difficult-to-operate areas of the pelvis, abdomen and closed chest. The robot also filters and eliminates unpredictable hand movements and hand tremors that may occur during the operation.

Computerized 3-D Visualization

The da Vinci system dramatically improves visualization by providing a sharper and brighter view than can be seen during traditional laparoscopic endoscopes and by the eye during open surgery. The robotic system comes with a proprietary camera, enabling the surgeon to zoom in, rotate and even change image visualization. As a result, the 3-D image produced is clearer and brighter, and with no flickers as seen in traditional laparoscopic systems.

Even though the da Vinci robotic prostatectomy is a remote procedure, urologists have the feeling that their hands are fully immersed in the body and are able to complete all the necessary procedures efficiently. With the 3-D visualization and robotic hand simulation, the da Vinci system enables urologists to perform highly complex procedures more effectively than traditional laparoscopic surgery or open surgery.

Getting da Vinci Prostatectomy at Advanced Urology Institute

At Advanced Urology Institute, the da Vinci prostatectomy patients are usually discharged 24 hours after their operation. The system is used at AUI because it has superior benefits to traditional laparoscopic prostatectomy or open prostate surgery. The benefits of the da Vinci prostate surgery include:

  1. Reduced pain and higher nerve-sparing rate.
  2. Shorter hospitalization, with most patients going home the next day.
  3. Minimal blood loss, fewer transfusions and reduced risk of complications (such as impotence and incontinence).
  4. Quicker return to pre-surgery erectile function and urinary continence.
  5. Faster return to routine activities.

Are you looking for a da Vinci urologist near you? You can check out this life-changing technology at Advanced Urology Institute. For more information, visit the “’Advanced Urology Institute” site.

Types of Prostate Cancer

Prostate cancer refers to an uncontrollable accumulation of cells in the prostate gland. When the cancer occurs it means the ability to control the multiplication, growth and death of prostate cells has been lost. The prostate cells form abnormal cells that join into masses known as tumors. Once formed, a tumor can remain at its original location and not spread to any location outside the prostate. Such a tumor is called a primary tumor. But some spread to other areas of the body outside the prostate and are called secondary tumors.

Prostate Cancer Is Generally Slow-Growing

Most prostate cancers are relatively slow-growing. This means that a prostate tumor typically takes many years to grow and reach a size that is detectable. Likewise, it usually takes even a longer time for prostate cancer to spread beyond the prostate. Nevertheless, in a small percentage of men, prostate cancer can grow rapidly and spread aggressively to other areas. Because of this, it is quite difficult to know with certainty which prostate cancers are likely to grow slowly and which ones are likely to grow aggressively. It can be quite difficult to make the right treatment decisions.

Aggressive Versus Indolent Prostate Cancer

While there are many types of prostate cancers, urologists usually break them down into aggressive and indolent categories to make it easier to determine the right treatment and to treat various types of cancers effectively. Aggressive cancer is a high-risk prostate tumor that if not treated remains highly active and very likely to spread to areas outside the prostate gland. The cancer grows quickly, spreads early, rapidly and widely, and causes increased damage in the body. Because aggressive cancer spreads as secondary deposits and can quickly result in widespread damage, it progresses rapidly to advanced stage cancer and can be very difficult to treat. So for aggressive prostate cancers to be treated successfully, they should be diagnosed early and treatment should be started when the tumors are still in their early stages.

On the other hand, indolent prostate cancer is a low-risk, slow-growing and low-volume tumor that can sit in the prostate gland for many years without causing any problems. An indolent cancer is not likely to spread outside the prostate even if not treated. But if it does, the spread will be local and slow. In fact, patients with indolent prostate cancers can live for 10-20 years without the cancer causing any serious effects on their lives.

Identifying Aggressive Prostate Cancer

When a patient is diagnosed with prostate cancer, the urologist will take a biopsy of the prostate gland to make sure the cells are checked under the microscope to determine whether the cancer is aggressive or indolent.

Various cancer cells are examined and their activity graded using the Gleason score. When the microscopic exam returns a Gleason score greater than 7 for cancer that has not spread beyond the prostate, the cancer is classified as aggressive and the patient is given the appropriate treatment. However, if the Gleason score is 7 or below, the prostate cancer may be classified as indolent, depending on other patient factors.

The Gleason score also helps the urologist to decide the appropriate treatment. For instance, if it is an early-stage, slow-growing cancer with a score of 6 or below, the urologist may recommend active surveillance, which means that treatment is postponed and the patient is closely monitored for progress, such as whether the tumor is spreading or worsening. But to determine whether active surveillance is ideal, the urologist also will have to consider factors such as the patient’s life expectancy, overall health and concomitant illnesses. For aggressive cancer, the urologist will work with other doctors to create a treatment plan.

At Advanced Urology Institute in Florida we have a knowledgeable and experienced team of urologists to help diagnose and treat all types of prostate cancers. Our multidisciplinary approach to treatment ensures that even the most aggressive forms of cancer are treated safely and effectively. For more information on the screening, diagnosis, treatment, care and support for prostate cancer, visit the “Advanced Urology Institute” site.

New Treatment Options for Erectile Dysfunction

Statistically, 50 percent of all men experience erectile dysfunction (ED) at some point of their life, with the risk of ED increasing with age. Roughly 30 million men in the United States suffer from ED, a condition that causes frustration and the breakdown of marriages and self-confidence.

Evolution of Erectile Dysfunction Treatments

Over the years, the medical management of erectile dysfunction has evolved greatly. For instance, before oral phosphodiesterase inhibitors (PDESi) like Cialis, Standra, Viagra, Levitra and related medications were introduced, doctors could administer one of only two effective treatments for erectile dysfunction: surgical penile revascularization and implantation of a penile prosthesis.

The emergence of Viagra and related oral drugs for ED ushered in a new age of non-invasive treatment of the condition. These drugs relax the muscles in the penis and increase blood flow, allowing patients to have an erection. However, while these drugs are helpful for many men, they are not safe for men with high blood pressure, severe liver disease, kidney disease, or who take nitrate drugs. The drugs also come with side effects such as a runny or stuffy nose, dizziness, fainting and blurred vision. Because of these limitations, doctors have continuously looked for new treatment options for erectile dysfunction.

New Treatment Options

New treatment options for ED include:

  1. Injection therapy: Drugs such as alprostadil (sold under the names Edex, Caverject and Prostin VR) and the suppository-form of alprostadil (sold as MUSE) are currently available to patients. Alprostadil causes expansion of blood vessels and increased blood flow to the penis, enabling patients to get erections.
  2. Extracorporeal shock-wave therapy (ESWT): Also called acoustical wave therapy or linear shockwave therapy, ESWT uses high-frequency acoustical waves for treatment of the root cause of ED. During treatment, the waves are used to open and repair blood vessels in the penis. The therapy improves blood flow in the penis by creating new blood vessels or rejuvenating existing ones, which in turn increases the patient’s ability to get an erection.
  3. Melanocortin activators: These drugs stimulate erection by acting through the central nervous system. For instance, the drug PT-141 is effective in stimulating erection when given through the nose to men with mild-to-moderate non-medical (emotional or psychological) erectile dysfunction.
  4. Topiglan: This is a cream that is applied to the penis. Topiglan contains alprostadil, the same drug that is injected or applied as suppository by men with ED.
  5. Uprima (apomorphine): Working to stimulate the secretion of the brain chemical dopamine, Uprima heightens sexual interest and increases sensations. It comes in tablet form that easily dissolves under the tongue. However, because of its major side effects of nausea and vomiting, research is still going on to find a nasal spray alternative that causes less nausea but is equally effective.
  6. Gene therapy: The therapy delivers genes that help generate proteins or products that can replace those that are not functioning well in the penile tissues of men with ED. While experimental use of gene therapy has reported tremendous success, regulatory approval and the public’s acceptance of the therapy may still take some time.

If you are suffering from erectile dysfunction, consider your options carefully. Talk to your urologist openly. Effective treatment of ED can improve your quality of life, ability to maintain intimate relationships and boost your self-esteem. At Advanced Urology Institute, we are always improving our range of treatment options to give the very best to our patients. When you visit our urology center in Florida, you can be sure that you will have a broad range of treatment options, including the very latest, for erectile dysfunction. For more information on diagnosis and treatment of erectile dysfunction, visit the “Advanced Urology Institute” site.

Common Treatment Options for Stress Incontinence

The treatment that a urologist may recommend for stress incontinence depends on how troubling the condition is to the woman and on the woman’s general fitness level. Often, the urologist will opt for fairly simple treatment options for a less troubling condition and only recommend surgical treatments when absolutely necessary. For instance, if an overactive bladder is present, the urologist will determine the possible contributing factors and recommend deterrent treatments such as fluid modification and caffeine reduction. Likewise, for women whose body mass index (BMI) is equal to or over 30kg/m2, the urologist will recommend weight loss.

Generally, the most common treatments for stress incontinence are:
  1. Weight loss: For women who are overweight or obese, losing weight helps to reduce urine leakage.
  2. Fluid management: For women who drink large amounts of fluids daily, cutting back on fluids reduces urine leakage. This includes reducing the amount of caffeinated, alcoholic and carbonated drinks. In fact, avoiding fluids 3-4 hours before going to bed helps a lot to prevent frequent nighttime urination.
  3. Avoiding constipation: Since constipation worsens urine leakage, increasing the quantity of dietary fiber to 30 grams or more per day will prevent constipation and reduce incontinence.
  4. Pelvic floor muscle exercises: Exercises for tightening pelvic floor muscles will help control stress incontinence.
  5. Bladder training: Bladder retraining helps affected women to regain bladder control and hold more urine for longer. Bladder training involves going to the bathroom on a specific schedule while awake and applying various strategies to control any sudden urges./li>
When the above options fail, the urologist may recommend:
  1. Bladder control medicines: For example, the drug duloxetine is used to treat stress incontinence in women who are unwilling or whose incontinence is unsuitable for surgical treatment. Collagen injections around the neck of the bladder may also be used when surgery is not ideal.
  2. Topical vaginal estrogen may be recommended for peri-menopausal or post-menopausal women with vaginal atrophy and stress incontinence.
  3. Pessary: A pessary, a stiff ring inserted into the vagina to push up against the wall of the urethra and the vagina, may be applied to reposition the urethra and reduce stress leakage.
  4. Catheterization: This treatment is used in women who are incontinent because the bladder never empties fully (overflow incontinence) or when the bladder cannot empty completely because of a spinal cord injury, past surgery or poor muscle tone.
  5. Biofeedback: The therapist puts an electrical patch over the bladder and urethral muscles, uses a wire to connect the patch to a TV screen where the contraction of these muscles is monitored, then with this information uses electrical stimulation and pelvic floor exercises to control stress incontinence.

As a last resort and depending on the severity of the stress incontinence, the urologist may opt for surgery. Surgery for stress incontinence is the most effective treatment for women who have not been helped by other treatments. Common surgical procedures are anterior vaginal wall repair surgery, colposuspension, surgical tape procedure and laparoscopic (keyhole) surgery. If you have urinary incontinence, speak with your doctor about whether surgery will help you and what type of surgery is perfect for you.

At Advanced Urology Institute, we have a solid track record of helping men and women plagued with urinary incontinence put their lives back on track. We have state-of-the-art facilities and skilled, board-certified urologists to assess, diagnose and treat any type of incontinence. For further help with urological disorders, visit the site, Advanced Urology Institute.

Thanksgiving is The Best Time To Get A Vasectomy

Considered the easiest and safest form of surgical sterilization, vasectomy is an outpatient procedure in which the tubes (vas deferens) that carry sperm from a man’s testicles to the urinary tract are cut to stop the release of sperm during sexual intercourse. During a vasectomy, a small cut made through the skin on the front surface of the scrotum is used to bring the vas deferens to the skin level, allowing the vas to be cut or cauterized (burned) before being tied or clipped off and then dropped back into the scrotum.

After a vasectomy, a man is encouraged to rest for a few days. During the first 24 hours after the procedure, it is recommended that he apply an ice pack on the scrotum or use a package of frozen peas to reduce discomfort. The ice pack should be wrapped in a towel and should not be placed directly on the skin. Recovery takes a few days and the man can resume routine work within 3 days, but should avoid exercise and heavy lifting for at least one week.

Choosing to undergo a vasectomy is a big step in your life, and like most big life decisions, the timing of the procedure is critical. In fact, while the procedure is typically an outpatient routine, the recovery period requires ample rest, which makes it important to carefully choose the time to have the procedure. Even for a really tough guy who would like to go back to work soon after a vasectomy like it is no big deal, recovery still means a few days of soreness and discomfort which need to be properly timed to minimize inconvenience as much as possible.
So when is the best time to have a vasectomy?

1) March Madness

For sports fans, March offers lots of good entertaining TV watching, particularly during the first weekend of the NCAA Basketball Tournament. It is also a perfect time to schedule the procedure because it allows you to rest on your couch and enjoy the games on TV while your body recovers from the operation. In fact, many urologists across the United States have reported that there is a massive increase in the number of vasectomies scheduled in the period leading to the NCAA tournament (as many as 50 percent more procedures during this season than at any other time of the year). So if you are thinking about having a vasectomy, the Thursday and Friday of the first weekend of the NCAA tournament is a good time to undergo the procedure and then kick back for the entire weekend with your ice pack and great games involving your favorite players and teams.

2) A Four-day Weekend

Due to the down time involved in recovering from a vasectomy, a four-day weekend is ideal for the procedure. In this case, you can take a Friday off from work if there is a holiday the following Monday, such as Labor Day or Memorial Day. The time is adequate for you to relax and enjoy quiet activities as you recover from the operation. Scheduling the procedure on a Thursday or Friday also will reduce the amount of time you will miss from work.

3) Thanksgiving Weekend

After a vasectomy, it is recommended that you get enough rest and avoid activities that may require exertion. There is no better time of the year that you can find complete rest from exertion than during the Thanksgiving weekend. Thanksgiving weekend provides four days for you to enjoy delicious food, watch football, spend time with family members and engage in other activities that you desire. So you can schedule your operation just before the big day’s feast in order to have enough time to recover. Of course, you should avoid traveling over that weekend and stay away from the traditional annual touch football family game.

Have you decided to undergo a vasectomy or have questions about planning for a vasectomy? Advanced Urology Institute is the place for you to find the best information and get the safest and most effective vasectomy. As a leader in vasectomy in Florida, Advanced Urology Institute offers top-notch vasectomy techniques such as the no-needle no-scalpel procedure that is less invasive and causes minimal discomfort, fewer complications and requires a shorter recovery time. For more information on how to find the best urologist for treatment of urological problems and for the vasectomy procedure, visit the “Advanced Urology Institute” site.

Prostate Cancer: Early Detection and Screening

Prostate cancer screening means conducting tests to find the cancer in people with no symptoms. Screening helps in early detection of the cancer when it is still easier to treat. To detect prostate cancer before symptoms appear, urologists recommend either measuring the amount of prostate-specific antigen (PSA) in blood or doing a digital rectal exam (DRE), when the urologist inserts a gloved, lubricated finger into the rectum. If the results of a PSA or DRE are abnormal, the urologist will request further tests. Finding prostate cancer via a PSA or DRE screening means the disease is probably still at an early stage and will respond well to treatment.

PSA Screening

Prostate Cancer: Early Detection and ScreeningThe prostate-specific antigen (PSA) test measures the amount of the protein (PSA) released in blood by prostate cells. Even though both normal and cancerous (abnormal) prostate cells produce the protein, higher blood levels of PSA indicate the possibility of cancer. The PSA test is one of the best indicators of prostate cancer and is recommended by urologists because it is widely available, relatively inexpensive and is a low-risk blood test for patients.

Digital Rectal Exam (DRE)

To perform a digital rectal exam, the urologist inserts a gloved and lubricated finger into the rectum in order to feel the state of the prostate gland. Since prostate cancer often begins in the back of the prostate, DRE helps to assess the texture of this area and checks for hard areas and bumps (nodules) which might indicate cancer. DRE is also effective in detecting whether the cancer has spread to nearby tissues or has reoccurred after treatment.

Confirming Prostate Cancer

After a digital rectal exam (DRE) or PSA blood test, the urologist may request a biopsy to confirm the cancer. But before the doctor can decide whether biopsy is necessary, a number of supplementary tests and considerations must be made, including family history, ethnicity, prior biopsy findings and different forms of PSA. A biopsy means the doctor takes out a small portion of the prostate tissue to be examined under a microscope for cancerous cells. Since cancerous cells appear different from normal prostate cells, a close exam of biopsy cells will help to confirm the cancer.

When to Start Screening

The age of beginning or stopping prostate cancer screening depends on individual risk. Men with a higher risk of having prostate cancer should start screening at age 40. This includes African American men and all men with first and second degree relatives with a history of prostate cancer. Men with average risk should start screening at 50, but only after discussing it with their doctors to reduce the rate of unnecessary biopsies. Men age 75 and older or those with limited life expectancy (less than 10 years) should be discouraged from early detection testing for prostate cancer because they may not benefit much from screening. Nevertheless, a decision to go for prostate cancer screening must be made with the help of a urologist or GP and should depend on a man’s lifestyle, family history, overall health and life expectancy. For more information on screening, diagnosis and treatment of prostate cancer, visit the site, Advanced Urology Institute.

2 Kinds of Incontinence

Urinary incontinence (UI) is the involuntary loss or leakage of urine because of faulty bladder control. Due to pregnancy, structure of the female urinary tract and menopause, women experience urinary incontinence twice as often as men. And according to various studies, 25-45 percent of women in the United States experience some degree of urinary incontinence. In women between 20 and 39 years old, 7-37 percent report some degree of incontinence, while 9-39 percent of women older than 60 report daily incontinence.

Two types of incontinence

Urinary incontinence may result from functional abnormalities in the lower urinary tract or may be caused by other illnesses. There are two types of incontinence, stress incontinence and urge incontinence. Stress urinary incontinence is the involuntary urine leakage from effort, exertion, sneezing or coughing. Stress incontinence occurs because of weakened pelvic floor muscles. It is the most common type of urinary incontinence in young women and the second most common one in older women. This type of incontinence will lead to urine leaks when performing any activity that increases strain on the weakened pelvic floor muscles, such as walking, jumping, exercise, bending, stretching, sneezing, coughing, lifting, and even sex. The amount of leaked urine varies from a few drops up to a tablespoon or more, depending on the severity of the condition.

Urge urinary incontinence is the involuntary urine leakage that is accompanied or immediately preceded by urgency (an abrupt or sudden compelling desire to pass urine that is very difficult to defer). Urge incontinence occurs because of overactivity of the detrusor muscle, with its hallmark being a sudden, overwhelming urge to pass urine, accompanied by leakage or loss of urine. Nighttime urination and frequent urination often occur with urge incontinence. For some women with urge incontinence, even changing a sitting position or hearing running water can trigger bladder contractions and result in urine loss. While urge incontinence may occur in anyone of any age, it is common among older women. Actually, just 9 percent of women ages 40-44 suffer from urge incontinence while at least 31 percent of women 75 and older have the condition.

Seek immediate help

Involuntary leakage of urine is more than a health concern. It affects women on a psychological, social and emotional level. Women with urinary incontinence may avoid certain situations or places for fear of having a leakage accident. In fact, for a significant number of women, the incontinence may be so serious that it calls for changing clothes and avoiding certain tasks and exercises. Some women also may experience mixed incontinence, a condition where urge incontinence and stress incontinence occur at the same time. Therefore, it is important for women experiencing urine leakage of any kind to seek help from a urologist to determine whether they are suffering from urge incontinence, stress incontinence, mixed incontinence or another issue.

At Advanced Urology Institute, we understand that there are a significant number of women living with a lot worse problems than they should. We provide top-notch facilities and experienced board-certified urologists to help such women. For more information, visit the site, Advanced Urology Institute.

8 Easy Ways to Cleanse Your Kidneys

The kidneys are amazing little organs. Each day, they process about 200 quarts of blood, getting rid of excess water and waste products, removing toxins and keeping the body functioning smoothly. If the kidneys are not able to remove toxins and waste from the body, they will build up in the body and hinder the normal function of kidneys, liver and other organs, resulting in exhaustion, stomach pain, headaches, water retention and other problems. Buildup of toxins and waste also may lead to kidney stones, a mass of crystals or unprocessed minerals which can grow to the size of a golf ball. Kidney stones affect 10-15 percent of American adults, but also may be found in children as young as five.

Kidney stones causes and symptoms

There are many causes of kidney stones, such as dehydration, excessively acidic urine, urinary tract infections, buildup of waste and toxins in the kidneys, among others. The symptoms of kidney stones include excessive lower back, abdominal or urinary tract pain which may be sharp, mild or excruciating, severe vomiting or feeling nauseated, persistent urge to pass urine, and constant chills or sweating. While the symptoms vary depending on the size of the stones, unceasing pain and discomfort on the sides is a good reason to see a urologist. Kidney stones are easily curable if diagnosed early.

Why you should cleanse your kidneys

There are several reasons why you should flush out toxins and waste from your body. For instance, cleansing your kidneys improves their function and reduces bloating. Likewise, cleansing your kidney improves your ability to process certain foods, absorb nutrients and convert food to energy, preventing fatigue. Flushing out waste and toxins prevents potential infection and reduce the risk for bladder problems. Similarly, cleansing the kidneys reduces the chances of having painful kidney stones, corrects hormonal imbalances and prevents skin breakouts such as acne, eczema and rashes.

Below are 8 easy ways to cleanse your kidneys

1. Apple Cider Vinegar

Apple cider vinegar is effective in preventing oxidative stress of the kidneys. It increases the levels of antioxidants in the body, balances blood sugar levels and reduces blood pressure, creating optimum conditions for kidney health. Apple cider vinegar contains citric acid which dissolves kidney stones. Frequent intake of apple cider vinegar also flushes out toxins from the kidneys.

2. Kidney Beans

Kidney beans not only resemble the kidneys but also remove waste and toxins from the kidney and flush out kidney stones effectively. Kidney beans are rich in Vitamin B, fiber and several minerals which help to clean the kidney and boost the function of the urinary tract.

3. Lemon Juice

Lemon juice is naturally acidic and increases citrate levels in urine, hence discouraging the formation of kidney stones. Lemon juice also filters blood and flushes out wastes and other toxins. Daily intake of diluted lemon juice reduces the rate of kidney stone formation and dissolves calcium oxalate crystals, which is the most common constituent of kidney stones. For people with kidney stones, combining lemon with olive oil ensures smooth passage of the stones.

4. Watermelon

Watermelon is a mild diuretic. It hydrates and cleanses the kidneys. It is also rich in lycopene, which improves cardiovascular health and ensures well-functioning kidneys. Watermelon also has large quantities of potassium salts which regulate acidity of urine and prevents stone formation. In fact, eating watermelon regularly is great for kidney health.

5. Pomegranate

Both the juice and seeds of pomegranate contain large amounts of potassium and therefore are effective in removing kidney stones. Potassium lowers acidity of urine, prevents stone formation because of its astringent properties, curtails crystallization of minerals, and flushes out toxins and waste from the kidneys.

6. Basil

Basil is an effective diuretic. It removes kidney stones and improves kidney functioning. Basil also lowers the level of uric acid in blood and improves kidney health. Its ingredients such as essential oils and acetic acid break down kidney stones and allow for smooth removal. Basil is also a pain killer.

7. Dates

When dates are soaked in water for 24 hours and then consumed after seeds are removed, they are effective in dissolving and flushing out kidney stones. Dates are rich in fiber, helping to reduce the risk of kidney stones. The magnesium ingredient in dates also cleanses the kidneys.

8. Dandelion

Consuming tea made using dried organic dandelion or fresh dandelion root (pulled from the ground) helps to cleanse the kidneys. Dandelion is a kidney tonic, but also stimulates bile production to improve digestion and minimize the waste reaching the kidneys.

Another effective cleansing agent for the kidneys is cranberry juice which supports the urinary tract, fights urinary tract infections and removes excess calcium oxalate. Beets and their juices contain Betaine which increases urine acidity, prevents build-up of struvite and calcium phosphate and reduces the chances of kidney stone formation. Other effective cleansing agents are coconut water, cucumber juice and cherries. For more information on preventing and treating kidney problems, visit the site, Advanced Urology Institute.

What is Prostate and Prostate Cancer?

The prostate gland is a chestnut-shaped male reproductive organ located below the urinary bladder and surrounding the upper portion of the urethra, the duct that allows passage of semen and urine. It is a conglomerate of secretory ducts that emit fluids into the urethra and ejaculatory ducts. The prostate produces a thick, white fluid which mixes with sperm from the testicles to create semen, contributing 15-30 percent of the semen secreted by a man. The gland also produces a protein known as prostate-specific antigen (PSA), which turns semen into liquid. While the prostate matures into a small, walnut-sized gland at puberty, usually between 10-14 years old, it will still grow slowly with age. However, prostate enlargement after age 50 may lead to urinary problems, often occurring as a result of inflammation or malignancy.

Prostate Cancer: What is it?

Prostate cancer is a disease that occurs when changes in prostate cells make them grow uncontrollably or abnormally. The abnormal or cancerous cells then may continue to multiply non-stop and even spread outside the prostate into nearby or distant areas of the body. Prostate cancer is rare before age 50, but is common among older men and is the second most frequent cause of all cancer-related deaths in American men. The disease is typically slow growing, often showing no symptoms until it reaches advanced stage. Hence, most men with the cancer will never know it and will just die of other causes. Nevertheless, when prostate cancer starts to grow and spread quickly, it can be very lethal and requires prompt treatment.

Causes of Prostate Cancer

Prostate cancer occurs mainly in older men, with more than 80 percent of cases seen in men older than 65 and less than 1 percent observed in men younger than 50. Men who eat lots of high-fat diets such as red meat have a higher risk of getting the disease. Studies have shown that the disease is more common among men who consume meat and dairy products regularly than in those who eat vegetables, rice and soybean products. Fats increase the amount of testosterone in the body and in turn speed up the growth and spread of prostate cancer. Men from families with a history of the cancer are at a higher risk, as are welders, rubber workers, battery manufacturers and men frequently exposed to metal cadmium. Failure to exercise regularly also may make the cancer more likely.

Symptoms of Prostate Cancer

Prostate cancer tends to show no symptoms in the early stages, but will show some symptoms in the later stages. Common symptoms include sudden or frequent urge to urinate, trouble starting a urine stream or knowing when to urinate, pain or discomfort when urinating, blood in urine or semen, and pain in the upper thighs, lower back or hips. While these symptoms may not necessarily mean you have prostate cancer, you should see a urologist or GP when you have any of them.

Diagnosis and Treatment

When you visit a urologist, a medical history and physical examination will be performed followed by a digital rectal exam (DRE) and PSA test. If the doctor detects that you are at risk of prostate cancer, a biopsy will be requested to confirm it. There are several treatment options for prostate cancer including active surveillance (watchful waiting), surgery, radiation therapy, cryotherapy, hormone therapy, chemotherapy and bone-directed treatment. Remember that early diagnosis and treatment of prostate cancer improves your chances of survival. For more information on treatment of prostate diseases, visit the site, Advanced Urology Institute.

5 Most Common Signs of Urinary Tract Infection

Urinary tract infections (UTIs) are infections of any part of the urinary system, such as kidneys, bladder, ureters and urethra. UTIs typically occur when bacteria access the urinary tract via the urethra and start to multiply in the bladder. While the urinary system is equipped to keep out the bacteria, the system’s defenses may sometimes fail and allow bacteria to take hold and multiply, resulting in a full-blown urinary tract infection. Abnormalities in the urinary tract that interfere with drainage of urine (such as enlarged prostate or kidney stones), foreign bodies in the bladder (such as tubes and catheters), diabetes, and immune-suppressing drugs and disorders increase the risk of urinary tract infections.

How common are urinary tract infections?

Urinary tract infections (UTIs) are the most common bacterial infections in humans. In the United States, over 8.6 million hospital visits and more than 1 million hospital admissions are due to these infections. Women are at higher risk of having a UTI than men and account for more than 84 percent of all UTIs annually. In fact, every woman has over a 50 percent chance of developing at least one UTI in her lifetime, with the risk of recurrent UTI increasing significantly with each infection. Women have greater risk of getting UTIs because the urethra is shorter in women than in men, allowing bacteria to enter the bladder more easily and multiply. Sexually active women also have higher risk of UTI because anything placed inside the vagina increases the risk of infection.

5 most common signs of urinary tract infection

Urinary tract infections are easy to treat when detected early, but untreated or undiagnosed UTI may lead to kidney damage. To help detect UTIs and seek early treatment, it is important to familiarize yourself with their most common signs.

Often, the most frequent sign of a urinary tract infection is a noticeable change in urination, such as frequent urination, burning sensation when passing urine or strong-smelling urine.

The most common signs of a UTI include:

  1. Change in urine color
    Normal urine is clear and pale yellow in color. But when having a urinary tract infection, the urine may appear cloudy, red, cola-colored, bright pink or just darkened. When you see these changes, you should suspect a urinary tract infection and visit your urologist immediately for help.
  2. Strong-smelling urine
    Urine has its characteristic smell, but when you have a urinary tract infection the smell may be unusually strong. Make sure to speak with your doctor if your urine smells stronger than usual.
  3. Abdominal or back pain
    Along with a burning sensation when urinating, urinary tract infections may cause abdominal or pelvic pain, particularly around the pubic bone and in the center of the pelvis. Abdominal, upper back and flank (side) back pain also can indicate infection of the kidney. Speak with your urologist about the pain as soon as possible.
  4. Fever and chills
    In some cases, a urinary tract infection may cause a fever and chills. For instance, when having a catheter, fever may be the only sign of infection, but when the fever increases and is accompanied by fatigue, chills or mental problems, then a severe kidney infection may be suspected. Visit your doctor immediately if you experience these symptoms.
  5. Nausea and vomiting
    Because the urinary tract is closely associated with the digestive system, a urinary tract infection may cause nausea and vomiting. Make sure to talk to your doctor immediately, especially if the nausea and vomiting is accompanied by other UTI symptoms.Urinary tract infections cause relatively little harm, but they can be dangerous when left untreated. If you are diagnosed with an infection, the doctor will prescribe antibiotics taken for 2-3 days. Severe infections may require longer treatment, but antibiotics resolve most cases of UTIs.

It is also important to take steps to prevent or reduce the risk of UTI. The steps include:

  1. Drinking plenty of water daily.
  2. Using underwear made of absorbent cotton.
  3. Wiping from the front to the back.
  4. Urinating immediately after sexual intercourse.
  5. Avoiding birth control or feminine products that are inserted into the vagina.

When you have to use such inserts, wash your hands and the vaginal area thoroughly before inserting a device.
Work closely with your urologist to prevent complications that may be caused by urinary tract infections. Remember doctors can help by prescribing appropriate antibiotics, but you also can take steps to prevent UTIs in the first place.

Most Common Forms of Prostate Diseases

Located just beneath the bladder and in front of the rectum, the prostate is a tiny gland in men that helps to make semen. It is a walnut-sized gland in young men which is wrapped around the tube carrying urine away from the bladder. The prostate grows larger with age, but when it becomes too large medical problems may arise. For men older than 50, the risk of having prostate related problems is quite high.

The most common prostate diseases are:

  • Prostatitis: Inflammation of the prostate, often caused by bacteria.
  • Enlarged prostate (BPH): Benign prostatic hyperplasia is a frequent problem in older men and is characterized by the frequent urge to urinate (especially at night) and dribbling after urination.
  • Prostate cancer: A common cancer in men which responds well to early treatment.

Benign prostatic hyperplasia (BPH)

This is the most common prostate disease found in men older than 50. BPH occurs when the prostate gland has enlarged to the extent of squeezing the urethra and obstructing the flow of urine from the bladder. Benign prostatic enlargement only means the prostate has enlarged, but there is no cancer. It is treated using active surveillance or watchful waiting when symptoms are not severe, but medications or surgery may be needed in severe cases. Other treatments such as microwaves, radio waves and lasers also may be used.

Prostatitis

Inflammation of the prostate (prostatitis) is frequent in men older than 50. There are three forms of prostatitis: acute bacterial prostatitis, chronic bacterial prostatitis and chronic prostatitis. Acute bacterial prostatitis has sudden onset after a bacterial infection and is characterized by chills, fever and pain in addition to other prostate symptoms. A combination of antibiotics and pain medication may relieve the problem.

Chronic bacterial prostatitis is a recurrent bacterial infection of the prostate. It can be relieved by taking certain medications for a long time, but you contact your doctor immediately when symptoms occur. Chronic prostatitis (also known as chronic pelvic pain syndrome) is a common problem which causes pain in the groin, lower back and tip of the penis. It may be treated by a combination of medication, surgery and lifestyle changes.

Prostate cancer

It is the most frequent cancer diagnosed in American men, affecting almost 50 percent of men older than 70. An estimated 200,000 men are diagnosed with the cancer in the U.S. every year, but many men can live with it without problems as it causes few symptoms unless it has spread to other areas of the body. The risk of getting prostate cancer depends on age (men older than 50 are at higher risk), race (African-American men are at higher risk than Native-American), family history (you are at higher risk if your father or brother had it) and diet (more common in men who eat high-fat diets). It is highly curable when detected early. Prostate cancer is diagnosed using a digital rectal exam or prostate-specific antigen (PSA) test. Treatment options include watchful waiting, surgery, radiation therapy and hormone therapy.

Symptoms of prostate disease

You should visit your doctor if you have any of these symptoms:

  • Frequent urge to urinate
  • Painful or burning urination
  • Need to urinate several times at night
  • Painful ejaculation
  • Dribbling of urine
  • Blood in urine/semen
  • Frequent stiffness or pain in lower back, pelvic area, hips, upper thighs or rectal area

At Advanced Urology Institute, we have experienced physicians and state-of-the-art facilities for diagnosis and treatment of prostate diseases. If you have any of the symptoms above, visit us for help. For more information, visit the site Advanced Urology Institute.

Vasectomy Poses Minimal Risk of Prostate Cancer

For men who are done having children, vasectomy is an effective method for birth control. As a surgical procedure that involves the cutting, blocking or sealing off tubes that transport sperm out of the testicles, vasectomy prevents the release of sperm during sex and is therefore a long-term form of birth control. About 1 in 7 men undergoes vasectomy after the age of 35 years. However, while the procedure is fairly simple and generally safe, it has sparked controversy about various long-term risks, particularly its link to prostate cancer (PCa). The prostate gland is located just behind the tubes and adds essential fluids to semen, so there has been a longstanding fear that vasectomy may cause prostate cancer.

Does vasectomy increase the risk of prostate cancer?

A 2014 Harvard research generated panic when it associated vasectomy with a 10 percent increase in the risk of prostate cancer and a 20 percent increased risk of the aggressive form of the cancer. But according to a recent report published online in the JAMA Internal Medicine, those numbers were probably overblown. Based on a comprehensive review and meta-analysis drawing on more than three decades of epidemiologic literature, the researchers in this study demonstrated that any risk posed by vasectomy, if at all existent, is too small to be of clinical importance.

The researchers reviewed and analyzed 53 studies, including 33 case-control studies involving 44,536 men, 4 cross-sectional studies involving 12,098,221 men, and 16 cohort studies involving 2,563,519 men. The analysis revealed no significant link between vasectomy and aggressive prostate cancer, whether high-grade cancer (Gleason score of 8 or more), advanced (normally T3-4, positive nodes or metastasis), or fatal prostate cancer (PCa). And when data from 6 case-control studies and 7 cohort studies considered to be of low risk according to the Newcastle-Ottawa Scale were analyzed, a non-significant 6 percent increased risk of prostate cancer was noted in the 6 case-control studies while the 7 cohort studies gave a weak but noteworthy 5 percent increased risk of prostate cancer.
From the data, the researchers calculated the absolute increase in lifetime risk of prostate cancer for those who have undergone vasectomy. It was found that vasectomy has an absolute lifetime risk of prostate cancer of just 0.6 percent and may only be responsible for 0.5 percent of prostate cancer cases in the population. This led to the conclusion that the association between vasectomy and prostate cancer is at most trivial, clinically insignificant and should not stop the use of the procedure for long-term contraception.

Vasectomy is Safe

This study affirms that vasectomy is unlikely to substantially increase the risk of having any type of prostate cancer. It also affirms that there is no difference in development of prostate cancer between those who undergo vasectomy and those who do not. In fact, the small risk of low-intermediate tumors reported is attributed to the fact that men who get vasectomies also tend to take PSA tests for prostate cancer, which can detect early-stage disease.

If you are looking for a safe and effective form of birth control, do not let fears of prostate cancer discourage you. Vasectomy does not increase your risk of the cancer. And while more research on the causes of prostate cancer is still ongoing, you can lower your risk by maintaining a healthy weight, regular exercise, eating a low-fat diet, increasing vegetable intake, decreasing dairy intake, and quitting smoking. Talk to your urologist about what is right for you depending on your medical history.