How to Treat Prostate Cancer – Dr. Sean Heron

KEY TAKEAWAYS:

  1. Watchful waiting may be appropriate for patients with slow-growing or non-aggressive prostate cancers, allowing for later treatment if the cancer progresses.
  2. Radiation therapy, such as IMRT and IGRT, is a less invasive treatment option with fewer complications than other approaches.
  3. The Advanced Urology Institute, led by Dr. Sean Heron, offers comprehensive care for patients with prostate cancer and other urological issues.

Prostate cancer is a common concern for many men, and understanding the available treatment options is crucial for making informed decisions about care. Dr. Sean P. Heron, a urologist in St. Petersburg, FL, discusses the various treatment options for prostate cancer, including watchful waiting, radiation therapy, and surgery. The Advanced Urology Institute is a leading urology practice in Florida, offering comprehensive care for patients dealing with prostate cancer and other urological issues.

Additional Pathology Studies and Watchful Waiting

Dr. Heron explains that once a patient has been diagnosed with prostate cancer, additional pathology studies can help determine the appropriate course of action. In some cases, patients may choose watchful waiting, which involves monitoring their prostate-specific antigen (PSA) levels every few months and undergoing a repeat biopsy after a year. This approach may be appropriate for patients with slow-growing or non-aggressive cancers, as it allows for the possibility of treating the cancer later if it becomes more progressive.

Radiation vs. Surgery

For patients who require treatment, the decision often comes down to choosing between radiation therapy and surgery. Dr. Heron and the team at the Advanced Urology Institute specialize in intensity-modulated radiation therapy (IMRT) and image-guided radiation therapy (IGRT), which are less invasive and typically have fewer complications than other treatment options. These specialized radiation treatments can effectively target cancerous tissue while minimizing damage to healthy tissue.

Cryosurgery and Radical Surgery

Dr. Heron has expertise in cryosurgery, a technique that uses extreme cold to destroy cancerous tissue. While he was the first doctor extensively trained in cryosurgery in Pinellas County, Dr. Heron acknowledges that this treatment can carry more morbidity than radiation therapy. Radical surgery, on the other hand, is another treatment option for patients who require a more aggressive approach. Dr. Heron and his team at the Advanced Urology Institute are well-versed in performing radical surgery when it is indicated and desired by the patient.

Advanced Urology Institute

The Advanced Urology Institute is the largest urology practice in Florida, offering state-of-the-art care for patients with prostate cancer and other urological conditions. Led by experienced professionals like Dr. Sean Heron, the institute provides personalized, comprehensive treatment plans designed to address each patient’s unique needs and preferences.

TRANSCRIPTION:

My name is Dr. Sean Heron and I’m with Advanced Urology Institute.

In terms of treatment, now we have a lot of additional pathology studies once patients

have cancer to look at it to decide, hey, do I even need to get this treated and patients

often choose just watchful waiting and will check their PSA every few months, repeat a

biopsy after a year and maybe treat them later if it is getting worse or more progressive.

A lot of times it comes down to radiation versus surgery.

I do have some expertise in cryosurgery.

I was the first doctor really trained for that in Pinellas County extensively, but it

really carries a lot more morbidity than the radiation treatment and everywhere throughout

the AUI.

We specialize in IMRT, IGRT, specialized radiation treatment that’s less invasive and doesn’t

have too much complications and I think we’re all pretty well versed in doing radical surgery

when that’s indicated and that’s what the patient wants to have.

REFERENCES:

What is the first sign of bladder cancer? with Dr. Ketan Kapadia

KEY TAKEAWAYS:

  1. The first sign of bladder cancer is often gross hematuria, or visible blood in the urine.
  2. Early detection of bladder cancer is crucial for more effective treatment and improved patient outcomes.
  3. The Advanced Urology Institute, led by Dr. Ketan Kapadia, offers comprehensive care and state-of-the-art treatments for patients with bladder cancer and other urological issues.

Bladder cancer is a common type of cancer that affects many individuals, particularly those with a history of smoking. Dr. Ketan A. Kapadia, MD, a board-certified urologist in St. Petersburg, FL, discusses the early signs of bladder cancer and the importance of early detection for effective treatment. The Advanced Urology Institute provides comprehensive care for patients dealing with bladder cancer and other urological issues.

First Sign of Bladder Cancer: Gross Hematuria

According to Dr. Kapadia, the most common and critical first sign of bladder cancer is gross hematuria, or visible blood in the urine. This symptom should be taken seriously, as it could indicate the presence of bladder cancer, particularly among individuals with a history of smoking. Even for those who have quit smoking, the risk of bladder cancer remains elevated.

The Importance of Early Detection

Dr. Kapadia emphasizes the importance of catching bladder cancer in its early stages, as this allows for more effective treatment and a better prognosis. If a patient experiences urinary complaints such as blood in the urine or more frequent urination, they should be evaluated for bladder cancer. Early detection and diagnosis can lead to more conservative treatments and improved outcomes for patients.

Bladder Cancer and Smoking

Smoking is a significant risk factor for bladder cancer, with former and current smokers being at higher risk. Dr. Kapadia notes that even after quitting smoking, individuals remain at an elevated risk for developing bladder cancer. This highlights the importance of regular screenings and evaluations for those with a history of smoking, as early detection is critical in bladder cancer treatment.

Treatment Options for Bladder Cancer

In the past, cystectomies, or the surgical removal of the bladder, were a common treatment for bladder cancer. Dr. Kapadia, who trained with leading expert Donald Skinner, has extensive experience in performing cystectomies and bladder reconstruction. However, thanks to advances in medical knowledge and treatment options, bladder removal is now less common. By catching bladder cancer early, more conservative treatments may be possible, resulting in better outcomes for patients.

Advanced Urology Institute

As the largest urology practice in Florida, the Advanced Urology Institute offers comprehensive care and state-of-the-art treatments for a wide range of urological issues, including bladder cancer. Dr. Ketan Kapadia and his team of experienced professionals are dedicated to providing personalized care and innovative solutions for patients, with a focus on early detection and effective treatment options.

TRANSCRIPTION:

I’m Ketan Kapadia, I’m with Advanced Urology Institute and board certified urologist.

Well number one is gross hematuria, blood in the urine.

If you see blood in the urine we need to make sure you don’t have bladder cancer and obviously

we see a lot of bladder cancer in Florida.

It happens to be much increased on patients who’ve had smoking history, even if you quit

you’re still at risk.

I used to do a lot of cystectomies where we removed bladders and do reconstruction.

Fortunately we don’t have to do those as much anymore.

I trained with Donald Skinner who was the leading expert on doing that operation.

But again we want to try to catch things early.

If somebody’s having urinary complaints of blood or even just more frequently going to

the bathroom and things are not right that may need to be evaluated for bladder cancer.

How does Dr. Rishi Modh treat female urinary incontinence?

KEY TAKEAWAYS:

  1. Urinary incontinence, a common condition among women, should not be accepted as a normal part of aging.
  2. Dr. Rishi Modh, a urologist in St. Petersburg, FL, offers a variety of treatment options for female urinary incontinence, including medications and procedures.
  3. The Advanced Urology Institute, the largest urology practice in Florida, provides comprehensive care and state-of-the-art treatments for women experiencing urinary incontinence.

Urinary incontinence is a condition that affects many women, and it is often mistakenly considered a normal part of aging. Dr. Rishi Modh, MD, MBA, a board-certified urologist in St. Petersburg, FL, challenges this misconception and highlights the various treatment options available for female urinary incontinence. Dr. Modh and the team at the Advanced Urology Institute work to improve the quality of life for women experiencing this condition.

Understanding Female Urinary Incontinence

While urologists are often associated with treating male patients, Dr. Rishi Modh emphasizes that they also treat numerous women for various urological issues, including urinary tract infections (UTIs) and urinary incontinence. Urinary incontinence, or the involuntary leakage of urine, is a common condition among women that can significantly impact their quality of life.

Challenging the Misconception

Dr. Modh stresses that urinary incontinence should not be accepted as a normal part of aging for women. Instead, women experiencing this condition should seek medical help, as there are various treatment options available to address and improve urinary incontinence. The goal is to enable women to live their lives without the discomfort and embarrassment associated with involuntary urine leakage.

Treatment Options for Female Urinary Incontinence

At the Advanced Urology Institute, Dr. Rishi Modh offers a range of treatment options for female urinary incontinence. These options include medications and procedures tailored to address the specific type of incontinence a patient is experiencing. By offering individualized care and evidence-based treatments, Dr. Modh and his team can significantly improve the quality of life for women suffering from urinary incontinence.

Advanced Urology Institute

The Advanced Urology Institute is the largest urology practice in Florida, providing comprehensive care and state-of-the-art treatments for a wide range of urological issues. With a team of dedicated and experienced professionals, the Institute is committed to offering innovative solutions and personalized care to patients experiencing urinary incontinence. Women seeking help for urinary incontinence can trust the expertise and compassionate care provided by Dr. Rishi Modh and the Advanced Urology Institute.

TRANSCRIPTION:

My name is Rishi Modh, I’m a board-certified urologist with Advanced Urology Institute.

Most commonly people think of a urologist as treating guys, but we treat numerous women for a whole host of problems. The most common problems being issues with urinary tract infections and urinary leakage. So unfortunately a lot of women accept urinary incontinence or leaking urine as a normal part of being a woman and getting older.

This does not have to be the case. We have great treatment options for medications to procedures for all different types of incontinence and we can really make a difference in people’s quality of life.

REFERENCES:

Is Erectile Dysfunction Common in Men Under Age 40? with Dr. Rishi Modh

KEY TAKEAWAYS:

  1. Erectile dysfunction is not limited to older men; it is also common in younger men, including those in their 40s and 50s.
  2. The Advanced Urology Institute, led by Dr. Rishi Modh, offers a range of treatment options for erectile dysfunction, including medications, procedures, and penile implants.
  3. The largest urology practice in Florida, the Advanced Urology Institute, provides state-of-the-art treatments and individualized care for patients experiencing erectile dysfunction.

Erectile dysfunction (ED) is a medical condition that affects a significant number of men across various age groups. Dr. Rishi Modh, MD, MBA, a board-certified urologist in St. Petersburg, FL, offers insight into the prevalence of ED in younger men and the treatment options available at the Advanced Urology Institute.

Prevalence of Erectile Dysfunction in Younger Men

While erectile dysfunction is often associated with older men, Dr. Modh emphasizes that it is also a common issue for men in their 40s and 50s. The condition can result from a variety of factors, including stress, anxiety, lifestyle choices, and medical issues. As a urologist with Advanced Urology Institute, Dr. Modh and his team treat numerous patients every day for ED, demonstrating its widespread prevalence.

Treatment Options for Erectile Dysfunction

Dr. Rishi Modh explains that there are numerous treatment options available for those suffering from erectile dysfunction. These options range from medications and procedures to more invasive solutions such as penile implants. The Advanced Urology Institute offers a comprehensive approach to ED treatment, providing patients with a variety of solutions tailored to their individual needs and circumstances.

Medications and Procedures

One of the initial treatment options for erectile dysfunction is medication. These medications can be prescribed by a urologist and help to increase blood flow to the penis, resulting in a firmer and more sustainable erection. In addition to medication, there are also non-invasive procedures available that can help improve erectile function. These procedures may involve the use of devices, injections, or other interventions that can help men achieve and maintain an erection.

Penile Implants

For patients who do not experience satisfactory results from medications or procedures, a more invasive option may be recommended. Penile implants are surgically inserted devices that can provide a long-term solution for erectile dysfunction. These implants can be inflated to create an erection and deflated when not in use, offering a discreet and reliable solution for those who require it.

Advanced Urology Institute

The Advanced Urology Institute is the largest urology practice in Florida, boasting a team of experienced and dedicated professionals who provide state-of-the-art treatments for a wide range of urological issues. For men experiencing erectile dysfunction, the Advanced Urology Institute offers comprehensive care and innovative solutions tailored to individual needs, ensuring patients receive the best possible treatment for their condition.

TRANSCRIPTION:

My name is Rishi Modh, I’m a board-certified urologist with Advanced Urology Institute.

Erectile dysfunction is a very common problem, not only in old guys.

This is a common problem for young guys in their 40s and 50s as well.

So we treat numerous people every single day for erectile dysfunction.

For erectile dysfunction, we have numerous treatment options.

We do everything here, from offering different medications, to different procedures, to even

the penile implant. We offer it all.

REFERENCES:

What is Dr. Shaw Zhou’s approach to InterStim Therapy for Urinary Control?

KEY TAKEAWAYS:

  1. Dr. Shaw Zhou is a leading urologist in St. Petersburg, FL, specializing in InterStim Therapy for urinary control.
  2. InterStim Therapy has evolved over the years, becoming smaller and more refined, making it an increasingly effective treatment option for urinary incontinence and urinary retention.
  3. Dr. Zhou’s innovative high-frequency programming technique has the potential to revolutionize InterStim Therapy, reducing the need for medication and offering a sustainable, effective solution for urinary control.

InterStim Therapy is a proven and innovative treatment for urinary retention and urinary incontinence. Dr. Shaw W. Zhou, MD, FACS, a leading urologist in St. Petersburg, FL, has been working with this technology for over 17 years. In this article, we will explore Dr. Zhou’s approach to InterStim Therapy, how the device has evolved over the years, and the future prospects of this treatment for urinary control.

InterStim Therapy Explained

InterStim Therapy is a minimally invasive treatment that utilizes a small device to stimulate sacral nerves. This FDA-approved therapy is designed to help patients who suffer from urinary retention or urinary incontinence. Dr. Shaw Zhou, a urologist at the Advanced Urology Institute, has witnessed firsthand the evolution of this technology and has participated in clinical trials to further advance its effectiveness.

The Evolution of InterStim Therapy

Over the past 17 years, Dr. Zhou has observed the continuous advancement of InterStim Therapy devices. In the beginning, the devices were bulky and less user-friendly. However, they have since become smaller and more refined, similar to the progression of cell phones from earlier models to the current iPhone series.

Innovative High-Frequency Programming

Recently, Dr. Zhou has been working on a new high-frequency programming technique that allows the device to stimulate sacral nerves at an astounding rate of 10,000 times per minute. This new approach is currently being tested in clinical trials, and the results so far have been extremely encouraging.

The Future of InterStim Therapy for Urinary Incontinence

Dr. Zhou is confident that InterStim Therapy will be the future for treating urinary incontinence. He believes that as the technology continues to advance, patients will no longer need to rely on medication for their urinary control issues. This groundbreaking therapy offers a more sustainable and effective solution that has the potential to significantly improve the quality of life for countless individuals.

Advanced Urology Institute

The Advanced Urology Institute is the largest urology practice in Florida, offering state-of-the-art treatments and cutting-edge technology to address a wide range of urological concerns. With a team of experienced and dedicated professionals, the Institute is committed to providing the highest quality of care for their patients. For those considering InterStim Therapy, the Advanced Urology Institute is an excellent choice for leading expertise and innovative solutions in the field of urology.

TRANSCRIPTION:

My name is Shaw Zhou. I’m with the Advanced Urology Institute. Interesting is with a device

we put in to stimulate sacral nerves so it works FDA-proof for either urinary retention

or urinary incontinence. It’s extremely amazing, this device. Just like other technology. Now

we can have a new program we’re doing with high frequency. We can stimulate 10,000 times

a minute. We’re doing a clinical trial. So far results are very encouraging. I’ve been

doing this for 17 years but the device keeps on advancing. Just like your cell phone. You

got iPhone 10 now. You know what I’m saying? So you got when I start doing a big bulky

device now become a smaller, smaller. We provide numerous programs. We have higher frequency. So it’s extremely encouraging. I think it will be the future for the urinary incontinence because that way you don’t need to take medication no more.

REFERENCES:

What Are the Side Effects of Prostate Cancer Treatment?

My name is Rishi Modh, I’m a board certified urologist with Advanced Urology Institute. 

So quality of life after prostate cancer can be a big problem for guys. We do a great job of treating the cancer but sometimes we’re left with side effects. Those side effects often include urinary incontinence for guys or erectile dysfunction. Thankfully now we have great solutions for those problems too. One of the best options we have for guys is penile implants. A penile implant is a device that is an hour long surgery with a small incision done as an outpatient where you go home the same day. This provides lasting great erectile function for men, it really restores your quality of life. 

Penile Implants for Erection Problems – Dr. Rishi Modh

My name is Rishi Modh, I am a board-certified urologist with Advanced Urology Institute.

So I think when you go see a urologist about erectile dysfunction, you need to see a urologist who specializes in implants as well. Not all urologists perform penile implants so they may not even offer it as an option for you. A penile implant is an outpatient procedure with a small incision and a fast recovery. It’s a mechanical device that’s placed inside your body that allows you to pump fluid into the penis in order to give you a great erection. Ninety-five percent (95%) of men are extremely happy with their penile implant and ninety-five percent (95) of partners would recommend it to someone else to have a surgery done.