My name is Amar J. Raval and I’m with Advanced Urology Institute.
I love urology. I am privileged to be part of this community of urologists in the United States, and especially with Advanced Urology Institute. I think there are tremendous technological platforms that are available and we’re certainly unique in that field of surgery. From open [surgery] to robotics to laparoscopic to even prosthesis: whether it’s penile prosthesis or Interstim devices in the back to help control urinary incontinence, [and] urethral slings, there’s so much technology available in urology. It’s just a pleasure to be able to treat those patients.
My name is Amar J. Raval and I’m with Advanced Urology Institute.
The first is watchful waiting, that’s knowing that you have prostate cancer but you don’t want to really do anything about it.
Active surveillance is when you’re diagnosed with either low risk or low volume intermediate risk prostate cancer, you follow up with PSAs and digital rectal exams every three to six (3-6) months and then biopsies subsequently. If it advances or it’s a higher stage, then you treat it.
There’s also radiation therapy with hormones, brachytherapy, and of course surgery which is a radical prostatectomy that can be done open or laparoscopically/robotically.
So there’s plenty of options out there. It can be a very confusing type of cancer to have and I think it warrants us long conversations with the patients so they know all the options that are available.
So patients who have kidney stones usually complain of flank pain, which is where the pain would be behind the lower ribs and sometimes it wraps around towards the front [and] down towards the groin area. Those are the most common symptoms, [sometimes] they’ll also have blood in the urine on our testing in the office.
Usually we’ll get an ultrasound or CT scan that diagnoses the stone, it’ll tell us the size and location. If the stones are smaller [about] less than 4 millimeters in size, ninety (90) percent of those times it will pass on their own. So on those patients, I give them a chance to try to pass the stone before we operate on them. When they’re bigger, they’ll be more than 6 millimeters in size, the less of a change of passing [the stone], less than ten (10) percent. For those patients, we look at the scheduling surgery for.
Dr. Yaser S. Bassel, MD, a board-certified urologist in Tampa, FL, recommends vasectomy as a more straightforward and less invasive sterilization option compared to tubal ligation for women.
Vasectomy is a quick, in-office procedure that does not impact erectile function or libido in men.
Advanced Urology Institute is the largest urology practice in Florida, offering comprehensive care for patients seeking sterilization options and other urological treatments.
Introduction: Sterilization Options for Couples
Dr. Yaser S. Bassel, a board-certified urologist in Tampa, FL, practices at Advanced Urology Institute, the largest urology practice in Florida. In this article, Dr. Bassel discusses the differences between vasectomy and tubal ligation as sterilization options for couples, and why vasectomy is often the better choice.
Vasectomy: An In-Office Procedure for Sterilization
Dr. Bassel performs no-needle, no-scalpel vasectomies as an easy in-office procedure for male sterilization. He explains that this option is often more favorable than tubal ligation for women, as it is less invasive and quicker. A vasectomy typically takes 10 to 15 minutes and can be performed under local anesthesia. To help patients relax during the procedure, Dr. Bassel sometimes offers a Valium tablet.
Tubal Ligation: A More Invasive Surgical Procedure
In contrast to vasectomy, tubal ligation is a more invasive surgical procedure for women. It often requires general anesthesia and is more time-consuming than a vasectomy. While tubal ligation is also an effective sterilization method, Dr. Bassel suggests that a vasectomy is generally a better option for couples due to its simplicity and faster recovery time.
Vasectomy Recovery and Misconceptions
Dr. Bassel emphasizes that patients who undergo a vasectomy should avoid strenuous activities for one week to ensure proper healing. He also addresses common concerns that men have about the procedure, specifically that it may negatively impact their libido or erectile function. Dr. Bassel assures that there is no correlation between vasectomy and these issues, and that men can expect their sexual function to remain unchanged following the procedure.
Advanced Urology Institute: Leading the Way in Urological Care
As the largest urology practice in Florida, Advanced Urology Institute offers comprehensive care for patients with various urological conditions, including those seeking sterilization options like vasectomy. With a team of board-certified urologists such as Dr. Yaser Bassel, patients can expect state-of-the-art treatment options and personalized care.
TRANSCRIPTION:
My name is Yaser Bassel. I’m a board-certified urologist with Advanced Urology Institute.
I do perform no needle, no scalp with vasectomies and that is an easy in-office procedure for sterilization. For men that oftentimes is the better option than for women undergoing tubal ligation. In that case, women oftentimes will have to have general anesthesia and require a surgical procedure. For men this is typically a 10 to 15 minute procedure that’s performed in the office and oftentimes we can give patients a Valium tablet so that they’re relaxed during the procedure and afterwards as long as the patient is compliant with no strenuous activities for one week they typically do not have any issues with regards to healing. Oftentimes men are concerned that a vasectomy can affect their libido or affect their erectile function. There’s absolutely no correlation with that and there’s no effect on erectile function or libido for men.
Sexual intercourse shouldn’t be painful. But for some women, it is. For some, there may be pain during sexual entry or thrusting. For others, there is a burning, aching, or throbbing pain with every penetration, even pain that lasts several hours after intercourse.
What could be the reason for this?
Pain can be experienced before, during, or after vaginal sexual intercourse. Also called dyspareunia, painful intercourse occurs at the top of the vagina and intensifies with thrusting. It is characterized by a tearing, burning, or aching sensation.
Painful Intercourse The condition can happen at any age. It tends to occur in women who are still young, but you may also have the condition during or after menopause due to decreased elasticity of the vaginal walls, narrowing of the vaginal opening, or increased vaginal dryness. You may also experience painful intercourse after surgical menopause — the surgical removal of ovaries.
Learn more about the causes, diagnosis and treatment of Painful Intercourse.
Men with a family history of prostate cancer or African-American males should start screening at age 40.
For the general population, the American Urological Association recommends screening at age 55.
The PSA test is an important tool for the early detection of prostate cancer.
Prostate-specific antigen (PSA) test is a common test used to screen for prostate cancer. However, there has been controversy over when men should start getting tested for this type of cancer. In this article, we will discuss the right time for a PSA test according to Dr. Yaser Bassel, a board-certified urologist in Tampa, FL, and a member of Advanced Urology Institute.
Who Should Start Screening at Age 40?
Dr. Yaser Bassel recommends that men with a family history of prostate cancer or African-American males should start screening at age 40. This is because they are at higher risk of developing prostate cancer. African-American men are twice as likely to die from prostate cancer than white men, and they are more likely to be diagnosed with prostate cancer at an earlier age. Additionally, men with a family history of prostate cancer have a higher risk of developing the disease themselves.
What Does the Screening Involve?
The screening process for prostate cancer typically involves a PSA blood test and a digital rectal exam. The PSA blood test measures the level of PSA in the blood. PSA is a protein produced by the prostate gland, and high levels of PSA can be an indication of prostate cancer. The digital rectal exam involves a doctor inserting a lubricated, gloved finger into the rectum to feel the prostate gland and check for any abnormalities.
When Should the General Population Start Screening?
For the general population, the American Urological Association recommends screening at age 55. This is because the risk of developing prostate cancer increases with age. However, if a man has a family history of prostate cancer or other risk factors, such as African-American heritage, he may need to start screening earlier.
The Importance of Early Detection
The PSA test is an important tool for the early detection of prostate cancer. When caught early, prostate cancer is often treatable, and the chances of survival are high. However, if prostate cancer is not detected early, it can spread to other parts of the body and become more difficult to treat. Therefore, it is important for men to talk to their doctor about the right time for them to start getting screened for prostate cancer.
Advanced Urology Institute
Advanced Urology Institute is the largest urology practice in Florida, with multiple locations throughout the state, including Tampa. They offer a wide range of urological services, including prostate cancer screenings, and their team of experienced urologists is dedicated to providing the highest quality care to their patients. If you are in need of urological care, we highly recommend scheduling an appointment with Advanced Urology Institute.
TRANSCRIPTION:
My name is Yaser Bassel. I’m a board-certified urologist with Advanced Urology Institute.
In particular, it’s important for men with a family history of prostate cancer or African-American males to start screening at age 40. And again, that’s typically done with an annual PSA blood test and also a digital rectal exam. For the general population, the American Urological Association now recommends screening at age 55. It’s pretty simple. It involves really just a simple blood test that’s done once a year and then also a prostate exam or a digital rectal exam.
Has sex been giving you more discomfort than pleasure lately? Do you experience pain, irritation, burning or dryness? Is there bleeding or spotting during or after sex?
If there is, then you might be experiencing vaginal dryness.
For this condition, you may need to speak with a female pelvic medicine and reconstructive surgery (FPMRS) physician for help. At Advanced Urology Institute, we have FPMRS physicians at our Fort Myers center to ensure you get prompt attention from a location near you.
But first, what is vaginal dryness?
Vaginal dryness refers to a persistent irritating, burning, or itching sensation in the vagina. It is due to inadequate vaginal moisture that makes it feel too dry or too tight. The condition is more noticeable during sexual intercourse as it results in pain and discomfort.
My name is Brian Hale, I’m a board certified urologist working with Advanced Urology Institute.
When I first started urology we had injection therapy and surgery, so we did a lot of surgery for erectile dysfunction. When Viagra came out in the late 90s that obviously changed everything, and now we have a lot of options besides Viagra, medically. So the treatment of erectile dysfunction transitioned from a surgical problem to a medical problem. We still do treat men with surgery if they fail the medical options but the numbers now are very low for patients who undergo surgery for erectile dysfunction.
My name is Brian Hale, I’m a board certified urologist working with Advanced Urology Institute.
Certainly any man over the age of 50 should be screened for prostate cancer, it is the #2 cause of cancer death in men. There’s a lot of controversy about the PSA because of its lack of specificity: a lot of men who have elevated PSA do not have prostate cancer, but unfortunately we don’t have a better task. We have a rectal exam but that misses more cancer than the PSA, so to stop screening for prostate cancer was a mistake and they actually only reversed that recommendation on screening for prostate cancer based on what was happening. We were seeing a lot of men with Metastatic disease.
I started private practice in 1995, and from 1995 until the last five (5) years or so, I didn’t have any metastatic prostate cancer patients in my practice, and now I have a lot, and a lot of it was from a lack of screening. I have patients that were trying to do everything right: watching their weight, exercising and they stopped screening for prostate cancer because of the recommendations. They would have symptoms like blockage from their prostate or blood in their urine. We would check a PSA and we would find it to be extremely high and later find they have metastatic disease because of lack of screening. I have several patients I know on the top of my head that have had that problem, unfortunately. So I would definitely recommend that they continue screening for prostate cancer. [While] it is true, we need a better test than PSA, but just because we don’t have a better test doesn’t mean we should stop screening and I think the government is coming back around to that because the treatment of metastatic prostate cancer is a lot more expensive than the treatment of early prostate cancer.
Low testosterone can cause symptoms such as fatigue, erectile dysfunction, and lack of energy, negatively impacting a person’s daily life and self-esteem.
Diagnosing low testosterone involves checking laboratory tests and assessing other hormones that may affect testosterone levels.
Treatment options for low testosterone include gels and injectable testosterone, which can have a significant positive impact on patients’ lives.
Dr. Amar J. Raval on Low Testosterone
Amar J. Raval, MD, is a urologist in Tampa, FL, specializing in the diagnosis and treatment of urological conditions, including low testosterone. Low testosterone can have a significant impact on an individual’s daily life and overall well-being. In this article, we will discuss the symptoms and treatment options for low testosterone, as advised by Dr. Raval.
Symptoms of Low Testosterone
Low testosterone, or hypogonadism, can present with a variety of symptoms that may negatively impact an individual’s quality of life. According to Dr. Raval, some of the common symptoms associated with low testosterone include:
Fatigue
Erectile dysfunction
Lack of energy
These symptoms can interfere with a person’s daily activities, relationships, and self-esteem, making it crucial to seek appropriate treatment.
Diagnosing Low Testosterone
Dr. Raval explains that diagnosing low testosterone involves checking certain laboratory tests, including subsequent tests to confirm the low testosterone levels. In addition, other hormones that may affect testosterone levels are also assessed.
Treatment Options for Low Testosterone
Once low testosterone has been confirmed, Dr. Raval discusses various treatment options with patients. These options include:
Gels: Topical testosterone gels are applied directly to the skin and absorbed through the skin’s surface. This method is convenient and relatively easy to administer, although it may cause skin irritation in some cases.
Injectable testosterone: Testosterone injections are another treatment option for individuals with low testosterone. Injections provide a more direct route of administration, and dosing can be more easily controlled compared to gels.
The Impact of Testosterone Treatment on Daily Life
Dr. Raval emphasizes that testosterone treatment can have a dramatic effect on patients’ lives, including their sexual function, energy levels, productivity, and self-esteem. By addressing the underlying hormonal imbalance, patients can experience significant improvements in their overall well-being and quality of life.
Dr. Amar Raval and Advanced Urology Institute
Dr. Amar J. Raval is a urologist in Tampa, FL, who is dedicated to providing the best possible care for his patients. As a member of the Advanced Urology Institute, the largest urology practice in Florida, Dr. Raval works alongside a team of experienced urologists who share his commitment to excellence in patient care.
By offering comprehensive treatment options and personalized guidance for patients with low testosterone, the Advanced Urology Institute ensures that their patients receive the most advanced and effective treatments available in the field of urology.
TRANSCRIPTION:
My name is Amar J. Raval and I’m with Advanced Urology Institute. There’s plenty of patients who have low testosterone and want to know treatment options for that. They have fatigue, erectile dysfunction, lack of energy, and those can plague them in their daily lives. So generally now with the new screening guidelines with the AUA, we check certain labs. We need to show that they have low T on subsequent labs and we also check other hormones that may affect that. And those that are in need or can benefit from therapy, there’s gels as well as injectable testosterone that can be given to help them in that setting. I think it dramatically affects their lives. Their sexual lives, their energy, their being more productive throughout the day can affect relationships and even their self-esteem. So all of these are huge factors for them.
The prevalence of kidney stones in the United States has increased over the last decade. As many as 1 in 10 Americans have a kidney stone at some point in their lives, and every year more than half a million Americans go to emergency rooms for kidney stone related complications.
What are kidney stones?
A kidney stone is a small, hard deposit that forms in the kidneys. Stones occur when the urine concentration of crystal-forming substances—such as calcium, oxalate and uric acid—is more than the fluid in the urine can dilute.
They begin as small crystals and grow into larger masses (stones), which then make their way through the urinary tract. Unfortunately, a stone can get stuck on its way out of the urinary system, resulting in an unbearable pain that comes in waves until the stone eventually passes.
What causes kidney stones?
Genetics is one of the risk factors. If you have family members who had kidney stones, you are at a higher risk of having them yourself. Your risk is also higher if you have had kidney stones in the past.
Dehydration is another major cause of kidney stones, which is why more kidney stones occur in the summer. In fact, kidney stone frequency is known to vary by geographic location, with warmer climates having the highest rates of stone formation.
What you eat and drink makes a huge difference. Drinking enough fluids to make over two liters of urine a day reduces the risk of stone formation. Actually, as a rule, you should always check your urine for signs of dehydration. If your urine is dark or yellow, then you are not drinking enough fluid and run the risk of having stones.
Factors that increase dehydration will contribute to kidney stone formation. For instance, excess salt or sodium in food, such as in processed or fast foods, increase dehydration as the excess salt requires a lot of fluid to excrete. So reducing the sodium in your diet will minimize your risk of stone formation.
How do you know that you have kidney stones?
Kidney stones cause pain by getting stuck in the urinary system. Since the kidneys continue to make urine, which in turn can’t get out due to the blockage, the urine builds up, stretches the kidneys and leads to severe pain.
You will know you have kidney stones when you have severe, excruciating pain that comes in waves. The pain typically occurs in the back and does not get better with a change in position. Patients who have had kidney stones and also delivered children report that the stones are more painful than giving birth. In addition to pain, you may have fever, nausea, and even vomiting.
Kidney stones may require a trip to the emergency room if you have severe pain, nausea, vomiting, and a fever greater than 100.3 degrees. These symptoms constitute a urological emergency because they signal both a blockage and an infection. With the blockage preventing antibiotics from getting out via urine, you can get very sick, very quickly; hence the need for emergency care.
Emergency treatment with IV fluids at a hospital may be necessary if you are having nausea and vomiting to the point of dehydration. Emergency care is also appropriate when you have pain that cannot be alleviated by over-the-counter pain medicine.
What is the treatment for kidney stones?
The treatment for kidney stones depends on the size and location of the stone, and on the clinical stability of the patient. The most common approach is medical expulsion therapy—a conservative approach for healthy patients with stones that are small enough to pass on their own and with no fever or other signs of infection. With medical expulsion, you are encouraged to drink a lot of fluid to help the stone pass on its own. You are also given medications to control the pain and to accelerate passage. If the stone is 5 millimeters or smaller (about half of your thumbnail), there is a 50% chance it will pass on its own and you will avoid surgery.
If you have severe pain, fever, chills and an inability to drink fluids, you may not qualify for medical expulsion therapy. In that case, a surgical procedure may be needed. There are two common surgical options: (1) ureteroscopy or laser lithotripsy, and (2) extracorporeal shockwave lithotripsy.
Ureteroscopy and laser lithotripsy are fancy ways of saying you go to sleep, a camera is inserted through your urethra to the stone, and a laser is used to break the stone into smaller fragments for removal. Extracorporeal shockwave lithotripsy means you go to sleep and sound waves are sent through your skin to fracture the stone into small pieces that can pass on their own in urine.
The advantage of shockwave lithotripsy is that nothing goes into your body, making it less invasive. However, the disadvantage is that the stone fragments still have to pass on their own, a process which can be painful and uncomfortable.
How do you prevent kidney stones?
1. Increase calcium intake
There is a misconception that increasing dietary calcium increases the risk of calcium oxalate stones. This is not true. In fact, eating more calcium rich foods, such as milk or cheese, ensures the oxalate in the diet binds to calcium. When oxalate binds to calcium in the intestines, it is not absorbed in the bloodstream and ends up in stool.
2. Reduce oxalate rich foods
Foods high in oxalate, such as beets, chocolate, tea, coffee, spinach, kale, rhubarb, nuts and beer contribute to stone formation. You may have to eat smaller portions of these foods alongside calcium-rich foods or avoid them altogether.
3. Stay hydrated
Drinking plenty of water will ensure that substances in your urine are diluted and cannot form crystals. As a rule, strive to drink enough water to pass two liters of urine every day—which is drinking roughly eight standard 8-ounce cups per day. It also helps to include some citrus beverages, such as orange juice and lemonade, as the citrate in these beverages helps to block stone formation.
4. Reduce sodium intake
A high salt or sodium diet increases the amount of calcium in your urine and triggers stone formation. Excess salt also wastes the fluid you take as a lot more fluid is necessary for salt-water balance. Make sure to limit your daily sodium intake to 2300mg or less to reduce your risk of kidney stones.
5. Minimize intake of animal protein
Animal protein, such as red meat, eggs, poultry, or seafood, increases the level of uric acid in the body and may cause kidney stones. A high protein diet will also reduce your urinary citrate—the chemical in urine that prevents stones from forming. You can limit animal proteins or replace them with plant-based proteins.
At Advanced Urology Institute, we offer a range of treatments for kidney stones depending on the severity of symptoms and the type, size and location of the stones. We also run tests to find out why they form and give you advice on how to prevent them.
If you or a relative has had kidney stones, consider meeting with one of our urologists for specific ways to reduce your risk. For more information on kidney stone causes, risk factors, diagnosis, treatment and prevention, visit the Advanced Urology Institute website.
Listen to the Podcast to learn more about Kidney Stones, Click here
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.
Kidney stones are prevalent in Florida, with dehydration and heat as contributing factors.
Dr. Amar Raval, a urologist in Tampa, FL, employs imaging tests to diagnose kidney stones and determine the most appropriate treatment.
Treatment options for kidney stones include stent placement, ESWL, and laser lithotripsy, all of which are minimally invasive and leverage advanced technology.
Introduction
Kidney stones are a common issue faced by many, especially in Florida, where heat and dehydration contribute to their development. Dr. Amar J. Raval, a reputable urologist in Tampa, FL, at the Advanced Urology Institute, shares his approach to diagnosing and treating kidney stones, leveraging the latest technology and minimally invasive techniques.
Symptoms of Kidney Stones
Patients with kidney stones usually experience a sudden onset of flank pain that doesn’t subside with oral medication, nausea, vomiting, fever, chills, and blood in their urine. These symptoms often prompt them to seek medical attention and undergo imaging tests to identify the presence of kidney stones.
Diagnosis of Kidney Stones
When a patient presents with symptoms indicative of kidney stones, Dr. Raval employs imaging tests, such as X-rays, ultrasounds, or CT scans, to visualize the stones and assess their size, location, and possible obstruction. This information is crucial in determining the best course of treatment for the patient.
Treatment Options for Kidney Stones
Dr. Raval emphasizes that modern technology has significantly advanced kidney stone treatment, offering several minimally invasive approaches:
Stent Placement: A temporary stent may be inserted into the ureter to bypass the stone and alleviate pain. This procedure is often performed when the stone is too large to pass naturally or is causing severe symptoms.
Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive technique uses shock waves to break the kidney stone into smaller pieces, enabling the patient to pass them more easily through the urinary tract.
Laser Lithotripsy: In this minimally invasive procedure, a ureteroscope is inserted through the urethra and bladder to reach the stone. A laser is then used to break the stone into tiny fragments, which can be passed naturally or removed using a small basket-like device. A sample of the stone may also be sent for analysis to determine its composition and help prevent future stone formation.
Advanced Urology Institute: Your Partner in Kidney Stone Treatment
At the Advanced Urology Institute, the largest urology practice in Florida, Dr. Amar Raval and his team of skilled professionals are committed to providing the highest quality care for patients with kidney stones. Leveraging cutting-edge technology and innovative treatment options, they ensure that patients can overcome this painful condition with minimal discomfort and a swift recovery.
TRANSCRIPTION:
My name is Amar J. Raval and I’m with Advanced Urology Institute. So kidney disease is very prevalent in Florida because of the heat, lack of hydration being a huge factor. You know, patients generally present with acute onset flank pain that’s, you know, doesn’t resolve with oral medication, nausea, vomiting, fevers, chills, even blood in their urine. Then they ultimately get some sort of imaging that shows that they have a stone that may be obstructing and causing them this discomfort. Approaches are very simple and they’re very endoscopic, don’t require any incisions whether it’s leaving a stent to bypass the stone or if you’re going to treat the stone you can use shock waves from the outside to blast it or a laser to finely fine tune the stone and take a piece of it and send it as a specimen to know what kind of stone it is. So technology is certainly advanced in the realm of kidney stone disease and there’s a lot of minimally invasive approaches to be able to treat that.
Urology is a wonderful specialty, being at the same time a surgical and medical practice. It offers an interesting mix of work in both the office and the operating room.
“For many of us, we enjoy spending time in the operating room—after all, we are surgeons by trade,” says Dr. Scott B. Sellinger, FACS, a board-certified urologist at Advanced Urology Institute. “But for many of us, we also enjoy interactions with our patients in the office. I love to see my folks, especially the ones I’ve been seeing for the past 25 years. They come back every year and we can chat about all kinds of things.”
Interesting surgical techniques
While most urology patients are followed long-term with medical interventions, at least half of them are surgical patients. The subspecialty of urology offers great opportunities to practice the surgical side of the profession, which includes the hands-on application of the latest technology, such as robots and lasers. “I enjoy the surgical side of our profession, and urology offers innovative techniques and technology that makes surgical procedures even more interesting,” says Dr. Sellinger.
Long-term relationships
The opportunity to build lasting doctor-patient relationships makes urology gratifying.
“As a urologist, you get to care for the entire spectrum of age groups of patients, such as children with congenital problems and patients in their declining years, when a lot of urologic problems tend to set in.” says Dr. Sellinger. “I like the fact that I see different patients every day, delve into their emotional problems, and with empathy, provide the support and solutions they need. I also enjoy speaking with the patients I see every year for several years since every time they come in they have something great to share,” he adds.
Tackling embarrassing problems
Urology brings relief to patients with personal and sometimes embarrassing medical problems. Through surgery, medications or both, urologists resolve these issues and improve the quality of life of their patients, which is quite appealing.
“As a urologist, not only do I treat life-threatening conditions like cancer, I also improve the quality of life of patients by freeing them from sexual dysfunction or incontinence,” says Dr. Sellinger.
Great outcomes
Unlike some other specialties, the treatments offered by urologists often provide quick relief and good outcomes. In fact, most patients treated by urologists do well and get better.
“Nowadays, urology is quite advanced, and we have at our disposal medicines, surgery, and the combination of both treatments that render our patients improved soon after they interact with us,” says Dr. Sellinger. “So we feel satisfied and secure in the knowledge that we can solve most, if not all, of the urologic problems,” he adds.
Because of consistently great results, urologists are held in high regard by their patients, who are usually grateful for the care. In turn, this gives a kind of satisfaction to urologists.
“I am happy that I chose urology. I’m always filled with joy every time patients come back to thank me for what I’ve achieved for them,” says Dr. Sellinger. “If I were to start all over again, I would still choose to become a urologist.”
Personalized, compassionate care
Want to have your urological problem treated by an effective urologist? AUI is a medical group with a long history of providing comprehensive, high-quality care. The urologists at AUI find it a joy to work in an environment that brings out the best of their knowledge and experience for the benefit of their patients.
Whether you have kidney, urinary tract, prostate, pelvic or other urological needs, at AUI you will find a urologist who can deliver the right treatment for you. For more information on the diagnosis and treatment of urological conditions, visit the Advanced Urology Institute website.
I am Ketan Kapadia. I’m with Advanced Urology Institute and a board certified urologist.
Obviously the heat is going to play a major role, a lot of it has to do with our diet unfortunately as well. [As with] an American diet, we just don’t eat very well, we’re all a little heavier and that also increases the risk of kidney stones as well.
The interesting thing here in Florida, which isn’t talked about very much and this is sort of the holistic treatment of the patient in urology, which is we get a lot of men who have prostate problems who start cutting back on their fluids because they don’t want to get up at night; And when you start cutting back on fluids and not getting up at night, now you’re at more risk of [getting] stones. We see a lot of older guys who come in with kidney stones for the very first time because they got a prostate problem as well and that hasn’t really been addressed.
Same with women who have overactive bladder. First thing most people do is they start cutting back their fluid so they’re not having to run to the bathroom all the time. Again, you cut back your fluid and now you’re living in Florida in the heat, you’re going to get kidney stones. So a lot of doctors will be more than happy to just get rid of your stone and have the surgery [but] I’m also interested in preventing that next stone. Part of that is getting twenty-four (24) hour urines, seeing why you’re making stones, addressing all the overactive bladder problems and prostate problems because I don’t want you to end up having more stones. I’m happy to operate and take out stones, that’s fun, but it’s my obligation to help prevent [it from happening agan].
Sexual intercourse shouldn’t be painful. But for some women, it is.
I started private practice in 1995, and from 1995 until the last five (5) years or so, I didn’t have any 
The prevalence of kidney stones in the United States has increased over the last decade. As many as 1 in 10 Americans have a kidney stone at some point in their lives, and every year more than half a million Americans go to emergency rooms for kidney stone related complications.
My name is 
Obviously the heat is going to play a major role, a lot of it has to do with our diet unfortunately as well. [As with] an American diet, we just don’t eat very well, we’re all a little heavier and that also increases the risk of kidney stones as well.