Genetic Testing for Cancer Risk

My name is Amar J. Raval and I’m with Advanced Urology Institute.[For] men with prostate cancer or kidney cancer or upper tract urothelial carcinoma of the kidney, all of these can be predisposed to genetic risk factors. So [for example] if there’s family members with colon cancer or family history of prostate cancer or even females with breast or ovarian cancer. There are certain genes that are expressed that can be identified in these family members and so they can be screened earlier and be able to be detected earlier. This is huge in the realm of cancer and oncologic treatment because to be able to identify these patients earlier allows you to avoid bigger surgeries or avoid metastatic disease later in life and treat them so that you can extend years, joyous years in your life.

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.

Who uses the Davinci Robotic System for kidney cancer treatment? – Dr. Evan Fynes

KEY TAKEAWAYS:

  • Dr. Evan Fynes, a urologist in Port Orange, FL, uses the DaVinci Robotic System for kidney cancer treatment, performing both total and partial nephrectomies.
  • The DaVinci Robotic System provides enhanced visualization and precision during surgery, allowing for more accurate tumor removal and preservation of healthy kidney tissue.
  • Robotic-assisted kidney cancer surgery results in reduced pain and faster recovery times for patients compared to traditional open procedures.

The DaVinci Robotic System has revolutionized various fields of surgery, including urology. Dr. Evan Fynes, a urologist in Port Orange, FL, specializes in using this advanced technology for kidney cancer treatment. In this article, we will discuss how Dr. Fynes employs the DaVinci Robotic System for kidney cancer procedures, such as nephrectomies, and the benefits it offers patients.

Robotic Surgery for Kidney Cancer

In the past, kidney cancer surgeries required large incisions and lengthy hospital stays. However, with the introduction of the DaVinci Robotic System, patients can now experience quicker recovery times and reduced pain. Dr. Fynes uses the robotic system to perform both total and partial nephrectomies. Total nephrectomies involve the removal of the entire kidney, while partial nephrectomies allow for the removal of only the tumor, preserving the healthy kidney tissue.

Enhanced Visualization and Precision

One of the key benefits of the DaVinci Robotic System is the improved visualization it provides during surgery. The system magnifies the surgical field, allowing Dr. Fynes to perform precise dissections and remove tumors with greater accuracy. This enhanced visualization is particularly beneficial for partial nephrectomies, where it is crucial to separate the tumor from the healthy kidney tissue without causing damage.

Reduced Pain and Faster Recovery

Robotic-assisted surgery with the DaVinci Robotic System is significantly less painful for patients compared to traditional open procedures. The smaller incisions used in robotic surgery result in less blood loss, reduced pain, and faster healing. As a result, patients can return home and resume their normal activities much sooner. According to Dr. Fynes, patients who undergo robotic-assisted kidney cancer surgery are typically discharged from the hospital in just two or three days, compared to five to seven days for traditional open procedures.

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. This institute is committed to providing the highest quality of care for their patients through the use of cutting-edge technology, such as the DaVinci Robotic System. By choosing the Advanced Urology Institute for your kidney cancer treatment, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

TRANSCRIPTION:

Back in olden days, so to speak, we used to make a bigger incision, and the patient would
be in the hospital five to seven days, and now with the robot, a lot of people are home
in two or three days after removing a kidney.
Hello, Dr. Evan Fynes, I’m a urologist with Advanced UrologyInstitute.
So the robot is also being used extensively for kidney type, kidney surgery, whether it’s
removing the whole kidney for somebody with a presumed kidney cancer, or a lot of times
these days we’re doing something called partial nephrectomies with the robot, where you’re
able just to remove the tumor and leave the kidney behind.
In regards to robotic surgery with the kidney, it just magnifies everything.
You’re able to get fine movements to dissect the tumor off, remove the tumor, and close
the kidney back up.
It’s also a lot less painful for patients.

REFERENCES:

Is Dr. Evan Fynes reporting that kidney stones are more common in Florida?

KEY TAKEAWAYS:

  • Dr. Evan Fynes, a urologist in Port Orange, FL, has observed a higher prevalence of kidney stones in Florida due to the hot and humid climate causing chronic dehydration.
  • Conservative management, such as medications and increased fluid intake, is often the first approach to treating kidney stones.
  • Surgical treatments, such as ureteroscopy with laser lithotripsy and extracorporeal shock wave lithotripsy, may be necessary when conservative management is unsuccessful.

Dr. Evan Fynes, a urologist in Port Orange, FL, has observed that kidney stones seem to be more common in Florida compared to other regions, such as Ohio. He attributes this higher prevalence to the hot and humid climate in Florida, which can lead to chronic dehydration. In this article, we will explore Dr. Fynes’ observations and the ways kidney stones can be treated.

 

Prevalence of Kidney Stones in Florida

According to Dr. Fynes, kidney stones are a common issue for many patients in Florida. The hot and humid weather often results in increased sweating, which can lead to dehydration. Dehydration is one of the most common causes of kidney stones, as it can cause a buildup of minerals and salts in the urine, leading to stone formation. Many individuals in Florida visit emergency rooms with symptoms such as abdominal pain, side pain, and vomiting, which can be indicative of kidney stones.

 

Conservative Management of Kidney Stones

Dr. Fynes notes that there are several surgical ways to treat kidney stones, but often, a conservative approach is initially attempted. Depending on the size and location of the stone, patients may be given medications and encouraged to increase their fluid intake to help pass the stone naturally. This conservative management aims to avoid invasive procedures and reduce the risk of complications.

 

Surgical Treatment Options for Kidney Stones

When conservative management is unsuccessful, Dr. Fynes may recommend surgical intervention to treat kidney stones. Two common surgical methods include ureteroscopy with laser lithotripsy and extracorporeal shock wave lithotripsy (ESWL). In ureteroscopy, a small scope is inserted into the ureter, and a laser is used to break up the stone into smaller pieces, which can then be passed naturally. ESWL, on the other hand, involves using shock waves from outside the body to break up the stone, allowing the fragments to be expelled through the urinary tract.

 

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. The institute is committed to providing the highest quality of care for their patients through the use of cutting-edge technology and evidence-based treatment approaches. By choosing the Advanced Urology Institute for your urological needs, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

 

TRANSCRIPTION:

So coming from Ohio you know we saw a lot of kidney stones but then coming
down here for the year I’ve been down here so far it’s been stones everywhere
everybody’s just chronically dehydrated due to the sweating and the humidity and
that’s usually the most common cause of kidney stones is dehydration.
Hello Dr. Evan Fynes . I’m a urologist with Advanced Urology Institute. You’ll see a
lot of people commonly go into the emergency room with abdominal pain and
pain on their sides and throwing up and one of the first things they they want
to check out is if you have a kidney stone or not so down here this kidney
stones run rampant. Usually there’s there’s a lot of different surgical ways
of treating a stone but a lot of times these stones depending on kind of
patients clinical outlook we give them a chance to pass the stone if it’s
depending on where it’s at the kidney or it’s close to the bladder and then the
size of the stone so a lot of times we try to do conservative management with
medication to try to pass the stone otherwise a lot of times we have to go
up and get the stone and use a laser to break it up or sometimes we use shock
weight lithotripsy blasted with shock waves from outside the body.

REFERENCES:

Becoming a Physician Assistant, Why did You Choose Urology – Jeanette Lain, PA C

Video: Becoming a Physician Assistant, Why did You Choose Urology – Jeanette Lain, PA C



Ms. Jeanette Lain has extensive urology experience, previously serving as a Physician Assistant for Urology Centers of Oklahoma with the Women’s Bladder Clinic, Unitus Clinic for Sexual Health and general urology care. [Read Full Article…]

Kidney Stones – Environmental Factors Can Increase the Risk

Video: Urology is The Perfect Specialty for Me by Dr Thomas Sander



A kidney stone is a mass of chemical crystals that forms in the kidney, ureter or bladder of an individual. Such stones may develop to different sizes and in different shapes, from tiny microscopic crystals to quite large stones. Kidney stones can occur at any age but are far more prevalent between the ages of 20 to 40. Contact a urologist now and get treatment for this condition as soon as possible. [Read Full Article…]

What Causes Kidney Stones? Dr. Edward King Reveals the Science Behind Their Formation

KEY TAKEAWAYS:

  • Kidney stones are more likely to form in warm, humid climates and in individuals who do not consume enough fluids, leading to concentrated urine.
  • Consuming foods high in oxalate, such as green leafy vegetables, pecans, and nuts, increases the risk of kidney stone formation.
  • To prevent kidney stones, maintain proper hydration, limit high-oxalate food consumption, and consult with a urologist at the Advanced Urology Institute for personalized prevention and treatment plans.

Introduction

Kidney stones are a common and painful condition that affects many people across the globe. Urologist in Ocala, FL, Dr. Edward D. King, provides insights into the science behind kidney stone formation, emphasizing the importance of understanding the factors that contribute to their development.

The Role of Climate and Hydration

According to Dr. Edward King, kidney stones tend to form more frequently in warm, humid climates. This is because the body loses more water through sweating, leading to more concentrated urine. When patients do not consume enough fluid to compensate for this loss, the risk of kidney stone formation increases.

Diet and Oxalate Consumption

Dr. King explains that diet also plays a crucial role in kidney stone formation, particularly the consumption of foods high in oxalate. Oxalate is a naturally occurring substance found in many foods, including green leafy vegetables (e.g., spinach and kale), as well as pecans and nuts. Consuming high levels of oxalate increases the likelihood of forming kidney stones, as this substance is not very soluble in water or urine.

The Formation and Migration of Kidney Stones

When kidney stones form, they begin as small crystals that grow slowly over time. The pain associated with kidney stones typically occurs when the stone migrates into the ureter, the tube that carries urine from the kidney to the bladder. This migration blocks the flow of urine, causing the kidney to swell and resulting in intense pain in the back, flank, and groin areas.

Prevention and Treatment

To prevent kidney stones, Dr. King recommends maintaining proper hydration and limiting the consumption of high-oxalate foods. Additionally, working with a healthcare professional, such as a urologist at the Advanced Urology Institute, can help patients develop personalized prevention and treatment plans.

The Advanced Urology Institute is the largest urology practice in Florida, offering comprehensive care for various urological conditions, including kidney stones. With a team of experienced professionals and state-of-the-art facilities, patients can expect exceptional care and support throughout their treatment journey.

TRANSCRIPTION:

Well, kidney stones often form in warm, humid climates. They occur in concentrated urine when patients don’t consume enough fluid.
It can also be diet related. There’s a substance called oxalate that’s found naturally in many foods such as green leafy vegetables, spinach, kale, pecans, and nuts.

So patients who consume foods that are high in oxalate are much more likely to form kidney stones because the substance oxalate is not very soluble in water or urine. Stones typically cause pain by blocking the flow of urine. When the stone is forming in your kidney, it starts as a small crystal and just grows slowly often.

When it migrates into the tube that carries urine from the kidney to the bladder called the ureter, then it blocks the flow of urine. The kidney swells and that’s when patients get pain. There’s actually pain in the back or in the flank that radiates to the front and often down into the groin. It can be pretty intense pain.

REFERENCES:

Meet Dr. Edward King: What Sets This Leading Urologist at Advanced Urology Institute Apart?

KEY TAKEAWAYS:

  • Dr. Edward King is a leading urologist in Ocala, FL who practices at the Advanced Urology Institute, the largest urology practice in Florida.
  • With a passion for innovation, Dr. King has been at the forefront of adopting new technologies, including laparoscopy and robotics, to treat urological conditions.
  • The Advanced Urology Institute is committed to providing the highest quality care to its patients, utilizing the latest technologies and techniques available.

Introduction: Meet Dr. Edward King

Edward D. King, MD, FACS is a leading urologist in Ocala, FL who practices at the Advanced Urology Institute. With a passion for urology and a strong background in medical innovation, Dr. King has been at the forefront of adopting new technologies and approaches to treating urological conditions.

A Love for Urology

One of the reasons Dr. King loves urology is the combination of surgical practice and outpatient office practice. Urology offers a unique blend of opportunities for doctors to engage with their patients in different settings, providing comprehensive care and support.

Embracing Innovation in Urology

Dr. King attended a medical school known for its focus on innovation, which played a significant role in shaping his career. Over 25 years ago, urologists were among the first to use laparoscopy for removing kidneys and conducting lymph node dissections. This early exposure to cutting-edge techniques piqued Dr. King’s interest in the field and influenced his decision to specialize in urology.

A Focus on Prostate Cancer

During his training, Dr. King developed a particular interest in prostate cancer. As he progressed through his education, he witnessed the evolution of urological practices, including the adoption of laparoscopy for various procedures. Dr. King continued to advance his skills and knowledge in this area, staying up-to-date with the latest developments in prostate cancer treatment.

Pioneering Robotics in Urology

About a decade ago, robotics began to gain traction in the field of urology, and Dr. King’s group was among the early adopters of this groundbreaking technology. Many members of the Advanced Urology Institute have performed a large number of robotic prosthetics, solidifying their position as leaders in the field.

Advanced Urology Institute: A Leader in Urological Care

The Advanced Urology Institute is the largest urology practice in Florida, offering state-of-the-art care and treatment options for a wide range of urological conditions. With a team of dedicated professionals like Dr. Edward King, the Institute is committed to providing the highest quality care to its patients, utilizing the latest technologies and techniques available.

TRANSCRIPTION:

My name is Dr. Edward King and I’m a urologist at the Advanced Urology Institute. I love urology because urology combines both the surgical practice and an outpatient office practice.

I also went to a medical school where there was a lot of innovation. This was over 25 years ago, but urologists were one of the first to use laparoscopy for removing kidneys, for doing lymph node dissections and so urologists were some of the first to use robotics in treating prostate and kidney disorders so I was really intrigued by it. 

I also had an interest in prostate cancer. When I started training we did very little laparoscopy and toward the end of my training I did a fair amount of it, mainly kidney transplants and then got into private practice, did some laparoscopy.

Robotics came along about a decade ago and our group is one of the very early adapters of the technology. Many of the members of our group have done a large number of robotic prosthetics.

REFERENCES: