Ms. Chelsie Ferrell received her Bachelor of Science Degree in Biology from the University of Missouri in 2009. She received her Masters of Science degree in Medical Science from Nova Southeastern University in 2013, where she was a Chancellors List Scholar. [Read Full Article…]
Dr. Denis Healey expertise includes adult urology, Low T, ED, vasectomies, cancer, incontinence, laser surgery, infertility and stone disease. [Read Full Article…]
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…]
Dr. Warren Hitt’s expertise includes Adult urology, cancer, incontinence, da Vinci robotic surgery, stone disease and erectile dysfunction.[Read Full Article…]
Dr. Weiss received a Bachelor of Science degree in Biochemistry and a Bachelor of Arts degree in English from the University of Iowa in 1989. He completed his medical degree at the University of Iowa School of Medicine in 1994. [Read Full Article…]
Dr. Evan Fynes, a urologist in Port Orange, FL, has a passion for his work and a deep appreciation for the variety and patient interaction that comes with practicing urology. In this article, we will explore the factors that led Dr. Fynes to choose urology as his specialty and how his work positively impacts patients’ lives.
Dr. Fynes grew up in Toledo, Ohio, and completed his undergraduate and medical education, as well as his six-year urologic residency, at the University of Toledo. Early on in his training, Dr. Fynes was encouraged by a friend who was a urology resident to explore the field of urology. He quickly found that he enjoyed the diversity of cases and the daily challenges that came with the specialty. From kidney stones and enlarged prostates to kidney cancer, every day brought something different to his work.
One of the aspects of urology that Dr. Fynes particularly enjoys is the patient interaction. He values the opportunity to develop relationships with his patients, often bonding over shared interests, such as football. This rapport allows him to better understand his patients’ concerns and provide tailored treatment plans to address their specific needs.
Dr. Fynes finds great fulfillment and reward in helping patients overcome their urological problems. Whether it’s removing a kidney stone or vaporizing prostate tissue to enable a patient to urinate without a catheter, he takes pride in the positive impact his work has on patients’ lives. Their gratitude and satisfaction make his efforts worthwhile and further solidify his passion for the field of urology.
Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. The institute is dedicated to providing the highest quality of care for their patients through the use of state-of-the-art 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:
I never met an unhappy urologist. They all seemed to really like what they did for a
living and were really enthusiastic about their job.
Hello, Dr. Evan Fynes. I’m a urologist with Advanced Urology Institute. I’ve been down
here in Florida about 15 months now. I came down from the great state of Ohio. I grew
up in northwest Ohio, Toledo, Ohio. I went to school at the, basically did all my training
in Toledo. Went to undergrad, med school, and then did a six-year urologic residency
at the University of Toledo. Urology really caught my interest early on in my training.
I had actually a good friend that was a urology resident, and he told me to kind of check
out urology. And so when I really looked into it, I mean, I really liked the diversity of
the cases. Every day you’re doing something different, whether it’s kidney stones, somebody
with a large prostate, to taking out or removing kidneys because of kidney cancer. You never
knew what you were going to do that day. It was a wide variety.
One of the favorite things I like about my work is just patient interaction. A lot of
times when I initially talk about a patient, they’ll walk in with a Pittsburgh Steelers
hat on, and the first 10 minutes of my conversation is talking about football. And so I really
enjoyed the patient interaction of getting to know somebody, developing that relationship
with somebody, and then trying to help them with their problem. From that, when you get
to help them with their problem and basically correct their situation, whether it’s removing
a kidney stone or they have a catheter in and you take away their, you know, vaporize
their prostate tissue and they’re able to pee on their own, they’re very satisfied with
having that catheter out. It does give you a sense of fulfillment and reward that
you’ve helped somebody, and they’re usually very grateful.
REFERENCES:
We believe that medical care is best delivered between an independent physician and a willing patient. When the physician is not in control, bad medicine (profit driven) results. [Read Full Article…]
Advancements in genetics are revolutionizing the field of medicine, particularly in the area of urology. In a recent talk, Dr. Saumil Karavadia, a leading urologist in Ocala, FL, highlighted how these breakthroughs are providing new ways to diagnose, treat, and even prevent diseases and cancers. This article delves into Dr. Karavadia’s insights, shedding light on the future of urology and the impact of genetic research on patient care.
Dr. Saumil Karavadia, of Advanced Urology Specialists, emphasized the importance of the Human Genome Project, which successfully mapped the human genome. This groundbreaking accomplishment has paved the way for a deeper understanding of the genetic factors behind various diseases and cancers.
By identifying the genes that play significant roles in the development of cancer, researchers can now focus on ways to suppress these genes and develop targeted therapies. Dr. Karavadia believes that this knowledge will play a crucial role in cancer treatment in the coming years.
According to Dr. Karavadia, one of the most promising areas of genetic research involves manipulating genes that contribute to cancer development. By suppressing harmful genes and amplifying beneficial ones, it is possible to inhibit cancer growth and improve patient outcomes.
For instance, scientists are now able to pinpoint the specific genes that drive cancer progression and devise targeted therapies to counteract their effects. This personalized approach to medicine has the potential to revolutionize cancer treatment, moving away from the traditional one-size-fits-all therapies.
As the largest urology practice in Florida, the Advanced Urology Institute is committed to staying at the forefront of medical advancements. With a team of highly skilled specialists like Dr. Saumil Karavadia, the institute is well-equipped to provide patients with cutting-edge treatments based on the latest genetic research. By embracing these breakthroughs, the Advanced Urology Institute continues to lead the way in providing high-quality, personalized care for patients with urologic conditions.
TRANSCRIPTION:
My name is Saumil Karavadia, I’m with Advanced Urology Specialists.
We have mapped the human genome, so that certainly has been a big forefront development into finding out the genetics behind all these diseases and cancers.
And when you find out that certain genes play a big role in the cancer development, you can certainly suppress them. You can also amplify the good genes that shut off the cancer growth, and that will certainly play a big role in treating cancer in the future.
REFERENCES:
Cryotherapy (also called cryoablation) does not require an incision. Instead, the elemental gas argon is directly administered with cryoneedles to freeze the targeted cancer cells. [Read Full Article…]
Green Light Laser Therapy is a minimally invasive, outpatient procedure that has revolutionized the treatment of enlarged prostates. Dr. Evan Fynes, a urologist in Port Orange, FL, highlights the advantages of this cutting-edge technology over traditional surgical methods, particularly for patients on blood-thinning medications.
Dr. Fynes explains that the Green Light Laser is a special laser designed to vaporize the prostate in men with enlarged prostates causing urinary symptoms such as frequent nighttime urination, weak urinary stream, or difficulty forcing urine out. Initially, patients are prescribed medications to alleviate symptoms, but if these fail to improve their quality of life, Green Light Laser Therapy may be considered as an alternative treatment option.
This third-generation laser technology enables the vaporization of prostatic tissue, offering a less invasive and more efficient treatment for enlarged prostates.
One of the primary advantages of Green Light Laser Therapy is its suitability for patients who cannot discontinue blood-thinning medications due to heart disease, stroke, or other conditions. The laser treatment not only vaporizes the prostate but also helps stop bleeding, making it a safer option for these patients compared to traditional surgical methods.
Dr. Fynes notes that studies have demonstrated the outcomes of Green Light Laser Therapy to be equivalent to those of the classic Transurethral Resection of the Prostate (TURP) at five years. This means that patients can experience the same benefits in terms of symptom relief, but with a less invasive procedure and fewer complications.
Dr. Evan Fynes is a dedicated urologist at the Advanced Urology Institute, the largest urology practice in Florida. The institute is committed to providing state-of-the-art, evidence-based care for patients, ensuring that they have access to the latest advances in urological treatment. With a team of highly skilled professionals, the Advanced Urology Institute offers comprehensive care for a wide range of urological conditions.
TRANSCRIPTION:
Five, ten years ago, you’d have to do an open surgery to remove the prostate gland.
Now, the green light laser allows you to do an outpatient surgery on a really big prostate
and then they go home with a catheter usually for a day.
Hello, Dr. Evan Fynes , I’m a urologist with Advanced Urology Institute.
The green light laser, it’s a special laser we use to basically vaporize the prostate
for guys who have enlarged prostates that cause urinary symptoms, whether it’s getting
up a lot at night, if they have a weak stream, if they really have to force their urine out.
Usually we initially start them on medications, there’s several medications to start.
If they fail those medications and they’re still, the symptoms are affecting their quality
of life, then the option we choose is to basically resect their prostate by going through their urethra.
The green light’s a new technology, I think they’re on their third generation laser.
With this new generation laser, you’re able to vaporize the prostatic tissue.
The benefits of the laser really, these days, it’s meant for guys who are still on blood
thinner medication, who can’t come off those because of heart disease or stroke or things like that.
So the laser’s meant to actually vaporize the prostate while they’re on these blood
thinners because it helps stop the bleeding as you vaporize the prostate.
I feel like the outcomes are very similar to the classic TURP.
There’s been several studies out that show they’re basically equivalent at five years.
REFERENCES:
For some men, difficulty urinating is often a sign of either an enlarged prostate or an inflammation of the prostate, called prostatitis. Early prostate cancer does not usually cause problems with urination. [Read Full Article…]
Testosterone, a naturally occurring anabolic steroid, is produced by the testicles and plays a vital role in the human body. According to Dr. Edward D. King, a renowned urologist in Oxford, FL, testosterone is responsible for increasing bone density and muscle mass. It also influences libido, or sex drive, and contributes to overall well-being.
Low testosterone levels can result in several adverse side effects. Dr. King explains that diminished libido, weakness, fatigue, loss of muscle mass, and an increase in weight gain (specifically fat instead of lean muscle mass) can all be indicators of low testosterone.
When faced with symptoms of low testosterone, it is crucial to consult with specialists such as endocrinologists or urologists. Dr. King emphasizes the importance of seeking care from professionals like himself who specialize in managing diminished libido, erectile dysfunction, and hypogonadism (the medical term for low testosterone).
Testosterone therapy can be an effective treatment for low testosterone, but it requires careful monitoring by a qualified specialist. Dr. King highlights the potential risks associated with testosterone therapy, such as polycythemia (a significant rise in red blood cell count), which can lead to stroke if not closely monitored. Testosterone therapy can also cause an elevation in liver enzymes, necessitating regular liver function tests. It is essential to ensure that the patient’s testosterone level remains within the normal range – not too low and not too high.
Advanced Urology Institute: Leading the Way in Urological Care
The Advanced Urology Institute, the largest urology practice in Florida, is committed to providing exceptional care for patients with urological conditions, including low testosterone. Dr. Edward King and his team of expert urologists offer state-of-the-art treatments to help patients regain their quality of life and enjoy improved overall well-being.
TRANSCRIPTION:
My name is Dr. Edward King, I’m a urologist at the Advanced Urology Institute.
Testosterone is an anabolic steroid, so it occurs naturally in the body, it’s produced by the testicles, and it’s involved in increasing bone density and also muscle mass. When your testosterone is low, some of the side effects can include diminished libido or sex drive, weakness, fatigue, also loss in muscle mass, and increase in weight gain, that is fat as opposed to lean muscle mass.
Low testosterone should be managed by specialists such as endocrinologists or urologists, because we are the specialists in dealing with diminished libido erectile dysfunction and low testosterone, or the medical term is hypogonadism.
Testosterone therapy should be monitored closely because it can cause a pretty significant rise in the red blood cell count, that’s a condition called polycythemia, and it can lead to stroke, if not monitored closely.
It can also cause an elevation in liver enzymes too, so those need to be checked as well. And plus, we need to ensure that the patient’s testosterone level remains within the normal range, that is not too low, and certainly not too high.
REFERENCES:
Testosterone is a vital hormone for men, impacting their daily energy levels, sexuality, and overall health. Dr. Saumil Karavadia, a renowned urologist in Ocala, FL, provides insight into the symptoms of low testosterone, the importance of proper evaluation, and the available treatment options. Read on to learn more about testosterone therapy and how it could potentially benefit you.
According to Dr. Saumil Karavadia, MD, testosterone is a key hormone needed for men to maintain their health. Low testosterone levels can lead to numerous issues such as osteoporosis, decreased energy levels, and fatigue. Some individuals may experience symptoms similar to male menopause, including hot flashes, gynecomastia (enlarged breast tissue), low libido, and persistent fatigue.
If you suspect you may have low testosterone, Dr. Karavadia recommends seeking a professional evaluation to determine the cause. In many cases, low testosterone levels result from primary testicular failure, where the testicles do not produce enough of the hormone. This condition often requires testosterone therapy for treatment.
There are several treatment options available for low testosterone, including patches, gels, injections, and long-term pellet options. Dr. Karavadia highlights the convenience of pellet therapy, as it allows patients to receive treatment every three to four months, reducing the need for frequent visits to the clinic.
Patients who undergo testosterone therapy often experience a significant increase in their energy levels, allowing them to be more active and enjoy their daily lives. Additionally, testosterone therapy can improve libido, overall well-being, and alleviate feelings of fatigue or depression that can occur with age.
Dr. Saumil Karavadia is a dedicated urologist at the Advanced Urology Institute, the largest urology practice in Florida. Their commitment to providing exceptional care ensures that patients receive the best possible treatment for low testosterone and other urological concerns. Trust the experts at Advanced Urology Institute to guide you on your journey to improved health and well-being.
TRANSCRIPTION:
My name is Saumil Karavadia, I’m with Advanced Urology Specialists.
Testosterone is a male hormone that certainly has a big impact on a male’s sexuality as well as the daily energy that a person goes through from a day-to-day basis. Testosterone is one of the key hormones that’s needed to actually be healthy.
If you have low testosterone, it can certainly lead to osteoporosis, worsening energy levels, being tired. The majority of the symptoms are having like a male menopause. Hot flashes, gynecomastia, low libido, low fatigue. Those are all very common symptoms of having low testosterone.
First thing is you’ll want to get evaluated. You’ll want to get checked out for the most common causes for this. And majority of the time it’s primary testicular failure where the testicles itself, they don’t produce any testosterone. When that happens, you need to supplement with testosterone therapy. And that’s one of the most common ways to treat it. There are several treatment options including patches, gels, injections, as well as long-term pellet options which are great for people who want to come in every three or four months and just get one treatment.
Once you start testosterone therapy, the patients have a significant increase in their energy. They’re sleeping not throughout the day. They’re being active and enjoying their lifestyle. They also have an increase in libido. They have an increase in their well-being. They don’t have that tired or fatigued feeling which is a big cause for being depressed almost as you get older.
REFERENCES:
Edward D. King, MD, FACS, a urologist in Oxford, FL, explains that the PSA (prostate-specific antigen) is an enzyme found in the bloodstream. While the PSA itself is harmless, it serves as a marker for prostate cancer. In cancerous cases, more PSA tends to leak into the bloodstream, resulting in higher PSA levels. However, the PSA test is not highly specific, leading to controversy around its use in prostate cancer screening.
The Controversy Surrounding PSA Testing
According to Dr. King, among men with slightly elevated PSAs, the risk of finding cancer is about one in four. Due to this lack of specificity, other tests are often used alongside the PSA test to identify patients with elevated PSAs but no cancer. The U.S. Preventive Services Task Force has recommended against routine prostate cancer screening, which Dr. King believes is a mistake. Prostate cancer is the second leading cause of cancer deaths in the United States, tied with colon cancer, and some groups are at higher risk for developing and dying from prostate cancer.
Dr. King emphasizes the importance of individualized screening for prostate cancer. He suggests that men aged 55 to 70, especially those in high-risk groups, should be screened. Men with low PSAs and no family history of prostate cancer may not need screening after the age of 70. Ultimately, the decision to undergo prostate cancer screening should be made between the patient and their physician, taking individual risk factors into account.
The Advanced Urology Institute, the largest urology practice in Florida, offers state-of-the-art prostate cancer screening and treatment options. Dr. Edward King and his team of expert urologists are dedicated to providing personalized care to ensure the best possible outcomes for their patients.
TRANSCRIPTION:
My name is Dr. Edward King, I’m a urologist at the Advanced Urology Institute.
The PSA is an enzyme that floats in the bloodstream. The PSA in and of itself doesn’t harm you, it only serves as a marker for prostate cancer.
In cancers, more of the PSA tends to leak into the bloodstream, and so the PSA tends to be higher. But the PSA is not real specific, and that’s the problem.
Among men with slightly elevated PSAs, the risk of finding cancer is about one in four. So we have other tests that we also use along with the PSA to try to weed out patients whose PSAs may be slightly elevated but who don’t have cancer. It is controversial, the U.S. Preventive Services Task Force recommended against routine prostate cancer screening in men.
I think that that was a mistake because prostate cancer is the second leading cause of cancer deaths in this country. It’s tied with colon cancers, and there are some groups that are higher risk for developing prostate cancer and dying from it.
So the screening has to be individualized, so it’s a choice between made with the patient makes with his physician. Typically men who have low PSAs, no family history of prostate cancer, probably don’t need to be screened after the age of 70, but I do think that men between the ages of
55 and 70, especially men in high risk groups, do need to be screened.
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