My name is Yaser Bassel, I’m a board certified urologist with Advanced Urology Institute. We see a lot of women, in particular for issues with incontinence or involuntary loss of urine. And there are multiple reasons for having that
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My name is Yaser Bassel, I’m a board certified urologist with Advanced Urology Institute. With Radiation Therapy there are different means of administering radiation, there are seeds that can be implanted, there’s external beam radiation therapy and sometimes radiation
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My name is Yaser Bassel, I’m a board certified urologist with Advanced Urology Institute. When you’re talking about robotic prostatectomy we typically lean towards doing that with younger patients who have a long life expectancy. And those patients that we
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Dr. Brian Hale of Tampa, FL discusses the common surgeries he performs including kidney stone removal, prostate surgery, and cancer treatment.
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Dr. Brian Hale: One of the nice things about urology is that most of the patients we see we can actually treat and help.
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My Name is Yaser Bassel, I’m a Board-Certified Urologist with Advanced Urology Institute. Low testosterone at this point has come to the forefront a lot of times because of the advertising done by manufacturers of Testosterone. But for men
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Dr. Brian Hale of Tampa, FL talks about his journey to becoming a urologist at Advanced Urology Institute.
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Dr. Brian D. Hale is a board-certified urologist in Tampa, FL, who is part of the Advanced Urology Institute. In this article, we will discuss Dr. Hale’s approach to bladder cancer treatment, including the types of procedures he uses to treat the disease.
Fortunately, most patients with bladder cancer are diagnosed with early-stage cancer that can be cured with a simple outpatient procedure. Dr. Hale will typically remove the tumor using a transurethral resection of bladder tumor (TURBT) procedure. This is a minimally invasive procedure that involves using a cystoscope to remove the tumor through the urethra.
If the cancer has advanced or is too large to be removed through a TURBT procedure, Dr. Hale may need to perform a more aggressive surgery. In some cases, he may need to remove the entire bladder in a procedure called a radical cystectomy. During this procedure, the bladder is removed along with nearby lymph nodes and the prostate or uterus in men and women, respectively. The urine is then diverted into a bag outside the body or into a new reservoir made from a piece of the small intestine.
Dr. Hale works closely with oncologists to provide comprehensive cancer care for his patients. He may recommend additional treatments, such as chemotherapy or radiation therapy, depending on the stage and type of bladder cancer. He also provides ongoing monitoring to ensure that the cancer does not return.
Advanced Urology Institute is the largest urology practice in Florida, with multiple locations throughout the state, including Tampa. Their team of experienced urologists, including Dr. Brian Hale, is dedicated to providing high-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 Brian Hale, I’m a board certified urologist working with Advanced Urology Institute.
So fortunately most of the patients that we find with bladder cancer have early stage
cancer that we can cure with a simple outpatient procedure.
If we find the cancer later or the cancer is too large or so large that it’s evading
into the bladder muscle, then we have to do a more aggressive surgery removing the entire bladder.
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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.
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.
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.
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.
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.
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.
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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.
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.
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.
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 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 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.
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My name is Yaser Bassel. I’m a board certified urologist with Advanced Urology Institute.
When we counsel patients before they get a vasectomy, we do tell them that this is considered a permanent form of sterilization. However vasectomies can be reversed. The vasectomy reversal process is typically one that is not covered by insurance so it can be expensive but it is possible and typically with seventy-five to eighty percent (75-80%) success rates. [While], I do not personally perform the vasectomy reversals themselves, I do have a partner that specializes in that area. So if that is something men are interested in, that is something that is offered by our practice.
My name is Yaser Bassel. I’m a board certified urologist with Advanced Urology Institute.
Most patients that come to us with regards to prostate health issues, the majority of them are dealing with benign disease, in particular something called Benign Prostatic Hyperplasia or BPH. Oftentimes those types of diseases and those types of symptoms can be addressed with medication and then beyond that, there are treatments for BPH that include in-office procedures and then beyond that, surgical procedures as well.
The other spectrum is malignant prostate disease which is prostate cancer. Typically that is found with prostate cancer screening. We use the Prostate-specific Antigen (PSA) blood test for that and also digital rectal exam (DGA) to detect prostate cancer oftentimes in asymptomatic men. Typically treatments range from robotic prostatectomy, radiation therapy and now there are some newer technologies such as high intensity frequency ultrasound at our disposal. Beyond that, there are also new advanced prostate cancer therapies for prostate cancer that have gone out of the prostate as well.
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.
