Addressing Incontinence in Women – Insights by Quynh-Dao Tonnu, PA-C

Key Takeaways:

  1. Incontinence in women can have different causes and diagnosis and requires tailored treatment options.
  2. Breaking the stigma and silence around incontinence is essential to encourage women to seek help.
  3. Advanced Urology Institute in Orange City, FL offers top-tier medical support and personalized treatment options to help women regain control over their lives.

Quynh-Dao Tonnu, a leading physician assistant at Advanced Urology Institute, offers expert insights into a topic that is often whispered about, but seldom openly discussed — female incontinence. Hidden behind hushed tones and uneasy glances, incontinence in women is a common but rarely explored issue.

Overactive Bladder and Female Incontinence

Tonnu attributes female incontinence to two common reasons. The first could be a narrowed urethra, which might require medical procedures or dilation. The second possibility is an overactive bladder where, as Tonnu explains, “The bladder contracts inappropriately, making them go more frequently.”

What’s important to note here is that both situations can have profoundly different approaches for diagnosis and treatment. Incontinence, and especially overactive bladders, can disrupt the rhythm of life, making it essential to “assess the underlying cause.”

Breaking the Silence

For many women, speaking about their incontinence can feel invasive and embarrassing. However, Tonnu’s empathetic and understanding approach encourages open conversations about this condition. As a physician assistant, and more importantly, a woman herself, Tonnu establishes a comforting sense of intimacy that encourages patients to share their experiences.

“I personally don’t find it particularly difficult to have that conversation with patients,” says Tonnu. “Perhaps because I’m female there’s already a sense of intimacy that they can share with me.”

Recognizing the Need for Help

Undoubtedly, opening up about incontinence is a bold step, signifying the point where the condition has become bothersome enough for the individual to seek help. Tonnu remarks, “Once they’ve consciously made the decision to make an appointment and come in, they’re usually willing to talk about it.”

This willingness to seek help and discuss their issues is a testament to the motivational environment created by Tonnu and her colleagues at Advanced Urology Institute. When a woman is ready to address her concerns, it means that she has acknowledged the problem and is prepared to take the necessary steps towards her treatment.

Choosing the Right Support in Orange City, FL

Tonnu’s dedicated approach to handling female incontinence provides hope for many women silently coping with the condition. By encouraging open conversations and providing personalized treatment options, she helps these women regain control over their lives. Located in Orange City, FL, Tonnu and the team at Advanced Urology Institute offer top-tier medical support to anyone facing urological concerns.

As the largest urology practice in Florida, the Advanced Urology Institute stands at the forefront of urinary health issues like overactive bladder and female incontinence. Their team of experts, led by individuals like Quynh-Dao Tonnu, PA-C, work tirelessly to ensure that each patient receives the best possible care. Because at the end of the day, it’s not just about treating a condition – it’s about reclaiming your life from the shadows of incontinence.

References:

  1. Bladder Problems | Advanced Urology Institute. (2023, September 19). Advanced Urology Institute. https://www.advancedurologyinstitute.com/conditions-we-treat/bladder-problems/
  2. Advanced Urology Institute. (2023, May 19). What is Urinary Incontinence in Women and how can Dr. Amar Raval help? | Advanced Urology Institute. Advanced Urology Institute. https://www.advancedurologyinstitute.com/what-is-urinary-incontinence-in-women-and-how-can-dr-amar-raval-help/ \
  3. Advanced Urology Institute. (2023, April 24). How does Dr. Rishi Modh treat female urinary incontinence? | Advanced Urology Institute. Advanced Urology Institute. https://www.advancedurologyinstitute.com/how-does-dr-rishi-modh-treat-female-urinary-incontinence/
  4. Hartmann, K. E., McPheeters, M. L., Biller, D. H., Ward, R. M., McKoy, J. N., Jerome, R. N., Micucci, S. R., Meints, L., Fisher, J. A., Scott, T. A., Slaughter, J. C., & Blume, J. D. (2009). Treatment of overactive bladder in women. Evidence Report/Technology Assessment, 187, 1–120, v. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781496/
  5. NHS Choices. (2023). Overview – Urinary incontinence. https://www.nhs.uk/conditions/urinary-incontinence/
  6. Elad Leron, Weintraub, A. Y., Salvatore Andrea Mastrolia, & Schwarzman, P. (2018). Overactive Bladder Syndrome: Evaluation and Management. Current Urology, 11(3), 117–125. https://doi.org/10.1159/000447205
  7. Urinary incontinence | Office on Women’s Health. (2014). Womenshealth.gov. https://www.womenshealth.gov/a-z-topics/urinary-incontinence

Transcription:

My name is Quynh-Dao Tonnu, I’m a physician assistant at Advanced Urology. So it could be two things, they could have like a narrowed urethra or maybe they need to be dilated or have a procedure or it could be they have overactive bladder and they’re bladders kind of contracting inappropriately and making them go more frequently so we kind of have to assess the underlying cause. I personally don’t find it particularly difficult to have that conversation because maybe because I’m female and so there’s also there’s already like a sense of intimacy that they can share with me but also if once they’ve consciously made decision to make an appointment and come in then they’re usually willing to talk about it because it’s gotten to that point where it’s bothersome to them.

What Causes Erectile Dysfunction and How Can It Be Cured?

Key Takeaways:

  1. Erectile dysfunction is a persistent difficulty in achieving or maintaining an erection, firm enough for satisfactory sexual performance.
  2. The causes of ED are multifaceted, with physical, psychological and medical factors contributing.
  3. Treatment options range from lifestyle changes to medications, penis pumps, surgery and implants, as well as psychological therapies. Seeking help from a healthcare professional is essential.

 

You may see the term ‘erectile dysfunction‘ (ED), also known as impotence, slipped into the hushed conversations of men, or used as the punchline of a far too common bathroom joke. Your neighbor, your hairdresser, even your favorite sitcom — they’ve touched on it. But, do you truly understand what ED is? More importantly, do you realize that it’s a topic that deserves open conversations and thorough understanding?

Defining and Understanding Erectile Dysfunction

Simply put, erectile dysfunction is a persistent difficulty in achieving or maintaining an erection, firm enough for satisfactory sexual performance. It’s not an aphrodisiac dinner conversation, granted. Yet, understanding its causes and treatment options can help those affected to regain their potency, self-esteem, and quality of life.

The Triggers Behind Erectile Dysfunction

Like a complex puzzle, the causes of ED are multifaceted. Physical factors are substantial contributors. Medical conditions such as diabetes and hypertension can cause ED. Hormonal imbalances and neurological disorders, too, can curb your virile enthusiasm. Meds for other ailments or substance abuse may also inadvertently set the stage for ED.

Meanwhile, psychological factors should not be overlooked. The ever-dreaded performance anxiety can lead to ED, as can stress and strains in relationships. Depression and other mental health conditions could also provoke these sexual malfunctions. It’s like a minefield, with triggers at every turn. But, don’t despair. There are ways to navigate it.

How to Treat Impotence

Firstly, lifestyle changes are beneficial. Adopt a healthy diet and exercise regime. If you smoke, it’s time to stub it out. Consider reducing your alcohol activity — moderation is the key. Learn stress management techniques to help defuse those potential ED time bombs.

Medications such as Viagra and Cialis can work wonders. Injectable medications can also be an option. If your doctor decides to pull out the big guns, penis pumps, surgery, and implants may be suggested.

Penis pumps and vacuum erection devices are non-invasive methods, while penile implants offer a more permanent solution. Yet, these methods should be considered alongside the potential risks and side effects.

Sometimes, unraveling the psychological knots could be the key to impotence relief. A therapeutic approach involving counseling, cognitive-behavioral techniques, or both, could be proposed.

Get Professional Help

All these solutions underline the importance of a proper consultation with a healthcare professional. Urologists and sexual health specialists have the knowledge and resources to guide you through the obstacle course that is ED. They help you understand, cope, and conquer.

A Helping Hand from Advanced Urology Institute

As you howl at the ED wind, there’s a beacon poised to guide you. The Advanced Urology Institute, the most extensive urology practice in Florida, is filled with urologists in FL who are eager to help. They house specialized professionals and cutting-edge procedures to address erectile dysfunction effectively.

In conclusion, overcoming erectile dysfunction is not as daunting as it may seem. Its causes, although numerous, can be identified and managed effectively. Various treatment options from lifestyle changes to surgeries are available. The crucial factor is the willingness to seek help and adopt a holistic approach to treatment. With adequate support from distinguished institutions like the Advanced Urology Institute, victory against ED isn’t just possible, it’s probable.

References:

  1. Erectile Dysfunction | Advanced Urology Institute. (2023, September 19). Advanced Urology Institute. https://www.advancedurologyinstitute.com/conditions-we-treat/erectile-dysfunction/
  2. Advanced Urology Institute. (2019, December 13). Erectile Dysfunction Treatment Options | Advanced Urology Institute. Advanced Urology Institute. https://www.advancedurologyinstitute.com/erectile-dysfunction-treatment-options/
  3. And, D. (2023, September 25). Symptoms & Causes of Erectile Dysfunction. National Institute of Diabetes and Digestive and Kidney Diseases; NIDDK – National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes
  4. Nall, R. (2015, March 12). 5 Common Causes of Impotence. Healthline; Healthline Media. https://www.healthline.com/health/erectile-dysfunction/common-causes-impotence#takeaway
  5. Erectile dysfunction. (2020). Nhsinform.scot. https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence ‌

Brian Hale, MD: Choosing Excellence with Advanced Urology Institute

Key Takeaways:

  1. Small medical practices are increasingly having difficulty staying competitive in the current market, leading many physicians to a crossroads between becoming an employee or merging with more doctors in their specialty just like Advanced Urology Institute.
  2. Dr. Hale chose to merge with the Advanced Urology Institute to augment his resources and negotiate contracts from a more competitive pedestal.
  3. By joining forces with Advanced Urology Institute, Dr. Hale has been able to pursue a shared vision for excellence and dedication to patient care.

As a nation, we have always cherished the tales of those individuals who choose to tread the path often left unexplored, who dare to mold their destiny according to the dictates of their integrity rather than bend to the whims of circumstances. Today, we bring to the forefront one such individual — Brian Hale, MD, a board-certified urologist serving the areas of Palm Harbor, Tampa and New Port Richey in Florida.

Shaping His Own Journey

Dr. Hale’s journey in the field of urology began in a time when solo practitioners and small practices were the norm in the profession. “When I first started urology,” he says, “there were a lot of solo practitioners and small practices and they were doing very well.” However, with the shifts in medical practice environments and the increasing difficulty of maintaining a viable small practice, he was confronted with a crucial choice.

The Inevitable Crossroads

As the landscapes of medical practices evolved, so did the challenges faced by physicians. Small groups, despite their commendable tenacity, found it difficult to stay competitive from an overhead standpoint and negotiate insurance contracts with equal footing. The last five years saw physicians standing at an inevitable crossroads: either become an employee and sell your practice to a hospital or a large group, or expand by merging with more doctors in your specialty. Dr. Hale explains, “And there’s only so much you can do in a small group to stay competitive…you have to decide between becoming an employee and selling your practice…”

Pursuing the Route of Expansion

Dr. Hale and his group had a choice to make. And they chose not to sell, but instead to expand. The decision might have been fraught with hurdles and uncertainties, but they understood the importance of maintaining their autonomy, their ability to offer personalized care to their patients. He says, “But in our group, we decided it was better not to sell, but instead get bigger.”

And that’s when they came across the Advanced Urology Institute (AUI).

Joining Forces with Advanced Urology Institute

Taking their quest for growth and top-notch care to the next level, Dr. Hale and his group decided to merge with the AUI. This strategic move allowed them to not only augment their resources but also negotiate contracts from a more competitive pedestal.

The AUI, the largest urology practice in Florida, serves as a testament to the power of collective brilliance, a convergence of expert urologists, all dedicated to providing unparalleled care to their patients. It’s an institution that continues to imbibe the spirit of unity, growth and relentless pursuit of excellence — the same spirit that led Dr. Hale and his group to its doorstep.

Seeking Excellence with Advanced Urology Institute

Choosing to align with the Advanced Urology Institute has been an impactful decision for Dr. Hale’s practice. What began as a solitary journey in urology has now transformed into a collaborative endeavor, all thanks to a shared vision for excellence and dedication to patient care.

In the world of urology, the choice is clear. Join forces with those committed to innovation, community, and excellence. Like Brian Hale, MD, choose Advanced Urology Institute. As the largest urology practice in Florida, they are at the forefront of healthcare delivery, ensuring that their patients receive the best possible care in Palm Harbor, Tampa, and New Port Richey. Stand with Advanced Urology Institute, stand with quality care.

References:

  1. AUI. (2023, September 21). Mikhail Lezhak, PA C: Choosing AUI. AUI. https://www.advancedurologyinstitute.com/mikhail-lezhak-pa-c-why-you-should-choose-advanced-urology-institute/
  2. AUI. (2023, August 17). Brian Hale, MD: Urological Care with AUI. AUI. https://www.advancedurologyinstitute.com/brian-hale-md-elevating-urological-care-with-advanced-urology-institute/
  3. Watson, S. (2016, May 25). Faces of Healthcare: What Is a Urologist? Healthline; Healthline Media. https://www.healthline.com/health/what-is-a-urologist
  4. The role of a urologist. (2023, September 4). Healthdirect.gov.au; Healthdirect Australia. https://www.healthdirect.gov.au/urologist
  5. And, D. (2023, September 25). Urologic Diseases – NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases ‌

Mikhail Lezhak, PA C: Why You Should Choose Advanced Urology Institute

Key Takeaways:

  1. Advanced Urology Institute combines geo-strategic accessibility, in-depth expertise, cutting-edge technology and a personal, nurturing approach.
  2. The Institute has the best technology available to offer evidence-based, personalized care.
  3. The Advanced Urology Institute is committed to excellence, striving for better and offering the best available treatment for urological diseases.

As you navigate through the complexities of health, the importance of personal, empathetic, and state-of-the-art care cannot be understated. Florida’s Advanced Urology Institute (AUI) stands at the forefront of patient-focused urological treatments, spearheaded by talented professionals like Mikhail Lezhak, PA-C.

“My name is Mikhail Lezhak. I’m a physician assistant with Advanced Urology Institute in Daytona,” he begins, setting the tone for an intimate dialogue on an often-overlooked field of medicine. At the heart of this discussion is you. You are not just another patient on a long list, but an individual deserving of top-tier medical care. This simple yet transformative principle is at the core of the Institute’s ethos.

Why Choose Advanced Urology Institute?

The answer lies in the convergence of geographic accessibility, in-depth expertise, cutting-edge technology and a personal, nurturing approach. As Mikhail Lezhak notes, “We have locations in many places in Central Florida and not only.” This geo-strategically dispersed presence ensures that no matter where you are in Daytona, FL or the surrounding areas, quality urological care is never far away.

The Institute’s physicians, urologists and Physician Assistants, like Lezhak, bring to the table an unrivaled collective prowess. “We’re very knowledgeable,” he asserts, “and they [the physicians] can help you with any urological problems and treat any kind of urological disease if you have any. And as a PA, I can help them doing that.”

Unparalleled Technological Advancements

AUI impressively aligns human compassion with technological evolution. “We are equipped with the top-of-the-line technology and machines that help to evaluate patients thoroughly,” Lezhak explains, delineating how the Institute is always a step ahead in the evolving medical landscape.

Having the best technology at their disposal allows these capable professionals to offer the best available treatment to the patients. Evidence-based, personalized care is not an abstract concept here, but a daily reality, seamless in execution and delivered with earnest compassion.

A Holistic Approach to Urological Care

AUI’s approach is holistic and patient-centric. The journey from diagnosis to treatment and beyond is mapped out with the utmost sensitivity, taking into account each individual’s unique circumstances.

As Lezhak underscores, his role as a PA enables him to contribute meaningfully to this journey. In this intricate dance of medical intervention, the patient is always at the center, enveloped by a team of experts dedicated to their wellbeing.

A Commitment to Excellence

The largest urology practice in Florida, AUI, has carved out an irreplaceable niche in the landscape of urological care. It is not simply about the cutting-edge technology, the wide-ranging presence across Daytona, FL, or the team of accomplished urologists and Physician Assistants. It is about the commitment to excellence, the relentless striving for better, and the knowledge, as Mikhail Lezhak puts it, “that we can offer the best available treatment currently for urological diseases.”

Choosing the Advanced Urology Institute for your urological care is choosing unparalleled expertise, cutting-edge technology, geographic accessibility, and above all, a compassionate and personalized approach. Dedicate yourself to the best, because your health deserves nothing less.

References:

  1. AUI. (2023, August 17). Brian Hale, MD: Urological Care with AUI. Advanced Urology Institute. https://www.advancedurologyinstitute.com/brian-hale-md-elevating-urological-care-with-advanced-urology-institute/
  2. AUI. (2023, September). Samuel Lawindy, MD: Why Choose AUI. Advanced Urology Institute. https://www.advancedurologyinstitute.com/samuel-lawindy-md-why-choose-advanced-urology-institute/
  3. Watson, S. (2016, May 25). Faces of Healthcare: What Is a Urologist? Healthline; Healthline Media. https://www.healthline.com/health/what-is-a-urologist 
  4. And, D. (2023, September 21). Urologic Diseases – NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases
  5. Urology. (2015, April 7). Urology. Health Careers. https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/urology ‌

Patient’s Treatment and Satisfaction is #1 At Advanced Prostate Cancer Institute

Key Takeaways:

  1. The Advanced Prostate Cancer Institute fosters connections between staff and patients throughout treatment, creating strong bonds.
  2. Patients reflect positivity and satisfaction with the care, citing the emotional support and camaraderie provided.
  3. The Advanced Urology Institute is the ideal choice for prostate cancer treatment, with a network of skilled professionals and a focus on patient satisfaction.

Building Team Excellence

As you walk through the doors of the Advanced Prostate Cancer Institute (APCI), the feeling of dedication, competence, and warmth is palpable. This sentiment emanates from the words of Martin Tompkins, Practice Manager at the Institute located in Oxford, FL. “I really feel good about our team here,” he says, underscoring a commitment not just to technical mastery, but also the cultivation of a supportive environment for patients and their families.

Beyond Treatment: Building Connections

Unlike the fleeting interactions at some medical centers – an x-ray, a diagnosis, a treatment – the Institute prides itself on a different kind of relationship. Treatment for prostate cancer at the Institute often extends over 40 to 45 sessions, which provides a unique opportunity to foster connections. “We get to know their hobbies, the things that they like to do, the places where they’re from, their experiences,” Tompkins explains.

This connection extends beyond medical discussions. Staff and patients share successes, life stories, and even advice on personal tribulations. The bond formed over these courses of treatment can be so strong, in fact, that Tompkins laments, “it’s very sad when a patient finishes.” However, these endings also offer great satisfaction, hearing patients say, “I hated to meet under these circumstances but I’m glad that it turned out the way it did.”

Patients Reflecting Positivity

Satisfaction with patient care isn’t just internally reflected within the office – it’s echoed in the voices and faces of those treated. The APCI proudly features testimonials of happy patients, sharing stories of their time at the office and the exceptional care they’ve received. These stories paint a hopeful image of a place where treatment is provided alongside emotional support, camaraderie, and shared stories. “What a wonderful experience it was despite the circumstances,” they say.

Advanced Urology Institute: The Best Choice for Prostate Cancer Treatment

The Advanced Prostate Cancer Institute is a part of the Advanced Urology Institute(AUI), the largest urology practice in Florida. AUI’s network of skilled professionals, extensive experience with prostate cancer treatments, and the desire to treat every patient like a member of the family make it the ideal choice for those navigating prostate cancer.

Choosing a treatment center for prostate cancer is not just about the technical capabilities of the office. It’s also about the emotional support and personal connections forged throughout the treatment process. Choose the Advanced Urology Institute, where patient treatment and satisfaction is the number one priority.

References:

  1. Prostate Cancer | Advanced Urology Institute. (2023, June 7). Advanced Urology Institute. https://www.advancedurologyinstitute.com/conditions-we-treat/prostate-cancer/
  2. Advanced Urology Institute. (2023, September 12). What Technologies Are Used in APCI. Advanced Urology Institute. https://www.advancedurologyinstitute.com/what-technologies-are-used-in-advanced-prostate-cancer-institute/
  3. Watson, S. (2016, May 25). Faces of Healthcare: What Is a Urologist? Healthline; Healthline Media. https://www.healthline.com/health/what-is-a-urologist ‌
  4. Prostate Cancer Treatment. (2023, February 16). National Cancer Institute; Cancer.gov. https://www.cancer.gov/types/prostate/patient/prostate-treatment-pdq
  5. CDCBreastCancer. (2020, August 18). What Is Prostate Cancer? Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/prostate/basic_info/what-is-prostate-cancer.htm ‌