Men’s Health Month: Urology

By: Dr. Sheldon Axelrod | Urology

Common Reasons Why Men See Urologists

  1. Problems with urination: slowness of stream, post void dribbling, urinary frequency and urgency.  These are very common symptoms especially in men over age 50.  This is usually related to benign growth of the prostate (BPH).  There are a variety of way to treat this condition if it is bothersome.  The treatment can range from medication, to in office procedures and in more severe cases in hospital procedures.
  2. Urinary infections or inflammation: usually manifest by pain with urination, urinary frequency and urgency.  Bacterial infection usually respond well to antibiotic treatment.
  3. Kidney stones:  These can sometimes give very severe pain when they block the flow of urine from the kidney.  Small stones usually pass and sometimes medication can help.  Larger stones can sometime be treated with a noninvasive treatment called ESWL or shock wave lithotripsy.
  4. Blood in urine: Microscopic (cannot be seen but  is detected on a lab test).  Gross (blood that can be seen).  In most cases this does not represent a serious problem.  However it is very important to have an evaluation to rule out significant conditions (cancers).
  5. Elevation in PSA blood test:  This is commonly done in men over age 50.  This is a screening test for prostate cancer.  Most men with elevation in the PSA test do not have prostate cancer but is important to check into this further.
  6. Erectile dysfunction: This is a very common condition and there are a number of medications that can help.  Some of these medications are now generic  and the cost has come down significantly.

What can men do to improve the health of their urinary tracts

  1. Drink plenty of water  (2 liters per day)  this will help prevent kidney stones.
  2. Stop smoking: smoking is a significant risk factor for bladder cancer.  It can also led to narrowing of the arteries and can be a risk factor for erectile dysfunction.
  3. Keep weight, BP and cholesterol under control: these are all risk factors for erectile dysfunction.
  4. See you medical doctor on a yearly basis especially if you are over age 50.  Many conditions if detected early can be easily treated.