Interesting study about diet and male performance.  for a full evaluation make an appointment to see dr. grotas
International Journal of Impotence Research:

Pistachio diet improves erectile function parameters and serum lipid profiles in patients with erectile dysfunction.
Aldemir M, Okulu E, Ne?elio?lu S, Erel O, Kay?gil O.
Int J Impot Res. 2011 Jan 13. [Epub ahead of print]

Abstract
We investigated the effects of Antep pistachio on International Index of Erectile Function (IIEF) scores, penile color Doppler ultrasound (PCDU) parameters and serum lipid levels in patients with ED. A total of 17 married male patients with ED for at least 12 months were included in this prospective study. Patients were put on a 100?g pistachio nuts diet for 3 weeks. IIEF and PCDU were evaluated before and after the pistachio diet. In addition, plasma total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and triglyceride were measured before and after dietary modifications from all subjects. Mean IIEF-15 score was 36±7.5 before the diet and 54.2±4.9 after the diet (P=0.001). Similarly, an increase in all five domains of IIEF was observed after the diet.Mean peak systolic velocity values before and after the pistachio diet were 35.5±15.2 and 43.3±12.4?cm?s(-1), respectively (P=0.018). After the pistachio diet, TC and LDL levels decreased significantly, whereas HDL level increased (P=0.008, 0.007 and 0.001, respectively). We demonstrated that a pistachio diet improved IIEF scores and PCDU parameters without any associated side effects in patients with ED. Furthermore, the lipid parameters showed statistically significant improvements after this diet.

For the listing on PubMed, CLICK HERE.

Male impotence is a complex issue viagra, levitra and cialis are first line therapy for men with erection difficulties.

We also check testosterone (male hormone) levels to see if they are low.

If so supplemental testosterone can be given in gel/patch/injection or implant form.

When all of these fail there are other options:

1) vaccuum erection device

2) urethral suppositories (muse) alprostadil

3) intrapenile injections (caverject) also alprostadil

4) penile prosthesis ( internal device inserted to simulate natural erection) see coloplast.com

if you are interested call 5165931838

attend the seminar on 1/26/11 or request and appointment

This is a FREE SEMINAR to educate men and their partners

about an advanced, DRUG FREE treatment for impotence.

Featuring:

Aaron Grotas, M.D.

DON’T STOP MEDICINES BASED ON THIS LIST CHECK WITH YOUR DOCTOR FIRST!

MEN SOMETIMES CAN’T URINATE WELL BASED ON ENLARGED PROSTATE OR BPH, OR DIABETES OR PROSTATE CANCER

CONSTIPATION AND MEDICINE CAN CAUSE RETENTION IN BOTH MEN AND WOMEN.  NEUROLOGIC( NERVE) PROBLEMS CAN CAUSE MEN OR WOMEN NOT TO URINATE WELL

A SIMPLE ULTRASOUND TEST CAN DETERMINE WHATS LEFT OR RETAINED IN BLADDER AFTER URINATING (VOID)

THESE MEDICINES CAN HURT URINARY FLOW AND CAUSE INCOMPLETE OR POOR EMPTYING OF THE URINARY BLADDER

• Alvimopan
• Dihydrocodeine
• Fesoterodine
• Fluprednisolone
• Glycopyrrolate
• Mepivacaine
• Nalmefene
• Ondansetron
• Oxymorphone
• Piperacillin/Tazobactam
• Remifentanil
• Ropivacaine
• Ziconotide
• Zuclopenthixol

grotas uses ointments for ailments

After circumcision or frenulotomy or cryoablation (freezing) of penile warts I often recommend generously using bacitracin ointment or A&D (trademarked) ointment other petroleum based products. Surgery, freezing or burning on the the skin can often dry the skin and adding a moisture barrier can help!

this is not medical advice you need to ask your doctor for your specific condition!

if you need a vasectomy, circumcision, wart treatment or other evaluation call or request appointment online.  2 Convient locations: 10 Union Square East- 3A and 1800 Rockaway Avenue s212 Hewlett NY 11557

212-844-8941 or 516-593-1838!

Patients with advanced prostate cancer or high risk disease are placed on shots or implants (lupron, Vantus, Eligard – for example)to deprive the body of testosterone. They block the brains signals to the make precursor hormones that make testosterone. Side effects including breast tenderness and hot flashes. Dr. Grotas can help with these side effects. A new report show sugar levels in the blood can be higher increasing risk of diabetes. It is important to check sugar levels and bone density to monitor patients on these medicines long term.

pca3 is a urine test to detect prostate cancer.  It is supposed to not be affected by large prostate or inflammation/infection.  I haven’t routinely ordered this test but it is being used by urologists more and more.  Recent articles praise its use in patients with prior negative biopsy to determine if a repeat biopsy should be done.  There are many patients who have persistently elevated PSA despite negative biopsy.  Will this test be a tie breaker in determining a 70 year old male’s need for a second prostate biopsy for a psa of 5 or 6? Only time will tell.  This test like free psa before it can help us give more potentially confusing information to our patients.  I have done several prostate biopsies on patients with high urine pca3 counts that came back negative.  One should be cautious about changing how we practice medicine based on a single test.  Rectal exam and PSA together are still the best screening tools.  Only a urologist is fully trained to detect prostate cancer.

I wish him well in his new career as expert blogger. Dr Tareen is one of my partner’s in the union square office.  We collaborate on interesting and difficult cases involving complex cancer issues.

new studyof capsure database reveals that surgery may be superior to radiation in terms of disease specific survival

click new study to see all the details

dr. grotas can screen, do biopsies and treat prostate cancer and many other urologic conditions.  He offers surgical, medical and radiation therapy for prostate cancer in conjunction with a team of highly qualified board certified specialists in medical and radiation oncology. call 2128448941 or 5165931838 or click on request an appointment to see the doctor

say what?

viagra/levitra and cialis are PDE-5 inhibitors the have some rare side effects including vision and hearing changes.  most people who take these drugs tolerate them just fine but it is important to know about side effects before starting a new medication.  I spend a few minutes discussing medications with patients especially if they haven’t taken them before…

Phosphodiesterase Type 5 Inhibitor Use and Hearing Impairment

Gerald McGwin Jr, MS, PhD

Arch Otolaryngol Head Neck Surg. 2010;136(5):488-492.

Current warnings regarding the risk of hearing loss related to PDE-5i use seems to be justified. However, the cross-sectional nature of the current study provides only limited insight regarding this relationship, and thus additional research is warranted.