New York Urology » sex

pistachios and impotence Dr. Grotas comments 5165931838

Dr. Grotas — Fri, 18 Mar 2011 00:41:06 +0000

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.

When the pills don’t work: Dr. Grotas516-593-1838

Dr. Grotas — Tue, 18 Jan 2011 18:36:26 +0000

viagra revolutionized sexual medicine but it doesn’t work for everyone.

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

IMPOTENCE SEMINAR JANUARY 26 2011: 516-593-1838

Dr. Grotas — Tue, 11 Jan 2011 18:38:36 +0000

This is a FREE SEMINAR to educate men and their partners

about an advanced, DRUG FREE treatment for impotence.

Featuring:

Aaron Grotas, M.D.

Board Certified Urologist specializing in Men’s Health

Also Featuring:

A patient who permanently corrected his E.D.

To reserve your space or for

more information about this

FREE seminar, please call

(516) 593-1838

.Wednesday, January 26

Registration 6 p.m.

Presentation begins 6:30 p.m.

Aaron Grotas MD

1800 Rockaway Ave., Suite 112

Hewlett, NY 11557

516-593-1838

An educational series, sponsored by Coloplast Corp.,

designed to inform and empower.

www.straighttalk.net

URINARY RETENTION OR INABIILITY TO URINATE CAN BE CAUSED BY MEDICINE- DR. GROTAS CAN HELP

Dr. Grotas — Sun, 09 Jan 2011 22:40:13 +0000

this is a list of some drugs that cause URINARY RETENTION

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

surgery on penis afterwards use bacitracin or other ointments? Dr. Grotas 5165931838

Dr. Grotas — Sun, 14 Nov 2010 13:16:13 +0000

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!

surgery superior to radiation for prostate cancer dr.grotas 2128448941 or 5165931838

Dr. Grotas — Sun, 08 Aug 2010 14:03:07 +0000

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

Erection drugs and hearing loss: Dr. Grotas 212-844-8941

Dr. Grotas — Fri, 11 Jun 2010 11:44:31 +0000

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.

prostate stones – do they need treatment? Dr.,

Dr. Grotas — Tue, 13 Apr 2010 19:01:03 +0000

prostate stones are common and not usually a problem if they are found due to symptoms of urinary discomfort or prostatitis the underlying symptoms can be address below is from http://www.prostatitis.org/stones.html

and is a helpful explanation as well. Unlikely kidney or ureteral stones which if left untreated can damage the urinary tract prostate stones often are harmless and require no active treatment

a transrectal ultrasound or CT-scan are ways to detect prostate stones

come see Dr. Grotas if you are confused about urination, prostate stones, or just want to urinate better!

Stones in the prostate are very common. They appear to be calcified proteinaceous bodies called corpora amylacea. The are thought to occur because the secretions of the prostate cannot get out of the gland because of the disarray of the architecture of the ducts due to BPH or benign prostatic hypertrophy, an almost universal growth of the prostate in men as they age. It is thought that these secretions dry out or become “inspissated” and form into a round proteinaceous body, much like a pearl in an oyster. They then become calcified.
This is not the only mechanism leading to the formation of prostate calcifications. They may appear secondary to an infection with insufficiently drained pus and detritus, eventually calcifying. Other calcifications, usually more widespread, can show up in the tissue surrounding the prostatic glandular units following an inflammatory process associated with tissue destruction or changes in the local biochemical environment (acidity, electrolyte changes). Finally, calcifications detected in the prostate can be located intraluminally inside the ejaculatory ducts, resulting from calcification of detritus in the seminal tract, eventually moving down into some narrow segment of the ejaculatory duct.
Prostatic stones are very common and generally do not cause symptoms in and of themselves but may be associated with the symptoms of BPH which men can get as they age and their BPH progresses. The stones are usually located between the BPH growth or “adenoma” and the compressed, normal prostatic tissue around the adenoma which is called the “surgical capsule” of the gland because it is the limit of resection of BPH when performed transurethrally. Stones in the urinary tract are completely different. These stones are found in the kidney where they form and can cause symptoms when the stone “passes” by moving down the ureter, the muscular tubelike structure that connects the kidney to the bladder. The presence of the stone, if it is large, in the ureter causes blockage of the ureter and “urethral colic”, a spasm type pain that is severe and is often described by my patients as the worst thing they have ever felt in their lives. Kidney stones form from the urine and are often associated with some sort of metabolic problem that predisposes the patient to forming stones but this is not always the case of some patients simply form stones for no reason that can be elucidated. Kidney stones can sit in the kidney for years and not cause symptoms but can become infected and be a persistent nexus or source of infection for years. Typically infection stones are a different type of mineral and the infection cannot be cleared without removing the stone. It is possible that prostatic stones could be the same, that is, they could serve as a source of persistent and recurring infection in prostatitis. The only thing that makes me less enthusiastic about this possibility as an explanation for the relapsing and recurrent symptoms of prostatitis is that so few patients with prostatitis have a bacterial infection documented to be present in the urine or prostatic secretions. In large series of men a bacterial infectious etiology is found in only 510% of men. Unfortunately, urologists have concentrated on this subpopulation because it represents something they can treat but still does not appear to be relevant to 90% of men with the symptoms but no infection.
Many patients have had symptoms and several courses of treatment long before a culture has been attempted. The microorganisms may have been killed, but, without removal of obstruction, the inflammatory process may continue in the affected gland. This chronic inflammation may, eventually, live its own life, either due to persistence of highly resistant clones of microorganisms in low concentration and/or inflammatory reaction to products of the immunological defense mechanism and/or inflammatory reaction to glandular secretions/pus/detritus which cannot escape. Therefore, cultures
From prostatic expressed secretion may not yield a positive result. Furthermore, even in presence of microorganisms in high = culturable concentrations, the culture may be (permanently or temporarily) negative if the process is sealed off by a stone or scar tissue.

Robot prostate even resistors are joining in! Dr. Grotas 212-844-8941

Dr. Grotas — Sun, 14 Feb 2010 13:32:30 +0000

I recommend robot prostatectomy as the surgical option for most patients with prostate cancer.

At Beth Israel Dr. Caner Dinlenc leads our robot prostate program. Drs. Tareen and Grotas also perform this surgery. We are here to help!
Have you already had a robot? need follow up have erectile dysfunction? positive margin? rising PSA? incontinence?we can help click to on request an appointment if you have questions or need an opinion!

no medical advice will be given over email all urologic consultations are done in person.
NYTIMES 2-14-2010 Health
Results Unproven, Robotic Surgery Wins Converts
By GINA KOLATA
Published: February 14, 2010
Robot-assisted prostate cancer surgery makes sense on some levels but it costs more, and it is not clear whether its outcomes are better.

Foods to enhance sex? Dr. Grotas 212-844-8941

Dr. Grotas — Sat, 13 Feb 2010 13:08:31 +0000

The other day I read this hair raising article about foods and moods.

Sexual appetite and sexual health are a serious topic but some aspects of it like black forest chocolate cake or going to One if By Land in Manhattan can still be light and fun

if you need evaluation Dr. Grotas can help!!!

New York Times Article in Dining & Wine Section

A Viagra Alternative to Serve by Candlelight

By SARAH KERSHAW

Published: February 10, 2010

Chefs and academics have been rethinking the list of alleged edible aphrodisiacs.