New York Urology » sex

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.

simultaneous vasectomy and hernia repair Dr. Grotas 212 844 8941

Dr. Grotas — Tue, 12 Jan 2010 20:15:24 +0000

Daniel J. Rosen, MD

Today I performed a laparoscopic vasectomy in collaboration with Dr. Daniel Rosen a general and laparoscopic bariatric surgeon at Beth Israel Medical Center in New York City.

The patient had a right inguinal hernia and in addition desired a vasectomy as his preferred method of birth control. Without adding any additional incisions and minimal time to the procedure a vasectomy was performed using cautery (heat energy) and titanium clips.

Vasectomy is normally done with an incision on both sides of the scrotum but with laparoscopic approach the internal cuts to the vas (or sperm channels) is done higher up in the abdomen or belly.

This has been reported before in the journal of endourology and other places. Laparoscopic procedures are not for everyone but Drs. Grotas and Rosen are able to provide you all the options available for hernia/vasectomy/varicocele combination operations.

If you need a vasectomy or hernia repair request an appointment today!

foods to increase your sex drive ? Dr. Grotas 212-844-8941

Dr. Grotas — Tue, 29 Dec 2009 13:54:09 +0000

Add foods to your diet that may help increase your sex drive, such as basil, pumpkin seeds, celery, chiles, curcumin (which gives the yellow color to turmeric), bananas, figs, avocados, garlic, sauerkraut, asparagus, almonds and raw oysters. Avoid sugary, high-fat and calorie-laden foods.

Get to the gym! Go for a walk!

Get your body moving and your male health should improve too!

Don’t use steroids.

If you Testosterone is low or you have symptoms of low libido come in for a blood test and examination!

Men: Make a New Year’s resolution for health — Dr. Grotas 212-844-8941 516-239-8585

Dr. Grotas — Fri, 25 Dec 2009 19:17:07 +0000

Male health is important In 2010 don’t let these problems get ahead of you!

Dr. Grotas provides some insights! Make an appointment today!

1. prostate check up: PSA and digital exam for prostate

1. Do you have a family history of prostate cancer? Did you have I high PSA and not do anything about it? All your friends have prostate issues?

2. lower urinary track symptoms: getting up at night, weak urinary stream, frequent trips to urinate

2. stop pushing to urinate, stop being sleep deprived because your bladder/prostate wake you at night, Do you DVR everything due to frequent bathroom breaks?

3. Male sexual perfomance:

3. inadequate erections for intercourse or unreliable erections may have bothered you in 2009 but in 201o you can get help

4. Birth control Blues:

Had enough kids? Vasectomy may be the right choice for you. Come in for a fair and balanced discussion of the risks, benefits and alternatives

prior blog entries go over these in detail

Erectile Dysfunction

Dr. Grotas — Sat, 24 Oct 2009 12:51:43 +0000

watch this video to learn more about ed

click here

erectile dysfunction is common it can be caused by several things check out this video to see an animation and learn more about causes of ed.

Dr. Grotas in press -latest edition of infertility in the male!

Dr. Grotas — Sun, 11 Oct 2009 23:57:39 +0000

Dr. Aaron Grotas and Dr. Harris M. Nagler have authored the varicocele chapter to the fourth edition of Infertility in the Male due out November 29, 2009.

A varicocele is dilated veins that drain the testicle. It is more common on the left side and is on of the most-common and curable causes of male factor infertility.

Dr. Grotas trained under Dr. Nagler at Beth Israel Medical Center and is now part of the Beth Israel Academic Facutly Practice. This chapter reviews the history, indications, surgical options and outcomes of varicocele surgery.

For a varicocele evaluation and consultation click on request an appointment at the top of the screen