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.

If you have concerns see a urologist! Dr. Grotas can help!

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

however this is a list of some drugs that cause e.d.:

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

Anagrelide
Atomoxetine
Baclofen
Bezafibrate
Chlorthalidone
Degarelix
Doxazosin
Dutasteride
Epinastine
Febuxostat
Histrelin
Isotretinoin
Mazindol
Pregabalin
Reboxetine
Sorafenib
Sulpiride
Thalidomide
Zuclopenthixol

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.

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

History buffs may already know that several ancient papyri detail the extensive medical knowledge known to the egyptians over 2500 bce.

the ebers and smith papyri are detail many specifics of the medical knowledge often attributed to 18th and 19th century doctors.

the website urologichistory.museum has some great fun facts about urology and history

in ancient egypt a major disease was Schistosomiasis and it is still a leading cause of bladder cancer in Egypt today.

It is contracted from waters infested with the parasite schistosoma haematobium, and would have been more common in the working class: farmers or fisherman .

Even in the United states, schistosomiasis is in the differential diagnosis for hematuria especially in those who are from the Mediterranean or other endemic areas.

With current technology blood in the urine should be investigated with microscopy, urine culture, cystoscopy and upper tract imaging with CT scan, Mri, or sonogram ( in some cases)

In Egypt they used herbs and spices now we uses antibiotics for schistosomiasis.

Dr. Grotas can help blood in urine – don’t ignore symptoms!

April 29, 2010 —  This drug is for patients with metastatic or prostate cancer that has spread outside the prostate ( this is uncommon condition )  There are no great treatments for these patients but this therapy may help!

 click on drug name to see full article from new york times today…

In a widely anticipated announcement, the US Food and Drug Administration (FDA) has approved an immunotherapy, sipuleucel-T (Provenge, Dendreon), for the treatment of asymptomatic or minimally symptomatic metastatic, castration-resistant prostate cancer (mCRPC).

ESWL or extra corporeal shock wave lithotripsy is a minimally invasive treatment for kidney stones.

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