Urologist, Dr. LeRoy A. Jones, explains all of the treatment options for erectile dysfunction (ED). More Info: http://www.urologysanantonio.com | http://edtreatmentsanantonio.com This lecture was given in three parts. This video is Part 1 View Part 2 - Treatments for Male Incontinence here: http://youtu.be/JhfBgkTsFfo View Part 3 - Richard's Story here: http://youtu.be/tfVLS-JYNSs Dr. Jones reviews pros and cons of each treatment, their effectiveness and the treatments' cost. Dr. Jones first discusses how oral medications (Viagra, Cilias, etc.) work. Next, he explains the vacuum erection device followed by penile injection therapy, and intraurethral suppositories (MUSE). Finally, he details the surgical placement of an inflatable penile prosthesis or penile implant. A penile implant is a medical device that is implanted in the man's body. The surgery is performed as an outpatient procedure. Penile implants have been in clinical use since the 1970s and provide an option for men who have tried other impotence treatments without success. View an animation sequence showing how the penile prosthesis works here: http://youtu.be/QGSC6q_q6K4 The penile implant is entirely contained in the body. Unlike pills, injections and vacuum erection devices (VED), with the penile implant a man does not need to plan to take an ED medication or have the VED on hand when the mood strikes; he can be spontaneous. The penile implant does not interfere with ejaculation, orgasm or sensation. In published studies, 92% of patients reported sexual activity with the implant to be excellent or satisfactory. 96% of their partners reported sexual activity with the implant to be excellent or satisfactory. A penile implant is not recommended for men who respond to noninvasive ED treatments. Once a penile implant has been placed, a man cannot go back to taking ED medications or using penile injections or the vacuum erection device. The penile implant is recommended for men who no longer respond to other treatment options or who have tried other treatment options and would prefer a penile implant. The speaker at this community lecture, LeRoy A. Jones, MD, is a board-certified urologist in private practice with Urology San Antonio. He sees patients at the Urology San Antonio Center for Men's Center for Health & Wellness. Dr. Jones is one of the less than 1 percent of urologist who perform more than 80 prosthetic urologic procedures (penile implant and artificial urinary sphincter) each year. In fact, Dr. Jones typically performs 200 prosthetic procedures a year, making him one of the two most experienced prosthetic urologists in the world.
Views: 10307 Urology San Antonio
This video produced Intuitive Surgical reviews the technologic features of the daVinci Si. The daVinci Si Surgical System is the newest generation of robot assisted surgical technology. The Si model was launched in April 2009. It offers several improved features for the surgeon and operating room team. For example, it gives the doctor a wider viewing field and displays high definition and 3D images from inside the patient's body. Improvements to the surgical instruments and their controls allow the physician to set up and operate with more ease. Urology San Antonio physicians use this daVinci technology when performing robotically assisted prostate, kidney and bladder procedures. Courtsey of www.davincisurgery.com.
Views: 13323 Urology San Antonio
If your doctor recommends surgery to treat your prostate cancer, you may be a candidate for a very effective, less invasive surgical procedure called a robot-assisted radical prostatectomy, performed by your urologist using the da Vinci Surgical System. Although sometimes referred to as a robot, the surgical system cannot act on its own. Instead it enhances the surgeon's capabilities by translating the doctor's hand movements into smaller more precise movements of tiny instruments inside the body. With this operating room technology, doctors can perform complex surgical procedures through a few tiny openings in the body. As a result, you may be able to get back to life faster without the usual recovery following major surgery. Several Urology San Antonio physicians use the da Vinci technology when performing prostate, kidney and bladder surgeries for their patients. Video courtesy www.davincisurgery.com
Views: 16591 Urology San Antonio
Urology San Antonio surgeon Michael A White, DO, FACOS, narrates the key steps in a challenging left-sided partial nephrectomy that he performed. This video is designed to educate patients and physicians about robotic kidney surgery. Video Outline 1) Review of patient's relevant medical history 2) Review of patient's CT scans showing tumor size, location and surgical complexity 3) Review of patient positioning, surgical equipment and operating room layout 4) Reposition nearby anatomical structures to access the kidney 5) Remove fat and fascia (connective tissue) from kidney's surface 6) Locate tumor within kidney 7) Clamp blood vessels to kidney 8) Dissect tumor from kidney 9) Close incision created by removed tumor 10) Unclamp blood vessels; tighten sutures; check for bleeding; apply anticoagulant, patch, and tissue sealant to lessen bleeding 11) Reposition fascia (connective tissue) over kidney 12) Extract the tumor 13) Place tube to drain excess fluid during healing process LET'S CONNECT http://www.twitter.com/urologysa http://www.flickr.com/urologysa http://www.urologysanantonio.com
Views: 72305 Urology San Antonio
When Donald was 11-years-old, he was treated for a bladder infection. The instrument used to look in his bladder accidentally injured a small section of his urethra, the tube that carries urine out of the body. The injured area develop scare tissue also known as a urethral stricture, which narrowed the urine tube, restricting the flow of urine and causing bleeding and pain every time Donald urinated. For sixteen years, Donald lived with the pain. As his condition worsened, he would have procedures to relieve the scare tissue and dilate or expand the urine channel, but the treatments were temporary. Over time, the injured spot of the urethra would narrow and his symptoms would return. Eventually, the procedures were needed so frequently that Donald sought the expertise of Dr. Christopher Cantrill, a urologist with Urology San Antonio who specializes in reconstructive surgical repairs to the urinary system. Dr. Cantrill performed a urethroplasty to fix the damaged section of the urethra. In what is considered a substantial operation, Dr. Cantrill removed the 3 centimeters of damaged urethra and stitched the two ends of the urethra together, forming a clear, water-tight passageway for urine to flow from the body. The operation was a success. Donald no longer faces pain with urination. He says the restoration of normal function has changed his life. Learn more at www.urologysanantonio.com
Views: 6199 Urology San Antonio
Urology San Antonio surgeon Michael A. White, DO, FACOS, narrates the key steps in a robotic radical prostatectomy that he performed. This video is designed to educate patients and physicians about robotic prostate surgery. Video Outline 1) Review patient's relevant medical history 2) Review operating room layout, surgical equipment, and patient positioning 3) Dissect the seminal vesicles 4) Dissect/drop the bladder away from the prostate 5) Tie off the dorsal vein 6) Dissect the nerve bundles responsible fore erection (nerve sparing) 7) Extract the prostate 8) Urethral anastomosis (reconnecting the two ends of the urine tube) 9) Review patient's post-surgery outcome LET'S CONNECT http://www.twitter.com/urologysa http://www.flickr.com/urologysa http://www.urologysanantonio.com
Views: 25735 Urology San Antonio
From: http://www.urologysanantonio.com Urologist LeRoy A. Jones, MD demonstrates how a testosterone pellet is inserted under the skin in a male patient's hip area. The procedure is performed in the doctor's office while the patient is alert. A numbing injection keeps the patient from feeling pain. The incision is so small stitches are sutures are not required. For men who need hormone/testosterone replacement therapy (HRT or TRT), testosterone pellets provide an advantage over receiving testosterone injections in the hip area every two to three weeks. Unlike the shots, the pellets are absorbed by the body at a consistent rate and deliver a constant hormone level. Men who have testosterone pellets inserted avoid the surge of hormones that comes on the first day of an injection/shot and then taper off as they approach the time for their next injection -- usually every 2-3 weeks. This swing in testosterone levels brought on by injections is often referred to as the "roller coaster effect." With testosterone pellets, the hormone level is constant, meaning fewer changes in a man's mood, sleep patter, libido, memory and reasoning as well as other symptoms controlled by testosterone. Testosterone pellets dissolve over time and do not need to be removed. New pellets are usually inserted every four months. Insertion schedules vary slightly depending on the results of a man's laboratory tests and his symptoms. FDA-approved prescription testosterone creams and gels that are applied daily to the skin near the shoulders or inner thighs are another way men on testosterone replacement therapy can receive a constant level of testosterone. Some men prefer to use creams and gels because are applied at home, instead of needing to come to the doctor's office for injections or pellet insertions. (Regardless of the testosterone delivery method, men on testosterone replacement therapy must come to the office at least annually and more often during the first year for blood tests and monitoring.) The downsides of the creams and gels are that men must remember to apply them daily after showering and they must avoid transferring the testosterone to women or children who might come in contact with the skin area where the testosterone was applied. Testosterone gels and creams have a slight odor. The doctor's office visit and laboratory tests needed to determine if it's safe for a man to start testosterone replacement therapy are usually covered by health insurance. Testosterone replacement therapy itself is covered by many insurances; however, some insurances will pay only for certain TRT delivery methods, for example injections but not pellets or creams. For men without insurance, testosterone pellets produced by a compounding pharmacy are the most affordable treatment option. This video was recorded and posted with the patient's express permission at Urology San Antonio in San Antonio, Texas, 2013.
Views: 78224 Urology San Antonio
https://www.urologysanantnoio.com San Antonio urologist Dr. Michael White explains the difference between a MD (Medical Doctor) and a DO (Doctor of Osteopathic Medicine). Basically, both medical degrees require the same level of education and training but are underpinned by slightly different approaches or philosophies about medicine and its role in restoring the body to good health.
Views: 1982 Urology San Antonio
www.urologysanantonio.com | www.edtreatmentsanantonio.com As a single parent, when Kirby found out he had prostate cancer, his main concern was for his daughter and continuing to be there for her. Despite the potential sexual side effects, he chose to undergo a robotic prostatectomy to remove the cancer. Initially, while his body and nerves healed from surgery, Kirby did penile rehabilitation therapy to speed the restoration of his erections. He took oral medications like Viagra and also used a penis pump (vacuum erection device) and penile injections, all in an effort to increase blood flow to the area and promote healing. Many months later, Kirby remained cancer free, but despite the penile rehabilitation therapy, his body had not fully recovered its erectile function, so Kirby scheduled a consultation with Dr. LeRoy Jones, a prosthetic urologist, to discuss a penile implant. Kirby was pragmatic about his options and decided that the best way to regain the sexual function he desired was to have the penile implant surgery. The outpatient operation took 30 to 40 minutes. Kirby returned home the same evening and returned to work within a week. Six weeks after surgery, he was able to use the penile prosthesis. Kirby is very satisfied with the implant. He is so pleased with the outcome that he routinely makes himself available to talk to other prostate cancer patients about his experience with the different erectile dysfunction treatment options. He stresses that the most important thing is to treat the prostate cancer, and that if sexual side effects do occur, those can be treated. Listen to more of Kirby's story as well as stories from other penile implant patients here: http://www.urologysanantonio.com/medPros_medicalTeam_jones.aspx This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 6947 Urology San Antonio
Rezūm therapy for BPH uses steam to shrink the prostate, and eliminates the need for ongoing medications or invasive surgery. FDA approved in 2015, Rezūm is considered a more natural therapy than traditional medications. http://www.urologysanantonio.com Visit Urology San Antonio for more info: http://www.urologysanantonio.com/rezum Subscribe today! http://www.youtube.com/subscription_center?add_user=UrologySanAntonio Connect with us! Facebook ► http://facebook.com/urologysa Twitter ► http://twitter.com/urologysa Linkedin ► http://linkedin.com/company/urology-san-antonio Urology News ► http://www.urologysanantonio.com/blog Keywords: Urology San Antonio, Rezūm for BPH, Enlarged Prostate, New Treatment Option, FDA Approved, Benign Prostatic Hyperplasia, Steam Therapy.
Views: 15901 Urology San Antonio
For men facing erectile dysfunction that has not been cured with more conservative treatments, the surgical placement of an inflatable penile prosthesis (IPP) is an effective, permanent solution. Similarly, severe urine leakage can be corrected with an artificial urinary sphincter (AUS). These medical problems often coexist in men who have undergone treatment for prostate cancer. In this surgical video, urologist LeRoy A. Jones, MD shows how both prosthetic devices can be installed during a single outpatient operation. For patients needing an AUS and IPP, dual implantation offers substantial time and cost savings. To learn more about the penile prosthesis or artificial urinary sphincter or about Dr. Jones, visit urologysanantonio.com. This video was filmed in 2009 in San Antonio, Texas and is provided for educational purposes with the express consent of the patient.
Views: 58778 Urology San Antonio
www.urologysanantonio.com Urologists LeRoy A. Jones, MD demonstrates the surgical technique he uses to insert both an artificial urinary sphincter and inflatable penile prosthesis through one incision in the scrotum.
Views: 13731 Urology San Antonio
www.urologysanantonio.com | www.edtreatmentsanantonio.com Five years ago, Bill began experiencing an increasing degree of curvature with erections and a plaque in the penile tissue at the point of the curve. The condition, known as Peyronie's Disease, affects an estimated 9% of men and the cause is unknown. Bill's Peyronie's Disease began to cause erectile dysfunction, and eventually, it got to the point where intercourse with his wife of 20+ years became very uncomfortable and later impossible. Too embarrassed to discuss the situation with his doctor, Bill searched the internet trying to find an answer to his problem. He says it was difficult to find quality medical information about Peyronie's treatments online and that much of the content he found online was from individuals sharing well-intended but questionable anecdotal advice. With the curvature progressing, eventually Bill got up the nerve to talk to a urologist in his hometown. His doctor recommended Bill to San Antonio urologist LeRoy Jones, one of the few urologists who specializes in Peyronie's Disease. Depending on the degree of the curvature, its location on the penis and whether the bending has stabilized or progressing, different treatment options are available, each offering varying degrees of success. If more conservative treatments are not effective and Peyronie's has made normal intercourse impossible, a surgery to place a penile implant or penile prosthesis is available. In Bills case, this was his best solution. Bill underwent the outpatient penile implant surgery with Dr. Jones. He healed over the next few weeks, and six weeks later, he began using the device. Bill says the procedure has restored the physical intimacy with this wife and changed his outlook on life. "My only regret," Bill says, "is not having it done sooner." Listen to a recording of Bill and his wife talking about the implant and their experience here: http://www.urologysanantonio.com/newsPublications_article.aspx?article=84 Listen to Dr. LeRoy Jones' Peyronie's Disease lecture: http://www.urologysanantonio.com/newsPublications_article.aspx?article=76 Learn more about Dr. LeRoy Jones: http://www.urologysanantonio.com/medPros_medicalTeam_jones.aspx View a video showing how a penile implant works: http://www.youtube.com/watch?v=QGSC6q_q6K4&feature=share&list=PLRcjw8PyGfPGzyrBfMReNM3DKtgPVrny3&index=3 For a trusted source of information about Peyronie's Disease treatments, view the Treatment Comparison chart: http://www.peyroniesassociation.org/treatment/treatment-comparison/
Views: 3406 Urology San Antonio
www.urologysanantonio.com Urology San Antonio founder and president emeritus Dr. Juan Reyna gives an overview of the services and experts available at the medical practice in San Antonio, Texas. Urology San Antonio is the largest urology practice in South Texas with multiple clinic locations and more than two dozen physicians who care for men and women experiencing complications of the urinary system or concerns about their sexual health. The group is structured in a way that promotes diversity, subspecialization and referrals among the urologists. This setup benefits patients with complex medical concerns, allowing them to see the urologist who is the most experienced in treating his or her condition. For example, if a patient has erectile dysfunction and conservative treatments like oral prescriptions have not been effective, his Urology San Antonio doctor will recommend the man see a Urology San Antonio physician who has special expertise in ED and who is extremely skilled in performing erectile dysfunction surgeries, should the man choose that treatment option. By seeing a subspecialist, the patient will have access to surgical expertise or treatment options that a general urologist might not be comfortable offering, and he will have the benefit of working with a doctor who, because of the collaborative referral culture, performs many such treatments each year and has developed an expertise about all of the nuances of a particular condition or treatment. In addition to the diversity of subspecialists and synergistic culture, Urology San Antonio offers its patients multiple clinic locations, male and female physicians and bilingual providers so that they can receive medical care in a way that is convenient and comfortable for them. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. Many Urology San Antonio physicians are part-owners of Forest Park Medical Center. They perform surgical cases at Forest Park as well as at the hospitals of each of the major health care systems in the city.
Views: 1331 Urology San Antonio
Learn More: https://www.urologysanantonio.com Do "natural male enhancements" and mail-order sexual function drugs work? No. That's according to Dr. LeRoy Jones a urologist and men's health specialist with Urology San Antonio. Dr. Jones explains that the over the counter pills sold on late night TV and in men's magazines are herbal supplements that are not regulated by the FDA and have not been shown to be effective for erectile dysfunction or penile enlargement in double-blind clinical trials, which are the standard for medical testing. Rather than paying for a mail-order herbal pill that will not improve sexual function, Dr. Jones recommends men who are dealing with impotence, see a urologist who can prescribe them effective erectile dysfunction medication like Viagra or Cilias. Dr. Jones cautions that while herbal pills usually won't harm you, their ingredients and purity are not regulated. There have been instances where herbal pills marketed to men have been contaminated or laced with real medication, which can be dangerous if the medication interacts with another prescription the man is taking. Dr. Jones says unequivocally that there is no medicine, prescription or herbal, for penile enlargement. To learn about real treatments for men's sexual health concerns, visit Dr. Jones' website www.edtreatmentsanantonio.com ---------------------------------------------------------------- CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com https://facebook.com/urologysa twitter.com/urologysa
Views: 197126 Urology San Antonio
Richard shares about his experience being treated for erectile dysfunction and bladder leakage. His ED and incontinence were side effects of prostate cancer surgery. Richard chose to have a penile prosthesis and artificial urinary sphincter to correct the problems. Richard was diagnosed with prostate cancer at age of 41. He was truly grateful to survive cancer, but he was emotionally devastated at being medically retired from his job as an Air Force pilot and having to cope with ED and bladder leakage. In 1980, Richard's urologist surgically placed a penile prosthesis or penile implant to correct the E.D. Richard says that the implant not only restored his sexual function but made him feel whole and complete. Richard and his wife joke that he no longer has E.D - Erectile Dysfunction but has E.o.D. - Erection on Demand. In 2011, Richard learned about the artificial urinary sphincter, a medical device that corrects moderate to severe male stress urinary incontinence. He underwent the operation with Dr. LeRoy A. Jones in San Antonio, Texas. After the procedure, Richard no longer leaked urine and was relived from the burden of wearing pads. Richard shared his story at a community education lecture presented by Urology San Antonio. He hopes his story will help other men learn the lesser-known surgical treatments for ED and incontinence. Watch the full community education lecture with Dr. LeRoy Jones. Treatments for Erectile Dysfunction - http://youtu.be/dRslmMbNbyc Treatments for Male Stress Urinary Incontinence - http://youtu.be/JhfBgkTsFfo LET'S CONNECT http://www.twitter.com/urologysa http://flickr.com/urologysa www.urologysanantonio.com www.menshealthwellness.com
Views: 1916 Urology San Antonio
Visit: http://www.urologysanantonio.com This animation sequence shows how a penile prosthesis device works. A penile prosthesis or penile implant is a surgical treatment option for men with erectile dysfunction. It is appropriate for men whose impotence is not treatable by less invasive solutions such as medication or men who opt not to use more conservative therapies such as pills (Viagra, Levitra, Cilias), MUSE tablets or tri-mix penile injections. A penile implant is placed surgically by a urologist. Dr. LeRoy Jones at Urology San Antonio performs this procedure and is one of the most experienced penile implant surgeons in the world based on the number of surgical cases performed. The operation to implant the device takes less than an hour, and the patient goes home the same day. Eight weeks after the surgery, the man returns to the urologists office where he is taught how to activate the device. As this video shows, to create an erection, the man squeezes a marble-sized pump located in the scrotum between the testis. Squeezing the pump causes the two cylinders located in the penis to fill with saline or salt water and create an erection. Unlike with vacuum constriction devices, the penis remains warm and is erect enough for intercourse. The sexual sensation when using a penile implant is not altered and a man can reach climax or orgasm as usual. After the man and his partner are satisfied, the man can deflate the device by pressing a release valve located on the pump, returning the penis to a flaccid state. The penile implant device is totally concealed within the body, and no one can tell by looking at the man naked that he has a penile implant. The penile implant was invited in the 1970s by a urologist at Baylor College of Medicine.Urologists have provided this erectile dysfunction treatment to men for decades; however, the penile implant is not well known among the general public and even among primary care physicians. Urologists who do not perform the penile implant surgery sometime neglect to suggest such a solution to men whose ED is not cured otherwise. Patient and partner satisfaction rates for the penile implant are extremely high (85 to 95 percent) as documented in the medical literature. American Medical Systems (part of endo) manufactures one brand of penile implants. AMS' 700 model is shown in this video. This video is copyright of AMS/endo and is posted with permission.
Views: 686183 Urology San Antonio
This video shows the fibrin glue technique for vasovasoctomy or vasectomy reversal. Urology San Antonio physicians offer two vasectomy reversal techniques. The first is the "gold standard" two-layer micro-anastomosis vasovasoctomy. For this surgical approach, the urologist reconnects the vas deferens by sewing two layers of micro-sutures, one on the outer and one on the inner parts of the vas deferens. A new technique uses fibrin glue and one layer of micro-sutures to reconnect the vas deferens. Fibrin glue is not an adhesive. Rather, it is biological product that acts as a sealant and protectant. General surgeons have been using fibrin glue in the operating room for more than a decade, urologists have been using it for vasectomy reversals since 2005. This video shows the fibrin glue technique. Studies show that the success rates for the fibrin glue technique are very similar to that of a standard two-layer mircro-anastomis reversal, but the newer procedure takes only about 90 minutes to perform, compared to three hours for a standard vasectomy reversal. Because of the decreased operating time, the cost for the fibrin glue procedure is less, about $5,000 for patients at Urology San Antonio. A standard microsurgical vasectomy reversal costs about $8,700. It is rare for health insurance to pay for a vasectomy reversal, regardless of the technique used. Pricing information is current as of November 2014. To verify current price, visit texasreversals.com or call (210) 614-4544.
Views: 52554 Urology San Antonio
www.urologysanantonio.com Dr. LeRoy A. Jones, a urologist with Urology San Antonio, explains the hallmarks of his practice: proven and new treatments for men's sexual health that are backed by rigorous medical research. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 660 Urology San Antonio
See how to use a penile implant to create an erection. More Info at http://www.urologysanantonio.com | http://edtreatmentsanantonio.com A penile prosthesis (sometimes called penile implant) is a surgical solution for erectile dysfunction. The implant is intended for men who have tried ED pills and other treatments without success. Urologist Dr. LeRoy Jones in San Antonio, Texas performs the outpatient surgery to insert the penile implant. The operation takes 30-40 minutes and the patient goes home the same day. After 8 weeks he returns to the office to learn how to use the device. A penile implant uses hydraulics to create a natural looking and feeling erection. To inflate the device for intercourse, the man squeeze a marble-sized pump located in the scrotum between the testes (neither testis is removed; the pump fits comfortably between them). Squeezing the pump forces saline (salt water) located in the reservoir into the two cylinders in the penis, making the penis erect. Orgasm, sexual desire and sensation is not altered for either partner. After intercourse, the man squeezes the deflate valve on the pump to return the saline to the reservoir and return the penis to its normal state. The entire penile implant is concealed in the body. It is impossible to recognize that a man has an implant by looking at the naked body. This video is copyright of Coloplast the maker of the Titan ORT (one touch release) implant. It is posted with permission.
Views: 185417 Urology San Antonio
Rezūm is a new treatment for BPH/Enlarged Prostate that uses steam to shrink the prostate without invasive surgery or daily medication. Many patients are interested BPH medication alternatives or alternatives to prostate surgery, and Rezūm therapy may be a good option. Currently, there are only a few sites in the country offering the Rezūm therapy, and Urology San Antonio is the currently the only facility in Texas offering this therapy. Visit Urology San Antonio for more info: http://www.urologysanantonio.com Subscribe today! http://www.youtube.com/subscription_center?add_user=UrologySanAntonio Connect with us! Facebook ► http://facebook.com/urologysa Twitter ► http://twitter.com/urologysa Linkedin ► http://linkedin.com/company/urology-san-antonio Urology News ► http://www.urologysanantonio.com/blog Keywords: Urology San Antonio, Rezūm
Views: 1016 Urology San Antonio
www.urologysanantonio.com Prostate cancer runs in Gerard's family, so when a routine blood test by his personal physician showed a higher than expected PSA level, his doctor recommended he follow up with a urologist. Additional testing including a tissue sample (biopsy) from Gerard's prostate confirmed he had prostate cancer. His urologist Dr. Daniel Saltzstein suggested that the best treatment was a combination of two therapies: first, hormone therapy to shrink the tumor, then 9 weeks of daily radiation therapy. The hormone therapy was part of experimental regimen administered through a clinical trial that was set up to determine if the experimental hormone therapy offered better results than conventional therapy. The treatments were successful! A PSA test done three months after his last treatment session showed that Gerard was cancer free. He says he feels great and continues to work and enjoy life with his wife, children and grandchildren. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 287 Urology San Antonio
www.urologysanantonio.com Recurrent urinary tract infections tipped off Deborah's urologist to her severe case of kidney stones. The stones were too big for Deborah to pass so Dr. Daniel Saltzstein removed them during a minimally-invasive surgery. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission.
Views: 746 Urology San Antonio
LeRoy A. Jones, M.D., a urologist in San Antonio, Texas, leads an educational seminar about the treatment options available for men who have stress urinary incontinence. SUI is bladder leakage that occurs upon coughing, sneezing or exertion. Stress incontinence can be a side effect of treatment for prostate cancer (radical prostatectomy or radiation therapy) or other pelvic surgery that results in damage to the urinary sphincter. Nonsurgical ways to improve or manage stress urinary incontinence include lifestyle modifications such as limiting caffeine and alcohol; pelvic floor muscle exercises (called Kegel exercises); absorbent pads; external penile clamps; and indwelling catheters or condom catheters. For men with very occasional, mild bladder leakage, these approaches are reasonable. For men with mild, moderate and server leakage, surgical treatments are available. The male sling system involves the surgical placement of a mesh material that acts a hammock, repositioning and supporting the urethra (urine tube) to help restore normal bladder control. The sling has the highest success rates in men with mild to moderate SUI. The operation to place the mesh sling takes place in a day-surgery setting. Most men have bladder control immediately following the procedure. Success rates of 54.6-90.6 percent have been reported in clinical studies. For men with moderate to sever stress urinary incontinence, a surgical device called an artificial urinary sphincter or AUS may be appropriate. The AUS consists of three parts: a pump that is implanted in the scrotum; a cuff, similar to a blood pressure cuff, that is fitted around the urethra (urine tube); and a balloon reservoir that is filled with saline (salt water). The cuff is inflated and pressurized with saline from the reservoir. When a man wants to urinate, he receives the same "gotta go" sensation as normal. In the restroom, the man squeezes the pump in the scrotum to release the pressure from the cuff and allow urine to pass through the urethra. After urinating, the cuff re-pressurizes automatically so that the man remains dry. The operation to place the artificial urinary sphincter takes place in a day-surgery setting. After six to eight weeks, when the body has healed from the operation, men return to the urologist's office so that the doctor can activate the device and teach the patient how to use it. Published clinical studies show that 59-90 percent of men used 0-1 pads per day after the procedure. Both the artificial urinary sphincter and the male sling system are completely concealed in the body and provide discreet urinary control. Dr. LeRoy Jones performs several dozen male sling and artificial urinary sphincter operations each year and is among the top 1 % of urologists who perform more than 80 prosthetic urological procedures each year. Dr. Jones' practice is part of Urology San Antonio in San Antonio, TX. www.urologysanantonio.com This lecture was given in three parts. This video is Part 2 View Part 1 - Treatments for Erectile Dysfunction here: http://youtu.be/JhfBgkTsFfo View Part 3 - Richard's Story here: http://youtu.be/tfVLS-JYNSs LET'S CONNECT! http://twitter.com/urologysa http://www.urologysanantonio.com http://www.menshealhtwellness.com http://edtreatmentsanantonio.com/
Views: 2357 Urology San Antonio
https://www.urologysanantonio.com San Antonio urologist Dr. Christopher Cantrill shares the two most important ways to avoid kidney stones. 1) Drink enough water on a daily basis that your urine is nearly clear or a faint yellow. 2) Avoid excess salt in your diet. Dr. Cantrill recommends making processed foods (usually foods that come in a can, box or bag) the exception rather than the rule for your meals.
Views: 873 Urology San Antonio
Prostate cancer survivor Dan McMahon just finished 45 days of radiation therapy. He donated this bell from his uncle's World War II cabin cruiser for patients to ring in celebration of their last day of cancer treatment. Recorded and shared with patient's express permission. Dr. Johnny Reyna Center for Cancer Treatment, San Antonio, TX, April 2013.
Views: 187 Urology San Antonio
www.urologysanantonio.com Dr. Michael White, a urologist with Urology San Antonio, explains his credentials, expertise and philosophy toward caring for patients. Dr. White specializes in treating urologic cancers including prostate, kidney and bladder cancer, with robotic surgery. He completed a year-long intensive training (known as a fellowship) in Laparoscopic and Advanced Robotic Urology at the Cleveland Clinic. He approaches every patient interaction with the same level of respect and kindness that he would like his family to receive. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 1311 Urology San Antonio
A penile implant is a device that is placed into a man's body and is designed to help him get an erection. Following the out patient operation, a four to eight week recovery period is necessary before the implant can be used. An inflatable penile implant enables men with erectile dysfunction to have a satisfactory erection for sexual intercourse and to experience the pleasure of sex again. The penile implant is a self-contained, fluid-filled system made from silicone. The penile implant or prosthesis consists of three parts: a reservoir placed in the abdomen, two penile cylinders and a pump placed in the scrotum. Each part is connected by silicone tubing. Patient satisfaction rates of 98% have been demostrated fro the Alpha 1 and Titan penile implants in published journal articles. Studies show the implants have mechanical reliability rates of 97.5% at five years on first-time implants. When implanted, the penile implant is not visibly noticable. The penis appears relaxed and normal in the flaccid state, and it is not obvious by looking at a man naked that he has an implant. To inflate the device follow these steps. 1) Transfer the saline (salt water) fluid to the cylinders by locating the pump in the scrotum. 2) Squeeze the pump firmly a few times between the thumb and finger until an erection is achieved. To deflate the device and return the penis to a flaccid state follow these steps. 1) Release the fluid pressure in the cylinders by depressing the deflate valve button and gently squeeze the penis. This enables the saline to return to the reservoir, thus returning the penis to the flaccid state.
Views: 13870 Urology San Antonio
www.urologysanantonio.com Urology San Antonio physician Dr. Daniel Saltzstein introduces himself to potential patients. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/UrologySA twitter.com/urologysa
Views: 318 Urology San Antonio
Henry Cisneros, the former San Antonio mayor and HUD Secretary for the Clinton administration, talks about how he found out he had prostate cancer and how he chose to deal with it. Henry's urologist, Dr. Juan Reyna at Urology San Antonio, discovered the cancer during a routine prostate exam. Henry's PSA blood test was within the normal range, but a hard spot discovered during the rectal exam was suspicious so Dr. Reyna suggested a biopsy to confirm or rule out cancer. To both men's surprise, the biopsy proved Henry had cancer. Henry reviewed all of his options. He could have chosen active surveillance (regular monitoring of his prostate with treatment only if the cancer began to spread), surgery to remove the prostate, radiation seeds implanted in the prostate to kill the cance, or external radiation therapy delivered for a few seconds each day at a radiation therapy center. A man of action, Henry chose a treatment over active surveillance. He opted to have IMRT or intensity modulated radiation therapy, a highly precise form of external beam therapy. After his successful treatment, Henry decided to share his story publicly to bring awareness to prostate cancer and to encourage other men, especially Hispanic men, to have routine screenings for the disease. www.urologysanantonio.com This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission.
Views: 925 Urology San Antonio
www.facebook.com/ZEROSanAntonio San Antonio's first ZERO Prostate Cancer Run, hosted by Urology San Antonio, was a record-breaking success! Seven-forty-two people participated, and together we raised $110,000 for prostate cancer. Half of the money raised went to the nonprofit ZERO's national prostate cancer programs including co-pay assistance for advanced prostate cancer treatments, prostate cancer awareness and education campaigns, prostate cancer research studies and advocacy efforts to encourage lawmakers to support legislation that benefits prostate cancer patients. The other half of the money -- $42,750 -- stayed in the San Antonio community and to be distributed by Los Padres, the prostate cancer foundation that Dr. Juan Reyna and his wife Joni established, to fund local prostate cancer awareness activities and free community screenings. **Near the end of the video, Joni says men should be screened "monthly." She misspoke, and we want to provide correct information. Men should be screened yearly or on a schedule determined by their doctor. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission.
Views: 103 Urology San Antonio
Urology San Antonio surgeon Kenneth J. Stallman, MD explains how he learned to speak Spanish and the importance of communicating with patients in the language with which they are most comfortable.
Views: 1266 Urology San Antonio
www.urologysanantonio.com Short and sweet. San Antonio urologist Dr. Daniel Saltzstein states that prostate cancer has a 90 to 95 percent cure rate when caught early. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission.
Views: 355 Urology San Antonio
www.urologysanantonio.com Urology San Antonio physician Christopher Cantrill explains his philosophy for practicing medicine. The principal guiding his care is to treat each patient the way he'd treat his family and to offer the same guidance he'd provide to his relatives. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 273 Urology San Antonio
Urology San Antonio president and CEO, Juan A. Reyna, MD was one of three individuals honored at CentroMed's 2010 Icons in Healthcare Gala. In this video, CentroMed highlights Dr. Reyna's contributions to the local medical community. El Centro del Barrio, which is now doing business as CentroMed, was founded in 1973. The non-profit organization provides access to medical care to all Bexar county residents, especially those with limited resources. Video posted with express permission from CentroMed.
Views: 394 Urology San Antonio
https://www.urologysanantonio.com CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com https://www.facebook.com/UrologySa twitter.com/urologysa flickr.com/urologysa
Views: 390 Urology San Antonio
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www.urologysanantnoio.com Amid all of the new information about prostate cancer screening and the PSA blood test, San Antonio urologist Dr. Juan Reyna gives steadfast information about the test. Namely, it is incredibly simple screening to perform. The PSA requires a blood draw from the arm. The rectal exam lasts only 6-7 seconds, and men often imagine it to be more embarrassing or drawn out than it actually is. Finally, the PSA test and rectal exam together provide valuable information about your risk for prostate cancer. This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission.
Views: 251 Urology San Antonio
Urology San Antonio team members from the northwest clinic and central business office show their Spurs spirit during the 2014 NBA Finals. GO SPURS GO! Drive For Five! CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 47 Urology San Antonio
www.urologysanantonio.com | www.zeroprostatecancerrun.org/sanantonio Race directors Dr. Juan Reyna and his wife Joni preview the 2014 ZERO Prostate Cancer Run/Walk - San Antonio. The ZERO Prostate Cancer Run helps to put an end to prostate cancer. The event will be held Sunday, September 21, 2014 at 8 a.m. Register at www.zeroprostatecancerrun.org/sanantonio This video was filmed in conjunction with Forest Park Medical Center in San Antonio, Texas and is posted with express permission. CONNECT WITH UROLOGY SAN ANTONIO www.urologysanantonio.com facebook.com/urologysanantonio twitter.com/urologysa flickr.com/urologysa
Views: 82 Urology San Antonio