Posts Tagged ‘male health’

What Women Need To Know About Their Partner’s Health

September 18, 2015

Women are drives of healthcare. They are responsible for helping to see that their partners take good care of themselves. My wife makes an appointment for my annual physical exam each year and accompanies me to the doctor to be sure that I explain all of my concerns and that she has the instructions for the recommendations and follow up. I don’t think my situation is unique as most women not take care of themselves but also the healthcare of their partner. This article will discuss 5 conditions that can impact a man’s health and should come to the attention of a physician\urologist.

Erectile dysfunction is often a sign of something more serious. About 70% of ED cases are caused by existing medical conditions, such as high blood pressure, diabetes, high cholesterol or heart disease. The more advanced these diseases are, the more at risk a man is for ED. In most cases, ED is treatable. If you loved one has ED, encourage him seek medical care.

Prostate cancer is the second most common cancer in men. About 1 in 7 men will be diagnosed with prostate cancer. The number jumps to 1 in 5 if he’s African-American and 1 in 3 if he has a family history of prostate cancer. Men should know their risk and talk to their doctors about whether prostate cancer screening is right for them.

Male infertility is more common than you think. In about 40% of infertile couples, the male partner is either the sole cause or a contributing cause of infertility.

If he has blood in his urine, pay attention. This can be a sign of a urinary tract infection, kidney stone, enlarged prostate or an early sign of bladder or kidney cancer. All men who have blood in the urine should see their doctor\urologist.

Testicular cancer is the most common cancer in men ages 15-35. Although there is nothing to prevent testicular cancer, if the cancer is caught early, there is a high cure rate. Signs of testicular cancer include persistent pain or a bump in the testicular area.

Finally, if they are going to the bathroom more than three times each night, they should be seen by a doctor. This could be a sign of a prostate or bladder problem, or potentially something more serious.

Bottom Line: Men have unique medical problems and women can be so helpful in directing men to a healthcare provider. I hope this article should be kept in mind regarding your male loved one’s medical health.

Viagra Has Competitor -Stendra Provides An Erection In 15 Minutes

May 2, 2012

Look out Viagra – there’s a new erectile dysfunction drug in town.  Stendra  has been approved by the Food and Drug Administration making it the first ED drug to come out in almost 10 years.

Viagra, Levitra, and Cialis are all effective erectile dysfunction drugs but Stendra may work faster-15 minutes!

Men who have a successful result with Viagra, Levitra or Cialis need not change to Stendra.  There are certain advantages and disadvantages to all of these drugs.

A small minority of patients experienced side effects after taking Stendra, which include headaches, flushing, nasal congestion and back pain.

Stendra, like Viagra, Levitra, and Cialis, should be avoided in men using nitroglycerin. 

Choosing a Doctor – Finding Doctor Right

March 21, 2010

After selecting your spouse\significant other and your vocation, the next most important decision you may make is finding the right physician who will take care of you in sickness and in health.  You may have limited choices as your insurance plan will give you a menu of doctsors to choose from.   These doctors have signed contracts with the insurance company and have discounted their fees in order to attract patients to their practices.  As a result, these doctors are part of a network and you will pay less if you use them. However, most plans will allow you to “go out of network” and select another physician, and this will usually raise your co-pays or the percent of the fee that you will be responsible for. You can ask doctors you know, medical societies, friends, family, and coworkers to recommend doctors. You may also contact hospitals and referral services about doctors in your area.

Now you need to do a little homework.  First, call the potential new doctor and make sure they are accepting new patients. Here’s how to check doctors out:

  • Ask plans and medical offices for information on their doctors’ training and experience.
  • Look up basic information about doctors.  There are a number of medical directories on the Internet.  One of the most robust is on the WebMD website.  (http://doctor.webmd.com/physician_finder/) The WebMD ‘Physician Directory’ is provided by WebMD for use by the general public as a quick reference of information about physicians.
  • Use “AMA Physician Select,” which is the American Medical Association’s free service on the Internet for information about physicians (http://www.ama-assn.org/aps/amahg.htm).

You may also want to find out:

  • Is the doctor board certified? Although all doctors must be licensed to practice medicine, some also are board certified. This means the doctor has completed several years of training in a specialty and passed an exam. Visit the American Board of Medical Specialties at http://www.abms.org/. The American Board of Medical Specialties (ABMS), a not-for-profit organization, assists 24 approved medical specialty boards in the development and use of standards in the ongoing evaluation and certification of physicians. ABMS, recognized as the “gold standard” in physician certification, believes higher standards for physicians means better care for patients.
  • Have complaints been registered or disciplinary actions taken against the doctor? To find out, call your State Medical Licensing Board.
  • Have complaints been registered with your State department of insurance?   You can also visit Healthgrades.com and find out about the malpractice issues associated with your doctor.

Once you have narrowed your search to a few doctors, you may want to set up “get acquainted” appointments with them. Ask what charge there might be for these visits, if any. Most physicians who are seeking new patients would welcome a visit and an interview.  Prepare the questions you would like to ask the doctor about his\her philosophy of care.  Questions you might consider are:

How long does it take to make an appointment for new problem that is not an emergency?

Can I be seen immediately if I have an urgent or emergency problem?

How soon can I expect a call back from you or your nurse if I call with a question?

What is your philosophy on prescription refills?

Will I be seen by the physician or a physician assistant or nurse practioner?

What are your fees for an office visit, emergency room visit, and a phone call?

I have a certain medical problem, do you take care of patients with this problem?

Bottom Line:  There is no better way to find the right fit for you and your family than to take a little time and do a background check on your physician and then make an initial visit to see if you will be comfortable having him\her provide you with medical care.

The Circumcision Decision –The Prime Cut

March 9, 2010

The first concern most men will have about their genital organs occurs right after birth when he undergoes a circumcision….and, unfortunately, the young boy has no part in the decision whether to lop off that precious piece of real estate!

Removal of the foreskin of the penis is one of the oldest surgical procedures known, dating back well over 5000 years. Hieroglyphs picturing ritual circumcision were found in ancient Egypt, and the religious significance of circumcision is described in the Old Testament.

Medical Risks and Benefits

Parents should be assured that the great majority of circumcisions are trouble-free. But circumcision is surgery, and all surgeries run the risk of complications.  The most common complications, which occur in only about 1 percent of circumcisions, are: bleeding, which can easily be controlled with pressure, and minor infection, which can be treated with antibiotics.

The medical benefits of circumcision are small. Uncircumcised boys have a higher risk of developing urinary tract infections (UTIs) than circumcised boys, particularly in the first six months of life  However,  the overall risk of a UTI is still less than 1 percent. Generally, physicians will recommend circumcision for any boy who has two UTIs in the first year of life. A circumcision performed months or years after birth is done surgically under anesthesia, and seems to be associated with fewer complications and less pain and trauma.

Circumcision also has small but measurable benefit in preventing penile cancer, a very rare disease that strikes only about 1 in 100,000 men. Uncircumcised men are three times more likely to develop penile cancer than circumcised men.

Uncircumcised men are also reported to be at greater risk for developing sexually transmitted diseases such as syphilis and HIV infections than circumcised men, but behavioral factors, such as not practicing safe sex, are far more important risk factors.

Overall, the increased risk of developing UTIs, sexually transmitted diseases, or penile cancer is extremely low, regardless of circumcision status.

A Kinder Cut

For those parents who elect to have a circumcision performed on their newborn infant, it is important that the parents select an experienced surgeon to perform the procedure.  The AAP recommends that pain relief with a local anesthetic should be used during the procedure.  Safe and effective forms of analgesia for circumcision are easily accomplished using a local or topical anesthetic consisting of a gel or cream applied to the foreskin before the procedure.  This method has been found to provide adequate pain relief during the 5-10 minute procedure.

Parents considering circumcision should talk with their doctors, and make sure that they are comfortable with whoever will be performing the procedure. Specify in advance what type of anesthesia will be used, and notify the doctor if there are any bleeding disorders in the family.

Parents who choose not to circumcise need to receive instructions on how to care for an uncircumcised penis. The foreskin should never be forced to retract, nor should objects such as swabs or cotton balls be used to clean underneath it. Although most boys will have retractable foreskins by age 3, in some cases, it may take 7 to 10 years. Parents must be patient and allow the process to happen naturally.  All boys who are not circumcised need to be instructed on proper hygiene of the foreskin.  Failure to do so can result in inflammation of the penis and a foreskin that is even more difficult to retract and clean.   Occasionally, this condition, phimosis, or tight foreskin requires a circumcision as an adult.

So if you are considering the “prime cut” for you or your newborn son and have any questions, I suggest you contact your doctor.

Dr. Neil Baum is a urologist and can be reached at 504 891-8454 or on his web site www.neilbaumcom