Dr. Jeremy Lieb is a board-certified urologist available at Pacific Urology’s Concord, Walnut Creek, and Antioch offices. Dr. Lieb’s area of interest include prostate cancer and treatment, erectile dysfunction, urology for women, and children’s urology. Watch for his new blog entries on urological health in the news.
Dr.Judson Brandeis is board-certified by the American Board of Urology and specializes in minimally invasive treatments for benign prostate enlargement including Prolieve, Prostiva and the PVP Green Light laser. Another area of his expertise is minimally invasive treatment of kidney stones, including lithotripsy and ureterscopy.
Dr. Stephen Taylor is certified by the American Board of Urology, and is a member of the Impotence Institute of America. Dr. Taylor specializes in Robotic surgery, prostate cancer: evaluation, management and treatment, vasectomy reversal and evaluation and treatment of impotence and erectile dysfunction.
|Linda Adams, LVN, has dedicated her career to helping patients take control of their incontinence for the past 20 years. In addition to crafting individualized care for her patients, Linda also works to increase awareness and knowledge of continence through classes held at both Pacific Urology and in the greater community.
Dr. Wei Zheng is board certified by the American Board of Urology and a fellow of both the Royal College of Physicians and Surgeons of Canada and the Endourological Society. He specializes in minimally invasive treatment of kidney, bladder and prostate cancer, as well as benign prostatic hypertrophy.
Written by Craig Pynn Monday, 04 November 2013 18:04
We men are good at many things. But one thing we’re not very good at is paying attention to our health.
On average, men die five years younger than women. The suicide rate is four times higher for men than women and 24 percent of men are less likely to go to the doctor compared to women.
We’re also not terribly good at talking with each other—or with our spouses, children, or partners —about our health.
But hey, we’re guys. We like to see ourselves as tough and invulnerable. We prefer to be the classic strong and silent type—especially when it comes to talking about those cancers “down there” —prostate and testicular. Even when men who’ve survived those cancers speak, it tends to be something like, “yes, I had prostate cancer, but I’ve moved on. Cancer is in my past.”
During 2013, more than 238,000 American men will hear the words, “you’ve got prostate cancer.” Another 8,000 men will be diagnosed with testicular cancer. That’s more than the 232,000 women who will be diagnosed with breast cancer this year. Yet, everyone knows what “pink October” is about: the fight against breast cancer.
Our collective male silence has done little to raise awareness about these “manly cancers,” and one result is that men’s cancers receive less than half the research funding as breast cancer.
But what guy wants to put on blue sneakers, a blue shirt and go on a three-day walk with his buddies? There must be a better was to promote men’s health awareness, especially about men’s cancers.
In 2003, some Australian guys sitting around drinking beer were thinking about how to raise awareness about men’s mental and physical health, especially prostate and testicular cancer. They hit on the brilliant idea of growing a mustache for the month of November. No cute ribbons, group hugs, running or walking required.
In Australia, mustaches are called “mo’s,” so November quickly became “Movember.”
There’s little that says “man” better than a mustache (think Tom Selleck). Men willing to shave their faces on November 1 and then grow only a mustache for the month are “Mo Bros.” The women
who support them in this cause are “Mo Sistas.”
The “mo” has made a difference, and Movember has spread like proverbial wildfire. What started with 30 Australian men grew to 1,127,152 registered Mo Bros and Mo Sistas in 2012 scattered around the world in 21 countries. Out of nothing has grown a fundraising effort that totaled more than US$147 million in 2012.
Those funds are divided among the Prostate Cancer Foundation for prostate and testicular cancer research, the Livestrong Foundation for men living with and beyond cancer and to the Movember Foundation to support men’s mental health.
Taking advantage of the first four letters in its name, Movember also encourages guys to get off the couch and move. If you’ve been thinking about getting back to the gym or pool or out jogging or just walking, Movember is a great time to resume movement.
So, gentlemen, it’s not too late to get that “mo” growing. Ladies, it’s not too late to support your guy in the cause.
When you go to the Movember website you’ll find out how to form a Movember team or be a “lone wolf,” and encourage your friends and family to donate a tax-deductable gift to the cause—all while those luxuriant “mo’s” grow for the next month.
And when someone says, “you’re growing a mustache,” or “nice ‘stache,” you can tell them about the cause behind the hair on your lip.
Because, gentlemen, it’s OK to talk about our health now. Besides, what better way to look the strong and silent type than with a “mo?”
Craig is a prostate cancer survivor living in Walnut Creek, is the author of One Man’s Life-Changing Diagnosis: Navigating the Realities of Prostate Cancer, and blogs about the sociology and politics of cancer from a baby boomer’s perspective at An Ordinary Cancer.
Written by Dr. Paraminder Sethi Wednesday, 30 October 2013 21:10
One of the most common urological problems I treat is urinary incontinence - the loss of control over urination. In some instances it's as minor a problem as losing a few drops of urine while running or coughing. In other cases, one may feel a strong, sudden urge to urinate just before losing a large amount of urine. Many patients experience both symptoms.
Both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis, and physical problems associated with aging. Women experience urinary incontinence twice as often as men. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. Incontinence in men is mostly related to prostate problems but there are other neurological and bladder problems that contribute.
Incontinence stems from problems with muscles and nerves that help to hold or release urine. During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body. Incontinence will occur if our bladder muscles suddenly contract or the sphincter muscles are not strong enough to hold back urine. Urine may escape with less pressure than usual if the muscles are damaged, causing a change in the position of the bladder. Obesity, which is associated with increased abdominal pressure, can worsen incontinence. Fortunately, weight loss can reduce its severity.
Urinary incontinence is not inevitable with age or ‘something you have to live with’. Urinary incontinence is a medical problem. People aren’t aware that a specialty exists for the management and care of incontinence conditions. Highly effective, minimally-invasive treatments are available, and most can be done in the out-patient setting.
For men and women with overactive bladder conditions who have failed to improve with pharmacological management, we can now provide a new treatment option which uses mild electrical pulses to stimulate the nerve that controls the bladder and surrounding muscles that manage urinary function. From pharmacologic management and behavioral modification to pelvic floor rehabilitation and minimally-invasive reconstructive surgical techniques, effective solutions exist for virtually every form of incontinence.
Dr. Parminder Sethi is a Urologist at Pacific Urology. He specializes in treating patients with urinary incontinence and bladder dysfunction. He sees patients in Walnut Creek, San Ramon and Livermore. To reach Dr. Sethi, call 925-830-1140.
On November 14, 2013 join an engaging panel of leading medical experts regarding male and female incontinence. The panel will review risk factors, causes, types of incontinence and offer the latest data on medications and treatment options for improving quality of life. Speakers include urologists: Dr. Brian Hopkins and Dr. Parminder Sethi, along with an incontinence specialist: Linda Adams, LVN. Walnut Creek Library – Oak View Room, 6-8pm. Admission and refreshments are free. Please registration in advance 877-433-2873.
Written by Dr. Jeremy Lieb Wednesday, 02 October 2013 19:20
Approximately 10 percent of children who are ten years old continue to intermittently wet the bed at night. In fact, I've had 17-year-old patients who complain of intermittent bed-wetting episodes. Most often these patients are socially and physically capable of remaining dry through the night, however their bladders are not quite as mature.
Fortunately, most bed-wetting will improve and cease over time. The goal of treating the condition is to have dry nights. This will allow for less anxiety at sleepovers and, hopefully, help build your child's self-confidence.
There are several ways to address treatment. The first is to focus on the overall bladder and bowel behavior. It is important to discourage your child from holding their urine until there is an emergency. Regular voiding can help to build healthy bladder function. Also, regular daily bowel movements help to reduce pelvic pressure.
It is important to limit evening fluid intake and reduce fluids that can stimulate the bladder and increase urine production, such as soda. Make sure your child goes to the bathroom at bedtime. This should be a routine done after brushing their teeth.
The reported treatment with the most success is the use of a nighttime wetness alarm. Even though it is reported as an excellent treatment, I've found it's better at waking up parents, the dog and the neighbors than the child who continues to sleep though the night.
I've found the best success with using the pill or nasal spray form of DDAVP (desmopressin acetate). This medication works by producing less urine at night and therefore less urine leakage. This medication does not create a dependency and will not delay natural progression to dry nights. It is safe and often very effective.
Parents should always remember that bed-wetting is accidental. The best thing you can do is to be understanding and let your child know you are there to help. Also, be sure to work with your doctor as a team so your child feels secure and gets all the help needed to overcome their nighttime bed-wetting.
Written by Dr. Parminder Sethi Wednesday, 18 September 2013 21:45Peyronie’s Disease, commonly understood as the abnormal curvature of an erect penis, may affect as many as one in every 12 men, however the causes of the condition remain enigmatic. While men with the disease are able to continue sexual relations, many report sexual gratification coupled with pain. Peyronie’s can be physically and psychologically distressing, and men often withdraw from their partners.
Written by Dr. Wei Zheng Saturday, 14 September 2013 23:17
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