Testosterone Replacement Therapy and Heart Disease

Testosterone Replacement Therapy and Heart Disease

Over the past decade, the use of testosterone replacement therapy amongst American men has tripled.  An estimated 3% of men over 40 are using testosterone supplementation products.  Sales from drug companies for testosterone are reported to be 2 billion dollars annually.

There are conflicting reports regarding the safety of testosterone replacement and heart disease.  A recent study from the University of Texas Medical Branch reported no connection between testosterone replacement and heart attack risk.

This study contradicts a previous report by the University of California Los Angeles that found that the incidence of heart attacks in men on testosterone replacement nearly doubled while on therapy.

The FDA has yet to find any clear detrimental risk to testosterone replacement, however it also has not supported any linkage between age related decline in testosterone levels and decreases in energy level and sexual function.

Given the lack of clear evidence of risks and benefits of testosterone replacement, caution should be taken when considering supplementation.  A comprehensive conversation between the doctor and patient is vital in the decision whether or not to start testosterone replacement.

 

 

 

Enlarged Prostate and Depression

According to a study out of Singapore one in four men with symptoms from an enlarged prostate suffer from anxiety and depression.

Prostate enlargement can cause bothersome urinary symptoms experienced by aging men which including waking up several times at night to void, frequency of urination, decreased force of urinary stream, embarrassing urinary leakage or incontinence and even inability to urinate known as urinary retention.

Men studied in Singapore often correlated these bothersome symptoms as just a normal side effect of the aging process.

These symptoms however are typically correlated with enlargement of the prostate in the aging male and are certainly treatable.

Typically, the treatment starts with medications for prostate enlargement such as Flomax, or Proscar.

Patients with symptoms of BPH resistant to medical therapy may benefit from a surgical intervention. David Robbins, MD, a board certified urologist practicing in Miami is a regional expert in treating patients with refractory symptoms of an enlarged prostate. Dr. Robbins specializes in Green Light Laser minimally invasive prostate surgery for enlarged prostate.

Do not let symptoms of enlarged prostate get you down, contact us to learn how we can help restore your urinary symptoms to the way it was when you were younger.

 

Enlarged Prostate and Depression

According to a study out of Singapore one in four men with symptoms from an enlarged prostate suffer from anxiety and depression.

Prostate enlargement can cause bothersome urinary symptoms experienced by aging men which including waking up several times at night to void, frequency of urination, decreased force of urinary stream, embarrassing urinary leakage or incontinence and even inability to urinate known as urinary retention.

Men studied in Singapore often correlated these bothersome symptoms as just a normal side effect of the aging process.

These symptoms however are typically correlated with enlargement of the prostate in the aging male and are certainly treatable.

Typically, the treatment starts with medications for prostate enlargement such as Flomax, or Proscar.

Patients with symptoms of BPH resistant to medical therapy may benefit from a surgical intervention. David Robbins, MD, a board certified urologist practicing in Miami is a regional expert in treating patients with refractory symptoms of an enlarged prostate. Dr. Robbins specializes in Green Light Laser minimally invasive prostate surgery for enlarged prostate.

Do not let symptoms of enlarged prostate get you down, contact us to learn how we can help restore your urinary symptoms to the way it was when you were younger.

 

Green Light Laser Expert

Dr. Robbins has been selected by American Medical Systems, the manufacturer of the Green Light Laser technology to be a part of their teaching faculty.  Dr. Robbins runs seminars in the United States and abroad teaching urologists about the benefits of Green Light Laser for the treatment of enlarged prostate or BPH as well as advanced techniques on how to treat patients with challenging clinical situations such as extremely enlarged prostates greater than 150 grams, patients required to remain on blood thinners during their surgery and patients who have enlarged prostates and bladder stones.

Please click HERE to learn more about David Robbins, MD and Green Light Laser Surgery for enlarged prostate.

 

Laser de Luz Verde Para la Prostata Agrandada

Haga clic aquí para obtener más información sobre a cabo cirugía láser verde de luz para la HPB y nuestro programa internacional de láser de luz verde .
Urólogos Miami David Robbins , MD y Amery Wirtshafter , MD son reconocidos a nivel mundial por su experiencia con el uso de la tecnología verde de luz láser XPS para tratar incluso los casos más complejos de la HPB o agrandamiento de la próstata . En consultores urológicas de Florida reconocemos los claros beneficios de la cirugía láser verde de luz como una opción mínimamente invasiva para el tratamiento de la HBP . Nuestra vasta experiencia con la cirugía láser verde Luz nos ha dado la oportunidad de utilizar nuestro conjunto de habilidades únicas para ayudar a los pacientes de todo el mundo. Hemos tratado a pacientes que sufren de BPH molestos (próstata agrandada ) síntomas de destinos internacionales como Colombia, El Salvador, Nicaragua , Panamá , Uruguay , Trinidad , Jamaica, Puerto Rico y las Bahamas.
En urológicas Consultores de Florida, nuestros Urología en Miami , David Robbins MD y Amery Wirtshafter MD están disponibles para ayudar a resolver su HPB (próstata agrandada ) relacionado queja incluyendo despertarse en la noche para orinar , flujo urinario lenta , urgencia urinaria , incontinencia urinaria, Las infecciones del tracto urinario, cálculos en la vejiga , vaciado incompleto , retención urinaria e incluso hidronefrosis .
Como resultado de su compromiso a largo plazo de la cirugía de láser verde de luz , los urólogos Dr. Robbins Miami y el Dr. Wirtshafter tienen una estrecha relación con la American Medical Systems compañía propietaria de la tecnología láser de luz verde . Hay pocos urólogos a nivel mundial con un compromiso tan fuerte y la experiencia con la cirugía láser verde de luz para la HPB.
Haga clic aquí para obtener más información sobre a cabo cirugía láser verde de luz para la HPB y nuestro programa internacional de láser de luz verde .

Peyronie’s Disease Treatment Miami: Xiaflex

Miami urologists David Robbins, MD and Amery Wirtshafter, MD are board certified urologists specializing in the surgical management for complex male penile conditions such as Peyronie’s Disease.  Dr. Robbins and Dr. Wirtshafter are among a small and select group of physicians in Miami, Fort Lauderdale and the surrounding region approved to offer patients Xiaflex, the first FDA approved medication with clinical efficacy for the treatment of Peyronie’s Disease.

Peyronie’s Disease is an acquired condition reported to affect up to 5% of men characterized by chronic inflammation of the capsule of the erectile bodies of the penis knows as the tunica albuginea.  Scar tissue forming in the tunica albuginea of the corpora cavernosum results in the formation of a plaque which can cause the penis to bend or curve.  Peyronie’s also can cause pain and discomfort, loss of length or shortening, loss of girth and erectile dysfunction.

The cause of Peyronie’s Disease is not known but is commonly believed to result from trauma likely during sexual interactions resulting in inflammation of the corporal tissues and subsequently the formation of Peyronie’s plaques.  Although all men may be affected by Peyronie’s disease, it is more commonly seen in men with other soft tissue inflammatory conditions such as Dupuytren’s contractures of the hands.

Peyronie’s disease is diagnosed by the clinical presentation of a man with curvature of the penis with or without discomfort and a palpable plaque along the corporal bodies.

Peyronie’s can cause varying degrees of curvature from a slight nearly imperceptible bend to a nearly 90 degree angle making intercourse impossible.   Without intervention, approximately 10% will spontaneously improve, 40-50% will worsen and the rest will remain clinically unchanged.

There have been many studies performed evaluating oral treatments and supplements for the treatment of Peyronie’s Disease including Vitamin E and Potaba, but none have any proven efficacy.

Intalesional injections with calcium channel blockers such as verapamil have been used with mixed result.

Miami urologists David Robbins, MD and Amery Wirtshafter MD are excited to be able to offer patients the first FDA approved medication with proven efficacy for the treatment of Peyronie’s Disease.

Xiaflex is approved for adult men with a plaque and curvature of the penis greater than 30 degrees at the start of treatment.  Xiaflex is a collagenase medication which results in breakdown of the Peyronies plaque significant clinical improvement in curvature.

Call today to schedule an appointment to meet with Miami urologists David Robbins, MD or Amery Wirtshafter MD to learn more about the treatment of Peyronie’s Disease and to see if you may be a candidate for Xiaflex treatment.

 

www.ucofl.com

 

Miami Beach Office:
4302 Alton Road
Suite 920
Miami Beach, FL 33140
Tel: 305 672 4222
Fax: 305 672 5461

 

North Miami Beach Office
1400 N.E. Miami Gardens Drive
Suite 209
North Miami Beach, FL 33179
Tel: 305 944 0025
Fax: 305 944 3624

 

VASECTOMY MIAMI

Vasectomy Miami

 

Miami urologist David Robbins, MD is Miami’s top doctor performing minimally invasive and low cost vasectomy procedures.  Dr Robbins is highly skilled in vasectomy procedure and has helped countless patients to achieve their goal of permanent sterility.To better accommodate our patients’ needs for vasectomy, we have two convenient offices located in Miami Beach at Mount Sinai Medical Center and North Miami Beach.  From our two Miami locations we are able to serve patients throughout Miami-Dade and Broward counties including the Florida Keys and Fort Lauderdale.

Our principal goal is to perform low cost and minimally invasive vasectomy procedures in one of our Miami offices with minimal impact on our patients’ lives.  For the convenience of our patients, vasectomy procedures are performed on a weekly basis on a Friday afternoon.  Patients take a Valium prior to the procedure and are typically able to leave the office within a half an hour of arriving for their vasectomy.  The vasectomy procedure takes about 15 minutes.  In addition to the Valium given to relieve anxiety, patients are given a local anesthetic to prevent and discomfort during the vasectomy procedure.

Please call our office at 305-672-4222 to schedule an appointment or visit us on our website though the link below to learn more information or contact us via email.

CLICK HERE TO VISIT OUR VASECTOMY MIAMI WEBSITE

Green Light Laser International Program Miami

Click here to learn more about out Green Light Laser Surgery for BPH and our International Green Light Laser program.

Miami urologists David Robbins, MD and Amery Wirtshafter, MD are recognized world wide for their expertise with the use of Green Light Laser XPS technology to treat even the most complex cases of BPH or enlarged prostate.  At Urological consultants of Florida we recognize the clear benefits of Green Light Laser surgery as a minimally invasive option for the management of BPH.  Our vast experience with Green Light Laser surgery has given us the opportunity to use our unique skill set to help patients from all around the globe.  We have treated patients suffering from bothersome BPH (enlarged prostate) symptoms from international locations including Colombia, El Salvador, Nicaragua, Panama, Uruguay, Trinidad, Jamaica, Puerto Rico and the Bahamas.

At Urological Consultants of Florida, our Miami Urologists, David Robbins MD and Amery Wirtshafter MD are available to help you to resolve your BPH (enlarged prostate) related complains including waking up at night to urinate, slow urinary stream, urinary urgency, urinary incontinence,  urinary tract infections, bladder stones, incomplete emptying, urinary retention and even hydronephrosis.

As a result of their long term commitment to Green Light Laser surgery, Miami urologists Dr. Robbins and Dr. Wirtshafter have a close relationship with American Medical Systems the company that owns the Green Light Laser technology.  There are few urologists world wide with such a strong commitment and expertise with Green Light Laser surgery for BPH.

Click here to learn more about out Green Light Laser Surgery for BPH and our International Green Light Laser program.