Dr. Mark Allen MD, a north Texas urologist (http://northtexasurologist.com) with North Dallas Urology Associates, often finds himself discussing issues with women during their visits to his Plano, TX office surrounding pelvic organ prolapse and pelvic floor reconstruction.

Ask the average woman about female pelvic health concerns like urinary incontinence or fibroids and she’s likely to have at least a basic knowledge of these conditions. Ask her about pelvic organ prolapse and she may look back at you with a blank stare.  These are conditions that are quite common in women, especially after childbirth, where a considerable amount of pressure has been placed on the pelvic region, but yet are rarely discussed until symptoms increase and begin to interfere with normal daily routines.

More than 30 million women suffer from pelvic organ prolapse, which occurs when pelvic structures, such as the bladder, uterus or rectum, bulge or protrude into the vaginal wall. Most women will complain of discomfort in this region and will often experience vaginal pressure, abdominal pain, urinary incontinence, painful intercourse and a constant feeling that something has “fallen”.

“In the case of a prolapsed bladder, it is common in women who have given childbirth or with the natural aging process,” says Dr. Allen. “The front wall of the vagina supports the bladder. After childbirth, or when a woman ages, this wall will naturally loosen and weaken. In some case, it will prolapse which means it is no longer supported and descends into the vagina. The result of a prolapsed bladder, are problems such as urinary difficulties and stress incontinence. In the case of other organs, the same incidences can occur.”

“When a woman experiences pelvic organ prolapse for the first time, it creates stress and confusion. The pain associated with prolapse is considerable,” says Dr. Allen.  “Often, women will refrain from exercise, sexual intercourse and will limit their overall physical activity because of the condition and the discomfort it causes. Many are afraid to use the restroom because it exasperates the prolapse.”

Types of Pelvic Organ Prolapse

Pelvic organ prolapse can occur in several ways. Vaginal vault prolapse can occur alone or along with a cystocele (dropping of the bladder into the vagina); urethrocele (sagging of the urethra into the vagina); rectocele (pushing of the rectum into the vaginal wall); or enterocele (bulging of the small intestine into the vaginal wall).  All of these conditions are treatable. A woman who experiences symptoms associated with these conditions should consult a medical professional. There are numerous treatment options available to consider.

Treatment Options for Pelvic Organ Prolapse

Treatments available for prolapse depend on the type of prolapse that is presented and its severity. Pelvic floor exercises called Kegel exercises or a vaginal pessary device placed into the vagina to support surrounding structures, are two traditional, non-surgical treatments.

There are now many surgical options available for women who suffer from pelvic organ prolapse. Surgical devices manufactured by American Medical Systems and new techniques have made considerable strides in recent years and physicians now can offer a number of long-term solutions. Many physicians will choose to use a mesh — either synthetic, biologic or both — to provide support for the organs necessary to restore nearby organs to their normal anatomical position.

“The mesh is a soft apparatus and has large pores designed to allow body tissue to grow into it, providing a framework of support,” explains Dr. Allen. “The use of surgical mesh is not new. It has been used in surgery for many years to help correct a prolapsed bladder (cystocele treatment) and other organ prolapses in the pelvic region. The use of the mesh proved to work successfully in many of my patients.”

Living with Pelvic Organ Prolapse

It is important for women to understand that pelvic organ prolapse can be made worse by anything that puts pressure on the belly, such as obesity, constipation, pelvic region fibroid tumors and frequent coughing.  Cutting back on caffeine is also recommended because it acts a diuretic and can cause frequent urination. One should avoid heavy lifting or any other activity that puts stress on the pelvic muscles.

For those women who have more than one type of prolapse, all can often be repaired during one surgical procedure using a mesh for cystocele treatment, rectal or other. “The best news about pelvic organ prolapse is that women do not have to live with it or its associated pain and discomfort,” continues Dr. Allen. “New surgical options are available that are safe and highly effective.”

Dr. Mark Allen, MD is a Dallas-based urologist. He was interviewed for this article.

Dr. Mark Allen, MD, a urologist in Plano, TX, sees men everyday and counsels them

For couples contemplating a vasectomy as a form of permanent birth control, it is important to discuss all of the factors with your doctor so that you can make an informed decision as to whether or not the procedure is right for you. (photo courtesy of Mike Baird, Creative Commons, Flickr)

as they are faced with a very important decision–whether or not to have a vasectomy.

So consider this:  You are at a point in your life where you have healthy children, they are out of diapers, perhaps already in elementary school; life is normal and calm. Your wife uses birth control but wishes to stop using her current contraception method. It is an important time that many men and women will ultimately face—whether or not the man wishes to move forward and have a vasectomy. While it can be a tough, and sometimes an emotional choice for both the man and the woman, it is an effective and very common choice made by thousands of married couples each year. The more a couple knows about the vasectomy procedure and the effects of vasectomy, the more at ease they will become during the process.

Dr. Mark Allen, MD, a urologist who practices in the Plano, Frisco and Richardson, Texas areas, offers the following answers to some of the most common questions relating to a vasectomy.

What is a Vasectomy Procedure?

A vasectomy is a surgical procedure that provides a man with permanent fertility control; it has been successfully used for a number of years and has become one of the most common urological procedures in the U.S. with more than 500,000 vasectomies performed each year.  During the in-office, short procedure, the tube (known as the vas deferens) leading from each testicle is cut and sealed off. By sealing the vas deferens, sperm can no longer reach the prostate where it would normally mix with semen and potentially cause a pregnancy in his female partner.

Common Reasons to have a Vasectomy

• You want to enjoy sex without the worry of becoming pregnant
• You are done having children and/or do not wish for anymore
• Your partner has health issues that make pregnancy risky
• You and your partner do not wish to use standard birth control
• You want to save your partner the more extensive surgery involved in tubal ligation, as well as the extra expense

How Effective is a Vasectomy in Preventing Pregnancy?

A vasectomy procedure is very safe and much less expensive than female tubal ligation. Once a vasectomy has been performed, the patient must come back on more than one occasion as designated by the physician so that a semen analysis can be performed. These tests will determine the amount of sperm contained in the semen after the procedure. It may take a dozen or more ejaculations and up to two months before the semen is sperm free. Once the sperm is nonexistent in the semen—which is the point and overall result of a vasectomy—then fertilization and pregnancy cannot occur. According to WebMD, a vasectomy is a very effective allowing for a very high—99.85%–birth control effective rate.

Does a Vasectomy Change Sexual Intercourse for a Man?

No. After the vasectomy procedure is performed, and all of the necessary steps have been taken to ensure sterilization, a man will continue to have normal intercourse and will climax and reach orgasm just as before. The ejaculation that follows the orgasm will also look and feel normal. The only difference is that his semen will not contain sperm and he cannot father a child following a vasectomy.

Will a Vasectomy Change a Man’s Hormone Structure?

No.  There are no effects of vasectomy that change hormone structure. Even though a vasectomy will block the delivery of sperm, it will not and does not change hormone structure. This means that the secondary sex characteristics of a man such as facial hair, sex drive, libido, ability to have an erection and ability to climax and orgasm will not change after a vasectomy procedure.

Where Does the Sperm Go?

How do the effects of vasectomy handle the sperm? Most men will ask this question at some point during the vasectomy process. The truth is that the body simply absorbs unused sperm cells. After the procedure, while the testicals will continue to produce sperm, they will not be able to travel through the vas deferens and thus cannot leave the body in the semen. The body will naturally absorb sperm and there will be no side effects to the man.

What is a “No-Scalpel” Vasectomy?

The latest advancement in vasectomy procedures is the “No-Scalpel” vasectomy technique. In the traditional method, a scalpel is used to cut through the scrotum using incisions to cut the vas deferens. Sutures would then be used to close the incision site. Many doctors—as well as patients—favor and prefer the No-Scalpel method because unlike the traditional approach, a scalpel is not required and only one or two tiny punctures is made in the skin.

How Long Does the No-Scalpel Procedure and Recovery Take?

The No-Scalpel vasectomy procedure is performed in-office, with a local anesthetic, and most often only takes about 15-20 minutes. The procedure causes less discomfort than a traditional vasectomy and also allows for a shorter recovery time. The procedure is likely to produce slight discomfort, tenderness, and mild swelling in the first two or three days afterwards; the patient should rest and lay down vertically for the first couple of days to eliminate additional swelling and pain. Most patients will return to all usual activities within a week.

How Effective is a No-Scalpel Vasectomy?

A No-Scalpel vasectomy is equally effective as a traditional vasectomy. Both vasectomy methods rank among the highest procedures for protection from pregnancy.

Is a No-Scalpel Vasectomy Expensive?

The No-Scalpel vasectomy procedure can run anywhere from $500 to $1,300—however, many insurance programs will cover this cost. In some instances, all that might be required is a simple co-pay. Be sure to ask your insurance provider what costs are covered for a traditional vasectomy as well as a No-Scalpel vasectomy. It is important to note that the cost for a vasectomy is much less expensive than tubal ligation, which is the female sterilization method.

Can a Vasectomy be Reversed?

While procedures and surgeries do exist (vasovasostomy) to attempt to reverse a vasectomy, a successful reversal cannot always be guaranteed.  Therefore, when a man considers a vasectomy as a method of sterilization and birth control, he should consider it a permanent move.

So, When Considering a Vasectomy, Remember:

• Talk to your friends, discuss the procedure with your doctor and do your research. The more informed you are, the more comfortable you will be with the process.
• A vasectomy is a simple, safe procedure with very low risks and complications; there are limited side effects of vasectomy, while at the same time, it is a very effective procedure.
• Vasectomies are performed every single day in just about every urologist office in the U.S.  Most urologists perform several of these procedures in a single day.
• Results (complete sterilization) are not immediate; testing and additional analysis must be conducted and it may be weeks before sterility is complete.
• The No-Scalpel method is the preferred vasectomy method today.
• A Vasectomy does not change sex drive; the ability to perform or enjoy sex and it does not interfere with hormonal activity within the body.
• There is no guarantee that a vasectomy can be reversed later; a vasectomy should be considered permanent.

For more information on the vasectomy process, please contact Dr. Mark Allen, Plano, Texas Urologist, at 972.612.8037.

Dr. Mark Allen, MD, a urologist with North Texas Urology Associates (972.612.8037 ; http://northtexasurologist.com/), treats a wide variety of patients at his Plano, TX urology office but says that kidney stones, in particular, are the most common and most painful of all urology related disorders. Approximately 3 million adults visit health care providers each year complaining of kidney stones. Many are sent to the emergency room because the pain can be excruciating.

Kidney Stones are hard masses that form in the urine and resemble small stones or pebbles. These stones reside in the urinary tract and will eventually either be carried through the urine stream (also referred to as “passing kidney stones”), or they continue to build and will require medical intervention. Researchers indicate that kidney stones have increased in adults over the past several decades. Caucasians are more likely to get kidney stones than African Americans. Once a person gets a kidney stone, they are likely to get them again.

Although doctors do not know what causes a stone to form, researchers have found that when a change occurs in the normal balance of water, salts, and minerals found in urine, kidney stones can form. The most common cause of kidney stones is not drinking enough water. Genetics also plays a part—people who have family members who have had kidney stones are more susceptible to get them. Some individuals are more likely to get kidney stones because of a kidney disorder or a medical condition. Other causes of kidney stones include diet (for example too much vitamin C or those who are on the Atkins diet), inflammatory bowel disease, urinary tract infections, or calcium supplements if taken without food or if used excessively. In addition, foods and drinks containing oxalate can contribute to kidney stones. Foods such as spinach, beets, sweet potatoes, okra, peanuts and chocolate have high levels of oxalate. Individuals with a history of kidney stones are often warned to avoid certain foods with oxalate.

Kidney Stone Symptoms

Kidney stone symptoms are not always obvious. Most often, they go unnoticed. However, the first kidney stone symptoms for most people, unfortunately, include severe pain in the abdominal region; Nausea, vomiting and fever may also occur. Most kidney stones will eventually pass. For patients, passing kidney stones can be a frustrating waiting game and a painful one as they wait for the kidney stones to pass through the urinary system.

Dr. Mark Allen, MD, usually recommends that patients wait it out and allow the stones to pass. If the stones are too large, he proceeds with more aggressive measures. “Most of my patients do not have trouble eventually passing kidney stones within a few days. Sometimes, kidney stones can be too large to pass, so we will move to another form of kidney stones treatment—essentially demolishing the stones using shock waves or lasers. Both of these are common, in-office procedures that are very effective. Most of my patients are able to resume their normal activities very quickly. On very rare occasions surgery is required, but with the new laser technology on the market, it isn’t always heeded.”

Dr. Allen states that surgery may be needed for kidney stones treatment to remove kidney stones if:

• The stone does not pass after a specific period of tie
• The patient is in constant and continuous pain
• The stone is too large to pass
• The stone blocks the flow of urine or is in an obscure place within the urinary tract
• Is a consistent problem for the patient—causing other medical issues such as infection.
• The stone causes excessive bleeding

Dr. Allen recommends drinking a lot of water—especially for those who are prone to getting kidney stones. In addition, he recommends that patients avoid calcium pills (supplements) and food with added vitamin D.

For each patient that comes into his office with kidney stones, he devices a plan for them, as most urologists do. “For patients who have consistent stones or a family history, we work to track the stones so we can develop a preventative plan. Certain blood and urine tests are able to assist with this. Some patients will require medication as part of this prevention plan; others will need a complete lifestyle change associated with diet. Once kidney stones are diagnosed and addressed, proactive prevention can help decrease the onset of the stones dramatically,” says Dr. Allen.

If you are experiencing kidney stones, please consult with your urologist and that you can learn about the kidney stones treatment options that are available for you.

Kristy Theis is a marketing consultant and freelance writer based in Dallas, Texas. She has more than 15 years experience in marketing, PR, copywriting and communications. Dr. Mark Allen, MD, Plano, Texas urologist, was interviewed for this article.

More than 5 million men suffer from urinary male incontinence. Don't be one of them. Call your urologist today to learn about the treatment options that are available.

Approximately 5 million men in the United States will suffer from male urinary incontinence each year. According to Dr. Mark Allen, MD, a Plano, TX urologist with North Dallas Urology Associates  (972.612.8037  http://northtexasurologist.com ), a vast majority of these men do not discuss the symptoms associated with their incontinence condition with their family doctors and in many cases, the condition is left untreated.

Urinary incontinence is the loss of urine control. It can lead to episodes of a slight dribble of urine to the inability to hold urine all together; it can also be temporary or permanent depending on the underlying cause. While urinary incontinence is more prevalent in women, it affects more men than what is actually reported. In many cases, a damaged sphincter, the circular muscle that controls the flow of urine out of the bladder, is often the cause of male urinary incontinence. When damaged, which is commonly the unavoidable result of prostate cancer surgery, the muscle cannot squeeze and close off the urethra. This causes urine to leak.

According to Frank, a resident of Plano, TX and a patient of Dr. Mark Allen, incontinence and bladder problems were not only creating emotional stress, but it was limiting his normal activities. “Several years ago I was diagnosed with benign prostate hyperplasia (BPH). I have had surgery to correct this, but the result of the condition has left me dealing with incontinence.  For me personally, incontinence has been really stressful. It has limited my activities and sometimes actually leaves me homebound.  It is costly, messy and very frustrating.”

Prostate conditions (as in Frank’s case) such as an enlarged prostate and benign prostate hyperplasia, as well as infections such as acute bacterial prostatitis are common causes of incontinence.  In addition, incontinence from prostate cancer surgery is also a concern. Incontinence can become a major setback for men who experience the side effects stemming from prostate cancer surgery, and aside from impotence, it can be a major concern for prostate cancer patients undergoing a total prostatectomy (the surgical removal of the prostate). Other causes of male urinary incontinence and bladder problems include:

• Medications and/or prescription drugs that are given in high doses and that have a sedating effect.
• Spinal cord and/or head injury, which ultimately interrupts messages passing from the brain to the bladder.
• Infections such as urinary tract infections or bladder infections.
• Diseases such as cancer, Parkinson’s disease and Multiple Sclerosis (incontinence from prostate cancer surgery is an example).
• The aging process naturally leads to wear and tear on body parts and organs and can lead to forms of incontinence.
• Alcohol/Drugs/Smoking can cause incontinence because any toxin that effect human functioning can affect the ability to pass urine; Smoking is also a leading cause of bladder cancer and urinary diseases, which ultimately lead to incontinence.
• Mental State such as emotional stress, depression and illness.

“Unfortunately, many of my patients—like Frank—who suffer from male urinary incontinence and bladder problems stop doing things they enjoy, like going to the gym,” says Dr. Allen. “The primary problem is that incontinence and inconsistency go hand in hand. The urine leakage is unpredictable and varied in terms of quantity. The emotional stress comes from the unknown factor. What many men might not be aware of is that there are advanced treatment options now available for male incontinence.”

There are now real solutions for male urinary incontinence and bladder problems on the market that have been proven to change men’s lives and bring them a sense of normalcy.  From minimally invasive surgical procedures like the male sling for mild to moderate incontinence, to the gold standard artificial urinary sphincter implant that can resolve even severe incontinence, treatment is available. American Medical Systems, a company out of Minnetonka, Minnesota and creator of such devices and procedures has spent the last 35 years working to create medical solutions for both men and women’s pelvic conditions.

Surgical Options Available for Male Urinary Incontinence

• For mild to moderate incontinece:  AdVance® Male Sling System

This is a small sling that is made of synthetic mesh placed inside the body through small incisions. This sling supports the urethra, restoring normal bladder control in most patients. In many cases, the patient becomes continent immediately following the procedure and can resume normal, non-strenuous activities shortly thereafter

• Mild to moderate incontinence:  InVance® Male Sling System

This procedure also involves placing a mesh sling completely inside the body, but it places pressure on the urethra to reduce the possibility of urine leakage. Most patients are continent immediately following the procedure and can resume normal, non-strenuous activities shortly thereafter

• Moderate to severe incontinence: AMS 800® Urinary Control System

For men who suffer from incontinence from prostate cancer surgery (where a total prostatectomy was preformed), the AMS 800® Urinary Control System can offer a solution. This highly advanced, artificial urinary sphincter is placed completely inside the body.  It provides simple, discreet urinary control and mimics a healthy sphincter, keeping the urethra closed until you want to urinate.  The connected system consists of: a pump implanted in the scrotum, an inflatable cuff around the urethra, and a balloon reservoir implanted in the abdomen.  One can control urination by squeezing and releasing the pump.  The pump moves fluid out of the cuff and back into the reservoir. Urine can then flow out of the bladder. Fluid returns from the reservoir to cuff, squeezing the urethra closed again.

As with any surgical procedure, inherent risks are present with these devices and techniques.  Although rare, some of the most severe risks may include infection and erosion, surgical, physical, psychological or mechanical complication.  If these occur, they may necessitate revision or removal of the device.  For the majority of men who have taken the steps to get their incontinence under control, it was a step in the right direction.

“I really had no idea that a small device could help keep my incontinence at bay. For all men who are experiencing this, there is definitely help out there. Just find a reputable urologist and one that has experience with the AMS incontinence devices. My life has returned to normal and I’m able to run, play with my kids and do the activities that incontinence kept me from doing,” says Frank.

If you suffer from incontinence, don’t wait another day. Make an appointment with your urologist to talk about your options for a permanent solution that can help you restore your quality of life…and live life dry!

About the writer: Kristy Theis is the content editor for eMedicalMedia. Dr. Mark Allen, MD, Plano, TX urologist, and professionals from American Medical Systems were interviewed for this article.

Are you a man experiencing the symptoms of erectile dysfunction? If so, there are treatment options available.

Dr. Mark Allen, MD, a Dallas, TX-based urologist (972.612.8037), offers erectile dysfunction treatment for men suffering from erectile dysfunction (ED)—also known as impotence—which is the inability of a man to achieve or maintain an erection that is firm enough for sexual intercourse. Erectile dysfunction is an on-going problem and often leads to a decrease in sexual desire; the condition can cause emotional stress and anxiety and can deeply affect a relationship.

Most men will experience some form of erectile dysfunction after the age of 40 and will not be psychologically affected by it. Frequently, men who have chronic erectile dysfunction are ashamed to discuss the condition with their doctors.

According to Dr. Mark Allen, MD, “It is important for men to reach out to their physicians to discuss their ED symptoms because many times there is an underlying medical problem such as diabetes, heart disease and certain prostate conditions that can be directly linked to the condition. While stress, anxiety and psychological or mental health issues can worsen the symptoms, in most cases, the problem is caused by something physical. There is a clear link between erectile dysfunction and these medical conditions.”

Erectile Dysfunction Treatment

There are many erectile dysfunction treatment options on the market today. The first step most doctors will take is to make sure any undiagnosed medical health problem is treated. In many cases, these problems can cause or worsen ED. In addition, patients on medications or drugs for other unrelated health conditions should consider decreasing the dosage if these drugs are proven to have harmful side effects.

Oral medications—such as Viagra, Cialis and Levitra—offer successful erectile dysfunction treatment for many men. These drugs enhance the effect of nitric oxide, which is a natural chemical produced by the body that relaxes the muscles within the penis. Each medication varies and is offered in different dosages.

If oral medications fail to work, there are some new erectile dysfunction treatment options that have proven to be successful. A penis pump, or vacuum devise, is available to help create an erection enlarging the penis manually through a hand-powered or battery-powered pump. This pump creates a vacuum that pulls blood into the penis resulting in an erection that typically lasts long enough for intercourse.

The newest erectile dysfunction treatment method being offered by urologists offers a 90% effective rate for men suffering from chronic impotence. The AMS penile implant devise for erectile restoration is offered for men who have exhausted all other treatment options.

The AMS penile implant treatment, performed as an out-patient procedure under general anesthesia, involves surgically placing inflatable cylinder devices into both sides of the penis. These devises consist of semi-rigid rods made from either polyurethane or silicone. Two additional pieces are also used: A reservoir containing liquid and a pump is also connected to the system and is placed under the loose skin of the scrotal sac, between the testicles. To inflate the prosthesis, a man simply presses on the pump that transfers liquid from the reservoir to the cylinders. When this occurs, an erection is the result. When sexual intercourse is over, pressing on the deflation valve will deflate the prostheses.

Dr. Mark Allen, MD, offers the AMS devise to his patients. There are several devises to choose from but they each offer the same result. “To most, a penile implant is not visibly noticeable from the outside of the body. That is a big plus for my patients because it looks natural. For men who have had inactive, unsatisfying sex lives, the penile implant devise offers a permanent, long-term solution. The devise does not alter a man’s ability to reach orgasm and ejaculation is not affected. More than 85% of my patients who have had the penile implant procedure have experienced great success and a return of normalcy to their success lives,” says Dr. Mark Allen.

While modern treatments are proving to offer effective remedies for erectile dysfunction, it’s important for men to do their part as well. Certain lifestyle choices are directly related to impotence. If you smoke, quit. If you are overweight, choose a healthier lifestyle and get regular exercise. Drinking too much or taking certain drugs can also worsen erectile dysfunction. Psychological problems in a relationship can cause anxiety, depression and stress—these factors increase the symptoms associated with erectile dysfunction.

Whether the cause of your erectile dysfunction is physical, psychological or both, there are options for you. Make an appointment with your doctor today and learn which erectile dysfunction treatment is right for you.

About the writer:

Kristy Theis is the Medical Content Editor for eMedicalMedia and is a Dallas-based freelance communications writer. Dr. Mark Allen, MD, contributed to this feature.

The Calypso 4d Localization Radiation System | GPS for the Body | Radiation Treatment for Prostate Cancer | Plano, Dallas, Frisco

Author: Kristy Theis

Through a simple PSA blood test, Dr. Mark Allen, MD (972.612.8037), a urologist with North Dallas Urology Associates, was able to quickly diagnose Michael* with prostate cancer. As an active 48-year old husband, father and president of a mid-size manufacturing plant, the diagnosis came as a complete shock. With no real symptoms, Michael’s prostate cancer was caught early, however, because it was a more aggressive tumor, the ‘watch and wait’ recommendation that is at times given to younger patients was not an option.

“The news was very difficult for me to accept. We just sent our youngest daughter off to college and as new empty nesters, my wife and I were ready to travel and begin a series of remodeling projects around our house. Instead, I was in for a fight against cancer. I began my long and in-depth search for the right treatment that would allow me to live my life as I knew it before the diagnosis.”

After consulting with his Dallas-based urologist and a variety of oncologists, Michael opted for radiation therapy using the Calypso 4D Localization System. Reluctant to have surgery, Michael learned through a team of oncologists that radiation therapy can be equally as effective as surgery in treating patients with prostate cancer.

The Calypso 4D Localization System is quickly becoming the treatment of choice for thousands of men faced with prostate cancer. It offers a therapeutic approach that cures the cancer while allowing them to remain active and fully functioning.

Dr. Mark Allen, MD, a urologist with North Dallas Urology Associates, treated Michael for his prostate cancer. Dr. Allen, who is one of the only doctors in the Dallas/Fort Worth market who offers the Calypso treatment, said, “Most of my prostate cancer patients want two things: they want reduced side effects as a result of the cancer treatment and they want to keep their quality of life. The Calypso radiation technology uses real-time tracking which is immensely important because it enables us to deliver high amounts of radiation directly to the tumor while sparing all other organs from any exposure. This reduces the side effects which improves their quality of life.”

For Michael, incontinence and a decrease in sexual activity were huge concerns in regards to the side effects he might suffer from surgery or other radiation therapies. While there is no guarantee with any prostate cancer treatment or procedure in eliminating or reducing known side effects, the Calypso has a notably high success rate in serious treatment-related symptoms.

How the Calypso 4D Localization System Works

For Michael, and millions of other men diagnosed with prostate cancer, there are a few facts to know that will come as a surprise in terms of radiation therapy. The organs within the body move naturally; during radiation therapy a doctor cannot accurately predict which way these organs will move. If the organs move during radiation treatment, they risk receiving the radiation that is not meant for them.

The Calypso system is known throughout the medical community as the GPS for the body. With a tiny beacon that is inserted into the tumor, the physician is able to align the radiation directly and precisely to the tumor. This precise and real-time tracking has clinically been proven to raise the quality of life and reduce the side effects associated with prostate cancer radiation therapy.

For Michael, Calypso radiation therapy treatment proved to be a successful treatment option for his cancer. Sexual activity has remained active and as normal as possible and there are no out-of-the-ordinary urinary-related side effects associated from the cancer treatment.

Dr. Allen continues to see an increase in cancer patients who—if given the choice—choose the Calypso over other common forms of treatment. “I give all of my patients the pros and cons to each treatment options. Depending on where they are in their life, how active they are and the kind of lifestyle they lead ultimately helps us to narrow down the treatment procedure. For many of my patients who are in the same situation as Michael, the Calypso is a great and accurate prostate cancer treatment alternative.”

Article Source: http://www.articlesbase.com/medicine-articles/the-calypso-4d-localization-radiation-system-gps-for-the-body-radiation-treatment-for-prostate-cancer-plano-dallas-frisco-2696672.html

About the Author

Kristy Theis is a Plano, Texas-based communications freelance writer specializing in b2b, consumer and vertical trade copy suitable for both print and Internet. She has over 14 years experience in the fields of marketing, PR and copywriting and currently serves as the content editor for emedicalmedia.com.

Dr. Mark Allen, MD, Dallas, TX Urologist, recently offered some current reviews and feedback from specialists who have performed the da Vinci Robotic Surgery, as well as patients who have undergone the robotic prostatectomy and other da Vinci related surgeries. To read the article, please visit this link or view the information below.

Article:

Dr. Mark Allen, MD, Dallas, TX Urologist, 972.612.8037, offers the following da Vinci Robotic Surgery feedback and reviews.  These reviews were collected and written by Intuitive Surgical—the developers of the da Vinci robotic system based out of Sunnyvale, CA.

Why da Vinci^® Surgery?

“The potential payoffs [of the da Vinci Surgical System] are impressive: Smaller incisions, less pain, fewer infections and other complications, shorter hospital stays, faster recovery, even improved odds that the outcome of the procedure will be a success.”   U.S. News & World Report

_________________________________________________________________________

“The precision and flexibility of this type of computerized system will allow us to do things we haven’t even thought of yet.”     Dr. William Kelley. Henrico Doctors Hospital, Richmond, VA

_________________________________________________________________________

“Once you see the way patients recover, there is just no way you want to go back to larger incisions….”  Douglas A. Murphy, M.D., Cardiac Surgeon Saint Joseph’s Hospital, Atlanta, GA

_________________________________________________________________________

“This is a significant milestone to minimize the trauma of surgery.”   Dr. Craig Smith. Columbia-Presbyterian Medical Center, New York, NY

_________________________________________________________________________

“Robotic assisted surgery is safe and effective, and is a new reality for American surgery.”  Mark A. Talamini, M.D. et al”A Prospective Analysis of 211 Robotic Assisted Surgical Procedures,” Surgical Endoscopy

_________________________________________________________________________

“As a trained surgical oncologist, the da Vinci System has allowed me to offer my patients a better cancer operation with improved clinical outcomes.”    Thomas E. Ahlering, M.D., Associate Professor of Urology; Director, Urological Oncology University of California Irvine Medical Center

_________________________________________________________________________

“In my experience, robotics allows for greater surgical precision which leads to improvements in cancer control, potency and urinary function.”  Mani Menon, M.D., Director, Vattikuti Urology Institute, Henry Ford Health System

_________________________________________________________________________

“After … deciding upon a radical prostatectomy, I quickly did extensive research regarding my options. When I discovered information about the procedure using the da Vinci Surgical System, I was convinced that this was the only option for me. I was back to work after four and a half weeks and even played racquetball after six weeks.”     da Vinci Prostatectomy patient, aerospace design engineer

_________________________________________________________________________

“I was home maybe three days [after coronary revascularization surgery] when I went shopping at the grocery store.”     69 year-old da Vinci Coronary Revascularization patient

_________________________________________________________________________

“I have not taken a Tylenol throughout the entire process…”     da Vinci Prostatectomy patient

As one of the DFW Metroplex’s leading providers of innovative prostate cancer treatments including da Vinci Prostatectomy and Calypso Radiation Therapy, Dr. Mark Allen of North Texas Urologists in Plano, TX was interviewed for the following article:

Dallas Urologist Discusses Prostate Cancer Symptoms And Prostate Cancer Treatment Options

By: Kristy Theis

Prostate Cancer: The “Prevalent” and “Inconspicuous” Cancer

Prostate cancer is the leading cancer for men in the United States with more than 230,000 men—almost 1 in 6—being diagnosed with the disease annually. When you consider this statistic, it would be fair to think that all young, and older men alike, would understand the symptoms and problems associated with this cancer. The truth, however, is that most men don’t have an understanding of what prostate cancer entails—at all.

Just ask Scott. When Scott, a 45-year-old telecommunications sales manager in Dallas, Texas, began experiencing a slight burning sensation when he urinated, he simply brushed it off as having a minor urinary tract infection that would go away on its own.  Shortly after, he began having trouble maintaining a normal erection—something that he easily blamed as a sign of aging. When the symptoms continued to grow more troublesome for this father of two, his normal life routines became interrupted and anxiety over the condition began to increase.  It was then that he scheduled himself for an appointment with a local Dallas, Texas urologist. With one simple prostate PSA test (prostate-specific antigen) it didn’t take long for his doctor to deliver the news that would change his life forever—he had prostate cancer.

While the symptoms Scott experienced did, in fact, probably save his life, the truth is that most men who are diagnosed with prostate cancer, don’t experience any symptoms at all and the ones who do, typically brush the symptoms off as part of life’s little nuisances.

Detecting Prostate Cancer

The prostate is a small, walnut-sized structure that makes up part of a man’s reproductive system.  It affects how a man obtains an erection, how he urinates and it also helps to produce semen.  Prostate cancer is a malignant tumor that forms in the prostate gland.  This particular cancer grows slowly and typically produces little symptoms until it progresses.  When prostate cancer symptoms do appear, as in Scott’s case, the cancer has usually progressed and is in a further stage.

According to Dr. Mark Allen, MD, a North Texas Urologist, the majority of men who are diagnosed with prostate cancer will, in fact, not experience any known symptoms. “That is why an annual physical is so important so that blood and urine samples can be tested.  Simple tests will provide red flags for common cancers such as prostate.  For example, if a young man has an elevated PSA test, this is a sign that there is something off and might possibly could be linked to prostate cancer. If this cancer is detected early, chances for survival are excellent,” says Dr. Allen.

Allen continues to say, “During routine physical exams, PSA tests are not always administered; most often, because prostate cancer is not viewed as a threat for young men under the age of 40. However, in recent years, it is becoming an increasingly more common diagnosis, thus, men must take control of their own health and request this particular test during routine physicals. As men increase in age, their risk of developing prostate cancer increases dramatically. Although only 1 in 10,000 under age 40 will be diagnosed, the rate shoots up to 1 in 39 for ages 40 to 59, and continues to radically increase thereafter.”

New Advanced Treatment Options For Patients

For most men who are undergoing prostate cancer treatment, there are many options to consider—each with a number of pros and cons.  It is important to discuss each prostate cancer treatment option carefully with your urologist or oncologist.

According to Urologist, Dr. Mark Allen, MD, “Radiation cancer therapy has come a long way in recent years to help with the treatment of prostate cancer.  One worry with prostate cancer radiation therapy is how it affects nearby organs.  We use the Calypso® 4D Localization System on our patients and this particular therapy eliminates much of this movement.  The Calypso system essentially acts as a GPS for the body using precise, real-time tracking of the radiation beam so that it targets and hits the tumor itself avoiding nearby organs.”

Dr. Allen is a pioneer in prostate cancer radiation therapy and was one of the very first doctors in the North Texas area to offer the Calypso 4D system as an option. Similar to the new advances in guided radiation therapy, there are also huge strides that have been made in surgeries to treat prostate cancer.   A standard course of treatment is a radical prostatectomy where either all or some of the prostate, as well as tissue surround the organ, is removed. There are side effects to this surgery including impotence and urinary incontinence.

According to FastCompany magazine, one of the leading print and online sources for innovative ideas and ground-breaking solutions, the da Vinci robotic surgery is a highly advanced technical procedure that has been proven to be more effective, quicker to perform, and dramatically less invasive than a traditional cancer surgery.

The breakthrough in robotic prostate cancer surgery involves making very tiny incisions to the lower abdomen allowing very small instruments and a 3D camera to be inserted into the patient.  The surgeon then sits down at a nearby console where he or she views a magnified, high-resolution, 3D image of the prostate.  The system then flawlessly translates the surgeon’s hand, wrist and finger movements into precise, accurate, real-time movements of surgical instruments inside the patient.  Intrinsically, every maneuver performed with the da Vinci robotic surgical device is performed with direct input from the surgeon.

Because robotic prostate cancer surgery, in general, is relatively knew, it is hasn’t yet been adopted by many Dallas area urologists.  Dr. Allen explains, “Many patients are still most comfortable with traditional surgery.  For a surgeon, there is a significant investment in training and the learning curve is pretty extensive.   However, once mastered, using robotic prostate cancer surgery as a treatment for this cancer provides the surgeon with instinctive control, range of motion, tissue manipulation and capabilities that are characteristic of open surgery but with the side effects of a more minimally-invasive procedure.”

According to the Mayo Clinic, who adopted the da Vinci surgical system in 2003, robotic surgery to treat prostate cancer is ideally suited for pelvic surgery in order to avoid the side-effects—such as penile dysfunction and bladder incontinence—that can occur to such a sensitive region of the body.

Listen to What Your Body is Telling You

Dr. Allen continues to say, “Regardless of the prostate cancer treatment options a patient might choose, it’s important to detect and diagnose this cancer before it progresses.  There are several distinct warning signs that men should be aware of to help catch this increasingly widespread cancer.”  He offers some important symptoms to be cognitive of:

• Difficulty or inability to urinate
• Frequent urge to urinate
• Blood in the urine or semen
• Painful or burning urination
• Difficulty in having or maintaining an erection
• Painful or uncomfortable ejaculation
• Frequent pain or stiffness in lower back, hips, or upper thighs

While these symptoms could possibly be another condition—such as an enlarged prostate, BPH (Benign prostatic hyperplasia) or prostatis—which is a common inflammation of the prostate gland, it’s important to have a physical and the necessary tests performed so that cancer can be ruled out.

By Kristy M. Theis (Content Editor, eMedical Media)

Contributors: Dr. Mark Allen, MD is a skilled urologist practicing in Dallas, Texas. He offers urological services to patients throughout the greater Dallas, Frisco, McKinney, Fort Worth and Arlington areas.

About the Author

Kristy Theis is a Plano, Texas-based communications freelance writer specializing in b2b, consumer and vertical trade copy suitable for both print and Internet. She has over 14 years experience in the fields of marketing, PR and copywriting and currently serves as the web, SEO and marketing communications content editor for eMedical Media.

(ArticlesBase SC #1956623)

Article Source: http://www.articlesbase.com/ – Dallas Urologist Discusses Prostate Cancer Symptoms And Prostate Cancer Treatment Options

Dr. Mark Allen, MD of Plano, TX utilizes the AMS medical devices to treat erectile dysfunction.  The below information on the 3-Piece Inflatable Penile Prosthesis for erectile restoration is provided courtesy of American Medical Systems.  For more information on AMS, visit www.americanmedicalsystems.com.

AMS 700 ^TM Series
3-Piece Inflatable Penile Prosthesis
The AMS 700 Series is an advanced three-part inflatable prosthesis consisting of a reservoir implanted in the abdomen, a pump placed in the scrotum and a pair of cylinders inserted into the corpora cavernosa. It closely simulates the look and performance of a natural erection. The gold standard for innovative penile implant technology, the AMS 700 Series now features the new Tactile Pump^TM, InhibiZone^TM Antibiotic Surface Treatment and Parylene, a wear-reducing micro coating.

Advantages for Patients

• Has InhibiZone Antibiotic Surface Treatment, a proprietary combination of rifampin and minocycline
• Replicates the process and feel of a natural erection more closely than 1- or 2-piece implants
• Deflates softer and more flaccid than 1- or 2-piece styles of penile implants
• High degree of patient and partner satisfaction
• Easy to use
• Totally concealed

Patient Satisfaction Rate

• Some studies report 92% patient and 96% partner satisfaction rate¹

¹ Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.

Styles Available
The AMS 700 Series consists of three styles for three different patient types.

• 700CX^TM—Controlled expansion cylinders allow for increased girth; can be used in all patient types that are able to receive a 3-piece prosthesis
• 700 Ultrex^TM—For the patient who wants expansion in girth and length; provides up to 20% cylinder elongation.
• 700 CXR^TM—The narrowest proximal profile of any inflatable prosthesis; for scarred, fibrotic or stenotic patients

Device Mechanics
The AMS 700 Series prostheses are fluid-filled systems, each consisting of a pair of cylinders, an inflate/deflate pump and a reservoir. The components are connected by kink-resistant tubing.

The AMS 700 Series prostheses consist of these parts:

• Cylinders—Come in various lengths and diameters, depending on the model number. Rear-tip extenders can be placed over the solid rear tip of the cylinders to extend their lengths, for a customized fit.
• Reservoir—Silicone balloon for holding saline, and kink-resistant tubing that connects the reservoir to the pump. Two sizes are available: 65 mL and 100 mL.
• Pump—The AMS 700 CX, Ultrex and CXR cylinders use a standard-size pump consisting of a pump bulb (for inflation), a release valve (for deflation) and connecting tubes.

Innovative Technology
The AMS 700 Series now features the new Tactile Pump^TM, InhibiZone^TM Antibiotic Surface Treatment and Parylene, a wear-reducing micro-coating.

• Tactile Pump—With its EZ grip surface, the Tactile Pump is designed to be easier to inflate and deflate than any inflatable penile prosthesis on the market today. Silicone ridges on the pump bulb are designed to minimize finger slippage during inflation; finger pads on the deflation block are designed to make it easier to locate and grasp the deflation portion of the pump. These enhancements make it easy for patients to learn and use the system. In a small clinical study, over 86.7% of patients learned in three minutes or less.¹ That can mean less frustration and greater patient satisfaction.1. Data accepted for publication. Delk, et al, “Early Experience with the American Medical Systems New Tactile Pump: Results of a Multi-Center Study.
• InhibiZone is a synergistic combination of Minocyline Hydrochloride and Rifampin impregnated into the external silicone surfaces of the implant, creating a zone of inhibition around the prosthesis. The antibiotics impregnated into the cylinders elute from the surface when exposed to a warm, moist environment.
• Parylene micro coating is a medical grade polymer applied to AMS 700 Series cylinder components. This unique coating is designed to enhance device longevity by reducing friction-based wear. In bench-testing, parylene coated cylinders endured up to five times as many cycles as uncoated cylinders.¹ This gives patients the security of an implant designed for long-lasting performance and wear.1. Data on file, American Medical Systems

Erectile Restoration

Dr. Mark Allen, MD of Dallas, TX uses AMS devices for erectile dysfunction treatment.  The below information is courtesy of American Medical Systems.  For more information, please visit www.americanmedicalsystems.com

Penile Implants-The Satisfying Solution

AMS has been a leading innovator in the field of erectile restoration for over three decades. Today we offer the broadest line of penile implant options in the industry. From simple malleable implants to the most advanced three-piece inflatable devices, AMS sets the standard for innovation and ease of use.
Every AMS penile implant is engineered to provide a satisfying solution to erectile dysfunction (ED). More than 300,000 men have received an AMS implant and studies show that over 90 percent are happy with the device.1,2,3,4.

1. Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol Jul 2003 v.170(1)p.159-63.
2. Kearse WS Jr, Sago AL, Peretsman SJ, Bolton JO, Holcomb RG, Reddy PK,
Bernhard PH, Eppel SM, Lewis JH, Gladshteyn M. Report of a multicenter clinical evaluation of the Dura-II penile prosthesis. J Urol May 1996 v. 155(5) p.1613-6.
3. Levine LA, Estrada CR, Morgentaler A. Mechanical reliability and safety of, and patient satisfaction with the Ambicor inflatable penile prosthesis: results of a 2 center study. J Urol Sep 2001 Sep v. 166(3)p.932-7.
4. Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.

Benefits of a Penile Implant

* Can help you return to an active, satisfying sex life
* Offers a permanent, long-term solution to ED
* Provides the ability to have an erection anytime you choose
* Allows for greater spontaneity-have sex when the mood strikes
* Enables you to maintain an erection as long as you desire
* Eliminates the need for costly pills or shots
* Does not interfere with ejaculation or orgasm

Risks of a Penile Implant

* Requires surgery and healing period
* Eliminates the possibility of return of natural erections
* May require repeat surgery due to infections, erosions or mechanical problems with the device

There are several types of penile implants available from AMS. Talk to Dr. Mark Allen about which one may be right for you.

The Procedure

Placing a penile implant may be performed as an outpatient procedure, which generally lasts from 30 minutes to over an hour. The procedure is performed under local or general anesthesia.

Before the procedure, Dr. Allen will give you a thorough explanation of what will happen during your surgery and how to prepare for it.

Results

Some studies show the following results for three-piece penile implants:

High Patient Satisfaction

* 86% say they would undergo the procedure again¹
* 88% would recommend the device to others¹

High Partner Satisfaction

* 96% partner satisfaction²

High Mechanical Reliability

* Engineered for long-term reliable operation¹
* Over 90% of patients report satisfactory prosthetic erections at three years³

1. Carson CC, Mulcahy JJ, Govier FE. Efficacy, safety and patient satisfaction outcomes of the AMS 700CX inflatable penile prosthesis: results of a long-term multicenter study. AMS 700CX Study Group. J Urol Aug2000 v. 164(2)p.376-80.
2. Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.
3. Govier FE, Gibbons RP, Correa RJ, Pritchett TR, Kramer-Levien D. Mechanical reliability, surgical complications, and patient and partner satisfaction of the modern three-piece inflatable penile prosthesis. Urology Aug 1998 Aug v.52(2) p.282-6.