DALLAS, Tx. (Dec. 1, 2011) — Dr. Mark Allen, MD, a urologist in Plano, Texas, was recently selected as a Dallas Top Doctor by D Magazine.  The D Magazine “Best Doctors in Dallas 2011” is a renowned selection of physicians and pediatricians in the greater Dallas area who are chosen based on a peer-review voting process.  Dr. Allen was chosen because of his uniquely innovative treatment approach into specific urological disorders and conditions.  He was one of the first pioneers in the North Dallas area to offer the robotic prostatectomy for prostate cancer treatment.

In the 2011 survey, more than 1,600 doctors voted for peers in selected categories. Texas medical license numbers were used to validate each physician and the final tallied list was presented to an esteemed group of physicians and specialists.  Doctors who make the cut generally have been discussed numerous times by other doctors and are well regarded in the medical community by both physicians and patients.

Dr. Allen is a board certified urologist who graduated with the highest honors from the University of Texas at Austin. He later earned his medical degree from the University of Texas Medical School at San Antonio.  His surgical skills in the field of urology and his passion for advancing the specialty with new treatment techniques put him in the top percent of doctors in the US News and World Report for research quality.

Several innovative procedures not offered by all urologists include penile implants and penile prosthesis devices to assist men with erectile dysfunction. He is notably one of the most skilled urologists in Dallas offering this service.  He also specializes in all areas of urinary incontinence for men and incontinence in women and offers a variety of treatment techniques including the InterStim stimulator device and various sling procedures.  Dr. Allen routinely performs complex urogynecological reconstruction procedures in women and treats a variety of urology-related cancers.

Perhaps his most notable contribution to the urology field of medicine is his specialization of treatment into specific urological cancers of the bladder, kidneys and prostate.  Dr. Allen is an expert in each of these cancers and offers robotic surgery as a treatment option to reduce the side effects associated with surgery as well as maximize the outcomes for each of his patients.

The D Magazine top doctors list is designed each year with the patient in mind. Specialties in which the patient has little or no say are often not included (including pathology and anesthesiology).  The voting panel and D Magazine staff members review the results carefully and chose each finalist based on the number of votes that are received for each specialty.

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I Have Low Testosterone, What Does That Mean?

Dr. Mark Allen, MD, a urologist with North Dallas Urology Associates (http://northtexasurologist.com, 972.612.8037), hears the frustrations and complaints from patients that enter his Plano, TX urology office.  A little probing, and it doesn’t take long for Dr. Allen to diagnose the problem:  Have you recently noticed changes to your physique? Are you struggling with finding the energy to get through your daily routine? Has your sexual desire and stamina reached all time lows? Have you recently noticed that your daily tasks have become difficult to complete and hard to focus on?

If your answers to these questions are yes, and you are a middle-aged man, you may be suffering from Low Testosterone. In many cases, having an open discussion with your doctor about your symptoms can lead to possible treatment options (testosterone replacement).

What is Testosterone?

Testosterone is the male hormone that deciphers whether a fetus will have the reproductive organs of a male, or female. While it is the chromosomes of a fetus that decide the sex, it is Testosterone that builds male reproductive organs. Testosterone is released in large amounts in the body of a boy during his pubescent years, and provides him the ability to build muscle, deepen his voice, and creates his sexual desire. Throughout a man’s life it is the regular release of this male hormone that allows a man to maintain these masculine traits. After a male reaches 40 years of age his testosterone begins to decrease by about 3% a year, this is inevitable, and does not affect a man’s physique or lifestyle. An even larger loss of low testosterone in men, however, will cause undesirable side effects.

Low Testosterone in men only affects 1 in every 200 males under 60 years of age. But 20% of men 60 years of age and older suffer from a drastic decrease of these male hormones. Low Testosterone in men has been known to cause such symptoms as: anxiety and mood swings, difficulty concentrating, and a decreased ability to complete everyday intellectual tasks. A man suffering from Low Testosterone may notice weight gain around the lower abdomen or what is commonly referred to as the “beer gut.” When this weight is caused by Low Testosterone, and the male does not receive treatment, he may find it difficult to shed the pounds.

Perhaps the most common complaint among men suffering from Low Testosterone is erectile dysfunction, or the inability to receive and maintain an erection. The male testes produce testosterone, and when they produce a less than normal amount, the male is unable to receive an erection. It is also very common among men with Low Testosterone to complain of little or no sexual desire and/or sexual stamina. Though a loss of pride is not a direct symptom of Low Testosterone, it is no surprise that most men suffering from a loss of these male hormones suffer from this as well. In order to restore your pride, and achieve the successes of years passed, it is important to receive treatment to restore these male hormone levels.

What Causes Low Testosterone in Men?

While it is unavoidable that a man’s Testosterone will begin to decrease in his forties, there are a few things that cause lower than normal levels in men of all ages. Contributors to Low Testosterone are:

• Anti-Depressants/Anti-Psychotics
• Alcoholism
• Chemotherapy, Radiation treatments, and Cancer
• Disease and Illness
• Stress

The first step toward treating your low Testosterone levels is testing the hormones to see if this is indeed the problem. Is it low T? Talk to your doctor about a simple blood test that will provide him the information necessary to treat your Low Testosterone problem. If you would like to test your Testosterone from home, you may purchase a testing kit and do so.  If the test results prove that you are indeed suffering from Low Testosterone, do not be discouraged.

Dr. Mark Allen, MD, of Plano, TX notes that low testosterone levels can be replaced through various types of testosterone replacement therapy. One such therapy is the insertion of testosterone pellets. According to Dr. Allen, “Low testosterone can be treated with the insertion of testosterone pellets. These small, compressed, Tic-Tac sized pellets are injected under the skin (most often in the buttock just below the waistline). It is a very easy procedure and leaves a very minimal scar. The dose varies according to blood levels and other factors. Most patients will see improvement in their symptoms within a few short weeks.”

Low Testosterone does not have to change your life. With the proper testosterone replacement treatment, and with the care of your physician, it is possible to replace these lost male hormones, and regain your pride, and a sense of normalcy once again. Discuss your options with your doctor and decide what would be the best solution for you.

As a urologist in the North Dallas area, Dr. Mark Allen of North Texas Urology Associates (972.612.8037), has had the task of delivering unwelcome news to patients more times than he would like. The words, “you have prostate cancer” is never easy for a patient to hear.  If you are one of the 200,000 Americans diagnosed with prostate cancer this year, then you probably already have your clinical information memorized. You can spout off your PSA level, Gleason score and prostate cancer stage without the blink of an eye. While these tests, historically, have been sufficient in classifying cancer stages for patients, missing variables often exist that may alter the effectiveness of staging during diagnosis.

Today, more than 85% of patients that are diagnosed with prostate cancer will be considered in the low or intermediate risk category purely because they have similar clinical information.  The conflict in using this clinical information alone to treat and manage a person’s cancer and to determine prostate cancer stages has been a topic of discussion in recent years. From a purely clinical perspective, patients can often appear the same, when in fact they will have very different outcomes. One patient might have a slow growing cancer that will never be a problem and the second patient might have an aggressive cancer.

The current challenge in predicting individual patient risk is complicated by the multiple variables that must be considered, as well as the applicability and accuracy of available predictive tools and tests. Prostate Px+, a new prostate cancer test developed by Aureon, was created with these challenges in mind and is currently being adopted into urology offices like Dr. Allen’s in Plano, Texas. As a new option for physicians, this state-of-the-art test is being used to better assess the prostate cancer within each patient so that prostate cancer stages and a more accurate diagnosis and treatment plan can be offered.

About Prostate Px+

Prostate Px+ is a prostate cancer test that is ordered at diagnosis to provide physicians with objective and useful information. Unlike other tests, it uses a combination of cellular, molecular and clinical data with advanced mathematical analysis, to assist doctors in properly identifying low risk vs. high-risk patients. Prostate Px+ is based on patented technology and is the only test that combines multiple layers of data based on the patient’s tissue to provide an idea of the outcome post-therapy. In essence, when someone asks, “What is your prognosis?” a more accurate answer can be given.

Once prostate cancer has been found in a patient, a physician can order the test and use the same sample that was provided for the original biopsy. The test, which is currently only available in the United States, is analyzed and a personalized report is sent to the physician to be used for patient discussion within about five days. One of the items that will be provided back to the physician is a prostate disease Progression Score that will rank between 0-100.  This number reflects the likelihood of the patient developing disease progression (defined as bone/soft tissue metastases, death of disease and/or androgen independent rise in PSA within eight years of their diagnosis.

A Personalized, More Accurate Approach

Prostate Px+ provides personalized test results by analyzing a patient’s existing biopsy sample using molecular diagnostics, sophisticated tissue-based image analysis and advanced mathematics. The resulting information gathered from this multi-layered approach provides both the patient and physician with objective, predictive and personalized information that enables all parties to make more-informed treatment decisions.

Prior to treatment selection, Prostate Px+:

• Provides useful, objective information for anyone considering surgery as a treatment option
• Predicts serious disease progression (metastasis, death of disease, progression through androgen deprivation therapy)
• Accurately reclassifies all intermediate-risk patients as either high- or low-risk
• Reveals high-risk disease, originally masked as low-risk at diagnosis
• Predicts your tissue pathology results after surgery
• Helps alleviate patient anxiety by providing objective information about a patient’s cancer

A diagnosis of prostate cancer does not mean the end to a fulfilling and active life. If you have been diagnosed with prostate cancer but have not yet selected treatment, you are looking for as much information as possible to better understand your disease and your options. In prostate cancer, there is no one-size-fits-all. Understanding the multiple issues and challenges will help you take control of your individual health needs.

For more information on Prostate Px+ visit http://aureon.com.  To learn more about Prostate Px+ please visit the literature and brochures section of the Aueron website.

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.

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.

Prostate motion documented in the daily report demonstrates motion of the prostate of greater than 1cm over 6 minutes.

If you are considering radiation treatment for your prostate cancer, it is important to know about organ motion.  Organ motion is prevalent, variable, and unpredictable during radiation therapy.  It presents challenges to delivering precise external beam radiation to the prostate.  A recent multi-institutional study showed that patients experienced organ motion during treatment fractions and the direction and degree of the motion is highly variable—from patient to patient and day to day.  The common methods used for target localization cannot provide continuous, real-time, objective guidance to clinicians managing patients receiving radiation therapy treatments.  The Calypso® 4D Localization System™ and Organ Motion is Prevalent, Variable, and Unpredictable implanted Beacon® electromagnetic transponders provide improvements with continuous, real-time tumor setup and monitoring without the use of additional ionizing radiation — GPS for the Body®.

Dr. Mark Allen of North Dallas Urology Associates is committed to providing leading edge treatment options to his patients and is pleased to offer the Calypso® 4D Localization System™ / GPS for the Body®.  Please visit click here to learn more information and schedule a consultation with Dr. Allen to see if you are a candidate for this highly effective prostate cancer radiation treatment.

If you are considering a da Vinci Prostatectomy to treat your prostate cancer, here is what you can expect from initial appointment to follow-up care.

1. Initial Appointment

Typically, your primary care physician will check your PSA levels in your blood workup during your routine check-up.  If your laboratory results show an “elevated PSA”, you will be referred to a urologist for further testing.

2. Laboratory Results

The exam likely consists of a standard digital rectal exam (DRE), in which Dr. Allen manually palpates the prostate by way of the rectum. Even if he detects nothing abnormal, he will schedule a biopsy to be certain there is no evidence of prostate cancer. The biopsy is performed by inserting a tubular structure in the rectum, from which projectile needles collect 5-6 “cores” of tissue from each side of the prostate. Although many patients tolerate the biopsy without medication, Dr. Allen may offer something to alleviate your discomfort and anxiety associated with the procedure.

3. Treatment Options

If you have an early diagnosis of prostate cancer, there is usually a range of treatment options. These may include conservative management, radiation therapy with external bream or brachytherapy, cryosurgery and prostatectomy – surgical removal of the prostate. The treatment options will depend on a number of factors, including the stage of the disease, and you age, health and personal preference.

If you choose to have a da Vinci^® Prostatectomy – robotic prostate surgery – here is what you can expect:

4. Pre-Operative

You will have a physical examination and discuss the various types of anesthesia with your anesthesiologist. This visit is arranged by Dr. Allen and will likely occur the week before surgery. The evening before surgery, you will need to follow instructions for bowel preparation that Dr. Allen will provide.

5. Day of Surgery

Shortly before the operation, anesthesia is administered and you will sleep for the duration of the operation, which typically lasts 2-4 hours. The procedure begins when your abdomen is inflated with carbon dioxide gas, creating an operating space for the surgeon. Next, six small incisions, 1/4 to 1/2 inch in length, are made in your abdomen and ports are inserted to keep the incisions open.

During the procedure, Dr. Allen uses the da Vinci System’s laparoscopic surgical instruments and video camera, via the temporary ports, to direct the dissection of the prostate gland and adjacent tissue. If deemed appropriate, he tries to preserve the nerves attached to your prostate gland (nerve sparing). At the end of the surgery, the ports are removed from your abdomen and the remaining incisions are closed with sutures.

(For detailed information about this procedure, please set up a consultation with Dr. Allen.)

6. Post-Operative

After robotic prostatectomy surgery, you wake up very groggy and with a urinary catheter in place. You will likely spend one night in the hospital resting and recovering from the effects of the anesthesia. As the anesthesia wears off, there may be some discomfort, for which pain medication may be prescribed. During this time, the medical team gets you patient sitting, standing and eventually walking around, which is recommended throughout the recovery period. Because a catheter typically remains in place for approximately 7 days, Dr. Allen will review guidelines for use that will ease discomfort and ensure proper function of the catheter during this time.

7. Recovery Period

The first week post-operatively will likely be spent resting; however, frequent walks are encouraged. Depending on the your individual recovery needs, regular activities may resume as soon as soon as a few days after surgery; straining and heavy lifting is discouraged for the first four weeks post-operatively. Approximately one week after surgery, a post-operative follow-up is scheduled, at which time your bladder function may be assessed. This is done by filling the bladder with saline via the catheter, removing the catheter and then allowing you to void naturally. Some incontinence after surgery is normal and is typically managed with medication until bladder control resumes. Erectile dysfunction may also be a side effect of surgery. Like incontinence, this side effect may be discussed with the Dr. Allen and managed with medication until it lessens or completely resolves over time.

8. Follow-Up Care

After this treatment for prostate cancer, Dr. Allen will want to watch you carefully, checking to see if your cancer recurs or spreads further. Typically, Dr. Allen will outline a follow-up plan with you that includes regular visits, PSA blood tests and digital rectal exams, which will likely begin within a few months of finishing treatment. PSA tests are usually recommended about every 6 months for the first 5 years after treatment, and at least yearly after that.

Dr. Mark Allen, M.D. of North Dallas Urology Associates located in Plano, Texas has been providing urologic evaluations, treatments and surgical services in the North Texas Market for over 15 years.  Dr. Allen is commited to staying current on technologic advances that enable him to provide his urology patients with cutting-edge treatments and non-invasive surgical procedures.  Dr. Allen provides treatment for the full scope of urologic conditions such as:

• da Vinci® Robotic Prostatectomy
• Enlarged Prostate
• Erectile Dysfunction
• Female Incontinence
• Greenlight™ Laser Therapy
• Kidney Stones
• Male Incontinence
• No Scalpel Vasectomy
• Pelvic Floor Reconstruction
• Prostate Cancer
• Prostatitis
• Robotic Surgery

Baylor Plano is the first hospital in north Dallas and Collin County to offer minimally invasive robotic surgery for prostate and gynecology procedures through the FDA approved da Vinci® Surgical System.  Dr. Allen is pleased to be one of the few surgeons in North Texas trained in da Vinci robotic prostate surgery.  If you have prostate cancer or other urologic concerns please schedule a consultation with Dr. Allen today to discuss your symptoms and treatment options.