Low Testosterone in Men | Testosterone Replacement | Testosterone Pellets | Plano, TX

March 23, 2012 By

Man Low TI 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.

Testosterone PelletDr. 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.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , , , , , ,

Erectile Dysfunction | Treatment for Erectile Dysfunction | Penis Implants | Penile Prosthesis | Plano

March 23, 2012 By

According to Dr. Mark Allen (972.612.8037), a urologist in Plano, Texas, “Erectile dysfunction is a problem common in men as they age. It’s a silent problem that doesn’t have to be kept silent. There is treatment for erectile dysfunction and men should explore all of their options before settling on living with a condition they believe is helpless.”

Erectile dysfunction is termed as the inability to obtain or maintain an erection as is necessary for sexual satisfaction, also called impotence. The severity of the dysfunction varies from one man to another. One man may be able to achieve but not maintain an erection while another may not be able to obtain an erection at all. The variety of severity, and under diagnoses due to a man’s embarrassment about the issue make it hard to establish just how common erectile dysfunction is. But keeping these variables in mind, doctors have still estimated that erectile dysfunction affects 30 million men in the United States.

It is possible for erectile dysfunction to affect a man at any age, but it is pretty uncommon among men less than 40 years of age and only 5% of the national average reflects men of this age group. At age 45-50 the statistic jumps to 15%. Erectile dysfunction affects 20% of men 50-55, and 50% of men between 70-80 years of age.

Erectile dysfunction is an issue that occurs commonly as men age, but there are a few medical factors that can cause it to become more severe, or to strike at an earlier age. Urologists state that factors such as lack of physical activity, excessive alcohol intake, obesity, and smoking directly affect the onset and severity of erectile dysfunction.

Regardless of what can be done to ward off the occurrence of erectile dysfunction, in some cases it is inevitable. The first and most important step to battling this issue is to see your urologist. You may be in early enough stages to treat your impotence with medication. Urologists commonly prescribe medication such as Viagra, Levitra, and Cialis, which are taken orally and may help receive an erection.

If the stage of your impotence is beyond medication then you and your doctor may decide to talk about implant treatment for erectile dysfunction. For patients with moderate to severe erectile dysfunction there is an option to receive a penile prosthesis.

5807A penile prosthesis is surgically implanted in a careful surgery and has been proven to help a man regain his ability to achieve an erection. There are currently two types of penile prosthesis, the semi-rigid non-inflatable, and the inflatable. The semi-rigid is a series of flexible rods that are surgical implanted to support the penis. With these rods, the man is able to manually place the penis in the upward position for intercourse, or downward for daily activities. The inflatable prosthesis is more complex, but also more successful. With an inflatable penile prosthesis, a pump filled with liquid is placed inside the scrotum. Then a reservoir is placed inside the penis. When a man is ready to receive an erection his simply squeezes the scrotum, and the liquid is transferred to the reservoir inside the penis which causes an erection. When the man is ready to deflate the erections he presses a release valve which returns the liquid to the pump.

Urologist Dr. Allen has a number of penile prosthesis’ to choose from. After careful consideration the decision is between the two of you to decide which option is the best for you. A few of his most commonly used prosthetics are:

AMS Spectra—This is a non-inflatable penis implant. It is a sterile, non-pyrogenic, single-use implant. It includes a pair of cylinders surgically inserted into the penis which is manually positioned by the male. It is easy to use by the male or the partner. It is totally concealed within the body, and is the easiest surgical option. Its general complaint is that it remains firm no matter the position it is placed in.

AMS Ambicor—A 2-Piece Inflatable penis implant. Consists of a pair of reservoirs implanted in the penis, and a single pump bulb implanted in the scrotum. The pump is compressed to receive an erection, and the erection is bent to deflate the prosthesis. It is totally concealed within the body, and is more natural when flaccid then the non-inflatable implant.

AMS 700 Series—A 3-piece inflatable penis implant available in a variety of sizes and models. It consists of a reservoir that is placed within the abdomen, a pump places inside the scrotum, and a pair of cylinders placed inside the penis. This prosthesis is favored among recipients because it expands the girth of the penis, and it feels most like a natural erection when compared with other implants. It is also favored because when flaccid, it looks and feels most natural.

As with all medical procedures, there are advantages and disadvantages to each of these procedures. Your urologist and yourself are the only ones who can decide which, if any of these procedures are right for. Talk to your doctor today, and look forward to feeling more confident.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , ,

Testicular Cancer | Treatment for Testicular Cancer | Swollen Testicle | Plano, Texas

March 23, 2012 By

Dr. Mark Allen, MD, a Plano, Texas Urologist, assisted in this interview with *John, a patient of his North Texas urology practice. (*Patient names have been changed for privacy reasons).

John was a newlywed in his late-twenties with an excellent career, a new home, a wife and many dreams. He and his wife had begun discussing the prospects of having a child, and had decided to begin and maintain a healthy lifestyle before they tried to conceive.

42-15655456About a week into their new workout routine John realized that the soreness had died down from all parts of his body except for one. He still felt sore and had a swollen testicle. Concerned and uncomfortable he decided to see his physician who referred him to a urologist who ran a series of tests, including an ultrasound of his scrotum and a pelvic x-ray. What the doctor found greatly surprised John. He had Testicular Cancer. John had so many questions. He began with, “But I’m too young for cancer, how did this happen?”

The truth, is that testicular cancer is in fact most common in men between the ages of 15-35. White men are at the highest risk of getting this disease and while the exact cause is unknown, there are certain risk factors. The risk factors for getting testicular cancer include a history of testicular cancer, a history of an undescended testicle, a family history of the disease, HIV infections, and body size. Certain studies have indicated that taller, larger men at more at risk.

Testicular cancer is one of the most curable forms of cancer. This was very good news to John, and the more than 8,000 other men who are diagnosed with this disease each year. The risk of dying from testicular cancer is relatively low. However, as with all cancers, it is important to catch it early so that treatment can be implemented.

Testicular cancer may not show any symptoms in the early stages. The most common symptoms that will appear will include a pain in the lower back and in the abdomen, a heavy feeling in the scrotum, a swollen testicle and/or a lump in one or both of the testicles. Most often, a lump is what signals the cancer. Many men also complain about pain and soreness in the testicular region.

As the Urologist did in John’s case, tests will be run to determine the stage of the cancer. There are several stages to consider:

  • Stage 1: The cancer has not spread outside of the testicle.
  • Stage 2: The cancer has spread throughout the scrotum and into the lymph nodes in the lower abdomen.
  • Stage 3: The cancer has gone beyond the lymph nodes and could possibly spread to the liver, kidney, bladder or lungs.

Because John saw a doctor as soon as he realized something was not right, he was found to only be in Stage 1 of the cancer, and was able to receive treatment for testicular cancer and hopefully prevent any future cancer. Treatment for testicular cancer includes:

  • Chemotherapy
  • Radiation Therapy
  • Surgical removal of a testicle, or both if necessary
  • Removal of the infected lymph nodes

MP900289531Today, John and his wife are the proud parents of two children and he recently made it to the 6-year cancer free mark. John continues to support cancer awareness groups and urges everyone he knows to “know your body,” and that “prevention is the best cure.” John gets asked often how he was able to conceive two children after losing a testicle. His urologist, Dr. Mark Allen, MD of Plano, Texas offers the following answer.

“When a testicle is removed, your sperm count only dwindles for a short period of time. Eventually the other testicle will produce double-time, returning your sperm count to normal, and making your chances of conceiving naturally just as normal as the next guy. But if you are concerned about conceiving a child once you have beat your cancer, you should talk to your doctor about the options that are available. There are other methods and ways to conceive with your partner,” says Dr. Allen.

The surest way to beat testicular cancer is to be tested when you feel something is different; A swollen testicle, a lump or pain in the testicle region should be looked at by a professional. Survival rates have never fallen below 72%, this is due to early detection and new medical breakthroughs in treating the disease.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , , ,

Treatment for Kidney Stones | ESWL for Kidney Stones | Kidney Stone Treatment Plano Texas

March 23, 2012 By

Each year, more than half a million people will visit an ER with a painful kidney stone. Dr. Mark Allen, a Plano, Texas urologist (http://northtexasurologist.com) was interviewed for this article to shed some light on kidney stones and treatment options that are available today. This Q and A was designed as an informative document to help in the awareness and treatment, and prevention of Kidney Stones.

Kidney stone

This Kidney Stone represents the hard mass of crystals that formulate the stone

A kidney stone is a crystallized mass caught within the urinary tract. When the chemicals found in urine are not strong enough to dissolve the stones they cannot pass through and out of the urinary tract causing a blockage and extreme pain for the patient. In many cases, the stones will eventually pass, but in other cases, medical treatment will be needed in order to break up or remove the stones.

Q: How common are kidney stones?

Kidney stones are relatively common. Approximately 7% of all women and 14% of all men will develop kidney stones. Once an individual has developed a kidney stone they have a 50% chance of recurring stones.

Q: What are the symptoms of kidney stones?

The most common symptoms associated with a kidney stone include pain in the back, and blood in the urine. But other symptoms may include: nausea, fever, and chills, as well as cramping, testicular pain and pain in the abdomen. Pain associated in the abdomen area is the prominent symptom of a kidney stone. It is a very distinct pain. Once a person has a kidney stone for the first time, they can easily recognize the pain each time the condition reoccurs.

Q: Who gets kidney stones?

Caucasian men are at the highest risk of getting kidney stones. This risk increases greatly between the ages of 40 and 70. Women can also get kidney stones but are at a decreased risk. Women over the age of 50 will be at a higher risk. It is extremely common for children to also get kidney stones. There is an increase in the United States of children getting kidney stones; diet and food/liquid in-take are the primary causes as many kids do not drink enough water and are eating foods that are high in salt and sugar.

Q: What treatment for kidney stones are available?

Most commonly a patient should be able to pass the stones by increasing their intake of fluids, but if this does not prove beneficial there are other medical options to help a patient pass their stones. If a stone does not, in fact, pass on its own, the following treatments can be applied:

Extracorporeal Shock Wave Lithotripsy (ESWL for kidney stones), the Ureteroscopy Procedure and Percutaneous Nepheostolithotomy.

  • ESWL stands for Extracorporeal Shock Wave Lithotripsy. ESWL for kidney stones is a high intensity acoustic pulse, sent from the outside of the body to the inside, used to break up the stone. Through the process the stones are broken down into smaller particles and can then be easily passed through the urinary stream. This is a non-invasive procedure that has time and time again proven productive. Extracorporeal Shock Wave Lithotripsy is one of the most frequently and widely used urological procedures to treat kidney stones. ESWL for kidney stones should be discussed with your urologist to see if it is the appropriate treatment for your specific kidney stone condition.
  • Another minimally invasive procedure that is effective in eradicating kidney stones is a Ureteroscopy. During a Ureteroscopy procedure, incisions are not needed. Instead, a tiny scope is entered into the urethra and passed through to the bladder. If the stone is small it will gently be extracted through the end of the scope. If it is larger, then a laser may be required to dissolve the stone. The Ureteroscopy procedure varies according to the size of the stone and the severity of the pain.

    litho2

    Extracorporeal Shock Wave Lithotripsy (ESWL for kidney stones) is a high intensity acoustic pulse, sent from the outside of the body to the inside, used to break up kidney stones.

  • Finally, when all else kidney stone treatments have failed, a Percutaneous Nepheostolithotomy can be performed to remove a large kidney stone. This is treatment for kidney stones is a surgery performed in the hospital in which an incision is made in the back and then special instruments are used to enter the kidney removing the stones. A catheter is necessary to drain the bladder during recovery, until the incision has healed. This surgery is used for large kidney stones, or when a kidney stone has caused an infection.

Q: If I have a family history of kidney stones, does that mean I am likely to get them?

There is statistical evidence to suggest that kidney stones are genetic—but if they run in you family, it does not necessarily mean you will get them. Certain factors such as age, diet, lifestyle, smoking, etc. can make the occurrence more or less likely.

Q: If I’ve had kidney stones before, what can I do to prevent them from reoccurring?

Have a metabolic workup. A metabolic workup is a study of the factors that likely caused your kidney stones and will likely cause a reoccurrence. In this study the kidney stone, your diet, urine samples, and overall health are studied to determine the factors that will most likely cause another stone. This is of utmost importance. Statistics show that 70% of people who choose not to have a metabolic workup receive another stone in 5 to 10 years.

The severity of kidney stones varies from one person to another, but is always a plague to the recipient. If you believe you have a kidney stone, it is important to see your doctor immediately. You may be able to pass the stone yourself, but many options do exist for the treatment for kidney stones. The best way to prevent kidney stones is to maintain a healthy diet and drink plenty of water.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , ,

Symptoms and Treatment for Reoccurring Urinary Tract Infections

March 23, 2012 By

According to Dr. Mark Allen, a Plano, Texas urologist, many people will suffer from a urinary tract infection, or a UTI, at some point in their life. It’s one of the most common reasons why teenagers visit a doctor in a given year. If you have not suffered from this type of infection then count yourself among the blessed few. Urinary tract infections are among the most common infections found in adults and are most commonly caused by bacteria. Seeking a cure for a UTI once symptoms appear is necessary so that the infection does not turn in to a larger problem.

The urethra is part of the urinary tract and is the body part in men and women that eliminates liquid waste (urine) from our bodies. Because the urethra is located in the genitals of both men and women, it often comes into contact with fluids that can harbor bacteria. The bacterium that causes the majority of urinary tract infections is E. Coli. E. Coli is most commonly passed through the bowel, but can come into contact with the urethra during sex, or if a woman does not clean herself properly after using the restroom (wiping from the front to the back). Other common causes of urinary tract infections are condom use, diaphragm use, and certain contraceptive pills.

Occasionally a UTI will not be accompanied by symptoms, but when symptoms of a UTI present themselves they are similar to the following:

  • A strong, persistent urge to urinate
  • A burning sensation when urinating
  • The feeling of being unable to empty your bladder
  • Passing frequent, small amounts of urine
  • Urine that appears cloudy
  • Urine that appears bright pink or cola colored — a sign of blood in the urine
  • Strong-smelling urine
  • Pelvic pain, in women
  • Rectal pain, in men

Every time an adult has a UTI, they are at an increased risk of having another and with every recurring UTI the risk for another goes up. The most common reason why an adult may suffer from recurring UTI infections is that they do not follow the full course of antibiotics prescribed by their doctor. Other reasons may be related to bad hygiene, frequent sex, not drinking enough water, or a change in diet.

Occasionally, frequent urinary tract infections are part of a bigger issue. If you are suffering from frequent recurring UTI infections and ongoing symptoms of a UTI, you need to see your doctor. At times a UTI is unaccompanied by symptoms. When this happens the bacterium which causes the infection of the urethra has time to spread to the bladder, and then onto the kidneys. Infections of the bladder and the kidneys are more severe and require a different type of medication. If you are being treated for a UTI but it recurs time and again, you need to speak with your doctor about cystoscopy to observe the bladder and kidneys and eliminate the concern of a bigger issue. Another cause of recurrent infections is a urologic abnormality. If the urethra is obstructed by anything such as a catheter, kidney stone, growth etc, UTI is extremely common and may be a result of the obstruction.

Symptoms associated with an infection of the kidneys and/or bladder will be more severe than symptoms of a UTI. They will include:

  • Upper back and side (flank) pain
  • High fever
  • Shaking and chills
  • Nausea
  • Vomiting
  • Pelvic pressure
  • Lower abdomen discomfort
  • Frequent, painful urination
  • Blood in urine
  • Burning with urination

If you have never suffered from a urinary tract infection, or if you have and want to prevent it from recurring, the following tips have proven to lessen the possibility of infection:

  • Urinating shortly following sexual activity (Men and Women)
  • Properly wiping after using the restroom (from the front to the back)
  • Prompt removal of diaphragm or condom after sexual activity
  • Drink plenty of fluids
  • Wearing cotton underwear and avoiding materials that do not allow the genitals to breath

If you feel like you may be suffering from a urinary tract infection you may try a number of home remedies, but a rule of thumb is to see your doctor the moment you feel pain, discomfort, or have concerns. The cure for a UTI is often an antibiotic. In order for this cure for a UTI to be effective, the medicine should be taken according to the prescription and not stopped halfway through treatment.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , ,

I Suffer From Stress Incontinence. What Are The Treatment Options For My Bladder Problem?

March 23, 2012 By

What is Stress Incontinence? Dr. Mark Allen, a Plano, Texas urologist, offers insight on this common, yet troublesome form of urinary incontinence.

Bladder problems can lead to urinary incontinence which is the uncontrollable leakage of urine. This condition can lead to emotional stress and it may cause otherwise outgoing people to stay at home for fear of leaking in public. Urinary incontinence is such a common issue that it affects 12-13 million Americans each year. There are many different types of urinary incontinence and with each varying type, there are different factors that may cause it. In this article we will be specifically discussing “stress” incontinence.

What is stress incontinence? This is the urinary incontinence that occurs when stress is placed on the bladder by activities such as sneezing, laughing, coughing or aggressive physical activity. According to Dr. Mark Allen, a Plano, Texas Urologist, “While the sneezing, laughing and other motions of the body are what lead to the leakage, the causes are more big picture things such as giving childbirth, excessive weight, and previous vaginal surgeries. These functions of the body place stress on the bladder leading to stress incontinence which is the direct result of the weakening of urinary sphincter.”

While bladder problems and the cause of urinary incontinence can lead to varying forms of urine leakage, most all types of incontinence are treatable. Urinary treatment for incontinence is dependent upon the severity and the type of incontinence. If the incontinence is mild (a very small amount of leakage), the recommended treatment will most likely be some form of physical therapy to strengthen the urinary sphincter. A few other recommendations for mild urinary incontinence are:

  • A decreased intake of fluids that cause frequent urination
  • Scheduled bathroom trips
  • Pelvic floor exercises
  • Kegel exercises

For moderate urinary incontinence (saturated undergarments), wearing protective undergarments might be needed and one might also need to take medications to help control the leakage. These medications signal the nerves in the bladder which cause urination.

For severe urinary incontinence (when leaks cause the need to change outwear), bladder surgery may be needed. According to Dr. Allen, many patients are not aware that there are varying forms of incontinence and many ask what is stress incontinence when they are diagnosed with it. The good news is that there are several surgeries now available to help individuals cope with the symptoms of incontinence. Urinary treatment for incontinence in the form of surgery is performed to specifically repair the urinary sphincter and prevent further incontinence. Other treatments are available as well. A few of them include:

Neuromodulation

  • For urge incontinence not responding to behavioral treatments or drugs, stimulation of nerves to the bladder leaving the spine can be effective in some patients.
  • A stimulator device, InterStim, is surgically implanted.

Retropubic Suspension

  • This urinary treatment for incontinence uses surgical threads to support the bladder neck by securing the threads to strong ligaments within the pelvis to support the urethral sphincter.

Sling Procedure

  • This procedure uses a strip of our own tissue to cradle the bladder neck. Sling serves as support for the urethra during increased abdominal pressure.

Midurethral Sling

  • The midurethral sling uses synthetic mesh materials that a surgeon places midway along the urethra to provide the right amount of support for urethra.

Another option may be “urethral bulking agents,” during this procedure you physician will inject a solution similar to collagen inside of the urethra. This solution will decrease the size of the urethra and help to prevent urine for leaking during events that usually cause leakage (sneezing, coughing, laughing, physical activity). Success rates are as high as 70% and the procedure is suggested to last up to 12 months. This procedure is ideal for those who are not responding to physical therapy but wish to avoid surgical treatment. The surgery is anesthesia free and can be performed in the clinic in about 5 minutes.

It has been reported that most of the sling procedures have the highest success rate among urinary incontinence treatments. Most women with bladder problems who undergo one of the sling procedures do not have any further leakage after healing from the surgery.

Urinary incontinence, while very common among the adult population, does not have to rule one’s life. Incontinence sufferers can live a life free of the fear and anxiety that accompanies uncontrolled and unwanted urinary leakage. If you are suffering from bladder problems that are leading to incontinence, no matter the severity, discuss the symptoms with your urologist and choose the right treatment for your situation.

Sources: Dr. Mark Allen, Urologist in Plano, Texas participated in this article.

Share
Filed Under: Urology News Tagged With: , , , , , , , , , , , , , , , , , , ,