Better Man Clinics Podcast

In this episode we discuss Optilume, a novel treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate (BPH).  In previous episodes, we have covered a variety of other BPH treatments ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP and robotic simple prostatectomy.  So how does Optilume fit into this spectrum of BPH treatments?  Does it really stand out from existing treatments or is it just another procedure to add to the list of options in treating BPH? How is the procedure performed?  What are the risks and benefits?  What is the recovery like? And, of course, how effective is it?  To help us answer these questions, we are joined by a true expert.

Dr Dean Elterman is associate professor of urology at the University of Toronro. Dr. Elterman completed his medical degree followed by residency in urologic surgery at the University of Toronto. He became a fellow of the Royal College of Physicians and Surgeons of Canada in 2011. Dr. Elterman completed a two-year fellowship in Voiding Dysfunction, Neuro-Urology, Female Urology and Pelvic Reconstruction at Memorial Sloan-Kettering Cancer Center and New York Presbyterian Hospital/Weill Cornell Medical College in New York City. Dr. Elterman is a member of several professional societies including the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, the Society of Genitourinary Reconstructive Surgeons, the International Neuromodulation Society, and the International Society of Men’s Health.

#optilume #BPH #prostate #podcast #clinic #treatment #urinarysystem

In this episode, we discuss Aquablation, a new treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate(BPH). In previous episodes, we have covered a variety of other BPH treatments ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP and robotic simple prostatectomy. So how does Aquablation fit into this spectrum of BPH treatments? How is the procedure performed? What are the risks and benefits? What is the recovery like? And, of course, how effective is it? To help us answer these questions, we are joined by a true expert. Dr. Joel Hillelsohn is a Clinical Assistant Professor in the Department of Urology at the Grossman School of Medicine at New York University.  Dr.  Hillelsohn earned his medical degree from the Albert Einstein College of Medicine and then completed his residency training in Urology at the Westchester Medical Center and a fellowship in sexual medicine and reconstructive Urology at Mount Sinai Hospital.  

In this episode we discuss penile injections for erectile dysfunction,  For most guys, treating erectile dysfunction means taking a pill.  But what do they do if the pills do not work or if they are not able to take the pills because of certain medical conditions or other medications they are taking? For many such guys, a reasonable next step has been to try penile injections.  But how do these injections work?  What exactly is involved with administering them?  Do they hurt? What kind of risks and side effects are involved?  And, of course, do they actually work? 
To answer these questions and many more, we turned to a true expert.    Dr. Arthur Burnett is a professor of urology at the Johns Hopkins School of Medicine. Dr. Burnett is the director of the Male Consultation Clinic at Johns Hopkins Hospital, a clinician-scientist at the James Buchanan Brady Urological Institute, and director of the Basic Science Laboratory in Neurourology at the Johns Hopkins School of Medicine.  Dr. Burnett received his undergraduate degree in biology from Princeton University and his medical degree at the Johns Hopkins University School of Medicine. He completed his internship and residency in surgery, and subsequently residency and fellowship in urology at The Johns Hopkins Hospital. Upon completion of his urology residency, he received an American Foundation of Urologic Disease New Investigator Award to continue research work into the regulatory mechanisms of penile erection. He has maintained an active laboratory in neurourology since that time.
Dr. Burnett is recognized for being a world-authority in the science and medicine of erectile dysfunction. He contributed original discoveries of the nitric oxide biochemical mechanisms in erectile tissue, which paved the way for the clinical development of oral medications to treat erectile dysfunction such as Viagra.  Dr. Burnett has written more than 150 original peer-reviewed articles, along with numerous additional articles, editorials, and book chapters, relating to his biomedical research and clinical activities. He is also the author of a brand new book entitled The Manhood Rx: Every Man’s Guide to Improving Sexual Health and Overall Wellness. 

#erectiledysfunction #sex #erectiledysfunctiontreatment #penileinjections #penis #injections #alprostadil #trimix #bimix

In this episode we discuss focal therapy for the treatment of prostate cancer.  Historically, men diagnosed with localized prostate cancer have had to choose between two treatment options: surgery and radiation therapy.  Both options involve treating the entire prostate gland, regardless of the size, location, or number of cancerous tumors.  Recently, however, more localized treatment options have become available for prostate cancer that involve focally treating only the tumors, rather than the entire prostate gland.  So, what are these focal therapies?  How do they work?  What risks are involved? What advantages do they have over traditional therapies?  And, probably most importantly, how successful are they at actually curing prostate cancer?  To answer these questions and many more, we turned to a true expert. Dr. Arvin George is an Associate Professor of Urology at the University of Michigan.  After obtaining his medical degree from the Royal College of Surgeons in Ireland, he completed his Urology Residency at the Smith Institute for Urology at the Hofstra North Shore-LIJ School of Medicine.  He remained to complete his Endourology fellowship in New York gaining additional subspecialty expertise in robotic, laparoscopic, and percutaneous surgery.  Subsequently, he completed a Urologic Oncology fellowship at the National Cancer Institute, National Institutes of Health.  Dr. George’s research interests include minimally invasive and image-guided treatments, functional prostate imaging and focal therapy for prostate cancer. He is an active member of the American Urological Association, Society of Urologic Oncology, the Endourological Society, and the American College of Surgeons.

#prostate #prostatecancertreatment #prostatecancer #focaltherapy

In this episode we discuss delayed or absent orgasm. Most guys are familiar with premature ejaculation, a condition in which men achieve an orgasm and ejaculate too soon.  But what about guys who take too long to achieve an orgasm or cannot achieve one at all?   How long is too long when it comes to reaching an orgasm? What causes delayed or absent orgasms?  What are the treatment options and how well do they work? To answer these questions and many more, we turned to a true expert.  Alexander W. Pastuszak, MD, PhD, is Assistant Professor of Surgery - Urology in the Department of Surgery at The University of Utah School of Medicine in Salt Lake City, Utah. Dr. Pastuszak earned his undergraduate degree at Yale University and completed his MD and PhD at the University of California, San Francisco. He completed his urology residency at Baylor College of Medicine and a fellowship in male reproductive medicine at Baylor College of Medicine.  Dr. Pastuszak has authored over 80 peer-reviewed articles and numerous book chapters on men’s reproductive and sexual health, and he is editor of the textbook entitled Management of Sexual Dysfunction in Men and Women: An Interdisciplinary Approach. He has also been the Section Editor for the journals Sexual Medicine and Current Sexual Health Reports, and is Associate Editor of Sexual Medicine Reviews, the Journal of Sexual Medicine, and Fertility and Sterility. 

#orgasm #sexualdysfunction #anorgasmia

In this episode we discuss Peyronies disease, a condition faced by about 10% of men.  Peyronies disease can cause pain, erectile dysfunction and, for some men, a complete inability to have sex.  But what exactly is Peyronies disease and what causes the condition?  How do you know if you have it? Does Peyronies disease always require treatment?  What are the treatment options and how well do they work? To answer these questions and many more, we turned to a true expert.  Dr. Darshan Patel is an assistant professor of Urology at the University of California San Diego School of Medicine. He completed his medical training at the Drexel University College of Medicine in Philadelphia, Pennsylvania and then completed a residency in urologic surgery, a clinical research fellowship in Reconstructive Urology, and a fellowship in Men’s Health, Andrology, and Microsurgery at the University of Utah. Dr. Patel has authored over 100 publications and textbook chapters. His research has appeared in journals such as Fertility and Sterility, Journal of Assisted Reproduction and Genetics, Urology, Journal of Urology, World Journal of Urology, and the British Journal of Urology.

#peyronies #peyroniesdisease #erectiledysfunction #sex

In this episode we discuss varicoceles, a condition found in 15% of men that can cause both pain and infertility.  In fact, varicoceles are found in 35% of men with infertility.  But what exactly is a varicocele and what causes the condition?  How do you know if you have a varicocele? Do all varicoceles need treatment?  How are they treated and what are the outcomes?  To answer these questions and many more, we turned to a true expert.  Dr. Mary Samplaski is an associate professor of Urology and Director of Male Infertility, Andrology and Microsurgery at the University of Southern California. She earned her medical degree at the George Washington University and went on to complete her residency training in Urology at the Cleveland Clinic. She then did a 2-year fellowship at the University of Toronto. Dr. Samplaski is routinely invited to speak as an expert at both domestic and international conferences. She has received numerous awards and accolades for her academic accomplishments, including the prestigious Bruce Hubbard Stewart Award for Humanistic Medicine. She is a reviewer for over 10 major urologic journals.  And now, without further ado, I bring you our conversation with Dr. Mary Samplaski about varicoceles.

#varicocele #infertility #varicoceletreatment

In this episode we discuss kidney stones, a very painful condition that affects 1 out of 11 people at some point in their lives. But what causes kidney stones? Can we do anything to prevent getting them? How do we know if we have them?  And when we do get them, what do we do? To answer these questions and many more we turned to a true expert.  Dr. Margaret Knoedler is an assistant professor at the University of Wisconsin School of Medicine and Public Health. She received her medical degree at Tulane University School of Medicine and subsequently completed her urologic residency training at University of Wisconsin. She then went on to obtain an endourology fellowship at the University of Wisconsin under the guidance of Dr. Stephen Nakada. Her clinical interests include complex stone disease, benign prostatic hyperplasia with specialized training in holmium laser enucleation of the prostate (HoLEP), and robotic surgery.  

#kidneystone #ureteroscopy #colicpain

In this episode we discuss headaches, a problem that most if not all of us have had at some point in our lives.  For most people, a headache is a minor inconvenience relieved with an over the counter medication.  But what happens when the headache does not go away or keeps recurring? What do we do then?  What can we do to avoid headaches?  What home remedies and alternative therapies may be worth trying?  And when is it time to see a doctor and what are the long term treatment options.  To answer these questions and many more, we turned to a true expert.  Dr Teshamae Monteith is an Associate Professor of Clinical Neurology at the University of Miami, Miller School of Medicine. She is the Chief of the Headache Division and the program director for the United Council of Neurologic Subspecialties (UCNS) Headache Medicine fellowship program. Dr. Monteith received her medical degree at the University of Miami, Miller School of Medicine. She completed her Neurology residency training at New York University, and then pursued two fellowships in headache medicine at Thomas Jefferson University and University of California, San Francisco.  Dr Monteith currently serves on the editorial board for the American Migraine Foundation and the American Academy of Neurology’s Brain and Life Magazine. She is the Headache Topic Chair for the 2022 AAN Annual Meeting Scientific Program abstract review process. She is also a co-recipient of the American Academy of Neurology’s (AAN) Palatucci Advocacy Leadership Award and the American Headache Society’s Wolff award. She has lectured both nationally and internationally, authored numerous publications and has provided peer review for both national and international journals. Dr. Monteith has served on several advisory boards for migraine and cluster headache. She has hosted over 80 podcasts for the AAN Neurology Journal/Neurology, Neurology Minute and Continuum Audio for topics important for neurologists including brain health, migraine, cluster headache and secondary headache disorders. And now, without further ado, I bring your our conversation with Dr Teshamae Monteith about the management of headaches.

#headache #migraine #clusterheadache

In this episode we discuss Greenlight, a laser treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate(BPH).  In previous episodes we have covered a variety of other BPH treatment ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP and robotic simple prostatectomy.  So how does Greenlight fit in to this spectrum of BPH treatments?  How is the procedure performed?  What are the risks and benefits?  What is the recovery like? And, of course, how effective is it?  To help us answer these questions, we are joined by a true expert.  Dr. Bilal Chughtai is an Associate Professor of Urology at Cornell. He is also an Associate Attending Urologist at NewYork-Presbyterian Hospital. Dr. Chughtai specializes in Voiding Dysfunction, Female Urology, and Neurourology.  Dr. Chughtai earned his medical degree at State University of New York at Stony Brook.  He then completed his Residency in General Surgery and Urology at Albany Medical Center, followed by a Fellowship in Female Urology, Neurourology, and Voiding Dysfunction at Weill Cornell Medical Center and Memorial Sloan Kettering Cancer Center.  Dr. Chughtai is also an active researcher. He has served as primary & co-investigator in numerous studies. He has published over 160 peer-reviewed articles, authored chapters and books, and has presented at numerous prestigious national meetings.

#prostate #bph #greenlight