Prostate & Urinary Issues

The Y Factor specializes in the diagnosis and treatment of all prostate and urinary issues. Our medical providers will perform a comprehensive assessment to determine the underlying cause of the issue, ensuring the best course of treatment.

Prostate Issues >
Urinary Issues >

PROSTATE ISSUES

Enlarged prostates are common in men over 40. Prostate enlargement occurs with natural aging and occurs with excess muscle-like tissue that grows within the prostate. As the prostate grows, it can press on the urethra and bladder causing urinary obstruction symptoms and increased risk of infection.

How The Y Factor Can Help

The Y Factor performs a complete comprehensive assessment on each patient to determine the best course of treatment for their condition. The assessment may include an exam, ultrasound imaging, scope examination of the bladder and laboratory work. Our goal is to take a comprehensive approach to identify the cause of the condition and to develop the best treatment.

Treatment Options

MEDICATION

Medication options can reduce the signs and symptoms incurred due to an enlarged prostate.

IN-OFFICE MEDICAL PROCEDURE

The Rezume procedure is an innovative technique performed under local anesthesia, using steam and water vapor. This procedure reduces the size of the prostate, potentially eliminating the need for medications.

SURGICAL LASER PROCEDURE

This procedure is performed under light general anesthesia and reduces the size of the prostate, potentially reducing the need for medication. Treatment options will depend on the patient and the severity of the condition.

Symptoms of an Enlarged Prostate

  • Incontinence.

  • Inability to urinate.

  • Incomplete bladder emptying.

  • Dribbling after urination.

  • Delayed start in urination.

  • Straining during urination.

  • Weak or interrupted stream.

  • Bloody urine.

  • A sudden and overwhelming urge to urinate.

  • Need to urinate two or more times at night.

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Prostate Cancer Screening

Screenings for prostate cancer are recommended for men over 50 years of age. A comprehensive medical prostate exam, together with a complete patient medical history, are integral parts of this screening.

Diagnostic testing through a simple blood test, called the Prostate-Specific Antigen test (PSA), identifies patients that are at risk for prostate cancer. The Y Factor provides the specialized diagnostic testing necessary to determine the cause of an elevated PSA level such as a prostate biopsy.

A prostate biopsy is performed as a 15 minute in-office procedure at the Memorial Y Factor location under local anesthesia. The Urologists at The Y Factor will recommend the appropriate treatment plan for all patients that have positive biopsies. Patients with no cancer detected are closely monitored using a variety of supplemental specialized diagnostic laboratory testing and a schedule of follow-up care.

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Prostate Issues | Frequently Asked Questions

PROSTATE ENLARGEMENT FAQS:

Prostate enlargement occurs with natural aging and occurs when excess muscle-like tissue grows within the prostate.

Yes, 70% of men will demonstrate prostate enlargement in their later years.

Yes, prostate enlargement causes obstructive urination symptoms like urine frequency, poor flow, and dribbling.

Yes, we have several very effective forms of treatment for prostate enlargement. These treatments include medications, a procedure in the office involving water vapor, or a surgical procedure in the operating room under general anesthesia.

Yes, for small-to-medium size prostate.

You will need a procedure if the medication is not successful and symptoms persist. You also should have the procedure if you have recurrent infections, or blood in the urine. You may also elect to have the procedures in order to stop your medications. Many medications cause sexual side effects.

No, prostate cancer develops in men regardless of prostate enlargement.

Call us and come to our office and you will receive a thorough physical examination and bloodwork. We will then help pick the treatment that is best for you.

PROSTATE INFLAMMATION FAQS:

The symptoms are urination frequency, irritation and pain with urination, or deep seeded pelvic pain.

You might have prostate inflammation from a previous infection or trauma.

Medications to reduce inflammation and pain relief.

No, prostate inflammation is not acquired through the diet.

PROSTATE INFECTION FAQS:

A prostate infection comes from bacteria that enter through the urethra.

Often this is bacteria that lives in and around the rectum but also can be bacteria that is acquired through sexual activity.

You will know which bacteria after we perform cultures on fluid from your body. A culture is where we try to identify which organisms could have entered your urethra.

We treat prostate infections with antibiotics that specifically kill bacteria in the prostate.

Symptoms can take four-to-six weeks to completely resolve after complete treatment of a prostate infection.

PROSTATE CANCER FAQS:

All men should have a prostate screen after age 50 and earlier if they have a family history of cancer. If they have a family history of prostate cancer, they should be screened at age 40.

Initial screening for prostate cancer includes a prostate examination and bloodwork.

You will experience some pressure around the rectum for 30 seconds.

We initially order the prostate specific antigen test (PSA) combined with more advanced blood test to detect prostate tumor markers.

You can be reassured that your risk for cancer is low. The medical provider will develop a follow-up schedule for screenings and early detection.

We will then further investigate to determine if you might have a high enough risk justifying a prostate biopsy.

The prostate biopsy is performed under local anesthesia and lasts approximately 2-3 minutes. Most men will describe some prostate pressure and discomfort during the biopsy.

The major risk associated with a prostate biopsy is a prostate infection. This occurs in 5% of prostate biopsies.

We will obtain significant information about the health of the tissue within your prostate.

The medical providers will discuss the next step, which may include no treatment but close surveillance or treatment of the prostate.

No, there is no medical evidence that a prostate biopsy causes the cancer to spread.

You will develop a discolored bloody ejaculation for three-to-four weeks after your biopsy. Urination and sexual function are otherwise unaffected.

URINARY ISSUES

The Y Factor specializes in diagnosis and treatment of all urinary issues common to men of all ages. These include urinary tract infections, urinary obstructions, prostate infections, urethral scar tissue, and overactive bladder.

How The Y Factor Can Help

The Y Factor evaluates all potential causes for each patient’s condition. The medical providers will go over your medical history, perform a comprehensive physical exam and utilize diagnostic tools such as ultrasound technology, laboratory work, and urethral cystoscopy to determine the cause of the condition.

Treatment Options

MEDICATION

Various medications can be utilized to alleviate and treat the symptoms.

IN-OFFICE MEDICAL PROCEDURE

Urethral dilation is performed in the office to alleviate symptoms caused from strictures or obstructions. These strictures cause abnormal narrowing of the urethra, inhibiting urine flow. The urethral dilation procedure gently stretched the urethra with a tube. This procedure is performed in the office with oral pain medication and under nitrous oxide.

Symptoms of Urinary Issues

  • Urinary frequency.

  • Incontinence.

  • Urinary leakage.

  • Decreased force of stream.

  • Pain with urination.

  • Hematuria (blood in the urine).

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Urinary Issues | Frequently Asked Questions

Abnormalities with the bladder, abnormalities with the prostate, and excess of urine production all cause urinary frequency.

We have some very effective medications and surgical procedures to treat prostate problems causing urinary frequency.

A bladder that struggles to empty completely due to outflow obstruction and an overactive bladder both cause urinary frequency.

Outflow obstruction can be caused by an enlarged prostate and urethral tube narrowing from scar tissue.

It is the tube from the bladder to the outside of the body.

Over active bladder is caused by bladder wall irritation or nerve dysfunction.

Yes, we have very effective medications to treat both over active bladder and outflow obstructions.

Enlargement of the prostate, inflammation of the prostate, infection of the prostate.

Yes, a complete family history, examination of the prostate, laboratory cultures, and scope examination are all key components of this process to determine which condition might exist.

Excessive urinary production comes from inabilities of the kidneys to retain fluid during filtration.

Diabetes, medications, and hormone abnormalities can cause excess production of urine.

The first thing we will perform is a 24-hour urine collection and blood work to assess the filtration health of your kidneys. Those results will determine whether you will get your treatment through our urologic wellness center or whether you need to see a nephrologist, a kidney filtration expert.

Various surgical procedures are employed to help reduce your urinary frequency. These procedures are aimed at treating urethral obstruction and prostate enlargement.

Do I have a cut on my body? No incision on your body is needed. All of these procedures are performed with a scope through your urethra.

Yes, we have surgical procedures that can be performed in the office using water vapor mist and some surgical procedures that require an operating room. The key to selecting the best procedure for you is to understand the size and problem with your prostate.

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