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Z Urology: Delivering Unparalleled Urological Care in South Florida

Z Urology: Delivering Unparalleled Urological Care in South Florida

When it comes to urological health, finding a trusted and reliable healthcare facility is of utmost importance. Z Urology, founded in 2005 by the esteemed Dr. Michael P. Zahalsky, has established itself as a leading institution in the field, providing exceptional care to patients in South Florida. With its state-of-the-art equipment, team of highly skilled doctors, and a commitment to patient well-being, Z Urology offers a comprehensive range of services, from complicated procedures to minimally invasive treatments. One of the key factors that set Z Urology apart from other medical facilities is its dedication to ensuring the utmost care for its patients. The clinic’s team of doctors consists of experts in various urological sub-specialties, including prostate health, kidney stones, urinary incontinence, erectile dysfunction, and male infertility. These experienced professionals understand the unique needs of each patient and work diligently to provide tailored treatment plans that address their specific conditions. Z Urology is equipped with state-of-the-art technology and cutting-edge equipment, enabling its doctors to deliver the highest standard of care. This commitment to innovation allows for precise diagnoses and effective treatments. By staying at the forefront of medical advancements, Z Urology ensures that patients receive the most advanced and efficient solutions for their urological concerns. One of the hallmarks of Z Urology is its expertise in performing complex procedures. Whether it’s treating advanced prostate cancer or reconstructive surgery for urinary tract abnormalities, the skilled surgeons at Z Urology are well-versed in handling intricate cases. Their experience and advanced techniques contribute to successful outcomes and improved quality of life for patients facing challenging urological conditions.

However, Z Urology also recognizes the benefits of minimally invasive procedures, which offer numerous advantages over traditional open surgeries. These techniques, including laparoscopy and robotic-assisted surgery, involve smaller incisions, reduced pain, faster recovery times, and minimal scarring. By employing these innovative approaches whenever possible, Z Urology minimizes patient discomfort while ensuring optimal results. What truly sets Z Urology apart is its commitment to patient-centered care. The clinic takes a conservative approach, prioritizing non-invasive or minimally invasive treatments whenever appropriate. By emphasizing conservative management options, such as medication or lifestyle modifications, Z Urology aims to minimize unnecessary interventions while still achieving favorable outcomes for patients. This patient-centric approach ensures that individuals receive the most suitable and personalized care for their specific needs.


Rezum is a minimally invasive treatment option for benign prostatic hyperplasia (BPH), also known as an enlarged prostate. It utilizes a technique called water vapor thermal therapy to target and reduce excess prostate tissue, alleviating the urinary symptoms associated with BPH. Developed by NxThera, Rezum has gained popularity as a safe and effective alternative to traditional surgical interventions.

The Rezum procedure involves the following steps:

Evaluation: Before undergoing Rezum, a patient’s suitability for the procedure is determined through a comprehensive evaluation. This assessment typically includes a medical history review, physical examination, and diagnostic tests such as a prostate-specific antigen (PSA) blood test, urine flow studies, and ultrasound imaging.

Anesthesia: Rezum is performed under local or general anesthesia, depending on the patient’s preference and the recommendation of the healthcare provider.

Water Vapor Delivery: The Rezum system utilizes radiofrequency energy to heat sterile water, transforming it into vapor. The vapor is then delivered directly into the excess prostate tissue through a small, specialized device called a delivery catheter. The catheter is inserted into the urethra, the tube that carries urine from the bladder.

Thermal Ablation: As the water vapor contacts the prostate tissue, it releases thermal energy, causing the targeted cells to be rapidly heated and subsequently destroyed. This process is known as thermal ablation. The controlled release of heat allows for the precise treatment of specific areas of the prostate while minimizing damage to surrounding healthy tissue.

Absorption and Natural Resolution: Over time, the ablated prostate tissue is reabsorbed by the body’s natural healing processes. As the excess tissue shrinks, it relieves the pressure on the urethra, improving urinary flow and reducing BPH-related symptoms.

Rezum offers several benefits compared to traditional surgical interventions for BPH:

Minimally Invasive: Rezum is a minimally invasive procedure that can be performed on an outpatient basis, reducing the need for an overnight hospital stay. It typically requires only local or general anesthesia, minimizing the risks associated with more invasive surgeries.

Effective Symptom Relief: Rezum has been clinically proven to provide significant and durable symptom relief for BPH. Studies have shown improvements in urinary flow rates, reduction in bothersome urinary symptoms, and improved quality of life for patients.

Preservation of Sexual Function: Unlike some surgical interventions for BPH, Rezum has demonstrated a lower risk of sexual side effects such as erectile dysfunction and retrograde ejaculation. This preservation of sexual function is an important consideration for many patients.

Rapid Recovery: The minimally invasive nature of the Rezum procedure typically results in a faster recovery time compared to traditional surgery. Most patients experience a relatively quick return to normal activities with minimal downtime.

Long-Term Results: Clinical studies have indicated that the benefits of Rezum are sustained over the long term. Patients have reported continued symptom improvement and durable relief from urinary symptoms for up to five years following the procedure.

It is important to note that while Rezum is a highly effective treatment option for many patients, it may not be suitable for everyone. The decision to undergo Rezum or any other medical procedure should be made in consultation with a qualified healthcare provider who can evaluate an individual’s specific condition, medical history, and treatment goals. Overall, Rezum offers a promising alternative to more invasive surgical interventions for BPH. Its minimally invasive nature, effective symptom relief, preservation of sexual function, and long-term results make it an appealing choice for patients seeking relief from the bothersome urinary symptoms associated with an enlarged prostate.

Z Urology Knows When To Apply Aggressive Procedures And The Best Outcome For Their Patients

On the other hand, Z Urology understands that there are situations where a more aggressive approach is necessary to achieve the best results. In such cases, the clinic’s dedicated team is prepared to take swift and decisive action, leveraging their expertise and advanced technology to provide the highest level of care. Whether it’s tackling a complex urological condition or addressing an urgent medical concern, Z Urology is committed to delivering the best possible outcomes for its patients. Prostate cancer is a prevalent urological condition that affects many men worldwide. Understanding its symptoms and the importance of early detection is crucial for patients and their healthcare providers. Z Urology, a leading medical institution in South Florida, emphasizes the significance of proactive screening and offers a range of treatment options to address prostate cancer at various stages. In its early stages, prostate cancer often does not exhibit any noticeable symptoms. This makes routine screening all the more vital in identifying the disease before it progresses. However, as cancer advances, some common symptoms may manifest, including frequent urination, difficulty initiating or stopping urine flow, blood in the urine or semen, pain or discomfort in the pelvic area, and erectile dysfunction. It is important to note that these symptoms can also be associated with other non-cancerous conditions, such as benign prostatic hyperplasia (BPH). Therefore, it is essential to consult with a healthcare professional for an accurate diagnosis. Early detection of prostate cancer plays a significant role in improving treatment outcomes and enhancing overall survival rates. Z Urology recognizes the importance of regular screenings and encourages men, particularly those with risk factors such as age and family history, to undergo prostate-specific antigen (PSA) testing and digital rectal examinations (DREs). These screening methods help identify abnormal changes in the prostate gland, allowing for early intervention if necessary. If prostate cancer is detected at an early stage, Z Urology offers a range of treatment options that aim to eradicate cancer while preserving the quality of life. Depending on the individual’s specific case and overall health, treatment plans may include active surveillance, surgery, radiation therapy, or a combination of these approaches.

Active surveillance, also known as watchful waiting, is often recommended for patients with low-risk prostate cancer. This approach involves regular monitoring of the cancer through PSA testing, DREs, and periodic biopsies. If the cancer shows signs of progression, treatment may be initiated. Active surveillance allows patients to avoid immediate intervention and potential side effects of treatment while ensuring that the cancer is closely monitored. For patients with localized or more aggressive prostate cancer, surgical intervention may be necessary. Z Urology specializes in various surgical techniques, including radical prostatectomy, a procedure that involves removing the entire prostate gland. With advancements in technology and surgical expertise, Z Urology can perform these procedures using minimally invasive techniques, such as laparoscopy or robotic-assisted surgery. These approaches offer numerous benefits, including smaller incisions, reduced pain, shorter hospital stays, and faster recovery times.

In cases where surgery may not be the most suitable option, radiation therapy can be an effective treatment modality. Z Urology provides access to advanced radiation therapies, including external beam radiation therapy (EBRT) and brachytherapy. EBRT uses high-energy X-rays to target and destroy cancer cells, while brachytherapy involves the placement of radioactive seeds directly into the prostate. These treatments can be administered alone or in combination with surgery, depending on the patient’s unique circumstances. For patients with more advanced or metastatic prostate cancer, Z Urology offers systemic therapies, such as hormone therapy and chemotherapy. Hormone therapy aims to block or reduce the production of testosterone, which fuels the growth of prostate cancer cells. Chemotherapy, on the other hand, uses powerful drugs to target and destroy cancer cells throughout the body. These treatment options can help control the progression of the disease, alleviate symptoms, and improve overall quality of life.

Regaining Quality of Life: Z Urology’s Diagnostic Tools and Procedures for Patients in South Florida

Facing urological health issues can significantly impact one’s quality of life. From the frustration of urinary symptoms to the emotional toll of infertility or cancer, these conditions can have far-reaching effects. Z Urology, a reputable medical institution serving South Florida, understands the importance of accurate diagnostics and effective procedures in helping patients reclaim their lives. Just like a professional graphic designer or web designer, you have to have the right tools. With a comprehensive range of diagnostic tools and innovative treatment options, Z Urology is dedicated to providing exceptional care and guiding patients on the path to recovery. Accurate and timely diagnostics are essential for understanding the underlying causes of urological conditions. Z Urology employs state-of-the-art diagnostic tools and techniques to ensure accurate assessments, leading to targeted and personalized treatment plans. Some of the key diagnostic procedures offered by Z Urology include:

Prostate-Specific Antigen (PSA) Testing: PSA testing measures the levels of a protein called prostate-specific antigen in the blood. Elevated PSA levels can indicate the presence of prostate cancer or other prostate conditions, guiding further evaluation and treatment decisions.

Digital Rectal Examination (DRE): During a DRE, a healthcare provider manually examines the prostate gland by inserting a gloved, lubricated finger into the rectum. This examination helps detect abnormalities such as enlarged prostate or suspicious nodules that may require further investigation.

Transrectal Ultrasound (TRUS): TRUS involves the use of ultrasound technology to create detailed images of the prostate gland. It aids in the evaluation of prostate size, structure, and the presence of any abnormalities, such as tumors or cysts.

Urodynamic Testing: Urodynamic testing assesses how the bladder and urethra are functioning. This evaluation helps diagnose urinary incontinence, urinary urgency, and other bladder-related issues. It involves measuring bladder pressure, urine flow rates, and other parameters during various bladder activities.

Imaging Studies: Z Urology offers advanced imaging techniques such as magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound scans. These imaging studies provide detailed visuals of the urinary tract, kidneys, prostate, and other relevant structures, aiding in the diagnosis and treatment planning for conditions such as kidney stones, urinary tract infections, and urological cancers. Once an accurate diagnosis is obtained, Z Urology provides a wide range of innovative procedures and treatments to help patients regain their quality of life. Some of the notable procedures and treatments offered include:

Minimally Invasive Surgeries: Z Urology specializes in minimally invasive surgical techniques that offer numerous benefits over traditional open surgeries. Procedures such as laparoscopy and robotic-assisted surgery involve smaller incisions, reduced blood loss, faster recovery times, and minimal scarring. These techniques are employed for various urological conditions, including prostate cancer, kidney disorders, and urinary tract abnormalities.

Rezum: As mentioned earlier, Rezum is a minimally invasive procedure for treating benign prostatic hyperplasia (BPH) or an enlarged prostate. It utilizes water vapor thermal therapy to target and reduce excess prostate tissue, providing relief from urinary symptoms while preserving sexual function.

Shockwave Lithotripsy: For patients with kidney stones, Z Urology offers extracorporeal shockwave lithotripsy (ESWL). This non-invasive procedure uses high-energy shockwaves to break down kidney stones into smaller fragments, facilitating their natural passage through the urinary system.

Prostate Cancer Treatments: Z Urology’s expert team offers a comprehensive range of treatment options for prostate cancer, including active surveillance and surgery, such as radical prostatectomy, radiation therapy, hormone therapy, and chemotherapy. These approaches are tailored to the individual patient’s condition and aim to provide the best possible outcomes while minimizing side effects.

Erectile Dysfunction Treatments: Z Urology understands the impact of erectile dysfunction on a patient’s well-being and offers various treatment options, including oral medications, penile injections, vacuum erection devices, and surgical implants. These interventions help restore sexual function and improve the overall quality of life for individuals experiencing erectile difficulties.

Z Urology Is South Florida’s Key To Unparalled Urology Care

It is worth noting that Z Urology’s commitment to patient care goes beyond diagnostics and procedures. The clinic’s compassionate and knowledgeable healthcare professionals prioritize open communication, patient education, and ongoing support. They ensure that patients are well-informed about their conditions, treatment options, and expected outcomes. This patient-centered approach fosters trust, confidence, and active participation in the healing process. Beyond its technical expertise, Z Urology prides itself on creating a welcoming and comfortable environment for patients. The clinic’s staff members are known for their compassion, professionalism, and dedication to providing exceptional care. From the moment patients walk through the doors, they are greeted with a warm smile and treated with the utmost respect and confidentiality. Z Urology understands the sensitivity of urological health issues and strives to make each patient’s experience as comfortable and stress-free as possible. For residents of South Florida, Z Urology is a trusted partner in the journey towards improved urological health. Through accurate diagnostics, advanced procedures, and comprehensive care, the clinic empowers patients to reclaim their lives and resume their daily activities with renewed vigor. Call Z Urology today and let them help you open the door to wellness.

Apparently COVID-19 Causes Erectile Dysfunction in Men

Apparently COVID-19 Causes Erectile Dysfunction in Men

Z Urology, like everyone else in the US, notices that every time we turn around there’s new insight about COVID-19. And in typical COVID-19 fashion, more information has been discovered. One study is now shedding light on the repercussions of the virus on men’s sexual and reproductive health.

The study has found that surviving COVID-19 may be associated with erectile dysfunction (ED). The research points to three factors that can lead to the potential onset of ED in men who have had the virus:

  • Vascular effects. Erectile function is a predictor of heart disease. We now know that the vascular system and the reproductive system are connected. We also know that COVID-19 can cause hyper inflammation throughout the body, especially in the heart and surrounding muscles. Blood supply to the penis can become blocked or narrowed as a result of a new or worsened vascular condition caused by the virus.
  • Psychological impact. Sexual activity is closely associated with mental health. The stress, anxiety and depression caused by the virus and pandemic can be linked to sexual dysfunction and poor mood.
  • Overall health deterioration. ED is typically a symptom of an underlying problem. Men with poor health are at greater risk for developing ED and also for having a severe reaction to COVID-19. Since the virus can cause a plethora of health issues, general poor health is cause for concern both for ED and other complications.

Another cause for concern is the potential testicular damage that can occur following infection with COVID. It’s too early to tell if the damage would be permanent, temporary or if it can affect fertility. Age is also an important aspect to consider, as it’s a risk factor for developing both ED and a severe case of COVID-19.

If you are in need of a urologist in South Florida due to ED from COVID, then contact Z Urology for a team that is dedicated to delivering world-class expertise in urology, along with an unwavering commitment to their patients. Our three locations to choose from are located in Fort Lauderdale, Coral Springs and Pompano Beach.

You can go to the website directly and set up an appointment or you can call 954-714-8200. Either way, you contact, you will be setting up to see the leading urologist office in all of South Florida. With an extremely talented and professional staff of doctors and more, you are in truly good hands with the doctors and nurses at Z Urology. Z Urology is your leader in urological care. Go ahead and call now!

Comparative Post-Operative Outcomes of Rezūm Prostate Ablations

Comparative Post-Operative Outcomes of Rezūm Prostate Ablations

Benign prostatic hyperplasia (BPH), which Z Urology proudly treats, has become increasingly common past the age of 40. And it reaches up to 80% prevalence at 80 years of age. In many males, BPH leads to enlargement of the prostate gland causing bothersome lower urinary tract symptoms (LUTS). The prevalence of LUTS secondary to BPH has been shown in over 40% of men over 60 years of age.

Initial management of LUTS typically focuses on behavioral and medical approaches, however, when these are unsuccessful, surgery becomes the gold standard. In the subset of patients with prostate glands >80cc, simple prostatectomy was historically considered the most efficient and durable option for treatment.

Now there is the Rezūm™ prostate ablation. It is a new technology that delivers thermal energy via water vapor. The water vapor is delivered in nine-second injection treatments, to a maximum of 15 treatments. As a result, the procedure is short and does not need to be performed under anesthesia.

However, current literature only supports the use of Rezūm™ in prostate glands up to 80g. Therefore we found it essential to describe our experience with this patient subset undergoing Rezūm™.

Of 182 patients who underwent Rezūm™, 47 out of 182 (25.8%) had glands >80cc, with 26 out of 47 (55.3%) of this subset reporting catheter-dependant urinary retention. The mean gland size amongst the large gland group was a notable 119cc.

Following Rezūm™, a clinically and statistically significant improvement was seen in large gland patient voiding parameters. In the catheter-dependant subset of men, the postoperative catheter-free rate of 83% in large glands was comparable to 88% in the small gland group. There was no significant difference in post-Rezūm™ complication rate based on prostate gland size.

Overall, it was found that Rezūm™ was effective in treating both objective and subjective components of BPH at short-term follow up even in men with large glands >80cc. Outcomes were comparable to those demonstrated in men with smaller gland sizes. Further studies are warranted to obtain long term follow up, and to perform a side-by-side comparison of minimally invasive BPH treatments in large glands.

If you are in need of a urologist in South Florida to aid in Rezum treatment, then contact Z Urology for a team that is dedicated to delivering world-class expertise in urology, along with an unwavering commitment to their patients. Our three locations to choose from are located in Fort Lauderdale, Coral Springs and Pompano Beach.

You can go to the website directly and set up an appointment or you can call 954-714-8200. Either way, you contact, you will be setting up to see the leading urologist office in all of South Florida. With an extremely talented and professional staff of doctors and more, you are in truly good hands with the doctors and nurses at Z Urology. Z Urology is your leader in urological care. Go ahead and call now!

Dr. Zahalsky Performs Rezum Procedures on Patients with Enlarged Prostates

Dr. Zahalsky Performs Rezum Procedures on Patients with Enlarged Prostates


Dr. Zahalsky is an expert at performing Rezum procedures on patients with an enlarged prostate. The enlarging of the prostate is referred to as benign prostatic hyperplasia (BPH). When the prostate becomes too large, then there are medical issues that will soon accompany it. The most common side effect of an enlarged prostate is the issues with urination. This includes frequent, rapid or emergency urination.

Many times, if a male patient is under the effects of BPH, then medicine is the first attempt at reducing the side effects. A lot of men see a reduction in pain and urinary issues following the medicine. However, if this treatment does not work, then doctors will attempt procedures such as a Rezum.


What is a Rezum Procedure?


A Rezum procedure entails the use of sterile water vapor that will be used to shrink the size of the prostate gland. This steam destroys the cells within the prostate that caused it to enlarge. The goal of the Rezum procedure is to have to the least invasive method while also having quick and minimal pain results. The full procedure will take about 10 or 15 minutes. There are options for having a slight amount of sedation for the procedure.

Dr. Zahalasky excels at performing Rezum. He has had extreme success with his patients in his procedures. Below is a link to one of the procedures on Youtube. It is quick and easy. The treatments of steam are portioned out into about 10 second intervals of steam.


Contact Z Urology for a Rezum Procedure with Dr. Zahalsky


Zahalsky is definitely one of the best doctors at the Z Urology office in South Florida. If you or someone you know requires the work of a Urologist, then contact Z Urology today. They have fellowship-trained medical professionals that will help you with all of your urological issues.



When does a Patient Require a Rezum Procedure?

When does a Patient Require a Rezum Procedure?


A Rezum procedure is a transurethral needle ablation procedure to treat benign prostatic hyperplasia (BPH) that can be performed in a clinic or out-patient setting. This procedure uses water vapor to treat the extra prostate tissue. This tissue is usually the cause of urinary dysfunction such as infrequency, urgency, weak stream, straining and getting up at night in order to urinate. This is a minimally invasive procedure that is able to be completed within minutes and even provide very low amounts of pain if any at all.


Assessing the Need for a Rezum Procedure


Most of the time, a Rezum procedure is going to be recommended if you have BPH. Benign Prostatic Hyperplasia is when the prostate gland becomes enlarged. This enlargement usually causes compression on the urethra which would therein cause the body to have difficulty urinating. Believe it or not, BPH affects more than 50% of men over the age of 50. So, it is not uncommon to experience symptoms.

Although many men receive BPH, not all of them receive a Rezum treatment. This procedure is used mainly when no other medicinal treatments are working or being accepted by the patient. Also, if the patient is not responding well to the surgical options outside of Rezum, but they do agree that something minimally invasive could prove useful. Most of the time, this treatment is used for prostate volumes of 30 – 90 grams.


Are the any Negative Side-Effects of a Rezum Treatment?


First of all, this minimally invasive procedure is used due to the fact that the patient has denied the other means of surgical and medicinal treatments. This procedure is done by inserting the tool through the urethra. Side effects may include painful urination, frequent urination, blood in urine, blood in semen or the inability to completely empty the bladder. Most of these symptoms can be managed with mild pain medication and warm baths.