by joshw | Dec 21, 2020 | Uncategorized
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!
by joshw | Dec 14, 2020 | Uncategorized
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!
by Santino D | Aug 24, 2020 | Uncategorized
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.
https://www.youtube.com/watch?v=JUzCXOs-Gsw
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.
by Santino D | Jul 28, 2020 | Uncategorized
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.
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