Houston Metro Urology

Wednesday, August 31, 2016

The Prostate Biopsy Explained

 Like many men with a slightly elevated PSA, there’s a good chance you’ve been on greater scrutiny for sometime now. Hopefully your PSA score doesn’t increase, but if it does, your urologist will most likely recommend a prostate biopsy to find out why there was an increase.

What is the goal of a prostate biopsy?

A prostate biopsy provides a wealth of information to the urologist, such as, was it an infection, a large prostate or cancer that was responsible for the PSA increase. Discovering the reason will determine the treatment. If cancer is present, the biopsy tissue sample will tell the urologist as to the presence of cancer and how aggressive it might be. This information will be used to determine the best treatment options.



What you will experience during a transrectal biopsy.

A nurse will ask you to lie on your left side with your knees angled up toward your chest (this is called the fetal position). After your’re in a comfortable fetal position, the ultrasound probe, about the diameter of a finger, will be inserted approximately three to four inches into the rectum.  The urologist will use a small needle to inject lidocaine (numbing medicine) on either side of the prostate. Once the numbing medicine takes effect, the urologist will begin taking approximately ten to twelve biopsies using a special biopsy needle at predetermined sites and abnormal areas of the prostate. The ultrasound probe enables the urologist to safely target each site.

The biopsy samples will then be analyzed by a urologic pathologists for any signs of cancer.
Most patients say they experience very little discomfort.  Others say it feels a little like a pin prick.



What to expect after the biopsy procedure

After the procedure,  take it easy for 1-2 days. 

You may experience one or some of the following conditions for the next couple of days.
  •     A small amount of blood in your stool and urine
  • ·   Red or rust colored semen (this can actually last a few weeks)
  • ·   A general soreness and some minor bleeding from the rectum


Inform your physician immediately if you have:

  • ·         A fever
  • ·         Worsening pain
  • ·         Heavy bleeding
  • ·         Trouble urinating 

Tuesday, August 16, 2016

Rezum Therapy for Prostate BPH available at Houston Metro Urology

Now Available at Houston Metro Urology

Houston Metro Urology is the first in Houston to offer the Rezūm® System, an innovative, minimally invasive treatment option for men with benign prostatic hyperplasia (BPH).
Designed to be performed in a clinical setting, Rezūm is an FDA-approved treatment that uses the stored thermal energy in water vapor (steam) to treat the extra prostate tissue that is causing symptoms such as frequency, urgency, irregular flow, weak stream, straining and getting up at night to urinate. BPH is a localized, enlargement of the prostate gland in aging adult men. Nearly 12 million U.S. men suffer from BPH-related symptoms that may require therapy, yet more than half choose not to do anything to address their BPH symptoms. Their reasons include not wanting to start new prescriptions, hesitations around the potential side effects of drugs, and concerns about the potential side effects or complications of current minimally invasive BPH treatments or surgical procedures. 
“We are looking at a minimally invasive procedure that is done as an out-patient. It does not involove any hospitalization, it does not involve bleeding, and patients can go back to their normal activity within a very short period of time. So far we have experience with this technology for the last several months and everyone of the patients that I have operated on has had very good results.”

Dr. Zvi J Schiffman, M.D

Houston Metro Urology

Rezūm is administered on an out-patient basis and can be performed under oral sedation or local

anesthesia. Initial studies have shown that the Rezūm treatment allows men to retain sexual function

unlike many other existing BPH treatments.

“It was terrible, I was getting up 5 to 6 times a night to use the restroom. My health, my blood pressure was going up because I wasn’t getting any sleep. I was irritable and tired. Dr. Schiffman showed me the prostate and what the Rezum procedure entailed. He mentioned that it was done with water vapor, and I thought “Water vapor? How can you go wrong?”

John Luna
Rezum Patient 

Highlights of the therapy include:

  • Performed in-office and patients can return home immediately
  • Does not require general anesthesia 
  • Relieves symptoms safely and effectively
  • Is an alternate to BPH medications
  • Provides noticeable symptom improvement within two weeks
  • Preserves erectile and urinary functions
  • Allows patients to return to regular activities within a few days
  • Is considered medically necessary by Medicare and is covered by most private insurance