Monthly Archives: February 2022


TUNA After a TURP

Transurethral Needle Ablation or TUNA is a safe and effective in-office therapy to treat benign prostatic hyperplasia / BPH. Dr. Engel is one of the leading users of this technology across the entire United States. One of the great benefits of using TUNA is its versatility. A TUNA can be likened to a free swing – where downtime is minimal, and the procedure does not preclude the use of other treatment options after that. But what about the other way around? For example, can a TUNA be performed after a TURP or transurethral resection of the prostate?

Dr. Engel Joined “Great Day Washington” – Discusses Erectile Dysfunction (ED) 

Dr. Engel joined “Great Day Washington” on WUSA 9 to discuss erectile dysfunction (ED) and treatment options including inflatable penile prostheses. Dr. Engel told viewers about the distinction between ED caused by prostate cancer surgery and radiation, for which medication is relatively ineffective; and ED caused by other problems and/or aging. For patients recovering from prostate surgery or radiation, an inflatable penile prosthesis is often an excellent option, allowing them to have natural, relatively spontaneous erections using a device that is completely hidden within the anatomy. 

Cystoscopy – A Patient’s Perspective

A cystoscopy is an important test, used by your urologist, to examine the inside of the bladder.  It’s an outpatient procedure, which means you may be at your doctor’s office, a hospital, or clinic and go home the same day. This procedure lets your doctor check the complete length of your urethra and the bladder for cancerous or pre-cancerous polyps, narrow areas called strictures, abnormal growths, and other problems. Your urologist will insert a thin, lighted instrument called a cystoscope into the bladder through the urethra.The procedure generally takes about 15 to 20 minutes.

Do Kidney Stones Increase the Risk of Kidney Cancer?

The kidneys, located in the mid-upper abdomen (around the back) are our bodies’ main filtration system, eliminating excess waste products, salt and water. Beyond this filtration, the kidneys also play a role in blood pressure and red blood cell regulation. The kidneys create urine, which is pass through the ureters, to the bladder and then eventually out of the body. As such, the kidneys are an incredibly important part of our overall function. Kidney diseases that require the removal of a kidney are not a death sentence, however. Our bodies can function normally on one kidney and even those who do not have working kidneys can survive with an external filtration process, known as dialysis. Although kidney cancer is one of the top 10 most common cancers in the United States, the number of new cases diagnosed each year (about 65,000) is less than 1/3 the number of breast cancer, prostate cancer, or lung cancer diagnoses. Much like other cancers, early detection is critical for treatment and survivability. However, even advanced forms of kidney cancer are being treated more effectively than ever before.

How Exercise and Vitamin D Can Reduce Prostate Cancer Risk

Exercise is one of the most important predictors of long-term health. Without exercise, i.e. living a sedentary lifestyle, we increase our risk for a number of problems not least of which is are certain forms of cancer. Beyond the tangible improvements in health that we see from exercise, regular cardio and strength training can even improve some mental health issues including anxiety, depression, and mood problems.

Choosing Between In-Office Procedures and Surgery for BPH

Benign prostatic hyperplasia or BPH is a non-cancerous enlargement of the prostate gland. It is extremely common with about 50% of men over 50, and 80% of men over 80, suffering from its symptoms. While BPH is very common, there is a lot of confusing information that can delay patients from receiving the most effective treatment. Many men live with the lower urinary tract symptoms associated with BPH for years before they pursue a treatment option. Many are then bombarded by advertisements telling them that herbs may shrink the prostate. Having read this website you know that these claims are questionable.

Dr. Engel Completes His First Half IronMan Triathlon

I am thrilled to announce that I have completed my first Half IronMan Triathlon. It has always been a dream of mine to train and compete in such a high-level athletic pursuit. It was even more exciting and enjoyable to have done it with my son. And, while I am proud of my achievement, it also represents advice that I would like to give all my urologic patience.

Can Coffee Lower Prostate Cancer Risk?

Coffee has historically had an up and down relationship in researchers’ eyes. What was once considered incredibly healthy, was later vilified as carcinogenic. Today, many studies have shown that coffee confers more antioxidant benefits than it does risks in the average person when consumed in moderation. But what did recent studies say about coffee as it relates to prostate cancer risk?

5 Healthy Habits for Your Urinary System

Your urinary system acts as the janitorial crew for your blood. After your body has taken the nutrients that it needs from what you consume and converts it into energy, your kidneys filter out the rest as waste and send it through the urinary system to be expelled as urine. Without your urinary system your body would become saturated with waste and toxins that can cause fatal results if left untreated. Luckily, there are things you can incorporate into your daily life to keep your urinary system happy!

When Is It Back Pain Vs Kidney Pain?

The kidneys are an amazing filtration system and play a crucial role in our overall health. Similarly, keeping ourselves healthy also ensures that our kidneys work properly. When the kidneys do not work as they should, they can cause pain and discomfort. However, diagnosing kidney pain is not something that can be done simply by assessing the location of the pain. There are other organs and structures that can trigger pain receptors in that area. Before we get a little deeper into kidney pain, we must discuss exactly where the kidneys are located. Many people are surprised to know how high up they are. If you drop your arms to your side, your kidneys are somewhere at the level of your elbows, or slightly higher. This may help you understand that many cases of back pain simply do not originate in the kidneys.

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PROUD TO BE PART OF PRIVIA MEDICAL GROUP

Urologic Surgeons of Washington is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients.

UROLOGIC URGENT CARE
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