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-- John, Miami, Fl.

Urology Miami, FL: Understanding BPH.

Posted on December 19, 2012 by Cosme Gomez

You’ve probably seen the medicine commercials where men in their fifties are shown running from the golf course in search of a bathroom. The voiceover says that they are suffering from a condition called BPH, or as it’s known in the medical community, benign prostatic hyperplasia. BPH is defined quite simply as an enlarged prostate and it is common among middle aged men. While BPH is not a death sentence, it does cause a litany of symptoms which can range from a mere annoyance to downright embarrassing. Understanding BPH is an important step in the treatment for those men who have been diagnosed.

As stated before, BPH is an enlargement of the prostate. Basically what happens is the prostate grows so large that it restricts the flow of urine through the urethra. Most studies done on patients who have BPH have concluded that the prostate can begin to grow in patients as young as 30 and but symptoms usually do not become problematic until around age 50. The general consensus is that the underlying cause of BPH is androgens, which are hormones specific to men such as testosterone. Urologists, like those at Urology Specialty Care in Miami, are the specialists who diagnose and treat BPH.

The symptoms of BPH can be extensive, although some patients only experience a few of them. Some of the most frequent and obvious symptoms include a weak urine stream, the frequent urge to go, difficulty starting the urine stream, and in some cases, pain while urinating. These symptoms are annoying at best and can sometimes be downright miserable. One of the most common complaints of men with BPH is nocturia, when you get up at night to urinate so frequently that it disrupts sleep.

BPH is generally diagnosed via rectal examination of the prostate, which reveals its enlargement. In many cases, the symptoms of BPH are very similar to those of prostate cancer thus the procedures for diagnosis are very similar. Usually an ultrasound is performed to rule out cancer. In some cases a biopsy may be necessary.

There are medications that can control BPH, such as alpha blockers and 5-alpha-reductase inhibitors. Both of these work to reduce the level of androgens in the body. It is possible to control the symptoms of BPH without the use of drugs. One obvious thing is reducing liquid intake before sleep. This will help control frequently going at night. Some severe cases of BPH can require surgery. A urologist may suggest a procedure called transurethral resection of the prostate. Essentially this means that a piece of the prostate is removed through the urethra allowing for improved urine flow.

Every urologist in Miami can treat BPH, but only Urology Specialty Care has the reputation for being the center of excellence in South Florida.

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Best Urologist Miami, FL: Who’s at risk for Prostate Cancer?

Posted on December 19, 2012 by Cosme Gomez

Men over the age of fifty have something more pressing to deal with than scheduling their next tee time. Prostate cancer rates are on the rise and since many men don’t experience any symptoms, getting a diagnosis doesn’t always happen right away. Understanding the causes of prostate cancer and who is at risk are import factors in treating the disease. The doctors of Urology Specialty Care in Miami are known for their excellent patient care when it comes to diagnosing and treating prostate cancer.

Early stages of prostate cancer can be extremely difficult to diagnose as there are rarely any symptoms. When symptoms do occur, often times they are mistaken for diseases such as benign prostatic hyperplasia (BPH), which is a non-cancerous enlargement of the prostate. Symptoms usually include difficulty urinating, blood in the urine, and painful urination. You’ve probably seen the commercials for prostate shrinking medicines all over the golf channel that are aimed at fighting BPH. However, only about one third of prostate cancer patients experience these symptoms.

Who is at risk for prostate cancer? Men younger than forty very rarely develop the disease as most patients are well into their fifties and older when they discover they are sick. The average age of diagnosis is seventy years old. It’s not uncommon for men to live the majority of their lives without ever knowing they have prostate cancer. Although the exact cause is still relatively unknown, there does seem to be a correlation between prostate cancer and men with high blood pressure. Obesity is another factor that may contribute as well.

Like most cancers, genetics plays a large role in the development of the disease. Men who have direct relatives with prostate cancer, such as father, grandfather, or brothers are at a higher risk than most. If you do have a family member with prostate cancer and you fit the description for who is at risk, it’s important to speak with your doctor about getting tested. The only test that can fully confirm prostate cancer is a biopsy where a small piece of the prostate is removed for examination under a microscope. There are less invasive tests, but their results are not as definitive.

Treating prostate cancer is very different than most cancers because it is much slower in its development. Many elderly patients who are diagnosed do not undergo any treatment as they are not expected to live long enough to experience symptoms. Many patients opt for a course of action called active surveillance, where the prostate is carefully monitored over time and any changes are recorded. As most men will not experience any harm as a result of prostate cancer, active surveillance is often the best choice. It is important to keep an eye on prostate cancer as in its advanced states it can spread into the bones.

It’s very important to visit a urologist if you suspect you are at risk for prostate cancer. Urology Specialty Care in Miami has a reputation for being the urology center of excellence in South Florida. The best urologists in Miami can be found at Urology Specialty Care.

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Top Urologist Miami, FL: A Catalog of Top Notch Urologists – Robert Puig

Posted on November 2, 2012 by Cosme Gomez

Urology is an in depth field of personal health which almost everyone must be concerned with later in life. When urological problems arise, you need to have local doctors you can trust. Your local Miami Urologist needs to be one of the very best in order to guarantee that your developing conditions will be treated effectively and safely. This is why we recommend Dr. Robert Puig of the Baptist Hospital of Miami. He has gained expertise by serving as the Chief of Urology and is an active member of the American Board of Urology as well as the American Urological Association. A leading edge Robotic Da Vinci surgeon, he has been nominated multiple times by Super Doctors as one of the top Urological Surgeons of the Greater Miami Area. He has also been nominated several times for Patient’s Choice Awards for his expert work and friendly, caring service. Many of his prior patients have attested to his service and he continues to practice safe, effective and smart Urological care. Handling everything from kidney stones to laser surgeries, Robert Puig is well-versed in his practice. Minimally invasive and maximally effective is his motto. One of South Florida’s best Urologists is most definitely Dr. Robert Puig.

Posted in baptist urologist, best urologist miami, fl, kidney cancer, kidney disease, kidney treatment, laser surgery, robotic surgery, top doctor miami fl, top urologist, top urologist miami, urologist miami, fl, urology, urology center of excellence | Leave a comment

Baptist Urologist Miami, FL: Lessons Learned from the Aged Habitants of Ikaria about Living Longer and Better

Posted on November 2, 2012 by Cosme Gomez

The New York Times recently featured an article which highlighted a peculiar trend among natives of a Greek island by the name of Ikaria. On this island, demographers, nutritional scientists and reporters alike were baffled by the fact that inhabitants were living abnormally long. According to birth certificate records and local demographic studies the residents of Ikaria were reaching the age of 90 at two and a half times the rate Americans do. This is an astounding fact in a world where people naturally look for ways to extend their personal life expectancy every day. However, the most amazing thing about the islander’s extreme life expectancies is the fact what causes them to live longer is not what they do to their bodies, such as exercising, dieting and staying active all day, rather it is because of the community’s standard of living.

Reporters from the New York Times have gone through and through with surveys to detect what it is about people’s lives on Ikaria that are making them live so much longer than American’s do. They found that the answer is not what they are doing; rather it is what they are not doing to their bodies which is causing this dramatic life expectancy increase. They do not exercise daily, they do not remain constantly active all day, rather most of their day is spent napping, and they do not steer clear of alcohol as just about everyone has about three glasses of wine a day. The communal sense of living is what has caused the results we see. The islander’s natural diets are of locally grown herbs, grains, and wines and these, which do not have any of the mass-processing side effects and pesticides which American food contains, has been keeping their bodies in tip-top shape without the need for fussing. The fact is that their eating habits are not diets, one simply eats the way they do on the island because that is what your neighbor does, and that’s what his neighbor does and for that matter, that’s what the whole community does.

Community means everything. This is the lesson to be learned from the Ikarian’s story. If you want to make a healthy change in your life, there is no better way than to surround yourself with fellows who share the same goal. The sense of community will keep good habits up while the old habits die off. The top urologists at Urology Specialty Care make it a priority to ensure that their patients have a chance at healthy lives. The expert care they offer is to remove the threats which cause aging men and women to fear the earlier ending of their lives. Top urological oncologist Cosme Gomez furiously attacks the development of prostate cancer in men and doctors Robert Puig and Yekutiel Sandman are committed surgeons who fight the internal urological diseases which affect millions of local aging citizens.

Don’t fear the later years in life. The best local Miami Urologists will keep your urological health intact. This will allow you to be free to make the changes in your life and surround yourself with others who share your desire for health. The Baptist Urologist in Miami, FL wants all of their patients to feel free of debilitating diseases to live longer, happier and healthier lives.

Link to the Urology Specialty Care’s Wellness page here, for more resources on living better and longer.

Posted in baptist urologist, best urologist miami, fl, top doctor miami fl, top urologist miami, urologist miami, fl, urology, urology center of excellence | Leave a comment

Best Urologist Miami, FL: For the Best Urology Outcomes, Choose the Best Urology Center

Posted on October 22, 2012 by Cosme Gomez

When it comes to medical practice, nothing is more important than results. Patients seek out a center for medicine knowing that they must trust the surgeon or doctor that they choose to provide the right results for them. This decision is a hefty one. Serious problems should be handled by serious doctors, doctors with experience and confidence. The best doctors for the job are the ones who show results. Urology care is no exception. When urological problems develop, as in kidney complications, prostate problems or other conditions, urology specialist experts can help you. Urology experts in the Miami, FL area are easy to find, if you know where and how to look.

If results are the most important things when considering your preferred urology expert, then the opinions of previous patients, as well as of the other experts in the field, are important to consider. Your preferred Urology center should be one whose current and past patients feel safe and well taken care of. This is why most Urology Centers politely request that their patients offer open opinions and testimonials as to their service. These opinions are the results that they can share with the public so that they can express how professional and experienced they are. Moreover, their reviews from the Urology experts around the state and around the country are also important because it means a lot when the experts call a center the “best” or “top” urology center. It is for this reason that Urology Specialty Care in Miami, FL is the premium option for urology care. Their clients constantly review their expert care as the best around and they have received accolade after accolade from the most revered doctor reviewing organizations in the State and in the Country. Publications and organizations like “A Guide to America’s Top Urologists,” Super Doctors, and Florida’s Most Recommended Physicians have all assured the public that Urology Specialty Care have proven themselves time and time again.

Another telltale aspect of a top urologist center is their level of advanced practice. Medical and surgical practice makes procedural and technological leaps every year. Because of this, there are always new, more accurate and more effective procedures and techniques. The best urologist will not only be capable of performing these new procedures, but they will be the best at them. A perfect example of this is the Da Vinci Robotic Surgery System and Urology Specialty Care’s doctors who set the standards in expertise for the modern robotic surgery techniques. Doctors Yekutiel Sandman and Robert Puig are the resident experts in using the latest robotic surgery techniques and machinery. Because of this, they can ensure their patients of the best results around with a procedure that is minimally invasive and provides maximum results. In medical care, results such as these are what matter the most.

Your choice in surgeon or doctor is a huge decision. Do not settle. You must determine which local urology specialists can get the job done. Your preferred urology center will provide both strong and lasting results. Urology Specialty Care should be your choice for the best urologist in Miami, FL. Expect great results.

Posted in best urologist miami, fl, Cancer, kidney disease, prostate, top doctor miami fl, top urologist, top urologist miami, urologist miami, fl, urology | Leave a comment

Top Urologist Miami, FL: Have all of Your Urology Care Needs Handled by Professionals at a Urology “center of excellence”

Posted on October 5, 2012 by Cosme Gomez

Few places in the field of Urology can be regarded as “centers of excellence”. What make “centers of excellence” are the standards which their staff holds when they take in new patients for any and all tasks. From a routine checkup to an open surgery, the professionalism and overall excellence that a center for urological treatment has is determined by the attitudes of all the clients they serve, their standards of service and their results. Few Urology centers fulfill the necessary requirements to be called a “center of excellence” like Urology Specialty Care in Miami, FL does.

Patients know when their services have been reliable, accurate and effective. They will refer their friends and relatives to the center when they are pleased and they will not if they do not feel satisfied with their treatment. Thus, a sign of a “center of excellence” is the return-rate of clients, the reviews from clients and the amount of referrals that clients give out. Urology Specialty Care in Miami, FL has been held with the highest regards in this respect. They are determined to ensure that when their clients leave, they feel satisfied with their experience and service. They have a very high return customer rate and no bad reviews from any customer. Clearly the professional doctors at Urology Specialty Care have proven themselves time and again to be the preferred option for Urology treatment in Miami, FL.

The doctors and supporting staff at a Urology center can also show the center’s true colors. A “center of excellence” will have a staff that is friendly, supportive and helpful. They will take all of your questions, offer you some help, and be openly caring toward your concerns. The amount of experience a staff has is also important because if they do not know proper standards of procedure, then they will be lowering the quality of your service vastly. In addition, the doctors at a “center of excellence” must always be following a specific set of ethical and professional guidelines which a new patient will be able to detect immediately. Urology Specialty Care stops at nothing to ensure their clients feel like they are getting the best service in South Florida. This openly felt attempt at being professional and effective can make one’s experience completely different for the better.

The results that a Urology center puts out are the most important signals of a true “center of excellence”. At the end of the day, the results are what make people’s money well spent. Premium service is hard to come by and when it is found, the center is undoubtedly excellent. The results that a Urology Center puts out can be seen through their accolades and the awards they have receive from the Urology community. Very few Urology Centers have a reputation like Urology Specialty Care. Their resident doctors have received numerous awards and accolades commending their service. Dr. Cosme Gomez has received the title of Top Oncologist in Miami, FL for his expertise in Oncological Prostate Cancer treatment, Dr. Robert Puig has been nominated as one of the Patient’s Choice Award’s Super Doctors of Greater Miami, and Dr. Yekutiel Sandman has been nominated as a Greater Miami Super Doctor as well and has received recognition from the Consumer’s Choice Research Council as one of Miami’s top Urologists.

Clearly, a classic example of a “center of excellence” for Urology in Miami, FL is Urology Specialty Care. If you are in serious need of Urology treatment, then you need to know and understand who and what the best is. If you are ever in need of having the best Urology treatment from top urologists in Miami, FL, trust Urology Specialty Care.

Posted in best urologist miami, fl, prostate cancer, top doctor miami fl, top urologist, top urologist miami, urologist miami, fl, urology, urology center of excellence | Leave a comment

Best Robotic Urology Surgeon South Miami, FL: The da Vinci System is One of Today’s Modern Marvels, Revolutionizing the Practice of Urological Surgery

Posted on September 18, 2012 by Cosme Gomez

Before robotic surgery alternatives, traditional open surgery and laparoscopy techniques were the only way by which urologists could perform serious internal correction procedures. The problems with these surgeries are the high pain levels, long hospital stays and the high potential for future problems or poor clinical outcomes. The problem with laparoscopy is that it’s is very limited to small scale surgeries. The da Vinci system has none of these drawbacks. Rather, it has all of their benefits. The da Vinci system is an entirely robotic, surgeon controlled surgery system that allows for an even more minimal incision then todays technique of laparoscopy with the ability to handle large intricate surgical procedures like a traditional open surgery. The benefits have been proven time and time again as patients have reported less post-surgery pain and the failure rate is minimal to say the least.

The da Vinci surgery system was invented for the purpose of minimally invasive surgical practice with a high degree of control and ability. The way it works is by having a certified and practiced professional surgeon, like the doctors at Urology Specialty Care in South Miami, operate a multi-faceted mechanical arm from a distant viewing and control console. One of the many benefits is that the robotic viewing arm allows for more specific and accurate viewing of the surgery that the average human eye does not allow. In fact, the operating rods that the robot uses contain two specialized cameras that provide the surgeon with 3-d imaging of the procedure as it happens. The surgeon, by use of his joystick-style hand controls and robotic synchronization, can perform very detailed, exact yet wholesome surgeries without the need for large incisions. After the surgery is completed, the robotic arms are removed from the tiny entry holes and the holes are closed.

The da Vinci surgical system has paved the way, for the past ten years, for robot-assisted surgical procedures as a totally natural part of modern surgery. Patients with anemia for instance who may not be able to tolerate a full scale open surgery because of their blood disorder can now be treated in the event they need full scale surgery. The system is ingenious but it is not entirely robotic. Very highly qualified, extremely experienced surgeons are the only kinds of doctors who may utilize this system in their practice. There has been an absolutely minimal failure rate because of the qualification necessary to operate. You need to know where you can find doctors in your area that are qualified for this procedure so that you can take advantage of this magnificent technological masterpiece. Urology experts and specialists are available in South Miami that are capable of performing da Vinci surgeries.

Dr. Robert Puig, and Dr. Yekutiel Sandman are two practicing da Vinci surgeons at Urology Specialty Care, the leading urology center in South Miami. If you are looking for a minimally invasive surgery option the look no further then clinics like Urology Specialty Care, offering the best robotic urology surgeons in South Miami.

Posted in best urologist miami, fl, robotic surgery, top urologist, top urologist miami, urologist miami, fl, urology | Leave a comment

Study: PCa screening reduces advanced cancer risk

Posted on September 7, 2012 by Cosme Gomez

“Prostate cancer screening decreases a patient’s risk of developing metastatic disease, according to Cleveland Clinic researchers.

Patients treated before routine PSA screening was advocated had a 10-year metastases-free survival of 74%, while those treated after routine PSA screening was advocated had an 82% 15-year metastases-free survival, the researchers reported in a study published in Urology(2012; 80:367-73).

“The study shows that routine PSA screening reduces the risk of developing advanced cancer, which is associated with additional treatment-related costs and morbidity,” said first author Jay P. Ciezki, MD.

In the study, the authors determined that a more meaningful way to evaluate the effectiveness of screening was to examine its ability to decrease the development of metastatic disease after treatment.

The study was based on data from more than 1,700 prostate cancer patients who were treated at Cleveland Clinic with either radiation therapy or prostatectomy. To assess the impact of screening, the patients were divided into two groups according to when they were treated: a pre-screening era (1986-1992) and a post-screening era (1993-1996).

Patients were classified as having high, intermediate, or low-risk disease to determine which groups may have benefited from prostate cancer screening. The 10- and 15-year rates were used to account for changes in the population caused by screening. The benefit of screening was seen across all risk groups.”

All of the doctors at Urology Specialty Care in Miami, FL are cancer experts. Drs Cosme Gomez, Robert Puig, and Yekutiel Sandman have extensive experience in treating prostate cancer, and many other forms of cancer.

article from: http://www.modernmedicine.com/modernmedicine/article/articleDetail.jsp?id=787301&cid=UROL

Posted in best urologist miami, fl, Cancer, prostate, prostate cancer, Screening, top doctor miami fl, top urologist, top urologist miami, urologist miami, fl, urology | Leave a comment

Prostate Cancer Expert South Miami, FL: Combat Prostate Cancer effectively with a Seasoned, Baptist Hospital Urologist

Posted on September 6, 2012 by Cosme Gomez

Prostate cancer is never an easy to deal with. Serious problems can develop under our radar for quite some time until an emergency occurs and by that time, combatting the spread and effects of cancer is a seriously complicated and difficult task. Men aged fifty or older, and especially men aged eighty years old need to be conscious of the danger that they could be in. The fact is, there is almost no way to tell on your own that prostate cancer may be affecting you, as the disease has no early warning signals. Prostate cancer experts like Urologists in south Miami know what to look for and can treat patients before it’s too late.

Your local South Miami Urologist will have the necessary tools and expertise to ensure that a serious problem is not developing and if you want be assured of continued good prostate health, then you need to commit to yearly exams from your trusted urological physician. Seasoned urologists like Dr. Cosme Gomez from Urology Specialty Care know first-hand how complicated and serious a prostate cancer case can be. They will recommend yearly checkups and rectal examinations so that you don’t find yourself in an unfortunate situation. We need to understand the risks of late prostate cancer treatments so that we can see the benefits of early detection, treatment and care. The longer you go without checkups the greater you are at risk for developing serious problems.

Some risks of un-combatted cancer development in the prostate include growth, spread and dysfunction. While prostate cancer develops in the body, it slowly grows starting as a microscopic growth that is nearly undetectable. Eventually, if untreated, it will grow to a small tumor and begin to have effects on the prostate. If the tumor is still not monitored, it will continue to grow and it can spread to surrounding tissues and organs. When this happens, it will continue affecting the prostate severely and it will also begin to have detrimental effects on the other organs, tissues and even bones it has spread to. At this point, the cancer may begin causing dysfunction in many places besides just the prostate.

Though early detection is nearly unheard of without regular doctor visits and examination, some signs that may point to developing prostate cancer include: obstruction and difficulty urinating or ejaculating, pain, and infection. If you are at risk for prostate cancer, then pay close attention to the signs that it may be affecting you. Do not take these symptoms likely because they’re often the earliest warning signals your body will provide. If you notice any symptoms that could be signs of Prostate Cancer, get in contact with a Urologist from Baptist Hospital. As the Vice Chairman of Urology & expert, robotic prostate surgeon, Dr. Puig, possess a great deal of experience and produce excellent results for prostate cancer patients.

Once you are in the target age group for prostate cancer, you cannot afford the risk of going years upon years without checkups or examinations. Take your health serious and get in contact with a Prostate Cancer Expert in South Miami as soon as possible to see what condition your prostate is in. Set yourself up for yearly examinations and give yourself the best chance at a healthy future.

Posted in baptist urologist, prostate, prostate cancer | Leave a comment

PSA testing: new analysis tips balance in favor of informed decision-making

Posted on August 17, 2012 by Cosme Gomez

“When it comes to determining whether or not to have a screening test for prostate cancer — or any cancer for that matter — patients are told to weigh the benefits against the risks. But public health experts point out that putting a few extra years of life on one side of the balance and debilitating treatment side effects on the other is like comparing apples with oranges.”

Please read the rest of the article at: http://www.boston.com/dailydose/2012/08/16/psa-testing-new-analysis-tips-balance-favor-informed-decision-making/EhbYCMjW1rGACZM2xRbqZO/story.html

Posted in best urologist miami, fl, Cancer, prostate, prostate cancer, Screening, top urologist, urologist miami, fl, urology | Leave a comment

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