Urology Blog
By Greater Austin Urology
October 29, 2019
Category: Prostate Cancer
Tags: prostate cancer  

Men who are age 40 and older have a special health concern: prostate health. At Greater Austin Urology, diagnosis and treatment of Skin-Cancer-Cellprostate cancer ranks high on Dr. Lucas Jacomides' list of specialties. Learn more about its symptoms and treatments.
 

What is the prostate?

A man's prostate is the walnut-shaped gland located beneath the urinary bladder and above the rectum. With advancing age, the prostate typically enlarges, causing a condition called Benign Prostatic Hyperplasia.
 

Details on prostate cancer

The prostate is the site of the second most common male cancer. Only skin cancer outranks prostate cancer in incidence, reports the American Cancer Society. The American Cancer Society elaborates that prostate cancer affects one man out of nine, but caught in its earliest stages, it is highly treatable.
 

Signs and treatments

Some men exhibit no symptoms of their prostate cancer. However, more typically, these signs and symptoms happen early on in the course of the illness:

  • Pain upon urination
  • Difficulty urinating (dribbling, incontinence, weak urine stream which starts and stops)
  • Erectile dysfunction
  • Blood in urine and/or semen
  • Pain in the bones of the lower back, hip and leg
  • Pain with ejaculation

The American Urological Association recommends yearly screening for prostate cancer with a test called PSA, or Prostate-Specific Antigen. Combined with a DRE, or digital rectal examination, this easy assessment tool accurately pinpoints the presence of prostate cancer as it develops, allowing for the best possible path of treatment and recovery.

When detected, prostate cancer may be treated with any one or a combination of the following strategies:

  • Surgery
  • Radiation
  • HIFU (high-intensity focused ultrasound)
  • Hormone therapy
  • Chemotherapy

Dr. Jacomides works closely with his prostate cancer patients to arrive at care plans geared toward their specific cancers, age and overall medical health.

Find out more

When it comes to prostate health, remember, it's what you don't know that can hurt you most. So, Dr. Jacomides and the entire team at Greater Austin Urology urge men 50 and older to get their routine screening examinations. Call the office today for your appointment at our Austin office: (512) 540-3937.

By Greater Austin Urology
August 16, 2019
Category: Urology

Could those frequent nighttime bathroom trips be caused by prostate enlargement?

As men get older, it’s actually quite common for many of them to deal with prostate enlargement (also referred to as benign prostatic prostate enlargementhyperplasia, or simply BPH). In fact, this condition affects more than 27 million US men over the age of 50. If left untreated, this can lead to bladder stones, infections and even renal failure. Therefore, if you are noticing changes in urination it’s important that you turn to our Austin, TX, urologist Dr. Lucas Jacomides for care.

What are the signs and symptoms of prostate enlargement?

An enlarged prostate can also put pressure on the urethra, causing a number of urinary issues including:

  • Frequent urination throughout the day (or at night)
  • Sudden urge to urinate
  • Pain with urination
  • Weak or delayed urine flow
  • Trouble urinating
  • Feeling as if the bladder isn’t fully empty after urinating

There is also a simple symptom quiz that you can take to figure out whether or not you should visit a urology doctor in Austin, TX. If you are a man over the age of 50, these symptoms could very well be due to prostate enlargement.

How is BPH diagnosed?

Our urologist will ask you a series of questions about the type and severity of the symptoms you are experiencing before determining the best test or tests to perform that will provide the most accurate diagnosis. Some of these diagnostic tests include:

  • Urine flow test
  • Digital rectal exam
  • Prostate-specific antigen (PSA) blood test
  • Transrectal ultrasound
  • Prostate MRI
  • Flexible cystoscopy

How is prostate enlargement treated?

If symptoms are mild then no treatment may be necessary; however, early intervention is usually key to prevent complications such as urinary tract infections or bladder damage. The first course of action is prescribing a daily medication.

There are several kinds of medications that have been FDA approved to alleviate symptoms associated with prostate enlargement and improve urine flow. If medication doesn’t provide the patient with the relief they need then our urologist may recommend Endoscopic surgery to remove obstructing prostate tissue. There are several surgical techniques used to remove excess tissue and to improve urinary issues caused by BPH.

If you are an older man who is dealing with frequent urination or other urological issues in Austin, TX, you could be dealing with prostate enlargement. Call Greater Austin Urology today to schedule an appointment today.

By Greater Austin Urology
April 23, 2019
Category: Urology
Tags: kidney stones  

Kidney stones are a common problem that can affect people of all ages. There are a number of factors that can lead to kidney stones and kidney stonesincrease an individual's risk of developing them at some point. Dr. Lucas Jacomides, a urologist at Greater Austin Urology in Austin, TX, offers diagnostic and treatment options for kidney stone removal.

Kidney stones are solidified deposits of salt and minerals, and can range in size from small enough to safely pass on their own, to large enough to require surgery to remove them. There are four types of kidney stones: calcium, uric acid, cystine, and struvite.

Common Causes and Risk Factors for Kidney Stones

Kidney stones crystallize when the urine contains an abnormally high concentration of minerals like oxalate, calcium, and uric acid. Staying hydrated and drinking sufficient water on a regular basis is one of the most important things you can do to lower your risk.

Along with dehydration, there are several other factors that may increase the risk of developing kidney stones:

  • Personal history (they can be more likely to reoccur if you've had them before)
  • Family history
  • High sodium/fat diets
  • Obesity
  • Certain digestive issues

Symptoms

The symptoms vary depending on the size and location of the stones. The most common symptom is pain in the side, lower abdomen, back, or groin. Kidney stone related pain typically fluctuates and comes in waves. Some people also experience pain while urinating. Other symptoms include:

  • Dark colored urine (brown, red, or pink)
  • Foul odor from urine
  • Nausea or vomiting
  • Urinating more than usual, or in small amounts
  • Urine looks cloudy

Seek prompt medical attention if you experience severe pain, have trouble urinating normally, have blood in the urine, or have signs of an infection like fever, vomiting, or chills.

For more information about the causes, risk factors, and preventive steps you can take for kidney stones, contact Greater Austin Urology in Austin, TX by calling (512) 540-3937 to schedule an appointment with Dr. Jacomides today.

April 21, 2019
Category: Uncategorized
Tags: Untagged

It’s Easter Sunday, at least for most of the world. I’m Greek Orthodox, and our Easter is next week, so today is our Palm Sunday, which means tomorrow is Chocolate Bunnies and Peeps on Sale Day! Whatever your religion or beliefs, it is a time to reflect on life’s journey since last year, and the new lessons learned along the way. I know I haven’t posted a blog since Christmas because (thankfully) I’ve been too busy, so for inspiration, I looked all the way back to one of my first blogs (Reflections after Week One), and made a few modifications:

  1. There are a lot of good people out there who want you to be successful. I already thanked the people who helped me get started, but I would be remiss if I didn’t thank the people who helped me keep it going- besides Stacey and Benny, of course! Special mention to Jessica Browning Schraufnagel from St. David’s, Kristen Largent from Ascension Seton, and Cindy Gall from Austin Cyberknife for introducing me to primary care providers that have been sending me patients, Crystal Lilley Boynton from AthenaHealth for her unwavering support, Zack Ragsdale from Catalyst Consulting for convincing me that (almost) every insurance is worth taking the first year, and finally my accountant Greg Caudell, who was (and still is) the steady voice of calm optimism when I would “occasionally” freak out about how bad I thought things were going.

  2. Sometimes, you have to do this alone. Business startups are all about controlling costs, which means you can’t pay people just to sit around, waiting for the phone to ring. That means everyone has to wear many hats, including you, Doctor, so when all your phone lines are busy, or you give your employees the afternoon off, you have to be willing to occasionally wear the receptionist hat and answer the phone yourself. When I first started doing this, I was worried that patients would find it weird or unsettling. However, I soon realized that it gave me a closer connection to my patients that they never experienced before, and while they are initially caught off-guard when I answer the phone, they appreciate that it is not somehow beneath me to talk to them. Additionally, I have also gained a much deeper appreciation of what my employees have to endure.

  3. Not everyone should do this. Contrary to my original blog, I have to admit that starting your own medical practice is not for everyone. These days, there are serious headwinds, and you have to have serious stomach lining to put up with the ups and downs. You also have to be comfortable with the fact that you will not be able to pay yourself for at least 1.5 to 2 years. I heard this from multiple sources in different industries, and I didn’t want to believe it, but it’s true. Save it up, borrow it, or pay yourself from a previous startup, but plan on being the last one paid. I am glad to say I am well on my way, and it has not changed my opinion of whether or not this was the right decision for me. Hands-down, I would do this again, and I have already started to coach others on how to do the same successfully, but this is one of the first pearls of wisdom I share with them.

And with that, I hope you all enjoyed a joyous Easter with your family, and I look forward to doing the same, while feasting on roasted lamb, next weekend!





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