Urology Blog
December 25, 2018
Category: Uncategorized
Tags: Untagged

As 2018 winds down next week, we will be reminded about what a terrible year this has been. To recap, we witnessed:

  1. Catastrophic hurricanes in North Carolina and Florida, and deadly wildfires in California
  2. Mass shootings in Parkland FL, Santa Fe TX, Pittsburgh PA, and Thousand Oaks CA
  3. A growing refugee crisis on our southern border
  4. Numerous government scandals, indictments, resignations, and now a shutdown
  5. And most recently, a stock market that has fallen nearly 20% (so far)

Tragic events have also hit close to home, as some of my closest friends are dealing with serious illnesses. It is easy to get despondent, but it’s Christmas Day, when we should all look for a glimmer of hope and optimism. Like many of you, I spent this morning enjoying the look on my kids’ faces when they opened their Christmas presents. Not being satisfied, I played old tapes of past Christmases, when they were even more joyful! I can’t say that most of those toys lasted a year before they were broken or forgotten, but the memories of being together at Christmas will last a lifetime!

Like many of you, at Greater Austin Urology, we’ve also seen our ups and downs this year, but I remain focused on True North, and what it will take to get us there. Everything else is just a detractor and a temporary road-bump. I can’t help but think of the words of the late comedian George Carlin, who said it best: “Don’t sweat the petty things…and don’t pet the sweaty things!”

May the blessings of the Holiday Season be with you and your family. Merry Christmas, everybody, and best wishes for a healthy and prosperous 2019!

By Greater Austin Urology
December 17, 2018

Find out the treatment options we offer for handling bladder control issues.

Experiencing problems with bladder control is very common and there are many things that could be causing this issue. According to a urinary incontinencerecent U.S. survey, the National Poll on Healthy Aging report, “43% of 50- to 64-year-olds said they suffered from incontinence, as did 51% of those 65 and older.”  Some people only notice mild occurrences, while others may experience sudden and intense urges to go to the bathroom that disrupt their day. While urinary incontinence, to some degree, is common as we get older, it’s important to know when this issue warrants a trip to see urologist Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX.

Did you know that there are different kinds of urinary incontinence? While the occasional small leak is more common, others may notice more urine loss than usual, which can be a sign that something is wrong. Types of urinary incontinence include:

  • Stress-induced: episodes triggered by coughing, sneezing, laughing, and exercise
  • Urge: The intense need to urinate or urge to urinate may also be followed by a leak.
  • Overflow: If your bladder doesn’t fully empty, this could lead to urinary leakage.
  • Functional: Sometimes everything is working properly within the bladder, but unfortunately certain physical impairments make it challenging to get to the bathroom in time, which leads to loss of bladder control.
  • Mixed: This happens if you experience more than one type of urinary incontinence.

Should I see a doctor?

Of the women who participated in the recent U.S. survey, "nearly half of women over age 50 report bladder leakage and many say it’s a major problem for them, yet two-thirds of the women who experience leakage haven’t spoken to a doctor about the problem.”  If you are like them, you may feel like it isn't a big problem or may be embarrassed about bringing it up. While we know that no one likes talking about issues such as this one, it’s important to understand that this is a common issue among older women and that this doctor has heard it all before. Plus, if you are dealing with any changes in your bowel habits, it’s important that you visit our Austin urology specialist to find out what might be going on. While not usually serious, there can be a serious reason why this is happening, so it’s important to have the issue addressed. 


What could be causing my urinary incontinence?

This symptom can be brought on by either temporary or permanent factors.

Temporary factors include:

  • Consuming certain foods and drinks (e.g., alcohol, caffeine, spicy foods)
  • Urinary tract infection
  • Constipation

Persistent factors include:

  • Pregnancy and childbirth
  • Age
  • Enlarged prostate
  • Prostate cancer
  • Hysterectomy
  • Menopause
  • Neurological disorders

How is urinary incontinence treated?

How we treat the issue will really depend on the cause of your urinary leakage. Sometimes several treatments will be recommended. These include: 

  • Behavioral therapy (e.g., bladder training, diet management)
  • Pelvic floor exercises (to strengthen pelvic floor muscles)
  • Medication
  • Medical devices
  • Surgery

We will talk with you during your evaluation of your treatment options so you can make the most informed decision regarding your care.

Are you dealing with urinary incontinence or other bladder issues? If so, then it’s time you got some answers. You shouldn't have to feel restricted due to this condition. Call Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX at (512) 540-3937 today to schedule an evaluation.

October 31, 2018
Category: Uncategorized
Tags: Untagged

Howdy folks! I know it’s been far too long since I last wrote on my blog, but it’s Halloween, and the holidays (even Pagan ones) have a way of inspiring me to reflect on the past and write about it.

October has been a truly historic month for Greater Austin Urology. We saw a record number of patients and made a little money accordingly, which is always nice when you’re starting out. I performed my first robotic prostatectomy (with the expert assistance of my good friend, Dr. Sandeep Mistry). And we launched an innovative treatment for prostate cancer, HIFU (which stands for high-intensity focused ultrasound). Our first 2 patients were already out dancing and jogging less than a week after their surgery. If it’s as good as advertised from a cancer-cure standpoint, it will truly be a game-changer!

Most importantly, we have an entirely new team, with some familiar faces. Stacey Hardt is our new office manager. She worked with me in a similar capacity at my previous job, and for some strange reason, she was willing to take the plunge and do it again! Joining Stacey is my new nurse, Benny Reeve. He was my very first nurse at my previous job, and I watched him climb the ranks to become an RN. He has a regular job, but luckily for us, he was willing to help us out in clinic a couple of days a week.

Finally, this month was historic for others as well. Speaking of my previous employer, on the first day of this month, they announced plans for a $14 billion merger with the largest hospital system in the Houston area. Or was it an acquisition, in which case, who bought whom? Doesn’t matter. 14 years ago, another relic from the 19th century, K-mart, bought/merged with Sears in an $11 billion merger. And, wouldn’t you know it, this month they also made history, only this time it was by declaring bankruptcy. I guess bigger isn’t always better, especially when you don’t adapt to changes in your industry and take your employees and customers for granted, while your competitors and new industry disruptors continue to crush you on service and price.

Now that’s spooky scary- time to go trick-or-treating! Happy Halloween, everybody!

By Greater Austin Urology
August 31, 2018
Category: Prostate Cancer
Tags: prostate cancer  

According to the National Cancer Institute, there have been about 165,000 new cases of prostate cancer so far in 2018 alone. Though it isprostate cancer one of the most common cancers, it is not something to be taken lightly. Luckily, prostate cancer is treatable with help from your urologist. Find out more about the diagnosis and treatment of prostate cancer with Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX.

What is prostate cancer? 
The prostate is a gland found in a male’s reproductive system. The prostate, located underneath the bladder, makes much of the semen which transports the sperm. Though prostate cancer is not as common in men under 50, it is a serious health risk to men of all ages, making preventative care and early detection crucial.

Do I have prostate cancer? 
Prostate cancer grows very slowly over time and often begins with no outward symptoms. However, as the cancer progresses, symptoms like urinary issues, frequent urination, pain while urinating, pain during ejaculation, or blood in the semen may occur. If any of these symptoms occur, you should contact your doctor as soon as possible. If you experience burning pain while urinating, do not urinate at all after consuming fluids, or have deep pains in the areas surrounding the prostate like the lower back, hips, and thighs, you should seek immediate emergency medical attention. Additionally, spinal compression, which causes symptoms like weakness in the legs, increased difficulty urinating, passing a bowel movement or controlling your bladder, or decreased sensation in the legs or groin areas can be the first sign of cancer.

Diagnosing Prostate Cancer
Men over 50 or those who are at higher risk for prostate cancer (i.e., family history and/or African-Americans) should strongly consider screening for prostate cancer. These screenings, which may be a digital rectal examination or blood test, are crucial for early detection and treatment of prostate cancer. Your doctor may use an in-office ultrasound or an MRI-targeted biopsy of the prostate to diagnose prostate cancer.

Prostate Cancer Treatments in Austin, TX, and Lakeway, TX 
Treating prostate cancer depends on the stage of the cancer and the patient’s personal situation. It will also depend on if cancer has spread to other parts of the body. Thanks to its slow-growing nature, doctors sometimes recommend holding off on treatment for individuals with low-risk prostate cancer. New lesser-invasive options, such as high-intensity focused ultrasound (or HIFU) and Cyberknife, are now also available. More aggressive forms of the disease may require surgery, radiation therapy, hormonal therapy, or chemotherapy.

For more information on prostate cancer or its treatments, please contact Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX. Call (512) 540-3937 to schedule your appointment.

By Greater Austin Urology
July 12, 2018
Category: Urology
Tags: kidney stones  

According to the National Kidney Foundation, one in ten people will develop kidney stones at some point in their life, and the incidence of kidney stoneskidney stones continues to rise for both men and women. Although anyone can develop a kidney stone at any point, there are a number of factors that can increase the risk. Dr. Lucas Jacomides, a urologist at Greater Austin Urology in Austin, TX, offers diagnostic and treatment options for kidney stones and other urology problems.

Kidney Stones Diagnosis and Treatment

Kidney stones are most common in men over age 30, but they also affect women and children. According to statistics, the incidence of kidney stones is on the rise, and close to half a million people seek emergency treatment for kidney stones every year.

What are Kidney Stones?

Kidney stones (also known as renal lithiasis or nephrolithiasis) are hardened salt and mineral deposits that develop in the kidneys. Depending on the size and number, kidney stones can be incredibly painful as they move out of the kidneys and through the urinary tract.

Signs and Symptoms of Kidney Stones

You may not be aware that you have a kidney stone until it begins to pass through your urinary tract. Some of the common signs and symptoms of kidney stones include:

  • Sharp, radiating pain from the groin or lower abdomen
  • Painful urination
  • Foul smelling or dark colored urine (pink/red/brown)
  • Urinating more than usual or in small amounts
  • Nausea/vomiting
  • Fever/chills (sign of an infection)
  • Blood in urine

It is important to see a doctor as soon as possible for symptoms like severe pain or signs of infection.

There are four types of kidney stones:

  • Uric acid
  • Calcium
  • Struvite
  • Cystine

What Causes Kidney Stones?

There are a few factors that can increase the risk:

  • Dehydration
  • High sodium and protein diets
  • Obesity
  • Family history
  • Side effect of digestive procedures or issues like gastric bypass surgery, chronic diarrhea, or inflammatory bowel disease

Treating Kidney Stones

Depending on the size and severity, a urologist may recommend dietary changes, medication, or surgery.

To learn more about kidney stone prevention and treatment, contact Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX by calling (512) 540-3937 to schedule an appointment.

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