Urology Blog

Posts for category: Urology

By Greater Austin Urology
January 27, 2020
Category: Urology

If you are dealing with some degree of urinary incontinence, you're not alone as this is a common issue. At Greater Austin Urology in Austin, TX, Dr. Lucas Jacomides helps patients successfully cope with their urinary incontinence symptoms so they feel better and have more active lifestyles.

Why Urinary Incontinence occurs

There are a variety of causes. Some urinary incontinence is age-related. For women, menopause weakens the pelvic floor muscles that provide support for the bladder, uterus, and vagina. This reduced support can lead to stress incontinence with lifting, sneezing, coughing, and even laughing.

Overactive bladder, or OAB, affects both men and women. People with this nerve-related urological condition have frequent episodes of urgency and constantly scope out public venues for the nearest restrooms. Also, they wake several times a night needing to urinate.

Some lifestyle habits contribute to urinary incontinence and urgency. These habits include:

  • Poor control of body weight
  • Excessive alcohol and caffeine intake
  • Smoking
  • Certain prescription medications

Treating urinary incontinence

Dr. Jacomides knows that urinary incontinence is a private and sensitive issue. However, he assures his patients that incontinence is manageable.

A common strategy is a program of easy Kegel exercises. Performed in the privacy of your own home three times a day, Kegel exercises involve simple contraction and relaxation of pelvic floor muscles. Over time, the muscles become stronger and give better support to the bladder.

Other interventions include:

  • Medication
  • Diet management
  • Treatment of UTIs with antibiotics
  • Pelvic floor exercises
  • Surgery

Find out more

If you are dealing with urinary incontinence, the professional team at Greater Austin Urology in Austin, TX can help. Call today for a consultation with Dr. Jacomides: (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.

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.

By Greater Austin Urology
May 21, 2018
Category: Urology

Does urinary incontinence keep you from doing the things you really want to do? When you're constantly worried about urine leakage urinary incontinenceor accidents it's difficult to truly enjoy life. Luckily, an array of effective treatments can control urgency, leaks, and accidents. At Greater Austin Urology, Dr. Lucas Jacomides, provides several treatment options.

What causes urinary incontinence?

Your symptoms may be due to overactive bladder, overflow incontinence or stress urinary incontinence. If you have overactive bladder, your brain decides that you need to empty your bladder even if it's not full, triggering an urgent need to visit the restroom.

Overflow incontinence occurs when you begin to leak urine due to bladder fullness or overproduction of urine. The condition can occur due to weak bladder muscles, nerve damage, a blockage in your urethra, an enlarged prostate gland, or if you've had prostate surgery.

Do you leak urine when you sneeze, laugh, or bend? You may have stress urinary incontinence. The condition is caused by weak pelvic floor muscles and may be more likely to occur if you're obese, have a urinary tract infection or have been pregnant or had a child.

What can I do about urinary incontinence?

We can offer a variety of treatment options when you visit our Austin office. Although treatment depends on the cause of your condition, it may include:

  • Bladder training to help you lengthen the time between restroom visits
  • Kegel exercises to strengthen weak pelvic floor muscles
  • Medications to reduce urges, calm your overactive bladder, make emptying the bladder easier, or relax the bladder, allowing it to hold more urine
  • Pessaries, devices inserted into the vagina that supports the bladder and reduce leakage
  • Botox injections to treat overactive bladder if other treatment options aren't effective
  • Sling surgery to support the bladder and keep the urethra closed when you move if you have stress urinary incontinence
  • Other types of surgery to support the urethra and bladder neck or implant a ring around the neck of the bladder to prevent leakage in men

Would you like to finally find relief for your urinary incontinence symptoms? Call Dr. Lucas Jacomides at Greater Austin Urology in Austin, TX at (512) 540-3937 to schedule your appointment.



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