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Dr. Hafron's Interview with WDIV - Advanced Prostate Cancer

Urology Specialties, Treatments & Technology
Enlarged Prostate / BPH

Benign prostatic hyperplasia (BPH) is an enlarged prostate. The prostate grows throughout a man’s life. As you age, your prostate may get larger.

As the prostate enlarges, it can create pressure on the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retention–the inability to empty the bladder completely–cause many of the problems associated with benign prostatic hyperplasia. BPH is benign. This means it is not cancer. It does not cause nor lead to cancer. But BPH and cancer can happen at the same time.

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Prostate Cancer

Prostate cancer is one of the most common types of cancer in men. Usually prostate cancer grows slowly and is initially confined to the prostate gland – a small walnut-shaped gland that produces seminal fluid, where it may not cause serious harm. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly. Prostate cancer that’s detected early — when it’s still confined to the prostate gland— has a better chance of successful treatment.

MIU provides the highest and most advanced quality of care for patients with prostate cancer. Our comprehensive approach combines the latest treatment options available, with a team of dedicated and experienced clinicians that specializes in advanced prostate cancer.  Specifically, we focus on the early identification of disease progression in patients with advanced disease, ensuring patients receive the best therapy at the appropriate time. 

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Erectile Dysfunction and Male Infertility

Erectile Dysfunction  

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity.

Researchers say that sexual dysfunction is common 31% in men and 43% in women report some degree of difficulty. This is a topic that many people are not comfortable to discuss. Most cases of sexual dysfunction are treatable, so it is very important to share your concerns with your partner and urologist.

What causes sexual problems?

Sexual dysfunction can be a result of a physical or psychological problem.

Physical causes

Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.

Psychological causes

These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.

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Male Infertility

Infertility is the inability to conceive after at least one year of unprotected intercourse. Since most people can conceive within this time, physicians recommend that couples unable to do so be assessed for fertility problems. In men, hormone disorders, illness, reproductive anatomy trauma and obstruction, and sexual dysfunction can temporarily or permanently affect sperm and prevent conception. Some disorders become more difficult to treat the longer they persist without treatment.

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Low Testosterone (Androgen-Deficiency)

Low testosterone levels can be a problem for many men as they age. Our current understanding of the causes and symptoms of low testosterone in aging men, often referred to as andropause or male menopause, is that through treatment to increase testosterone levels, we can relieve many symptoms previously believed to be part of the aging process. These include irritability, weight gain in the wrong places, loss of muscle tone, inadequate erections and poor sexual performance.

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Elevated PSA

Screening means looking for signs of disease in people who have no symptoms. So screening for prostate cancer is looking for early-stage disease when treatment may be more effective. The main screening tools for prostate cancer are the digital rectal examination (DRE) and the prostate-specific antigen (PSA) test. The DRE and PSA test cannot tell if you have cancer; they can only suggest the need for further tests.

What is the PSA test?

PSA stands for “prostate-specific antigen.” PSA is a substance produced by cells from the prostate gland and released into the blood. The PSA test measures the PSA level in the blood. A small amount of blood is drawn from the arm. The doctor checks the blood to see if the PSA level is normal. The doctor may also use this test to check for any increase in your PSA level compared to your last PSA test.

As a rule, the higher the PSA level in the blood, the more likely a prostate problem is present. But many factors, such as age and race, can affect PSA levels. Some prostate glands produce more PSA than others. PSA levels can also be affected by

Certain medical procedures

An enlarged prostate

A prostate infection

Because many factors can affect PSA levels, your doctor is the best person to interpret your PSA test results.

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About half a million American men each year choose vasectomy for permanent birth control. Vasectomy is considered nearly 100 percent effective, safe, and does not interfere with sexual pleasure.

Most urologists perform vasectomy procedures. There are different techniques in performing a vasectomy. The traditional method uses a scalpel and the modern method which is called the “no scalpel vasectomy”. Both the traditional method and the no-scalpel technique are safe and effective in experienced hands. Urologists usually take advanced training to learning the no scalpel procedure.

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Testicular PAIN

Disorders of the Testes and Scrotum

Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It’s easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.

You should examine your testicles monthly and seek medical attention for lumps, redness, pain or other changes. Testicles can get inflamed or infected. They can also develop cancer. Testicular cancer is rare and highly treatable. It usually happens between the ages of 15 and 40.


Testicular Trauma

Testicular Torsion

Testicular Cancer



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Penile Prosthesis

Penile Prosthesis

A penile prosthesis is a treatment option for men with erectile dysfunction. These devices are either malleable or inflatable. The simplest type of prosthesis consists of a pair of (bendable) rods surgically implanted within the erection chambers of the penis. With this type of implant the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. Many men choose a hydraulic, inflatable prosthesis, which allows a man to have an erection whenever he chooses and is much easier to conceal. It is also more natural.

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