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Posts Tagged ‘Urology’

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Paul Perito MD Says Laser Therapy Is Useful to Treat Superficial Bladder Cancer

In Health and Beauty on February 20, 2012 at 8:42 pm
Paul Perito MD

Paul Perito MD

Bladder cancer is a devastating diagnosis that requires immediate action.  Paul Perito MD explains how medical advancements can help doctors catch it sooner and treat it more effectively.

According to Paul Perito MD, bladder cancer is the formation of malignant cells inside of the bladder, the hollow organ in the abdomen that stores urine. According to Paul Perito MD, there are three different types of cancer that affect the bladder. Transitional cell carcinoma begins in the innermost layer of the organ’s tissue and is where most cancer begins. Squamous cell carcinoma usually begins as the result of a long-term infection or chronic irritation. Adenocarcinoma begins in the secretory cells, and may also be the result of bladder irritation or infection, adds Paul Perito MD.

Superficial bladder cancer affects only the lining of the bladder. It is the most easily treatable form of the disease, says Paul Perito MD. One of the most interesting and efficacious procedures available today for the treatment of superficial bladder cancer is laser therapy. According to Paul Perito MD, laser therapy utilizes a narrow beam of light at an ultrahigh intensity. This is beneficial to surgeons because lasers are extremely accurate and can be used in place of a scalpel for precision work.

Lasers are known to destroy cancerous cells and are thus highly effective in the treatment of superficial cancers. Paul Perito MD notes that the use of lasers is not uncommon and that they are regularly used to treat many different variations of early-stage carcinoma, including penile and skin cell. Laser therapy can be used independently but has proven most beneficial when combined with radiation or chemotherapy and/or surgery, says Paul Perito MD. Additionally, lasers have the ability to seal nerve endings and lymph vessels, which may reduce pain and swelling.

Laser therapy is administered through an endoscope fitted with narrow optical fibers. According to Paul Perito MD, as lasers cause less damage to non-infected tissue, patients are more likely to have an easy recovery. The use of a laser minimizes trauma to the organ, reports Paul Perito MD, therefore the risk of infection is lower than with traditional methods that rely on physical contact of a cutting implement (scalpel). Laser therapy is not without its flaws, as it is expensive and may require repeat treatments.

Bladder cancer symptoms include bloody urine, frequent or painful urination and lower back pain, says Paul Perito MD. There are a number of test procedures that are beneficial in diagnosing the disease, as the symptoms are not unique to bladder cancer. According to Paul Perito MD, a CT scan, urinalysis, cystoscopy (a procedure that utilizes a thin, lighted tube to view the area), and even x-rays and internal examinations may all be utilized to confirm the existence of malignant cells in the bladder. If cancer is suspected, a biopsy or urine cytology may be performed to check for abnormal cells.

The combination of early intervention and a proactive treatment plan offers the patient the best chance for a positive prognosis, concludes Paul Perito MD.

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Paul Perito MD is a Coral Gables, Florida-based urologist whose practice, Perito Urology, specializes in men’s health issues. Most notably, Dr. Perito has developed and actualized a minimally invasive penile implant procedure that is safe, efficacious, and proven to diminish the risk of infection to the patient. He is Chairman of the Urology Department at Coral Gables Hospital as well as an active member of the American Urological Society. Paul Perito MD has traveled abroad extensively to promote his minimally invasive penile implant technique. Dr. Perito is a 1988 graduate of the University Of Maryland Medical School and also holds a BA in chemistry from Emory University.

The information contained in this article is provided by Paul Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

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Dr. Paul Edward Perito MD Gives an Overview of the Male Urological System

In Health and Beauty on February 9, 2012 at 12:18 pm
Dr. Paul Edward Perito MD

Dr. Paul Edward Perito MD

Dr. Paul Edward Perito MD has devoted his medical career to helping men (and women) with urologic problems. With a penile implant technique that has revolutionized the field, Dr. Paul Edward Perito MD is often asked to train other physicians on implanting devices via a proven method that minimizes pain and recovery time. In order to understand the many disorders that can affect the male urological system, Dr. Paul Edward Perito MD often explains to patients the various components that make up this complex system.

The male urinary and reproductive systems are closely correlated, with both removal of waste and sexual activity utilizing the same tracts. The urethra, Dr. Paul Edward Perito MD explains, connects the bladder to the penis and is responsible for removing waste from the body. According to Dr. Paul Edward Perito MD, on its way from the bladder to the penis, the urethra runs through the prostate, which produces seminal fluid during sexual activity. Attached to the prostate is the seminal vesicle, Dr. Paul Edward Perito MD states, which also works with the prostate to produce seminal fluid, both of which empty out through the urethra during ejaculation.

Sperm comes from the testes, traveling through a tube called the vas deferens. At the appointed time, Dr. Paul Edward Perito MD explains, the vas deferens moves sperm through the male body to the seminal vesicle, where it then combines with the milky fluid manufactured by the prostate and seminal vesicle to form sperm-filled semen. Because this system is shared by both waste removal and reproduction, the Bulbourethral or “Cowper’s” Gland works during sexual activity to remove any urine from the urethra by secreting an alkaline fluid.

With so many factors at play, Dr. Paul Edward Perito MD points out a variety of things that could malfunction. A urinary tract infection, common among members of both sexes, is caused by bacteria growing in the kidney, the bladder, or the tube that carries urine through the body, Dr. Paul Edward Perito MD says. UTIs can be caused by sexual activity, Dr. Paul Edward Perito MD explains, but this is more common in women than men. UTIs are usually treated with antibiotics, but mild cases can be counteracted by drinking unsweetened cranberry juice and vast amounts of fluids, especially water.

Kidney stones aren’t uncommon, especially among men, Dr. Paul Edward Perito MD notes. Most frequently caused by a lack of enough water in the body, kidney stones can be excruciating for patients and in some men is a recurring problem. According to Dr. Paul Edward Perito MD, incontinence is another urologic problem, generally seen more in men who have had prostate surgery and women with a history of vaginal births. Prostate enlargement can also cause difficulty in urinating for men, Dr. Paul Edward Perito MD states.

For men suffering infertility, Dr. Paul Edward Perito MD points to veins that drain the testicles as the most common cause. These veins, called varicocele, can either dilate or swell, causing the temperature of the testicles to escalate. Low testosterone and ingestion of alcohol and certain medications can also be blamed, Dr. Paul Edward Perito MD says.

For men suffering erectile dysfunction, sometimes the causes can be psychological. But as Dr. Paul Edward Perito MD points out, smoking and heart disease can create problems with the vascular and arterial systems, resulting in a loss of sexual function.

For more information or to contact Dr. Paul Edward Perito MD, visit Perito Urology online at http://www.peritourology.com

The information contained in this article is provided by Dr. Paul Edward Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

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Dr. Paul E. Perito Answers Frequently Asked Questions about Erectile Dysfunction

In Health and Beauty on January 31, 2012 at 11:06 am
Dr. Paul E. Perito

Dr. Paul E. Perito

Since 2005, Dr. Paul E. Perito has been Coral Gable’s foremost expert on erectile dysfunction, with his minimally invasive penile implant technique revolutionizing the field. Dr. Paul E. Perito is with us today on the Interviewing-Experts Blog to answer questions he frequently sees regarding erectile dysfunction.

Presentation Solutions: Thank you for joining us today, Dr. Paul E. Perito. How does a patient know if he’s suffering from erectile dysfunction?

Dr. Paul E. Perito: Thank you for having me. If a man is having difficulty developing and maintaining an erection during sexual intercourse, it may be time to seek treatment.

Presentation Solutions: But there are varying degrees of erectile dysfunction, right, Dr. Paul E. Perito?

Dr. Paul E. Perito: In mild cases, a patient is able to attain an erection most of the time, say seven or eight times for every ten attempts. These cases may be treatable through medication or injections. A moderate case would be a patient who is successful about half the time, with a severe case being a patient who can achieve erection less than four attempts out of ten. Some severe patients are never able to achieve erection.

Presentation Solutions: How common is sexual dysfunction?

Dr. Paul E. Perito: It’s more common than most people realize. According to the National Institutes of Health, more than 30 million men in this country suffer from the condition, with it growing more likely with age. Almost half of all men older than 75 suffer from erectile dysfunction.

Presentation Solutions: Those are some pretty grim statistics, Dr. Paul E. Perito.

Dr. Paul E. Perito: Yes, but it’s important to note that no matter what a man’s age, erectile dysfunction can be treated.

Presentation Solutions: Dr. Paul E. Perito, are these statistics increasing as baby boomers age?

Dr. Paul E. Perito: Actually, yes. The number of patients seeking treatment is said to be double what it was ten years ago. As the demand increases, we’re trying to find new, less painful ways to treat patients, with shorter recovery time.

Presentation Solutions: What causes erectile dysfunction, Dr. Paul E. Perito?

Dr. Paul E. Perito:: Patients with diabetes often develop erectile dysfunction—in fact, statistically about half of all diabetes patients will suffer from erectile dysfunction within ten years of diagnosis. Smoking also seems to be connected to the problem, with the problem more prevalent among men who smoke more than a pack a day. And, of course, the likelihood of erectile dysfunction increases with age.

Presentation Solutions: Dr. Paul E. Perito, can certain medications cause erectile dysfunction?

Dr. Paul E. Perito:: Erectile dysfunction is a side effect of some IMISFC blood pressure medicine and some sedatives. Narcotics and alcohol can also be contributing factors. In these cases, we may recommend the patient discuss adjusting medications with his patient or refrain from drinking for a while to see if the problem clears up.

The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition.

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Dr. Paul Perito Discusses Newer, Safer Penile Implant Procedure for Correction of Erectile Dysfunction

In Health and Beauty, Information on January 13, 2012 at 12:25 pm
Dr. Paul Perito

Dr. Paul Perito

Dr. Paul Perito has pioneered a minimally invasive procedure for the surgical installation of the three-piece, inflatable penile implant. As a result, his patients report fewer post-procedure complications as well as a faster recovery time. Recently, Presentation Solutions had the chance to catch up with the doctor and find out more about what exactly makes Dr. Perito’s technique different from others.

Presentation Solutions: Dr. Paul Perito, we want to thank you for taking this time with us. We know you are busy.

Dr. Paul Perito: Not a problem. Erectile Dysfunction is a matter that needs an open discussion every once in a while.

Presentation Solutions: Can you give us an idea about what makes your way of performing a penile implant unique?

Dr. Paul Perito: One of the major differences is that I use an artificial erection; this offers me plenty of corpora to negotiate when I am placing stay sutures.

Presentation Solutions: And that is important?

Dr. Paul Perito: Yes, in the thousands of case I have done, I’ve never seen a case of glandular hypoesthesia or anesthesia. I believe this is because you can avoid the dorsal nerves with an artificial erection.

Presentation Solutions: Are there other differences?

Dr. Paul Perito: Many of the duplicitous steps have been eliminated allowing the case to move along thus diminishing tissue damage while lowering operative times.

Presentation Solutions: Does the penis have to be dilated to insert the implant?

Dr. Paul Perito: I don’t have to use dilation, the artificial erection accomplishes that; I believe that by not damaging the tissue with serial dilation that patients end up with more sensate glands after the procedure.

Presentation Solutions: We’ve heard that you place your reservoir in a different location than other surgeons?

Dr. Paul Perito: Yes. Traditionally a surgeon will place the reservoir tank in the behind the pubic bone. I use the area behind the abdominal wall or within the abdominal wall.

Presentation Solutions: Does that make the procedure safer?

Dr. Paul Perito: In my opinion, this technique keeps the patient safe from catastrophic bowel, bladder or vascular injuries. This is especially important in patients who have undergone previous radical prostatectomies.

Presentation Solutions: It all sounds so complicated. Does the surgery take long?

Dr. Paul Perito: I’ve completed the procedure in as little as 6 minutes. It is not a time intensive surgery.

Presentation Solutions: And what about recovery time?

Dr. Paul Perito: Most men report full sexual function in 4 weeks. The remaining cases report a 6 week wait time.

Presentation Solutions: Still, that sounds reasonable. Doctor, we thank you again for your time today. We are sure our readers have learned a lot from this.

Dr. Paul Perito: No problem. I would like to add this: Men looking into ED treatments need to arm themselves with information. They are welcome to visit the Perito Urology website at www.peritourology.com for education information and links to articles about ED and penile prosthesis.

Dr. Paul Perito is a 1988 graduate of the University Of Maryland School Of Medicine. His practice, Perito Urology, is considered one of the foremost Erectile Dysfunction treatments centers in the world. Since 2005, Dr. Paul Perito has successfully performed more than 3,000 penile implants, establishing him as a leader in the field. He has streamlined the procedure, making it not only more efficient, but safer, by the development and actualization of a minimally invasive approach. Aside from contributing extensively to medical publication libraries, Dr. Paul Perito heads the training center at Perito Urology where his technique is taught to an audience of surgeons from across the globe.

The information contained in this article is provided by Dr. Paul Perito for educational purposes only. It is not intended to treat or diagnose any condition.