BLOOD IN THE SEMEN

On August 7th, 2012, posted in: Blog by

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Best Urologist in Maryland

Blood in the semen is somehow a common problem in sexually active men between ages 20 and 50. One should consider that blood in semen means either after or during intercourse, the color of the semen becomes bloody and usually the patient is afraid of some condition going on. However, it should be investigated although it is benign condition and usually indicative of infection in the prostate, but one should consider this blood in the semen an investigative issue and should be talked to the doctor. The reason is sometimes the patient may mistakenly do not see the blood in the urine and mix it with the semen. If it is proven that blood is the semen itself and nothing in the urine, the condition is usually benign and the patient should be treated for chronic prostitutes which is a common problem again in a sexually active man. Again, the urine should be separately analyzed by microscope, by lab, or physicians or urologist to make sure that there is absolutely no blood in the urine and that is the semen. Sometimes existence of the stone in the prostate, which is again due to the chronic prostate, causes blood in the semen. In any event, one should not ignore the issue of blood in semen and once approved by physician or urologist that the condition is not due to any malignancy then condition is benign. We want to emphasize the fact that in occasion, blood in the semen could be indicative of any sort of prostate or bladder cancer, which may be ignored. The reason we are recommending it strongly is once you notice the blood is the semen definitely consult your physician or urologist. If you have any questions please call us at 301-428-3040.

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BLADDER CANCER

On July 30th, 2012, posted in: Blog by

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Urology Center in Maryland

Bladder cancer is although not very common but after prostate cancer, it is the most common cancer in the urinary tract. It is more common in men than women and usually happens after the age of 45 but have been seen in younger individuals as well. The bladder cancer has been attributed to chronic smoking and exposure to some chemicals that can create metabolites in the urine which irritate the bladder mucosa causing cancer. Cigarette smoking has been proven as the number one factor in producing bladder cancer. If an individual observes blood in their urine they should immediately get checked out by a urologist as this could be the first signs of the bladder cancer, another common symptom is frequent urination at night.

Bladder cancer has several stages; early stage I, II, III, and IV. In early stages, it could be easily treated by resecting and then contuing to be monitored every six months for any signs of recurrence. If not prevented and treated early then the treatment would need to be more aggressive and could require surgery. Yearly urine test checkups by laboratories is essential to check for any edvidence of red blood cells in the urine. This is the only way to catch the cancer at early stages of the disease and thus increasing the chances for treatment and prevention; this is especially imortant for individuals who are regular smokers. For further information please contact Germantown Urology Center at 301-428-3040

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BLOOD IN THE URINE

On July 30th, 2012, posted in: Blog by

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Germantown Urology Center, Maryland

Blood in the urine is not normal, when a physician or laboratory finds more than two red blood cells in the urine without any evidence of infection that alarms that urinary tract has  a disease. Disease can start from upper tract, kidney, ureter, bladder, and prostate all the way to tip of the penis. The kidney disease could be cancerous. It could be stone in the kidney. It could  be benign cyst or a variety of other diseases of the kidney that alarms the first signs of blood in the urine. That blood could not be seen first with the patient’s eyes; however laboratory can verify if there are too many red blood cells in the urine. If the patient does not pay attention to this important issue, it will progress to the sever degree of disease being cancer, or the enlargement of kidney stone in some cases.

In the ureter which carries urine from the kidney down to the bladder, there could be various diseases that can cause blood in the urine such as stone or cancer of the ureter, this is called hematuria. In early stages, few red blood cells will be seen in the urine and usually the patient does not notice it until it becomes progressive and causes bloody urine. Therefore, casuses cancer in the urinary tract from the kidney all the way to the bladder and also prostate cancer which could manifesf itself initially by blood in the urine. Other signs of prostate cancer could be, elevated PSA, troubled urination and urinary retention.

In brief a urinary tract from the top of the kidney to the tip of the penis is fundemental and a variety of issues from infection, stone, and cancer can create blood in the urine which is abnormal and should be immediately investigated. Fortunately, advances of technology in the field of urology have given us the tools identify these symptoms and treat them if caught in the early stages. If you have any further questions about blood in the urine, causes of it and treatment options call Germantown Urology Center at 301-428-3040 and make an appointments.

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Circumcision in male population has shown to reduce the Incidence of HIV Infection and other sexually transmitted disease including syphilis and gonorrhea. Herpes simplex and HPV (human papilloma virus) should not be confused with HIV, which is causing the AIDS.

In any event, any other sexually transmitted disease in uncircumcised men could cause the increased incidence of penile cancer and cervical cancer in women of course, not all of viruses. There are about different 32 kinds of viruses of HPV that exist in men, if left untreated it may cause cancer of the penis and in a woman, it can also cause cervical cancer, that is why the vaccine invented, been used in recent years.

According to the Center for Disease Control and Prevention, at least 45 million people In United States, ages between 12 and older, had herpes virus, HPV and sometimes incurable infection that can cause recurrent painful genital lesion and about 20 million people currently infected to HPV (human papilloma virus). There is no treatment or cure for HPV, but there is now a vaccine licensed and being used for women. The study, which was done on Ugandan men, shows that the circumcision is reducing the incidence of the penile cancer and cervical cancer. The mechanism in uncircumcised men acquired to have higher incidence of getting the HPV and other sexually transmitted diseases is not clearly identified, but one can clearly think that the foreskin and the extra skin that covers the tip of the penis during the intercourse exposed the penis to infection and the moist area of the foreskin which is again that skin that covers tip of the penis is a protected environment; however, the virus or other STD can continue to grow and there is a good nourishment area for them to create the disease that is already discussed .

We therefore recommend the men who have not circumcised to undergo circumcision which is an outpatient and is a procedure to prevent very costly HPV or HIV or other sexually transmitted diseases. It has been shown in numerous studies that circumcision prevents irritation of skin of penile shaft and several other lesions which are not even STD category. For further information about circumcision and benefits of it please contact Germantown Urology Center at 301-428-3040 and discuss with us to further clarify the benefits of this simple procedure.

Allen A. ,Farsaii, M.D.

MF/ LAM

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