Urology Care of Central New Jersey

Vasectomy is safe and effective procedure. It permits those men who don’t want a child in future.

Vasectomy does not change your hormones or manliness. What’s more, it won’t influence your capacity to get and remain erect. Your hormones and sperm keep being created. But if you want to have a child after Vasectomy then the Reversal Vasectomy becomes a complicated procedure with no guarantee of successful results. Contact us through given info and get consultant advice now.





Majority of men who are getting older might wondered if there are any measures or ways to prevent enlarged prostate or lower the risk of developing benign prostatic hyperplasia (BPH). Advancing age and family history of the disease are the two main risk factors of developing BPH, neither of which men can change. That is the reason why healthy men suffered from the problem and those who are unhealthy do not get it.

Read more about Benign Prostatic Hyperplasia By Alaina Albert



The Prostate Cancer is the disease in which malignant cells or cancerous cells develop in the tissues of prostate gland, which is located in male reproductive system and produces a fluid that protects and nourishes sperm in the semen. It has become the most common cancers among old age men in United States.

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Most of the men think that Prostate Cancer is not going to happen to them unless their father or brother has had the disease. Around more than 1.1 million men worldwide are diagnosed with Prostate Cancer each year. Finding out that you have the disease can be frustrating for you and you may feel confused and lost, but, like other types of cancers, there is Prostate Cancer treatment available that can cure the disease, if it is diagnosed timely and treated properly. Like any other disease, there are some misconceptions and myths about Prostate Cancer.

To help you out, here we give you some of the most common myths and facts about Prostate Cancer:


Fact: Though it is true that older men are commonly diagnosed with the disease, Prostate Cancer can also affect younger men. According to American Cancer Society (ACS), about 40 percent of all the cases occur before the age of 65. Age is not the only factor that increases the risk of developing the disease, but there are some other factors, which include:

Family history: If your father or brother had affected with the disease then you are two to three times likely to develop it. The more relatives you have affected with disease, the higher are the chances for you to get it.

Race: African-American men are at high risk of getting the disease than anyone else.

ACS recommends that all men with an average risk of the disease should talk with the doctor about getting Prostate Cancer Screening tests (PSA test) at the start of age 50. However, if you have family history of the disease then you should get screening at the age of 40-45. So, if you have any concerns or risks then you must discuss them with the doctor and decide whether you need testing for Prostate Cancer earlier.


Fact: According to a research which was published in The Journal of the American Medical Association, about half of the men who have good sexual function before treating their Prostate Cancer still have a good function after the treatment. Among rest of the men, some experience moderate to severe Erectile Dysfunction (impotency) but most of them have minor loss of sexual function and usually return to normal within few months to one year. If you have Erectile Dysfunction then the Prostate Cancer treatment won’t correct the condition but also isn’t possibly to make it significantly worse.


Finding Telemedicine’s Niche

There are certainly times where I probably don’t need to make a patient physically come in to the office.

As part of trying to figure out where telehealth and video visits fit into the primary care setting, this week I got an amazing tour from the director of our emergency department, during which he showed me the program they’ve developed over the past year.

An incredible system, they take patients from triage who report to the emergency department with nonemergent issues, and move them to a consultation room off to the side of their urgent care space. There they are linked via video to an emergency provider who is located elsewhere in the hospital, who can go over their (hopefully) nonemergent issue and come to a quicker, safer, more efficient, and likely less expensive solution than a day in the ER.

They told me they get things like rashes that have been there for months, travelers who’ve arrived in New York City and have run out of their medications, simple musculoskeletal issues — the list goes on and on.

Through a video link-up, the provider can take a look at a rash, and look at various other things, pretty much anything that falls short of the laying on of hands or a diagnostic instrument. And certainly nothing that involves any invasive tests like labs or imaging.

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Blue Light Cystoscopy for Bladder Cancer

Bladder cancer is the fourth leading cause of cancer death in males and the most common site of cancer in the urinary system. An estimated 74,000 new cases of bladder cancer are expected to be diagnosed in the USA in 2015 and 16,000 deaths are estimated[1]. Non-muscle-invasive bladder cancer (NMIBC) has a high rate of recurrence and also a risk of progression that requires patients to undergo regular monitoring with cystoscopy after transurethral resection of the bladder tumor (TURBT). Current standard of care uses white-light cystoscopy (WLC) to map and resect all visible tumors. This blog will give an overview of the use of fluorescent cystoscopy in the management of NMIBC and review the evidence for its use.


Blue-light cystoscopy (BLC), also referred to as fluorescent cystoscopy or photodynamic diagnosis (PDD), is a procedure in which a photosensitizer medication is instilled in the bladder prior to cystoscopy. This photosensitizer is part of the heme biosynthesis pathway (that makes red blood cells) and causes an accumulation of photoactive porphyrins in neoplastic cells. These porphyrins preferentially accumulate in neoplastic cells due to the increased metabolic activity in these cells. When excited with blue-light in the 360-450 nm wavelength, the porphyrins emit a red light that can easily be seen during cystoscopy (Figure 1). There are two main photosensitizers that have been used in studies looking at fluorescent cystoscopy: 5-aminolevulinic acid (5-ALA) and hexaminolevulinate (HAL). HAL is the only photosensitizer that has been approved for use in the USA and Europe. In the USA it is marketed under the brand name Cysview, and in Europe under the brand name Hexvix.

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Cryotherapy: To Freeze Or Not To Freeze?

Whole Body Cryotherapy is an interesting topic for most medical professionals. Most don’t know what to think of it because there haven’t been large scale studies performed on its efficacy, however, most of the small studies that have been done DO show improvement in pain, inflammation, metabolism and even mood disorders. And the patient reviews are astounding. Most patients who received cryo for sports injuries, autoimmune conditions and recovery phases felt that it was an essential part of their treatment. If you guys know me, I believe in the value of patient testimonials along with science and art in medicine.

So, what is Cryotherapy Exactly?

It is basically standing in cylindrical chamber and freezing your whole body at -250 degrees Fahrenheit in a liquid nitrogen chamber for 2-3 minutes. Well, I decided to try it for myself. Minutes after getting a fancy robe, some slippers and gloves to step into a sterile, ice cold chamber, I began to wonder what I had gotten myself into! The whole procedure lasts no more than 3 minutes total, as exposing the body to such extreme temperatures can be dangerous if prolonged. Liquid nitrogen is used, so although its cold, it is tolerable. The internal organs are protected and stay warm with a restricted time frame. It’s also super important that you are given slippers and a dry and clean pair of socks. Why? Any dampness can result in frostbite or severe burns as the wet material will instantly freeze and adhere to the body.

Cryotherapy has been used for years in other countries, but has just become popular in the United States in the last decade. It was created by the Japanese in the 1970s, however it was the Polish who embraced the protocol for chronic pain. Even today, many of the studies on cryo have come from Polish researchers.

What are the Purported Benefits of Cryotherapy?

I always try my natural remedies or other health fads myself first. I do this because I believe personal experience is necessary and many others can often relate to us if we care to share our story!

I must say that I HATE the cold and so I was dreading this experience almost as much as a Polar Bear plunge, but it was way easier! Not only is the cold tolerable and short lived, but I felt AMAZING while in the cyro chamber! You immediately get a euphoric feeling, followed by a surprising amount of energy that lasts long after the session is over. Your skin is tingling and numb, but you really don’t mind. That doesn’t stop you from dancing in circles and jumping up and down in place to attempt to warm yourself! You really feel a bit ridiculous in the chamber with others’ watching.

All of it was was easier for me than taking a cold shower! I slept soundly that night too which is a bit unusual.

How does it work? Vasoconstriction, or narrowing of the blood vessels during extremely cold temperatures, redirects blood from the surface of the skin, to the core to protect our body temperatures. Once the session is over and we step out into room temperature, the blood vessels dilate, and important organs like our liver, heart and even brain receive a rush of oxygenated blood. A recent medical conference I attended called for cryotherapy as treatment for brain inflammation that is the underlying cause of autism, depression, anxiety and ADHD. Hormones also flood the bloodstream during periods of stress and this has also shown to be beneficial for anyone suffering from excess stress, insomnia, mood disorders and adrenal fatigue.

It is well known and proven with scientific studies that ice packs and localized cryo can help pain, inflammation and therefore, many autoimmune conditions. Proponents of cryo state that its helped aging and that it tightens the skin, reduces cellulite and packs a powerful punch against eczema, psoriasis and other skin conditions.

Cyro works on pain and inflammation by slowing down the firing of pain receptors due to the extreme cold. This is postulated to be the cause of improved pain sensations. Not to mention, when you’re freezing, you’re distracted from the pain body. All of this helps patients with chronic pain cope better.

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National Antibiotic Initiative

The inappropriate and unnecessary overuse of antibiotics within hospital and outpatient settings has led to the rise of drug-resistant strains of bacteria over the past several decades. These “super” bugs cause 2 million illnesses and over 23,000 deaths in the U.S. alone, according to the Centers for Disease Control and Prevention (CDC)1. In March of 2015, the White House issued a National Action Plan for Combating Antibiotic-Resistant Bacteria. The goals of the plan include1:

  1. Slow the emergence of resistant bacteria and prevent the spread of resistant infections.
  2. Strengthen national one-health surveillance efforts to combat resistance.
  3. Advance development and use of rapid and innovative diagnostic tests for identification and characterization of resistant bacteria.
  4. Accelerate basic and applied research and development for new antibiotics, therapeutics, and vaccines.
  5. Improve international collaboration and capacities for antibiotic-resistance prevention, surveillance, control, and antibiotic research and development.

By 2020, a primary outcome of Goal 1 will be the establishment of antibiotic stewardship programs in all acute care hospitals and across all healthcare settings2. The core elements of hospital antibiotic stewardship programs will include1,2:

  • Establishing leadership commitment by dedicating necessary human, financial and information technology resources.
  • Appointing a single physician leader, ideally formally trained in infectious diseases, responsible for program outcomes.
  • Appointing a single pharmacist leader with drug expertise, responsible for working to improve antibiotic use.
  • Securing support from the multidisciplinary team, including infection prevention control, nursing, information technology, laboratory and quality improvement.
  • Implementing policies and interventions to improve antibiotic use, ensuring that patients receive the right antibiotic at the right time at the right dose for the right duration.
  • Implementing at least one recommended action, such as systemic evaluation of ongoing treatment after a set period of initial treatment (i.e. “antibiotic time out” after 48 hours).
  • Monitoring antibiotic prescribing and resistance programs.
  • Educating clinicians about resistance and optimal prescribing.

Healthcare leaders and clinicians in all settings should focus efforts on implementing these recommendations in order to decrease antibiotic resistant bacteria.

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Prostate Cancer Pony Express Stories and PC Myths


The media continues to publish articles that reinforce the memes that prostate cancer is an old man’s disease and that annual PSA (prostate specific antigen) screening causes more harm than good.

I don’t believe this is true and the stories that were collected in the Prostate Cancer Pony Express Memorial Journal prove that prostate cancer strikes young men as well.

Read the entry below, written by this 59 year old man, and make your own mind if he would have preferred to have been diagnosed while he still had the full range of treatment options available to him:

Read Complete Blog at Prostate Cancer Pony Express Stories and PC Myths

Prostate cancer screening update 2017

Prostate cancer screening update 2017

If you follow this blog far enough back you will read early rumblings about the futility of prostate cancer screening.  The last ten years has seen a “slow growth” of international guidelines stating that this is something that we probably should NOT be doing… and yet, it remains one of the most common screening tests in primary care. In 2013 approximately 20% of middle-aged Aussie men were tested using PSA. [AIHW, Medicare]

This 2016 paper in BMJ Open illustrated the stark differences in PSA screening practice between Australian and UK based GPs.  The Poms rarely screen for prostate cancer – whereas we are a bit keen in the Antipodes.

Doctors’ perspectives on PSA testing illuminate established differences in prostate cancer screening rates between Australia and the UK: a qualitative study

The rate of screening in Australia has been decreasing since about 2008 [as has the incidence of disease… beware statistical trap there! If you don’t look you won’t find it.  Does it matter?? – there’s the big question!]

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Focus on Men’s Health – Prostate Health

It’s a fact – prostate cancer is one of the most common cancers diagnosed in American men, second only to skin cancer. Even so, a prostate cancer diagnosis can often come as a surprise, because many men do not experience any prior symptoms. Prostate cancer awareness is vital, because even in the absence of symptoms, it can be a serious medical condition.

Both the prostate specific antigen (PSA) test and digital rectal examination (DRE) are recommended for prostate cancer screening. The PSA test is a simple blood test that measures the level of a protein produced inside the prostate gland and is effective for early detection. However, it’s not clear if, for all men, the potential benefits of testing outweigh the possible risks, such as detecting and treating cancers that may never cause any problems. It’s important to talk to a healthcare provider about the pros and cons of prostate cancer screening.

While a primary care physician can perform the routine screenings, there are times when a urologist is the best choice. Typically, an elevated PSA level prompts a visit to a urologist, who will perform a prostate biopsy to confirm or rule out cancer. Urologists are specially trained to treat problems affecting the urinary tract and disorders of the male reproductive system. If the diagnosis is prostate cancer, a urologist can carry out or manage treatment, which may range from active surveillance to radiation therapy to surgery.

Focus on Men’s Health – Prostate Health