At Riverside Urology we recognize that disease of any kind can put a patient's life in turmoil. Our focus upon patient quality of life leads us to seek least-invasive solutions leading to best outcomes with minimal life disruption. Our patients benefit from access to the best care, the deepest knowledge and the use of our Ambulatory Surgery Center as an alternative to hospital stays. We help you get your life back to normal as quickly as possible.

Thursday, March 27, 2014

When is it necessary to do a prostate biopsy?

You’ve may have experienced or at least heard this scenario. Urologist to the patient, “Well it looks like your PSA is elevated, let’s schedule you for a prostate biopsy.” Really, just that quick?
It wasn’t too long ago, biopsy seemed like the only option to tell if a man’s PSA was elevated because of a prostate cancer. After all PSA, although a very good diagnostic blood test, is not cancer specific. In other words PSA elevation may be due to an enlarged prostate, a prostate infection or stimulation to the prostate gland or it could be a malignancy. And come to think of it, what if we do a prostate biopsy and the needle misses the cancer?
We’ve come a long way in the understanding how to diagnose and treat this potentially deadly disease, prostate cancer. Yes, prostate biopsy is important, but let’s takes a step back for a moment. What if we had a biomarker (like PCA3) for the urine, that if it is was elevated then we could take the next step.
What if we could look a prostate by imaging it, just like we do with other glands and organs in the body? By using a high magnet, 3T MRI, which provides us with a road map of the prostate we could see if an area that looks suspicious and then we can take the next step.
If we reduce the number of prostate biopsies, and improve the information that we get when we do biopsy, then we have made progress and yes we have all this technology available to us right now.

Thursday, March 20, 2014

Why do Men Get Vasectomies?

The following was from Dr. Turek’s blog. View his blog at
Why do Men Get Vasectomies?
I ask most patients why they are considering a vasectomy. The responses vary, but can be very amusing. Here are a dozen of the funniest answers I’ve heard in my practice:
1.    My wife said: “the factory is closed,” so I’m here.
2.    I was told that they broke the mold after they made me, but I want to make sure of it.
3.    My wife said: “It’s your turn now.”
4.    After this, I won’t ever have to say I’m sorry again.
5.    I’m married! Condoms are sooo high school!
6.    Have you seen the movie ‘One Fine Day?’ That’s why I’m here!
7.    Every time I look at my wife, she gets pregnant.
8.    Apparently, sacrificing some limbs just isn’t the same…
9.    She told me: “Enough, get your wings clipped already!”
10.  I was told that I can shoot the gun all I want and no one will get hit.
11.  I heard that it’s easier than getting your teeth pulled out…
12.  My wife told me that it’s time for juice without seeds.
So, here’s to the most effective contraceptive ever developed and hats off to those men who chose the “emission impossible” way to an unburdened and unbridled sex life.