Prostate health i a growing concern for many men.

We now head out on location to discuss conditions such as a large prostate and prostate cancer.

What?

Doctor penis and chair of the University of Toledo Medical Center, Departmen of Urology, and a Kenneth Kropp Endowed Professor of Neurology at the University of Toledo College of Medicine and Life Sciences.

Kristi K:Also joining us is Doctor Michael Ellis, chief medical officer at the University of Toledo Medical Center and a professor of medicine.

He's also a board certified internal medicine and infectious disease physician who's going to further discuss trends and innovation in medicine.

Let's head out on location.

Doctor Antoine, thank you for being with us today.

We're really excited to hear more about your expertise.

Dr. Sindwani: Thank you ver much for having me here, Kristi.

Kristi K:Well, let's start with the general.

Tell us more about the urology practice.

Dr. Sindwani: I loved urology because you do clinic, clinic procedures, surgeries.

You have longitudinal care and you have a good relationshi established for long term with your patients.

Kristi K:There are two areas I'd like to talk about today for our viewers who may be intereste in specific issues with urology, including prostate cancer as well as an enlarged prostate.

So why don't we start, first of all, with the enlarged prostate?

Let us know kind of an overview of what that is.

Dr. Sindwani: Absolutly.

So enlarged prostate is a very common problem.

Enlarged prostate will present with symptoms of urinary obstruction and some irritation of the bladder.

Kristi K:Now, this is not cancerous, is it?

Dr. Sindwani No, it's the benign enlargement.

Very good question.

You have to differentiate between the two.

Kristi K:Now when you're talking about the enlarged prostate, I feel like in days past maybe there wasn't a methodology, a procedure and innovation that men could have done that would really change and improve some of those symptoms.

Now, today, that is not the case.

Is that.

Dr. Sindwani: Correct?

That's very, very correct.

So enlarged prostate, also called BPH, has undergone revolutionary, advancements in treatment part.

Old days there used to be just surgery, open surgery.

Then came what is called Roto-Rooter.

Which was basically going through the urethra with a hot knife and scraping the prostate from inside.

So that channel that was squished now is made around again.

So you can remove excess tissue from inside.

Then there were certain innovations that started happening, because when you did that Roto-Rooter, there was a lot of bleeding, the risk of incontinence.

And any time there was a lot o heat dissipated to the tissues, it can damage the nerve that go alongside the prostate.

So there was a risk of, you know, sexual dysfunction, risk of stricture formation, which is kind of scarring within the urethra.

So all these things kind of led to innovations, but the latest and greatest right now, which is on the horizon and has been approved for the last three years in the United States, is called acquisition.

Kristi K:Aqua ablation.

Dr. Sindwani: Aqua ablation.

So more so aqua water ablation using water.

So it's nothing but a glorified term for, you have pressure jet for your, deck washing.

Right?

That's exactly what it is.

Kristi K:And how are outcomes.

Dr. Sindwani: Outcomes are excellent because patient you do not have thermal energy.

So there's no damage to the nerves.

And I think this i the next generation of treatment when it comes to large prostate.

Kristi K:Let's talk now about prostate cancer and some of the innovations there in terms of surgeries that may be required.

Or if one has a diagnosis of prostate cancer.

What are some of the options available?

Dr. Sindwani: Some of our, innovations now is that yo try to treat the prostate cancer fully, rather than removing the whole prostate.

You can treat where you found the cancer.

So how do you do that?

It's noninvasive, is called high Fuu, which is high intensity focused ultrasound.

So what does that mean?

Once again, a fancy term.

The way I can tell my patients is when we were kids, we had a magnifying glass.

And you if you have a paper, if you focus your sunrays right at the focal length, it'll burn a hole, right?

If the paper is too close, nothing happens.

Too far, nothing happens Kristi K:That's a great analogy.

Dr. Sindwani: Right?

So we do exactly same thing instead of sun rays.

In this case you have ultrasound waves that you can focus the doubt making a cut.

And you can focus righ where you found the cancer with imaging guidance, real time where the cancer was found.

And you can burn just the area where cancer was found.

So minimum damage or no damage to the nerves, no damag to the sphincter and no damage.

So no incontinence afterwards.

Minimizing risk of erectile dysfunction afterwards, minimizing risks to recovery and having patients go through secondary procedures, outpatient procedures.

No hospital admission required.

And select patients can get that done.

So not everybody can have it done because you need to find the cancer early.

So that's where getting your PSA check comes through important.

So make sure you have your PSA done annually.

Because if your cancer is found early and there's only one focus or only on one side, you can do high fu sparing yourself a big surgery.

Kristi K:Well, doctors and want to thank you for this information.

You are making a huge impact on men's health and a special thank you for our fathers, our grandfathers, our husbands, our sons in all you're doing.

Dr. Sindwani: Kristi, thank you so much for having me on your show.

Appreciate it.