The Impact of Nocturia
Nocturia is a symptom reported by patients way too often. As an expert in urology, I see the impact that nocturia has on both men and women, many of whom have been seeking help for a long time. I am...
View ArticleDiscouraged Patients, Frustrated Clinician!
I want to share with you the story of my approach to two of my patients being seen for overactive bladder symptoms of urgency and frequency during the day and night. I thought you might be interested...
View ArticleIt Works Like Clockwork
This was a quote from a patient who was treated for bothersome nocturia with a new formulation of desmopressin acetate (Noctiva). Nocturia - awakening to urinate - is an all too common symptom...
View ArticleWomen Beware: Not All Mesh-Implants Need to Be Removed
After reading a front-page article, How Profiteers Coax Women Into Surgery, in the New York Times, I knew I had to write this blog. The article describes the business case for exploiting women who have...
View ArticleSleep Matters!
I have been struck by the results of a recent Harris Poll national online survey of 2,040 U.S. adults, on the effect of nocturia, awakening one or more at night to urinate. Their data shows that...
View ArticleChief Complaint: “I Am Up All Night” – How Should You Respond
“I am up all night” is a complaint voiced by many of my patients, both male and female patients. But when I hear this, I know that they are not saying they are continuously awake all night but that...
View ArticleUTIs (Bladder Infections) – The Call for Prevention
I found a recent article in the New York Times (NYTs) about resistant UTIs1 to be timely and disturbing. It noted the New York City (NYC) Department of Health’s concern about drug-resistant UTIs and a...
View ArticleVoiding (Peeing): An Embarrassing Bodily Function
Urination is not part of daily conversations, especially for girls and women. A skit performed on SNL (Saturday Night Live) on the 7th of July, 2019, revolved around the problem of nocturia in men. It...
View ArticleThe New York Times Is Right: Incontinence Is NOT Inevitable
The New York Time’s (NYT) Twitter resident gynecologist, Dr. Jen Gunter, had an excellent response to a 63-year old woman who asked if wearing pads for urine leakage was the fate of all women her age...
View ArticleEffective Method for Men with An Overactive Bladder
I see many young and older men with complaints of overactive symptoms of urgency and frequency. The older men may have benign prostatic hyperplasia (BPH) and the younger men seem to have no underlying...
View ArticleProstate Cancer Treatment Outcomes: What Men Need to Know
A major part of my practice is treating men with prostate cancer (PCa) who are experiencing stress urinary incontinence (SUI), urine leakage with effort, when laughing, coughing, exercising, etc. SUI...
View ArticleGrowing Old with an Overactive Bladder
I recently saw a 77 year-old Latina woman with complaints of strong urinary urgency resulting in incontinence, frequency every 2 hours with nocturia x4. She described urgency as “pressure in my...
View ArticleNovember is Bladder Health Month - What the New York Times Got Right
To start off Bladder Health month, I thought a discussion about urinary incontinence, a bladder concern of many women, especially those who have undergone pregnancy, would be appropriate. Pregnancy and...
View ArticleThe Effectiveness of “Placebo” in Current Medical Research
The International Continence Society (ICS) 2020 online meeting opened with a presentation by Dr. Alan Wein, previous Chief of Urology at the University of Pennsylvania, now Director of the Penn Urology...
View ArticleFunctional Outcomes and Adverse Effects of Prostate Cancer Treatments – Diane...
For the past 30 years, I have treated men referred because of the adverse effects of prostate cancer (PCa) treatments. These patient complaints include lower urinary tract symptoms of incontinence,...
View ArticleGuideline Update on the Diagnosis and Treatment of Interstitial...
The American Urological Association (AUA) released a guideline update on the Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain Syndrome with 26 updated guideline statements on diagnosis and...
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