Entries by drjo

Intravesical Botox for Overactive Bladder: A Patient’s Guide

Overactive bladder can have a significant impact on everyday life. The sudden need to find a toilet, frequent trips to the bathroom, waking repeatedly at night and episodes of urinary leakage can interfere with work, travel, exercise, sleep and social activities. When bladder training, pelvic floor therapy and medications have not provided adequate relief, Botox […]

Sacral Neuromodulation for Urinary Incontinence and Bladder Dysfunction

Urinary incontinence and bladder control problems can have a significant effect on everyday life. Frequent trips to the toilet, sudden urgency, leakage, waking repeatedly at night or being unable to empty the bladder properly can interfere with work, exercise, travel, sleep and social activities. For men and women whose symptoms have not responded adequately to […]

Medical Therapy for Benign Prostate Enlargement: What Are the Options?

Benign prostate enlargement, also called benign prostatic hyperplasia (BPH), is extremely common as men get older. An enlarged prostate can narrow the urinary channel and affect the way the bladder empties, producing what doctors call lower urinary tract symptoms (LUTS). Typical symptoms include: A slow or weak urinary stream Difficulty starting urination Stopping and starting […]

Minimally Invasive Prostate Biopsy

A prostate biopsy is the definitive test used to determine whether abnormal prostate cells are cancerous. Modern biopsy techniques have changed significantly. Rather than routinely passing biopsy needles through the rectum, prostate tissue can now be sampled through the skin of the perineum, the small area between the scrotum and anus. The TP Pivot Pro™ […]

Pelvic Floor Rehabilitation Before and After Prostate Surgery

Preparing the Pelvic Floor for Recovery Urinary leakage is one of the most common concerns men have when preparing for prostate surgery, particularly radical prostatectomy for prostate cancer. Fortunately, urinary control usually improves progressively after surgery, and pelvic floor rehabilitation can play an important role in helping men regain continence. Pelvic floor rehabilitation is more […]

Active Surveillance for Prostate Cancer

Being diagnosed with prostate cancer does not always mean that treatment needs to start immediately. Many prostate cancers grow very slowly and may never cause symptoms or threaten a man’s life. For carefully selected men, active surveillance allows the cancer to be closely monitored while avoiding, or at least delaying, treatments such as surgery or […]

Robotic-Assisted Radical Prostatectomy for Prostate Cancer

Understanding Robotic Prostate Cancer Surgery A diagnosis of prostate cancer brings with it several important decisions. For men with cancer that is confined to the prostate, or selected cancers that have extended just beyond it, radical prostatectomy remains an established curative treatment option. Robotic-assisted radical prostatectomy (RARP) is a minimally invasive approach in which the […]

Fascia Lata Allograft as a Mid-Urethral Sling for Female Stress Urinary Incontinence

A “new/revamped” kid on the block – Fascia Lata Allograft: A biological alternative to synthetic mesh Stress urinary incontinence (SUI) is one of the most common forms of urinary incontinence in women. It occurs when urine leaks with activities that increase abdominal pressure, such as coughing, sneezing, laughing, exercising, lifting or running. For women whose […]