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Recurrent UTIs

Posted on April 24, 2024 by Jacob Lobosco

Urinary tract infections (UTIs) are common; they occur when bacteria enters and infects the urinary tract, leading to symptoms such as painful, frequent, and/or bloody urination. In most cases, a UTI can be cleared up quickly using antibiotics; however, for some people, UTIs may become a frequent occurrence.

A person is considered to have recurrent UTIs if they have developed three UTIs within a 12-month period or two within a six-month period. UTIs can return frequently for a few potential reasons, including:

Urinary tract abnormalities: If there is a structural problem with your urinary tract, such as an enlarged prostate, it can be easier for you to develop a UTI.

Bladder dysfunction: UTIs are more likely to occur and return quickly in people who have difficulty fully emptying their bladder when they urinate.

Age: Older adults face an increased risk of developing frequent UTIs. This is partially due to an increased likelihood of developing other chronic conditions, such as Parkinson’s disease, diabetes, or dementia, all of which can lead to bladder control problems. UTIs are also more likely to occur in potty-training children.

Changes in vaginal bacteria: Changes such as menopause or the use of spermicides can cause changes in the bacteria that live inside the vagina. These changes make UTIs more likely to occur, even after successful treatment.

While it’s important for everyone to practice healthy habits that can prevent UTIs, it’s especially important for people who are more likely to develop them. Some habits that can help protect you against UTIs include:

Practicing good hygiene, such as wiping front to back after using the toilet, washing the outer genital area with a gentle soap, and urinating after sex
Drinking plenty of water to flush bacteria from the bladder
Potentially switching to a birth control method that does not include spermicide

If you experience frequent UTIs, it’s also important that you talk to a doctor to find an effective course of preventative treatment. You can schedule an appointment with a urologist at Jamaica Hospital Medical Center by calling (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Prostate Cancer Awareness Month

Posted on September 6, 2023 by Jacob Lobosco

Prostate cancer is the most commonly diagnosed form of cancer and the second leading cancer-related cause of death among people assigned male at birth. The specific causes of prostate cancer are unknown, but certain factors can increase your risk of developing it, such as:

Age (prostate cancer is most common over the age of 50)
Race (prostate cancer is more common and more likely to be aggressive among Black men)
Family history (having a father, brother, or child with prostate cancer may increase your risk)
Obesity (prostate cancer is more likely to be aggressive and to return after treatment among people who are obese)

Prostate cancer may not present any symptoms, particularly in its early stages. When symptoms are present, they may include:

Difficult, painful, and/or more frequent urination
Blood in urine or semen
Difficulty getting or maintaining an erection
Painful ejaculation
Pain or stiffness in the lower back, hips, pelvis, and upper thighs
Unintended weight loss

There are two screening tests available for prostate cancer: a digital rectal exam (DRE) and prostate-specific antigen (PSA) test. To perform a digital rectal exam, your doctor inserts a gloved finger a few inches into your rectum to check your prostate gland. A prostate-specific antigen test is a blood test that checks for elevated levels of PSA in your blood; aside from prostate cancer, this test can also indicate less serious issues such as prostate enlargement or infection.

Your doctor may recommend additional tests to diagnose cancer, such as an ultrasound and/or biopsy of the prostate. A prostate ultrasound involves a small probing device, approximately the size of a finger, being placed into your rectum; this device creates sound waves that bounce off of your organs and create an image that allows your doctor to view the size, shape, and location of your prostate gland. A prostate biopsy involves removing a small piece of the prostate to look for abnormal cells.

Treatment of prostate cancer depends factors such as your age, your overall health, and the growth and spread of the cancer at the time of diagnosis. Common treatment options include watchful waiting or expectant management (regularly checking for new signs or symptoms), radiation therapy (high-energy x-rays used to kill cancer cells), chemotherapy, surgery (having the prostate gland removed), and hormone therapy.

You can schedule an appointment with a urologist at Jamaica Hospital Medical Center for a prostate cancer screening or to discuss treatment options. To schedule an appointment, please call (718) 206-7001.

National Bladder Health Month

Posted on November 16, 2022 by Jacob Lobosco

Millions of Americans suffer from a variety of bladder problems each year, increasing risks to their overall health. Bladder function is an important part of the body’s urinary system, which filters fluid and waste from the body, regulates hormones, stabilizes electrolyte levels, maintains bone strength, and even assists in the production of red blood cells.

Many problems that affect the bladder may indicate or lead to problems with other parts of the urinary system, such as the kidneys, and eventually affect the entire body in severe cases. Some of these issues include:

Incontinence: When it comes to bladder function, incontinence refers to an inability to voluntarily control urination. The most common form of incontinence is urge incontinence (also known as overactive bladder). Other forms include stress incontinence, functional incontinence, and overflow incontinence.

Bladder cancer: Approximately 75,000 Americans develop bladder cancer each year. It occurs more frequently in men. This condition may develop as transitional cell carcinoma, squamous cell carcinoma, or adenocarcinoma. Bladder cancer may be caused by smoking, genetics, exposure to certain chemicals, arsenic, chronic urinary tract infections, certain chemotherapy drugs, and the herb Aristolochia fangchi.

Interstitial cystitis: This condition causes bladder pressure and pelvic pain, as well as a more frequent urge to urinate in smaller volumes.

Urinary tract infection: These infections can occur anywhere in the urinary system, including the bladder, causing a variety of symptoms that includes frequent urination, pain while urinating, dark or cloudy urine, and lower back and abdominal pain.

Nocturia: This disorder causes more frequent urination during the night and may be a symptom of a more serious condition such as diabetes, heart conditions, or insomnia.

You can prevent these conditions and promote good bladder health in many different ways. A healthy diet is limited in alcohol, caffeine, and other substances that aggravate your bladder problems, but high in water can help. Additionally, regular exercise, particularly routines that incorporate pelvic floor exercises, can improve your bladder strength and reduce urination frequency.

Good hygienic habits can also help to protect your bladder health. You should:

Use the bathroom when needed and fully empty your bladder.
Urinate after sex.
Wipe from front to back after using the bathroom.
Wear loose-fitting underwear and clothing.

Finally, you should visit a urologist annually over the age of 40 and as soon as possible if you’re suffering from symptoms of a medical issue with your urinary system. You can schedule an appointment with a urologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Latchkey Incontinence

Posted on October 25, 2022 by Xavia Malcolm

The term “latchkey incontinence” is often used to describe a person’s constant and urgent need to urinate the moment they get home. Although the term is popular, it is not generally used in medical terminology.

A person with latchkey incontinence is most likely experiencing symptoms of an overactive bladder or OAB. Overactive bladder is a combination of symptoms that causes frequent urination, uncontrollable urination or nocturia (waking up to urinate more than two times at night).

With OAB, the urge to urinate may intensify with certain triggers such as inserting the key in the door, opening the garage door, or any behaviors that indicate to the brain that you are getting closer to home. Over time, if this pattern continues, the brain will associate these behaviors or cues with the need to urinate and trigger the urge to go whether the bladder is full or not. Other OAB triggers may include having the urgent need to urinate when hearing running water or while washing your hands.

OAB typically develops as a result of conditions or injuries that affect the detrusor muscle in the bladder. These conditions or injuries may include:

Nerve damage caused by diseases such as diabetes or multiple sclerosis
Abdominal trauma
Urinary tract infections
Hormonal changes such as menopause
Obesity

It is important to seek treatment for OAB because it will not go away on its own and symptoms may become more severe. Treatment may include behavioral interventions or changes such as scheduling bathroom trips, pelvic floor exercises, or bladder training. These therapies may be followed by medication, nerve stimulation, or potentially surgery if symptoms persist.

If you are experiencing symptoms of OAB, please call 718-206-7001 to schedule an appointment with a urologist at Jamaica Hospital Medical Center.

Stress and Urge Incontinence

Posted on March 15, 2022 by Xavia Malcolm

Urinary incontinence or the loss of bladder control is a common disorder. The American Urological Association estimates that, “A quarter to a third of men and women in the U.S. suffer from urinary incontinence.”

Although urinary incontinence affects men and women, it is more prevalent in women as a result of pregnancy, menopause and childbirth.

There are different types of urinary incontinence including stress incontinence, overflow incontinence, functional incontinence, mixed incontinence and urge incontinence. The two most common are urge and stress incontinence.

Urge incontinence, also known as overactive bladder, is characterized by loss of urine that is associated with an intense or sudden urge to urinate that cannot be delayed. This may result from:

Bladder infections
Bladder inflammation
Bladder cancer
Brain or nerve problems
Bladder stones
Enlarged prostate

Stress incontinence occurs when activities such as sneezing, coughing, laughing, standing up, or exercising causes urine to leak. This can be caused by:

Pregnancy
Childbirth
Nerve injury
Being overweight
Pelvic or prostate surgery

Urinary incontinence requires medical attention; unfortunately, a significant number of people who experience symptoms do not seek treatment. Untreated bladder incontinence can lead to skin problems and infections. It can also affect an individual’s mental health and overall quality of life in the long run.

Urinary incontinence is often indicative of an underlying medical problem. Therefore, If you are experiencing symptoms, it is advised that you see a doctor as soon as possible. Your physician can begin treatment early. Treatment may involve medications, physical therapy, bulking agents (to help close the bladder opening), or surgery.

To schedule an appointment with a urologist at Jamaica Hospital Medical Center, please call 718-206-7001.

Why Does Warm Weather Increase the Frequency of Kidney Stones ?

Posted on July 18, 2019 by Andrew Rubin

Why do kidney stones occur more frequently during warmer weather? When the weather is warm, we are more likely to become dehydrated which increases the risk for our bodies to develop kidney stones.

We tend to sweat more in the hotter months which deplete our body of fluids; this in turn will make our urine more concentrated. Urine that is highly concentrated allows for the formation of stones made up of calcium, oxalate or uric acid. A stone can be as small as a grain of sand or as large as a pea.

When the body is dehydrated, there is also less of a flow of urine through the ureters (the tube between the kidney and the bladder) which is an important factor in moving the kidney stones through this passageway.

Kidney stones can cause a tremendous amount of pain when passing through the ureter. This pain can be felt in the lower back and groin.

Additional symptoms of kidney stones include:

Blood in the urine
Nausea
Fever and Chills
Vomiting
If you have had kidney stones, there is a 50 percent chance that you can develop more within the following five years. However, you can take a few precautions to lower your risk or prevent stones from developing. Ways to prevent kidney stones include:

Drinking at least eight to twelve glasses of water each day to dilute the urine
Limiting your salt intake
Cutting back on red meats, organ meats and shellfish
Drinking sugar free lemonade or limeade as the citrate will prevent stone formation
If you are experiencing any of the symptoms of a kidney stone, seek medical help right away. If you would like to schedule an appointment with a urologist at Jamaica Hospital Medical Center please call .

7 Ways to Keep Your Bladder Healthy

Posted on August 23, 2017 by Xavia Malcolm

Very often we take bladder health for granted until a problem starts to develop. Bladder problems can lead to discomfort, difficulty urinating, frequency in urination and in some cases, mad dashes to the bathroom.

The good news is by taking an active role in your bladder health you can avoid infections and reduce the risk of developing several medical problems. Here are seven ways you can help improve your bladder’s health and help it to function properly.

Don’t wait long to use the bathroom. Holding in urine can add pressure to the bladder and increase the risk of developing infections.
Do not rush when emptying your bladder. Rushing may result in your bladder not emptying completely- this can lead to bladder infections.
Avoid food or drinks that contain irritants. Certain food or drinks that contain ingredients such as caffeine, artificial sweeteners, acid, spices, excessive amounts of salt and alcohol can worsen bladder problems.
Drink enough water throughout the day. Drinking your daily recommended amount of water can help flush out bacteria in the urinary tract and help prevent bladder infections.
Practice Kegel exercises to strengthen the muscles of the pelvic floor. Kegels are a good way for men and women to maintain bladder control.
Avoid constipation by adding fiber to your diet. Constipation often results in a full rectum which adds pressure to the bladder.
Urinate after having intercourse. Men and women should try to urinate after sexual intercourse. This helps to flush away bacteria that may have entered during sex.

If you are experiencing difficulty urinating or have questions about maintaining bladder health, please call Jamaica Hospital Medical Center at 718-206-7110 to schedule an appointment with a urologist.

How “Annual” Is Your Annual Physical?

Posted on November 30, 2015 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for an appointment.

Jamaica Hospital Urologists Warn: Stay Hydrated This Summer to Avoid Kidney Stones

Posted on June 19, 2015 by Michael Hinck

You are out on a hot summer day participating in some type of physical activity and you feel a sudden sharp pain on your side or back. While the pain could be a number of things, there is a good chance that you have a kidney stone.

With summer’s heat and more increased physical activity, dehydration is a much more likely occurrence. With adequate hydration, calcium and other crystal forming substances cannot concentrate in the urine, but when someone is dehydrated, there is not enough fluid to dilute these substances, potentially causing kidney stones to form. Even though kidney stones are less than a centimeter in size, they can still cause intense discomfort.

Urologists at Jamaica Hospital Medical Center offer the following tips to reduce your chances of developing kidney stones this summer:

• Drink enough water – If you’re prone to kidney stones, your best defense is to stay hydrated during hot summer months. Hot temperatures make your body lose more water than usual, so it is important to replenish it throughout the day. You may need more than 64 ounces of water per day, depending on your weight and activity level.

• Eat less meat – A diet rich in animal protein can increase your risk for kidney stones, so try to minimize your consumption of burgers and other barbeque favorites and substitute them with other protein sources, such as beans, nuts and seeds.

• Limit your salt intake – Excess salt absorbs water in your system, which can also dehydrate you. Limit your daily sodium intake to 1500 mg or less per day by avoiding fast food, reading nutrition labels when you buy groceries, and cooking with less salt and more herbs and spices.

• Drink less caffeine – Even though you may think you are getting enough liquid by consuming caffeinated sodas, coffee, or tea, caffeine is a diuretic, meaning it can dehydrate you

Kidney stones sometimes do not cause symptoms. If the crystals are small enough, they may pass through urinary tract and out of the body without being felt. However, if a stone is large enough to attract attention, the first symptom is usually severe pain in the back and side that begins when the stone moves into the urinary tract, blocking the flow of urine. The pain may later spread to the groin and lower abdomen. Other symptoms include a persistent urge to urinate, painful urination, and pink, red, or brown urine

Seek medical attention if you have pain accompanied by nausea and vomiting or fever and chills, or if pain is so severe that you cannot sit still or find a comfortable position.

Jamaica Hospital’s Department of Urology offers a wide variety of treatment options for those suffering with kidney stones as well as many other conditions. For more information, or to schedule an appointment, please call 718-206-7110.