Some urological problems may be related to a birth defect (e.g. undescended testicles), some problems may affect mostly females (e.g. bladder infections), and other problems may be age related (e.g. prostate enlargement, cancer and impotence).

A majority of urologic conditions which used to require surgery (e.g. kidney stones) can now be handled without surgery and often without hospitalization. Dr. Shtainer utilizes the most advanced equipment available for urologic diagnosis, including computerized diagnostics of impotence. Not all problems require "pills" and natural remedies are available about which patients are informed.

Urology is a happy field of medicine because we can help you live a happier and healthier life.

Dr. Shtainer deals with most medical and all surgical problems involving urology. Following is a list of organs and the most common diseases and treatments.

ADRENAL GLANDS

Most diseases of these two organs which are located above each kidney involve enlargement of these glands with or without excess production of adrenal hormones. Some enlargements are cancerous.
Treatments may be medical and/or surgical.

KIDNEYS

Kidney stones
Most stones will pass with observation. In non-invasive fragmentation, lithotripsy will break approximately 85% of stones if they don't pass, if they obstruct the kidney, or if they are too painful. Laser may be used if endoscopic/ cystoscopic removal is required.

Back pain - kidneys may cause pain or discomfort similar to musculo-skeletal pain in the back and should be checked.

URETERS

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BLADDER

Bladder infections ( cystitis) - may be bacterial, viral or not infectious. Frequent recurrences may easily be treated.

Bleeding - may be just an infection or a stone. HOWEVER – it may be the first sign of kidney, ureter or bladder cancer - an early diagnosis is crucial.

PROSTATE

Prostatitis - occurs usually in younger men and may cause urinary frequency, urgency, burning, back pain, testes pain, etc. Modern equipment helps the diagnosis and good therapy is available.

Enlargement (BPH) - occurs in men over 40 and has to be differentiated from prostate cancer. Symptoms include

• night time frequency
• day time frequency
• urgency
• slow stream
• incomplete emptying

Treatment - varies with the symptoms and a majority of patients don't need surgery

Prostate cancer - when localized usually asymptomatic early diagnosis with a digital rectal exam and PSA.
PSA SCREENING IS RECOMMENDED FOR MEN OVER 50 OR OVER 40 FOR MEN WITH FAMILY HISTORY OF PROSTATE CANCER.
Therapy - There are many variables, including observation, radiation, surgery, hormonal therapy and newer techniques are available.

URETHRA

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PENIS

Impotence - may be organic, neurologic, vascular, endocrinologic, psychogenic (stress, etc.) Diagnosis We have computerized diagnostics available
Therapy - individualized behavioral, pills, injections, intraurethral pellets, implants, new treatments including:

• NATURAL REMEDIES
• VIAGRA
• MUSE
• CAVERJECT

TESTICLES

MALE INFERTILITY

THESE ARE SOME OF THE COMMON UROLOGIC PROBLEMS WE ENCOUNTER AND MORE IN-DEPTH DISCUSSION TAKES PLACE WITH EACH PATIENT.