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Premier Practitioners

Dr. Bobby Shayegan

Dr. Bobby Shayegan

Charlton, ON
Dr. Christopher Allard ​

Dr. Christopher Allard ​

​Burlington, ON
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Dr. Dean Elterman

Dr. Dean Elterman

Toronto, ON
Dr. Christopher Wallis

Dr. Christopher Wallis

Toronto, ON, ON

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A urologist is a physician who specializes in mens health issues and treating problems of the male genitourinary tract and female urinary system, including the kidneys, ureters, urinary bladder, urethra, and the male reproductive organs. In treating patients a urologist can also educate them on cancers of the urinary tract, kidney stones, bladder infections, urinary incontinence, overactive bladder, urinary retention, sexual dysfunction, bladder cancer, prostate cancer, prostate enlargement and prostate testing.

Urethral inserts like Contino® are temporarily inserted into the urethra (the tube which carries urine to the outside of the body) to prevent or reduce bladder leakage. In men, the prevalence of incontinence is much lower than in women, about 3% to 11% overall, with urge incontinence accounting for 40% to 80% of all male patients. Stress incontinence accounts for less than 10% of cases and is attributable to prostate surgery, trauma, or neurological injury. Other causes of male incontinence can be prostate surgery or an enlarged prostate; an overactive bladder; diabetes or Parkinson's disease. Some men find that drinking alcohol, caffeine or pop (especially before bed) increases their male incontinence, while others are fine. There are also incontinence pads that some men find helpful. They stop leakage and block odor, which can increase a man's confidence. If you'd like more information about how incontinence products like pads, Contino® products and surgery, talk to your local urologist or family physician. 

Benign Prostatic Hyperplasia (BPH) is a common non-cancerous condition that affects many men as they age. It involves the enlargement of the prostate gland, which can lead to various urinary symptoms. Here's a summary of the key points you've mentioned:

  1. Prevalence:

    • BPH is highly prevalent among men, especially as they get older.
    • By the age of 50, approximately 50% of men may have some degree of BPH.
    • This prevalence increases with age, and it's estimated that around 80% of men aged 70 and older may be affected by BPH.
  2. Nature of BPH:

    • BPH involves the non-cancerous growth of the prostate gland.
    • The prostate gland naturally continues to grow throughout a man's life.
    • This growth can cause the prostate to enlarge both outwardly and inwardly, leading to compression of the urethra.
  3. Urinary Symptoms:

    • The enlargement of the prostate can result in the narrowing of the urethra, the tube through which urine passes from the bladder.
    • This compression and narrowing can lead to increased resistance and obstruction of urinary flow.
    • Common urinary symptoms associated with BPH include difficulty starting urination, weak urine flow, frequent urination (especially at night), and the feeling of incomplete emptying of the bladder.
  4. Diagnosis and Management:

    • BPH is typically diagnosed through a combination of medical history, physical examination, and various tests, such as a digital rectal exam and uroflowmetry.
    • Treatment options for BPH can vary depending on the severity of symptoms and the impact on a person's quality of life.
    • Treatment options may include watchful waiting, lifestyle modifications, medication, minimally invasive procedures, or surgery.

It's important for men to be aware of the potential development of BPH as they age and to seek medical evaluation and guidance if they experience bothersome urinary symptoms. Early diagnosis and appropriate management can help improve the quality of life for individuals with BPH.

American Urological Association Founded in 1902, the AUA is a premier urologic association, providing invaluable support to the urologic community. Our mission is to promote the highest standards of urological clinical care through education, research and the formulation of health care policy

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