Advanced Urology opens new office

Advanced Urology opens new office

Advanced Urology Associates

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Advanced Urology opens new office

MORRIS – Before he cut the ribbon on the new addition to the Morris offices of Advanced Urology on Friday, Dr. Gregory Lewis recalled what he described as a “cubby hole” office their staff once had moved into in 2005 in downtown Morris.

Two exam rooms with a waiting room in between also were added.

The office cut the ribbon on its new addition to the offices Friday at 1401 Lakewood Drive at a Grundy County Chamber of Commerce event.

Advanced Urology chief financial officer Ruan Weber said the office had expanded from a 1,700-square-foot space to a 4,000-square-foot building.

Staff from Advanced Urology and Narvick Brothers along with representatives from the Grundy County Chamber of Commerce cut the ribbon Friday, July 21 at the Advanced Urology expansion.

Don’t Let Overactive Bladder Ruin Your Summer Fun

Don’t Let Overactive Bladder Ruin Your Summer Fun

Advanced Urology Associates

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Don’t Let Overactive Bladder Ruin Your Summer Fun

If you’ve been diagnosed with overactive bladder (OAB), and haven’t found relief for your symptoms, there are a variety of treatments that may work wonders for you. OAB can have a major impact on your life, with frustrating incontinence and frequent urges to urinate with little or no warning. At Advanced Urology Associates’ OAB Center of Excellence, a treatment program will be customized to address your specific needs.

“OAB affects both men and women, and treatment options are similar for both,” said Carrie DeFuss, a Urology Nurse Practitioner with Advanced Urology Associates. “Depending on a patient’s symptoms, we may begin with a Bladder Function Test, Urodynamics, which tells us what the bladder muscle is doing, and helps confirm the diagnosis.”

Once diagnosed, OAB patients follow a treatment algorithm developed by AUA. “We have a Nurse Navigator who helps each patient follow a specific treatment path,” said DeFuss. “First line treatment starts with Pelvic Floor Therapy, which works well for up to 85% of patients, for up to three years. The next step involves trying medications to eliminate or reduce symptoms of OAB.”

If a patient doesn’t respond to medication, the third line treatment involves Botox injections or percutaneous tibial nerve stimulation, a neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder. “The biggest misconception regarding OAB treatment is that if a patient tries one or two medications that don’t work, that there aren’t other options available,” added DeFuss. “One thing that differentiates our program is that we provide a Nurse Navigator and a Urodynamicist who work in concert with one of our Urologists to track our patients’ progress. This follow-up procedure allows us to determine whether current therapies are effective, or whether changes need to be made to the treatment plan.”

Questions About Overactive Bladder?

For more information about effective treatments for OAB in men and women, or to schedule a consultation, Contact our adult urology experts at Advanced Urology Associates at 815.409.4930 or request an appointment.

Understanding Recommendations for Prostate Cancer Screening

Understanding Recommendations for Prostate Cancer Screening

Advanced Urology Associates

News and Announcements

Understanding Recommendations for Prostate Cancer Screening

Knowing when to get screened for potential health issues can be confusing, especially when recommendations change over time.  Prostate cancer, which affects 1 in 9 men, is something that every man should be checked for, although the timing depends on their risk for the disease.

“Until recently, prostate cancer screening was recommended for men age 50 with average risk for developing the disease,” said Tasha Horsley, a Nurse Practitioner with Advanced Urology Associates.  “Men with a high risk for developing prostate cancer should be screened at age 45, along with African American men and men with a first degree relative diagnosed with prostate cancer younger than age 65.”

Previous recommendations also called for men age 40 to be screened if they have a first degree relative who had prostate cancer at an early age.  “As of May 2018, recommendations have changed,” added Horsley.  “It’s been determined that prostate cancer screening should be an individual’s choice.  And for men age 70 and older, no testing is recommended.”

The reason for the change, according to Horsley, is that researchers feel the traditional PSA blood test is imprecise, leading to potentially unnecessary follow-up procedures.  The test is thought to detect low-grade cancers that may not represent a threat to the patient.  A standard screening procedure includes the PSA lab test and a physical exam.

“I’ve worked in oncology for over 9 years, and I’ve seen what can go wrong when a patient’s cancer isn’t detected early,” said Horsley.  “We’ve been finding younger patients with prostate cancer, many already in the late stages of the disease at the time of diagnosis.  If men don’t get screened according to the previous guidelines, we’ll have more men with late stage prostate cancer, which reduces treatment options.  If they get screened early, the late stages of this disease can be lessened or even prevented.  Early treatment typically results in fewer side effects and can extend a patient’s life.”

Click here for information about the importance of prostate cancer screening.

2018 ZERO Run/Walk breaks records!

2018 ZERO Run/Walk breaks records!

2018 ZERO Run/Walk breaks records!

Biggest turnout and over $90,000 raised.

This year’s event was an incredible day of family, friends, caretakers and survivors all fighting to end prostate cancer once and for all. Familiar faces were joined by some new one and together, we raised over $90,000 – a new record! The kids race started things off with cheers and tiny footsteps pounding the Joliet pavement and the Run/Walk participants soon followed. Thanks to EVERYONE that came out, volunteered and helped us on this beautiful day.

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Joliet Slammer players reveal their family wishes

Joliet Slammer players reveal their family wishes

The Joliet Slammers pride themselves on being a family-friendly organization. So we asked some of their players, ‘How many kids would you like someday?’ Their answers surprised us.

Advanced Urology Associates have generations of experience helping people achieve their dreams. Whether you need reliable infertility help in building your family, or a painless, no-scalpel vasectomy once you’ve completed your family, their board-certified urologists can help. No matter what size you want your family to be.

Treatment Options for Erectile Dysfunction, Low Testosterone

Treatment Options for Erectile Dysfunction, Low Testosterone

Advanced Urology Associates

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Treatment Options for Erectile Dysfunction, Low Testosterone

Dr. Ryan Lewis information on Low Testosterone and Erectile Dysfunction at Advanced Urology Associates

As men age, many tend to suffer from low energy and low testosterone, and issues with sexual performance, including erectile dysfunction, become fairly common. These popular men’s health issues can have lasting effects on relationships and lifestyles. At Advanced Urology Associates, board-certified urologists have a variety of safe and effective treatment options for those wanting to correct these issues.

“The most common complaint we hear from patients is regarding erectile dysfunction, where patients can’t obtain or maintain an erection during sexual activity,” said Ryan Lewis, PA-C (Board-certified) with Advanced Urology Associates. “The most common causes of ED are medical conditions like diabetes, cardiovascular disease, and high blood pressure. Additional causes of ED include stress, anxiety, depression, relationship issues, aging, and obesity.”

Lewis makes a diagnosis based on a patient’s history. “We typically don’t order further blood testing or imaging on a patient with ED unless the patient is reporting other symptoms besides ED”, he explained. “We start by prescribing an oral medication like Viagra or Cialis. If that isn’t effective, we can try very tiny, relatively painless, penile injections. A third option is insertion of a permanent inflatable pump. It’s a quick surgical procedure that provides a patient with an “on demand” erection.

Low testosterone is another issue for many men. “Aging is the most common cause of low testosterone, but opioid use, autoimmune disease, and conditions that affect the pituitary gland can cause it too,” said Lewis. “We diagnose it with a blood test, but common symptoms include low energy, weight gain, difficulty adding muscle mass, and a low sex drive.”

Treatment options for low testosterone start with a topical therapy, typically a gel or cream applied daily to the shoulder. “If a higher testosterone level is needed, we switch to weekly or monthly intra-muscular injections,” added Lewis. “The third option involves implanting pellets in the buttocks underneath the skin once every three to four months, which is very convenient.”

Learn more about low testosterone and erectile dysfunction.

 

Presence Saint Joseph Medical Center in Joliet announces 2017 Physician of the Year

Presence Saint Joseph Medical Center in Joliet announces 2017 Physician of the Year

Advanced Urology Associates

News and Announcements

Presence Saint Joseph Medical Center in Joliet announces 2017 Physician of the Year

Ryan G. Manecke 2017 Physician of the Year at Advanced Urology Associates

Dr. Ryan G. Manecke, (urology), was recently honored by Presence Saint Joseph Medical Center (PSJMC) as the 2017 “Physician of the Year” during the hospital’s Physician Recognition Night. The award recognizes and celebrates outstanding physicians who embody professionalism, teamwork, clinical excellence and a commitment to personal growth.

Manecke earned his medical degree from the University of Kansas School of Medicine in Kansas City, Kansas.

He performed his internship and general surgical and urology residency at Loyola University Medical Center in Maywood, His residency included 11 months of training in pediatric surgery and pediatric urology at Loyola University Medical Center and Ann & Robert H. Lurie Children’s Hospital of Chicago.

Manecke is a member of the Chicago Urologic Society, the American Urologic Association and the American Association of Clinical Urologists. He has participated in research and authored articles and book chapters on the topics of prostate cancer, erectile dysfunction and the surgical treatment of advanced testis cancer. Manecke is certified by the American Board of Urology.

PSJMC also recognized their finalists Dr, Maen Martini, MD, (anesthesiology and pain medicine); Dr. Preeti Nagarkatte (internal medicine and nephrology) and Dr. Virag Dandekar (radiation oncology).

The evening included the naming of the 2018 medical staff officers: Dr. Peter Stockmal, president; Dr Basant Jhawar, president-elect; Dr. Bhuvan Chawla, secretary-treasurer and Dr. William Farrell, former president

Physicians who retired in 2017 and those with significant milestones of service to PSJMC were also honored and thanked for serving as a true model of excellence in the delivery of health care.

2017 retirees: Dr. Clyde Dawson, general surgery, 35 years; Dr. Thomas Kron, otolaryngology, 31 years and Dr. Gary Trager, infectious disease, 37 years

The following doctors were also recognized for their service anniversaries.

Fifty years: Dr. Francis Tomasik,

Thirty-five years: Dr. Clyde Dawson, Dr. Terry Kushner and Dr. Gregory Lewis

Twenty-five years: Dr. Kwabena Boateng, Dr. Aristides De La Hera, Dr. John Grieco, Dr. Ronald Hayes, Dr. Mickey Jester, Dr. Matthew Kelleher, Dr. R.K. Natesh, Dr. Ada Paolucci, Dr. Jill Patterson, Dr. Gustavo Pedraza, Dr. Philip Serna, Dr. Kulumani Sivarajan and Dr. Peter Stockmal.

Fifteen years: Dr. Saba Ahmed, Dr. Maimoona Aijaz, Dr. Farhana Alvi, Dr. Jonette Belicena, Dr. Gregory Bezanis, Dr. Cristina Camara, Dr. Samiullah Choudry, Dr. Sung Chung, Dr. Michael DeMaertelaere, Dr. Aileen Donausky, Dr. William Farrell, Dr. Dan Garganera, Dr. Visvanatha Giri, Dr. John Scott Groch, Dr. Zlatko Haveric, Dr. Ashraf Iskander, Dr. M. Ammar Katerji, Dr. Anjali Kher, Dr. Srinivas Kota, Dr. Muawia Martini, Dr. Bryan Phillips, Dr. Robert Semba, Dr. Usha Setlur, Dr. Paramjit Sikand, Dr. Shilpa Thakkar, Dr. Karim Tourk, Dr. Paulette Trum, Dr. Jonathan Wu Dr. and Andrew Wunderlich.

Michael Fuller wins Advanced Urology’s 2018 VasecTourney!

Michael Fuller wins Advanced Urology’s 2018 VasecTourney!

Advanced Urology Associates

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Michael Fuller wins Advanced Urology’s 2018 VasecTourney!

Ryan Weber presents check for winner Michael Fuller for the Advanced Urology’s 2018 VasecTourney!

In a year of upsets and Cinderella stories, this year’s winning bracket entry was filled out by Michael Fuller (left in picture). The annual tournament is open to anyone who has ever had a vasectomy with Advanced Urology Associates and this year had one of the largest group of participants to date. The winner-take-all prize of $500 was presented at Advanced Urology’s Joliet clinic by CFO Ryan Weber.

Mr. Fuller was asked what his secret was to filling out his brackets this year. Michael revealed he went to Seton Hall and by loyalty chose them in all his brackets to go all the way. Even though that strategy didn’t work out completely, the choice of picking the other teams in the Big East to go far, including Villanova, seemed to have been the successful formula.

Simple Treatments Available for Frustrating, Frequent Nighttime Restroom Trips

Simple Treatments Available for Frustrating, Frequent Nighttime Restroom Trips

Advanced Urology Associates

News and Announcements

Simple Treatments Available for Frustrating, Frequent Nighttime Restroom Trips

Dr. Peter Tek explains BPH enlarged Prostate at Advanced Urology Associates

Men who suffer from an enlarged prostate, (also called BPH, or benign prostatic hyperplasia),  frequently have to urinate multiple times throughout the night.  This bothersome BPH symptom is easy to correct, allowing patients to benefit from restful, uninterrupted sleep, increased productivity, and a better quality of life.

“For patients with BPH, the bladder has to squeeze harder and faster to get urine out,” explained Dr. Peter Tek, Urologist with Advanced Urology Associates.  “The prostate surrounds the urethra, creating an obstruction when enlarged.  More urine is produced at night, so it’s difficult to get a good night’s rest.  It’s also important to realize that increased urination at night could be due to other serious medical conditions; we recommend seeking our medical evaluation.”

According to Dr. Tek, an enlarged prostate is a normal part of aging.  Approximately half of men between ages 51 and 60 have BPH, and up to 90% over age 80 have it.

“Our first line therapy for problems stemming from an enlarged prostate includes behavioral modifications,” said Dr. Tek.  “If unsuccessful, the next step is to try FDA-approved medications that help empty and relax the bladder.”

If medications don’t help, the third step is to perform a simple surgical procedure to eliminate BPH symptoms.  “We offer several minimally invasive procedures, some of which are actually performed in our office,” said Dr. Tek. “The Urolift treatment lifts and holds the enlarged prostate tissue out of the way so it doesn’t block the urethra.  No cutting, heating, or removal of prostate tissue is involved in this procedure.”

Dr. Tek’s goal is to open up the urethra to relieve the obstruction that causes so many urination problems.  “The patient’s anatomy determines the appropriate procedure,” he added.  “Another fantastic new procedure is GreenLight Laser Therapy, which uses a laser to vaporize some of the unneeded prostate tissue.  Many of our procedures are outpatient-based; they’re simple, fast, and safe, with minimal recovery time.”

Convenient Same-Day Vasectomy Consultation and Procedure Available

Convenient Same-Day Vasectomy Consultation and Procedure Available

Advanced Urology Associates

News and Announcements

Convenient Same-Day Vasectomy Consultation and Procedure Available

Thomas E. Burns Board Certified Physician at Advanced Urology for No-Scalpel Vasectomy

If you’re considering a vasectomy, or if you’ve already made the decision to go ahead with it, Advanced Urology Associates is now providing a way to squeeze two of the necessary steps into one visit, streamlining the process to save extra travel and waiting time for patients.

A vasectomy is an unbelievably quick and easy procedure; Advanced Urology Associates even offers a no-scalpel method that is performed in their clinic – no hospital visit is required. The no-scalpel procedure is quick and painless, typically lasting under 30 minutes. No-scalpel patients experience a quicker recovery and fewer side effects.

“We begin with a pre-screening consultation over the phone, which lasts approximately 15 minutes,” said Dr. Thomas Burns, Urologist with AUA. “We discuss insurance to avoid any surprises after the fact, and we review the patient’s basic medical history and current medications. We offer educational information, and determine whether they’re a candidate for a same-day procedure.”

The urologist has to ensure the patient isn’t taking Ibuprofen, aspirin, or any blood thinning medications. “We’ll mail the patient information regarding what they can expect when they come in, and it gives them time to stop taking blood-thinning medications, if necessary,” added Dr. Burns. “This applies to any vasectomy procedure, including the no-scalpel method.”

During the appointment, patients receive a physical examination, a blood pressure check, and a detailed explanation of the upcoming procedure. “95% of the time, we work with a local anesthetic, and everything is great,” said Dr. Burns. “But for the 5% that have anxiety about it, we offer additional medication for relaxation. It’s understandable that some patients are fearful; it’s a personal area of the body, and they’re not used to being so open about it. But there’s always a painless way to perform a vasectomy, and the more patients understand about the procedure, the less nervous they are.” For more information, please contact:

Advanced Urology Associates

Joliet: (815) 409-4930

Morris: (815) 941-2990

New Lenox:  (815) 726-3110