Advanced Urology Associates Invited to Participate in National Clinical Trial

Advanced Urology Associates Invited to Participate in National Clinical Trial

Advanced Urology Associates

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Advanced Urology Associates Invited to Participate in National Clinical Trial

Tasha Horsley - Advanced Urology Associates Invited to Participate in National Clinical Trial
 

It’s a great honor to be invited to participate in a national clinical trial. Advanced Urology Associates in Joliet will be one of 45 offices across the U.S. to participate in Dendreon’s clinical trial involving patients with early stage prostate cancer.

“We’re so excited to participate in this new trial,” said Tasha Horsley, Certified Nurse Practitioner and Research Coordinator with AUA. “It took six months to prepare our office, and we’re one of the first ten offices in the nation to be activated for the trial. We just enrolled our first patient!”

Advanced Urology is looking for at least nine more men to participate in the trial. Patients must have been diagnosed with prostate cancer within the past twelve months, and must be on “active surveillance”, meaning they’re not being actively treated for the disease, but are being watched closely. “Patients enrolled in the trial will be chosen at random by the study; one of every three will continue on active surveillance, and the other two will undergo immunotherapy treatment with Provenge,” explained Horsley. “We’re trying to discover the efficacy of Sipuleucel-T in reducing the reclassification of the prostate cancer to a higher grade of cancer in men on active surveillance. Sipuleucel-T is already used to treat metastatic prostate cancer.”

The treatment with Sipuleucel-T begins with some T-cells, the fighter cells in the immune system, being removed from one’s body by a process called leukapheresis, and infused with a special protein; the cells are then returned into the patient’s blood intravenously. “This technique allows the patient’s own immune system to be activated to work harder to ‘eat up’ the existing cancer cells,” said Horsley. “We’re so proud to be part of this trial that could possibly make huge strides in the oncology world. This amazing experience will also help us get involved in additional trials, allowing us to offer more to our community.”

 

Questions About Advanced Urology Associates Clinical Trial?

For information about participating in AUA’s clinical trial call at 815.409.4930.

Advanced Urology treats prostate cancer in patients from Aurora, Bolingbrook, Bourbonnais, Chicago, Crest Hill, Elk Grove Village, Elmhurst, Frankfort, Homer Glen, Joliet, Lombard, Lockport, New Lenxon, Mokena, Morris, Naperville, Orland Park, Park Ridge, Plainfield, Tinley Park and Woodridge.

No-Scalpel Vasectomies: The Perfect Way To Get The Perfect Family Size

No-Scalpel Vasectomies: The Perfect Way To Get The Perfect Family Size

Advanced Urology Associates

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No-Scalpel Vasectomies: The Perfect Way To Get The Perfect Family Size

Once people reach their thirties or forties, they’ve usually decided whether or not to have more children. The options available for reliable birth control tend to fall to women, many of whom use oral contraceptives or undergo a tubal ligation. Not all women, however, are able to take medications that affect their hormones, and a tubal ligation is very invasive and requires a lot of down time, which is hard to manage with a busy family.

A better option is a procedure that the men undergo, called a no-scalpel vasectomy. “Compared to a regular vasectomy, the no-scalpel technique is much faster,” said Dr. Ryan Manecke, Urologist with Advanced Urology Associates. “The no-scalpel vasectomy involves only a single small puncture versus two incisions, potentially reducing the risk of infection and speeding up the recovery time. The procedure itself only takes 15-30 minutes.”

According to Dr. Manecke, approximately 10% of men in the U.S. have undergone a vasectomy. “In our practice, the average age when men seek a vasectomy is age 40, and they usually have two or three children,” he explained. “They consider their families to be complete, and they want a very reliable birth control method.”

A vasectomy is a simple, safe procedure that makes a man unable to father children. “The procedure is usually easy for a Urologist,” said Dr. Manecke. “Optimal results are reported for physicians who perform 50 or more vasectomies per year.”

Vasectomies don’t affect sexual function, and are reversible. “Reversing a vasectomy involves re-attaching the tubes using micro surgical techniques,” said Dr. Manecke. “Although the tubes can be reattached, fertility isn’t always regained, especially if many years have elapsed since the vasectomy was performed.” It’s a personal decision that should be made by both parents.

Questions About Vasectomy?

We are happy to schedule an appointment and take the time to discretely answer all the questions and concerns you may have. If you any have questions about getting a no scalpel vasectomy, visit our FAQ or contact our adult urology experts at Advanced Urology Associates at 815.409.4930 or request an appointment.

Advanced Urology provided vasectomy procedures for patients in patients from Aurora, Bolingbrook, Chicago, Crest Hill, Elk Grove Village, Elmhurst, Frankfort, Homer Glen, Joliet, Lombard, Lockport, New Lenox, Mokena, Morris, Naperville, Orland Park, Park Ridge, Plainfield, Tinley Park and Woodridge.

Take Time to Celebrate National Prostate Cancer Awareness Month

Take Time to Celebrate National Prostate Cancer Awareness Month

Advanced Urology Associates

News and Announcements

Take Time to Celebrate National Prostate Cancer Awareness Month

Thai T Nguyen - September Prostate Cancer Awareness Month

September is National Prostate Cancer Awareness Month, a great time to remind men (and their loved ones) to learn about the disease and to discuss the benefits of getting screened for it. Prostate cancer is the second most common cancer in men after skin cancer, and is the second leading cause of cancer deaths in men.

“Life gets busy, and we often forget to take care of ourselves,” said Dr. Thai Nguyen, Urologist with Advanced Urology Associates. “Many men are too casual or disinterested in their own health, and are thus relatively poor about undergoing health screenings, or even discussing health issues. The American Cancer Society estimates that approximately 1 in 9 men will be diagnosed with prostate cancer in their lifetime, and that in 2018 there will be almost 165,000 new cases, and nearly 30,000 deaths, due to prostate cancer in the United States.”

Most men should be screened for prostate cancer starting at age 50. “There are two high-risk groups, however, that should start annual screening at age 40,” explained Dr. Nguyen. “Men with a first-degree male relative (father, brother, or son) with prostate cancer have a two- or three-fold higher risk of developing the disease, and African-American men have twice the average risk.”

The screening consists of a simple blood (PSA) test and a very brief digital rectal exam that allows the doctor to feel for any bumps or hard areas on the prostate that could be cancer. “Symptoms of prostate cancer can vary widely from one man to another,” said Dr. Nguyen. “Many men have no symptoms at all until the cancer is very advanced, which may eliminate the chance for curative treatment options. A simple 5-10 minute prostate cancer screening increases the chance that prostate cancer would be diagnosed while still in an early, curable stage.”

Questions About Prostate Screening or Treatments?

For more information, please give our adult urology experts at Advanced Urology Associates a call at 815.409.4930 or request an appointment or a FREE screening today.

Advanced Urology treats prostate cancer in patients from Aurora, Bolingbrook, Bourbonnais, Chicago, Crest Hill, Elk Grove Village, Elmhurst, Frankfort, Homer Glen, Joliet, Lombard, Lockport, New Lenxon, Mokena, Morris, Naperville, Orland Park, Park Ridge, Plainfield, Tinley Park and Woodridge.

Enlarged Prostate (BPH) Is Common, Treatable

Enlarged Prostate (BPH) Is Common, Treatable

Advanced Urology Associates

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Enlarged Prostate (BPH) Is Common, Treatable

gregory-andros-bph-center

The prostate is a gland in the male body that plays a role in both urination and sex. It undergoes two major growth periods; the first is in early puberty, and the second is around age 25. This later growth phase often results in BPH (Benign Prostatic Hyperplasia), or an enlarged prostate.

An enlarged prostate is a common part of aging. “BPH affects 75% of men over the age of 60,” said Dr. Gregory Andros, a Urologist with Advanced Urology Associates. “If left untreated, the enlarged prostate can lead to bladder infections, bladder stones, bladder muscle damage, complete bladder obstruction, and kidney damage.”

The symptoms of an enlarged prostate include frequent urination, a weak or slow urinary stream, difficulty starting urination or feeling a strong urge to go, and a feeling of incomplete emptying of the bladder. Men with BPH typically have to get up frequently during the night to use the restroom.

“Men should see a Urologist for a prostate wellness check once a year,” explained Dr. Andros. “Over the past five years, there have been significant advances in treating BPH. The UroLift, an in-office procedure where the patient receives light sedation, is one of the latest treatments for BPH. It un-obstructs the bladder with the placement of a small prostate implant. The procedure only takes 20 minutes, and is covered by health insurance and Medicare. Men can resume normal activity in three days.”

The Green Light Laser is another advanced prostate treatment utilized by AUA. “This procedure is a little more invasive; we use a laser to shrink the prostate by 50%,” added Dr. Andros. “It’s often performed in an outpatient surgical center.” Severe prostate obstruction may require a TURP (transurethral resection of the prostate), which includes cutting out the obstruction through a scope, requiring 1-2 nights in a hospital.

Questions About BPH Treatment?

If you suffer from urinary symptoms caused by BPH, don’t worry. You have options. Request an appointment or contact us today at 815.409.4930.

Advanced Urology opens new office

Advanced Urology opens new office

Advanced Urology Associates

News and Announcements

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

News and Announcements

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

News and Announcements

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 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 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 dysfunction.