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

Enlarged Prostate a Common Issue for Men

Enlarged Prostate a Common Issue for Men

Advanced Urology Associates

News and Announcements

Enlarged Prostate a Common Issue for Men

BPH, or benign prostatic hyperplasia, is a fancy term for an enlarged prostate. It’s a common issue for aging men, with approximately 20% of men at age 40, and 80% of men in their seventies, being diagnosed with the condition.

Dr. Ryan Manecke, MD, a Board Certified Urologist with Advanced Urology Associates, evaluates and treats patients for BPH. “Possible symptoms of BPH include slowing of the urine stream, a sensation of being unable to empty the bladder, frequent and urgent urination, prolonged dribbling, and a “starting and stopping” of the urine flow,” he explained. “These symptoms are often more bothersome at night. Less common symptoms include bloody urine, infections, or bladder stones, although sometimes men with BPH don’t show any symptoms at all.”

It’s easy to check for BPH, which, if left untreated, can lead to kidney failure, bladder damage, or an inability to urinate. “Patients with mild or no symptoms, and no signs of other health problems related to BPH, don’t need treatment,” added Dr. Manecke. “However, it’s important to know if BPH is present; a simple digital rectal exam by the doctor can check for BPH and also for signs of prostate cancer.”

While many BPH patients don’t require treatment, there are multiple options for those who need it. “Treatment options include lifestyle modifications (avoiding caffeine, alcohol, and tobacco), medications to shrink or relax the prostate, and surgeries to open the prostate,” said Dr. Manecke. “Pelvic floor therapy, nerve stimulation, and other new treatments can help the body cope with BPH, and provide new alternatives to surgery or medication.”

At Advanced Urology’s BPH Center of Excellence, doctors routinely offer about six varieties of medication and six different operations for BPH. “Sometimes, lifestyle changes are all that’s necessary to cope with mild BPH symptoms,” said Dr. Manecke. “Urologists can help patients prioritize goals and choose the best treatment.” For more information, please contact:

Advanced Urology Associates
Joliet: (815) 409-4930
Morris: (815) 941-2990
New Lenox:  (815) 726-3110

SpaceOAR Offers Convenience, Added Protection for Prostate Cancer Patients

SpaceOAR Offers Convenience, Added Protection for Prostate Cancer Patients

Advanced Urology Associates

News and Announcements

SpaceOAR Offers Convenience, Added Protection for Prostate Cancer Patients

For patients battling prostate cancer, radiation therapy is safe and effective. Precise radiation treatments target the tumor (or cancer cells), requiring the patient to visit their urologist five days a week for nine weeks. During each visit, a rectal balloon is inserted to create space between the prostate and the rectum to lessen the amount of radiation delivered to the organs and tissues near the prostate.
Advanced Urology Associates is proud to be among the first Urology centers in the U.S. to offer SpaceOAR, a breakthrough tissue-sparing technique that offers unprecedented protection for the rectum during radiation treatments. “SpaceOAR is an injected hydrogel that increases the space between the prostate and the rectum from 2 millimeters to 10-14 millimeters,” said Dr. Paul DesRosiers, Radiation Oncologist with Advanced Urology Associates. “It spares the rectum from the full dose of radiation, improving the safety and side effect profile of radiation therapy to the prostate.”

Intensity Modulated Radiation Therapy (IMRT) for prostate cancer offers cure rates similar to surgery. “IMRT uses computer technology to deliver higher doses of radiation to the cancerous cells, and sends lower doses to the surrounding tissues,” added Dr. DesRosiers. “The benefits of IMRT include fewer side effects, precision targeting of cancer cells, and improved after-treatment quality of life. SpaceOAR, a one-time procedure, helps prevent radiation burn in the rectum that causes bleeding, which can be serious for patients taking blood thinners. Diarrhea and other bowel complications are also avoided.

“OAR” stands for Organ at Risk. “SpaceOAR, the first and only prostate cancer spacing device to be approved by the FDA, benefits patients in a meaningful way by replacing the inconvenience of inserting a daily rectal balloon,” said Dr. DesRosiers. “After completion of treatment, the body absorbs the hydrogel made of polyethylene glycol, a non-toxic substance widely used in cosmetics and drugs because it’s well tolerated in the body.” For more information, please contact:

Advanced Urology Associates
Joliet: (815) 409-4930
Morris: (815) 941-2990
New Lenox:  (815) 726-3110

Urologist Treating Patients with UroLift System

Advanced Urology Associates

News and Announcements

Urologist Treating Patients with UroLift System

Becomes 1st Midwest physician to reach 200

“The UroLift System is a breakthrough treatment that typically takes less than an hour and can offer multiple benefits for men with enlarged prostate – an alternative to invasive surgery without cutting, heating or removing tissue.”
Gregory Andros,
Joliet Urologist

Joliet urologist Gregory Andros, M.D., announced that his 200th patient has been treated with the UroLift System, a proven, minimally invasive technology to treat men suffering from symptoms associated with benign prostatic hyperplasia.

Andros is the first physician in the Midwest to reach this milestone, performing more UroLift System procedures than any other doctor in the area and in the top 25 of all physicians in the country.

“The UroLift System is a breakthrough treatment that typically takes less than an hour and can offer multiple benefits for men with enlarged prostate – an alternative to invasive surgery without cutting, heating or removing tissue,” Andros said. “In addition, the procedure involves minimal downtime, preservation of sexual function, and does not require ongoing continued medications.

“Hearing firsthand the experiences of more than 200 patients reaffirms that we are providing the best care possible for our patients and that this procedure is changing lives.”

Nearly 40 million men in the U.S. are affected by BPH. Not to be confused with prostate cancer, BPH occurs when the prostate gland that surrounds the male urethra becomes enlarged with advancing age and begins to obstruct the urinary system.

Symptoms of BPH often include interrupted sleep and urinary problems, and can cause loss of productivity, depression and decreased quality of life.

Five-year data from a randomized study show that the UroLift System offers not only rapid improvement, but also durable relief for patients with BPH.

After five years, patients treated with the UroLift System continue to experience symptom relief with minimal side effects, with few patients requiring an additional procedure for relief.

A second, randomized clinical trial called BPH6 demonstrated that the minimally invasive UroLift System compares with the reference standard surgery, transurethral resection of the prostate, with regard to efficacy, and is superior to TURP at preserving sexual function and offering a more rapid recovery.

Medication often is the first line of therapy for enlarged prostate, but relief can be inadequate and temporary.

Side effects of medication treatment can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using the drugs.

For these patients, the classic alternative is surgery that cuts, heats or removes prostate tissue to open the blocked urethra.

Although current surgical options can be very effective in relieving symptoms, they also can leave patients with permanent side effects, such as urinary incontinence, erectile dysfunction and retrograde ejaculation.