NJU Guidance: Meetings, Visitors and Travel

COVID-19 UPDATE: GUIDANCE ON GROUP MEETINGS, VISITORS AND TRAVEL

Due to the concerning number of cases of COVID-19 within the United States and certain areas experiencing community spread of this virus, we are taking all precautions to limit the exposure of COVID-19.

Meetings and External Visitors

New Jersey Urology is requiring all meetings to be conducted virtually. Limit vendors and visitors from entering the offices to only those essential to patient care. Advise visitors ahead of time of the CDC precautionary measures we have implemented at NJU. These may include suppliers, contractors, delivery workers, vendors, key community partners and stakeholders. For those people that have been identified as critical for business continuity or patient care, they are required to fill out the Screening Survey prior to coming on site to mitigate any risk of exposure.

Business and Personal Travel

We are also banning all business travel in the states and abroad. If you have personal travel plans already scheduled prior to the PTO Blackout Period (May 18 through June 5, 2020), we strongly recommend cancelling or postponing it. While we cannot restrict personal travel plans, please practice every precaution to keep our patients and employees safe. Here are several factors to consider:

  • Is COVID-19 spreading where you’re going?
    If COVID-19 is spreading at your destination, but not where you live, you may be at higher risk of exposure if you travel there.
  • Will you or your travel companion(s) be in close contact with others during your trip?
    Your risk of exposure to respiratory viruses like COVID-19 may increase in crowded settings, particularly closed-in settings with little air circulation, if there are people in the crowd who are sick. This may include settings such as conferences, public events (like concerts and sporting events), religious gatherings, public spaces (like movie theatres and shopping malls), and public transportation (like buses, metro, trains).
  • Are you or your travel companion(s) at higher risk of severe illness if you do get COVID-19?
    People at higher risk for severe disease are older adults and people of any age with serious chronic medical conditions (such as heart disease, lung disease, or diabetes). CDC recommends that travelers at higher risk for COVID-19 complications avoid all cruise travel and nonessential air travel.
  • Do you have a plan for taking time off from work or school, in case you get exposed to, or are sick with, COVID-19?
    If you have close contact with someone with COVID-19 during travel, you may be asked to stay home to self-monitor and avoid contact with others for up to 14 days after travel. If you become sick with COVID-19, you may be unable to go to work or school until you’re considered noninfectious. You will be asked to avoid contact with others (including being in public places) during this period of infectiousness.
  • Do you live with someone who is older or has a severe chronic health condition?
    If you get sick with COVID-19 upon your return from travel, your household contacts may be at risk of infection. Household contacts who are older adults or have severe chronic medical conditions are at higher risk for severe illness from COVID-19.
  • Is COVID-19 spreading where you live?
    Consider the risk of passing COVID-19 to others during travel, particularly if you will be in close contact with people who are older adults or have severe chronic health condition These people are at higher risk of getting very sick. If your symptoms are mild or you don’t have a fever, you may not realize you are infectious.

It is critical for everyone to understand all the potential risks and to comply with CDC guidelines. As stated in previous communications, please do not return to the office if you experience flu-like or respiratory symptoms or had any exposure to someone diagnosed with the coronavirus, and immediately contact your primary care physician.

Our top priority is the health and safety of our employees and patients. We will continue to diligently monitor up-to-date information as it becomes available from the CDC and state and local authorities, and report any changes to all our employees.

Thank you for your cooperation.

Sincerely,

New Jersey Urology IRT

 


Manager & Physician Update from the IRT

UPDATED: March 19, 2020

Dear Managers and Physicians:

IRT has put the following protocol in place for employees:

    1. If an employee is displaying symptoms of a contagious viral infection (respiratory symptoms, fever, cough, shortness of breath or breathing difficulties), we should follow our policy and send them home. As healthcare providers, we do not want to be spreading germs but also implore everyone to use common sense.
      1. Bringing employees back. Remember, we cannot ask for doctors notes unless the employee has been out for a consecutive 3 days. When we send them home, at that time, we should ask that they not return until they have recovered from their illness, whatever condition it may be. For example, a cold – no more coughing, sneezing, etc.
    1. The manager who sends the employee home, should immediately:
      1. Contact HR (the incident response team should not be contacted at this time unless the manager KNOWS the employee has the coronavirus);
            1. For North Employees – Lindsay Rivera, Ext. 1008;
            2. For Central – Alice Narlis, (609) 896-2950, Ext. 212;
            3. For South – Chris Lukaitis, Ext. 52366; 
      1. Wipe down the office and clinical spaces with anti-bacterial wipes as we normally would and/or more frequently, including patient waiting areas, taking increased precautionary measures.
      2. Per our normal privacy protocols, you should not talk or disclose the employee’s health status to anyone else besides HR; always remembering only what’s minimally necessary. If an employee or physician decides to stay home due to health concerns, the specific reason is to be kept private. Our employees should know that we are taking all the precautions we can to protect them. If NJU knows that an individual tested positive, we will ensure all appropriate communications and actions are taken.
  1. HR will contact the employee (no one besides HR or a HR designee should contact the employee) and obtain additional information (with the purpose being to ensure we obtain accurate information and no employee rights are accidentally violated).
    1. If the employee has not had exposure to the coronavirus, the employee will follow normal “sick” protocol;
      • If the employee has been directly exposed (i.e. the employee has been in contact with someone who has a confirmed case)/thinks they might have been exposed, the employee should go home and self-quarantine (HR should be involved in this process because we must be careful with what we do and do not ask an employee);
    1. If the employee discloses that they have tested positively for the coronavirus:
      • HR (or whoever the employee tells) will immediately email the Incident Response Team and copy Mark Herzog and the applicable V.P. of Operations; The VP of Ops should also be called on their cell phone to ensure proper communication;
      • The VP of Operations will coordinate closing the office as soon as practically possible.
        1. The VP of Operations should try to divert patients to other offices if at all possible.
        2. If the location being closed in an OBS (where the OBS nursing staff has a clinical responsibility to the cancer center), coordination must occur with the Cancer Center to ensure proper coverage.
      • Mark will contact the appropriate cleaning crew to do a terminal cleaning as soon as possible. Mark will update the VP of Operations regarding when the office can be cleaned.
      • The VP of Operations will coordinate with the C.O.O. and others, as necessary, to determine how long the office will be closed for and what other precautionary measures will be taken.

Important Reminders:

  • We are not allowed to disclose the exposed employee unless the exposed employee signs a consent. So, all employees should be careful what they say about other employees.
  • No signs should be posted unless approved by IRT to avoid sending mixed messages to staff that are trying so hard to follow the protocols that are being put into place.
  • We heard that not everyone received the updated questionnaire, so we have reattached. Remember if you decide to hand the questionnaire to the patient, you are responsible for training your employees on the proper follow up.
  • Please also see Spanish versions of the questionnaires and door poster attached.
  • We are working on a SOP for all locations and hope to get this to you by tomorrow. Please stay tuned.

 

If you have any questions, please let us know.

Thank you for your assistance and cooperation,

IRT

 


Message From The CEO & President

To the NJU Family:

We wanted to reach out to everyone during this time of rapidly changing circumstances in regard to COVID-19 and assure you that our team is diligently focused on ensuring the continued health and safety of our employees. We would like to share with you some of the steps we have taken, under the guidance of the U.S. Centers for Disease Control and Prevention and state and local authorities, to help prevent the spread of the virus and help keep everyone safe.

Pandemic Incident Response Team (PIRT)

NJU has formed a special committee, PIRT, whose mission is to quickly respond to reports of suspected coronavirus contagion within the company. The PIRT will also address any concerns or questions and distribute information to our employees as necessary and, of course, give direction on actions to take should a known patient or employee test positive for COVID-19 virus. Minute to minute PIRT is following recommendations from the U.S. Centers for Disease Control and Prevention and state and local authorities, including the Department of Health, in taking extra safety measures in all of our care centers and workplaces.

Sick Employees Should Stay Home

A recent notice to all employees informed employees that they are expected to stay home if they are sick with any infectious illness, such as a cold, flu, etc. If an employee comes to work sick with cold or flu-like symptoms, in order to avoid the spread of illness in the workplace or to patients, the employee’s supervisor has the authority to send the employee home. The notice also discusses concerns about coronavirus and not confusing allergies with coronavirus.

Paid Time Off and Earned Sick Leave

Employees who are sick may be concerned if they exhaust their Paid Time Off and Earned Sick Leave banks. We do not want people to come to work ill because of such concerns. Instead, those employees should contact Human Resources. We will look at each situation on a case-by-case basis to determine options that can be made available to the employee.

Keeping the Workplace Clean

We have ordered disinfectant wipes for offices and clinics, and expect to have them in the workplace in the next few days. Employees should clean their workspace. Please note that these disinfectant wipes are for use in the office and to help protect all employees. Thus, they should not be removed from the workplace or taken home or to your car for your personal use.

Reaching Out to Patients

NJU is proactively communicating with patients via text, email and phone to ask if they are experiencing any symptoms, any recent foreign travel, and if they are experiencing any coronavirus-like symptoms. Appointments are being postponed for any patient who answers affirmatively. Similarly, any patient that answer positively to our front office screeners or if they appear ill, will be asked to go to a higher acuity healthcare location for appropriate treatment.

School Closures

Many districts have enacted school closures. There may be available options if this affects an employee’s ability to work. One option is to request to work from home. This will depend on the employee’s position and available tools at the employee’s home such as high-speed internet access. Another possible option is to obtain temporary day care through LightBridge that has partnered with NJU. However, please be mindful they operate on a first-come, first-serve basis, and may also be overwhelmed due to this epidemic. We urge you to prepare and find alternate solutions with friends and families.

We want all of our employees to know that we are acting on up-to-date information as it comes from the CDC. In times of crisis, misinformation tends to proliferate which can lead to widespread panic. This is why the administration is spending so many resources on ensuring that we are doing everything correctly. Nevertheless, we understand that it is likely that things may get worse before they improve. At some point, many of us may have a patient or co-worker who tests positive for COVID-19. As these events occur, we will inform those at risk about a possible exposure and we will continue to follow the CDC’s precise recommendations.

This is an unprecedented event in our lifetime, and it is understandable that people’s reactions will vary. However, we urge everyone to stay calm, respect one another, maintain your professionalism and work together as a team. Your safety will always remain our top priority and we will get through this challenging time together.

 

Best Regards,

 

Scott Ciccarelli, CEO
Marty Goldstein, President​
 


Kidney Stones 101: Symptoms, Treatment and Prevention

Kidney stones are a common problem that I treat daily. Kidney stones are often related to our dietary habits, the amount of fluids that we drink, and our weight.

If you have ever suffered with a kidney stone, you know what excruciating pain is. Many women who have experienced both passage of a kidney stone and natural childbirth without any anesthesia will report that the childbirth was the less painful of the two!

Stones are a common condition that have occurred in humans since ancient times — kidney stones have even been found in an Egyptian mummy dated 7000 years old. The good news is that most of them will pass spontaneously without the necessity for surgical intervention. If surgery is required, it is minimally invasive (open surgery for kidney stones has virtually gone by the wayside).

How do kidney stones form?

Kidney stones form when minerals that are normally dissolved in the urine precipitate out of their dissolved state to form solid crystals. This crystal formation often occurs after meals or during periods of dehydration. Most kidney stones manifest themselves during sleep, at a time of maximal dehydration.

Dehydration is also why kidney stones occur much more commonly during hot summer days than during the winter. Anything that promotes dehydration can help bring upon a stone, including exercise, saunas, hot yoga, diarrhea, vomiting, being on bowel prep for colonoscopy, etc.

In addition to dehydration, another factor that can contribute to kidney stone formation is excessive intake of certain vitamins. The biggest culprit is Vitamin C, also known as ascorbic acid. When metabolized by the body, vitamin C is converted into oxalate, one of the components of calcium oxalate stones, the most common type of stone. The problem is that vitamin C is a water-soluble vitamin, so any excessive intake is not stored in the body but appears in the urine in the form of oxalate.

Additionally, excessive dietary protein intake, fat intake, and sodium are all associated with an increased risk for kidney stones. Having inflammatory bowel disease or previous intestinal surgery can also increase the risk for stones. Urinary infections with certain bacteria can promote stone formation. Having a parathyroid issue and high circulating calcium levels is another cause of kidney stones. Obesity is also a risk factor for kidney stones. Some stones have a genetic basis, with a tendency to affect many family members.

A kidney stone starts out as a tiny sand particle that grows as the “grain” is bathed in urine that contains minerals. These minerals are deposited and coalesce around the grain. They can grow to a very variable extent so that when they start causing symptoms they may range from being only a few millimeters in diameter to filling the entire kidney.

What are the symptoms?

Some stones are “silent” because they cause no symptoms and are discovered when imaging studies are done for other reasons. However, most stones cause severe pain known as colic. Colicky pain is often intermittent, originating in the flank area and radiating down towards the groin.  It often causes an inability to get comfortable in any position, and is associated with sweating, nausea, and vomiting. Kidney stones can also cause blood in the urine, sometimes visible and, at other times, only on a microscopic basis.

When a stone moves into the ureter (the tube running from the kidney to the bladder), it can become impacted and block the flow of urine. Stones can sometimes cause lower urinary tract symptoms such as urgency and frequency, particularly when the stone approaches the very terminal part of the ureter that is actually tunneled through the wall of the bladder.

How are they diagnosed?

Kidney stones are usually easily diagnosed, based upon their rather classical presentation. However, on occasion, a stone causes no symptoms whatsoever and is picked up incidentally on an imaging study such as an ultrasound, a CAT scan, or an MRI. The imaging study of choice for evaluating a kidney stone is an unenhanced CAT scan (without contrast). A plain x-ray of the abdomen is very useful for stones that contain calcium, and thus are readily visible on an x-ray.

How are they treated?

Most stones will pass spontaneously without intervention given enough time. Conservative management involves hydration, analgesics and the use of a class of medications known as alpha-blockers that can help facilitate stone passage by relaxing the ureteral smooth muscle. As long as the pain is manageable and there is progressive movement of the stone seen on imaging studies, conservative management can continue to be an option.

Intervention is mandated under the following circumstances: intolerable pain; refractory nausea and vomiting with dehydration; larger stones that are not likely to pass; failure of a stone to pass after a reasonable amount of time; significant obstruction of the kidney; a high fever from a kidney infection that does not respond to antibiotics; a solitary kidney; and certain occupations that cannot risk impaired functions such as an airline pilot.

There are a number of minimally invasive means of treating kidney stones depending upon the size of the stone, its location, and the degree of obstruction of the urinary tract. Gone are the days when treating a kidney stone required a painful incision and a prolonged stay in the hospital. Shockwave lithotripsy is commonly used to treat stones in the kidney or upper ureter. Typically done under intravenous sedation, shockwave lithotripsy uses shock waves directed at the kidney stone via x-ray guidance to fragment the stones into pieces that are small enough so that they then can then pass down the ureter, into the bladder and out the urethra with the act of urinating.

Another means of managing stones, particularly amenable to stones in the lower ureter but also applicable to any stone, is ureteroscopy and laser lithotripsy. This procedure is done under general anesthesia. A narrow lighted instrument known as a ureteroscope is passed up the ureter to visualize the stone under direct vision.  A laser fiber is then utilized to break the stone into tiny particles. The largest fragments are removed using a special basket. A ureteral stent is often left in place after this procedure to allow the ureter to heal as well as to prevent obstruction of the kidney.

What are the risk factors?

You are at high risk for kidney stones if you:

  • Don’t drink enough fluids
  • Have an occupation that requires working in hot environments
  • Exercise strenuously without maintaining adequate hydration
  • Are a male, since the male to female ratio of kidney stone incidence is 3:1
  • Had a previous kidney stone, since about 50% of people who have a stone will experience a recurrence
  • Have a family history of kidney stones
  • Have a urinary tract obstruction
  • Have an excessive intake of oxalate, calcium, salt, protein and fat
  • Take excessive amounts of vitamin C, A, and D
  • Have an intestinal malabsorption
  • Have gout
  • Have parathyroid disease

Can kidney stones be prevented?

The key to preventing kidney stones is to stay well hydrated, particularly when exposed to hot environments or when exercising for prolonged periods of time. It is also important to avoid overdoing it with certain vitamins—particularly vitamin C. The two biggest risk factors for kidney stones are, in fact, dehydration and excessive intake of vitamin C. Chances are that if you have a healthy diet, you have more than adequate intake of vitamin C and any extra is potentially dangerous. A good sign of adequate hydration is the color of your urine: the urine of a well-hydrated person will look light in color like lemonade, whereas the urine of a dehydrated person will look like apple juice.

So drink up, particularly on hot days…and squeeze some citrus fruit into your water instead of popping a vitamin C supplement…your kidneys will thank you!

Written by Dr. Andrew Siegel


Manager Update from the Incident Response Team

Managers,

Over the weekend, IRT made the following decisions as they relate to the Coronavirus:

    1. To the best of every practice’s ability, we should be PRE-screening patients over the phone when a patient calls to make an appointment or to confirm an appointment. We have put together (and attached) talking points for our applicable employees.To help practices with this, we will be sending out the following telephone message to all patients who have an appointment within the next 30 days:“This is New Jersey Urology calling in regard to your upcoming appointment. If you are currently experiencing flu like or respiratory symptoms and have been to China, Iran, Italy, Japan, and South Korea in the last 14 days, or had any exposure to someone diagnosed with the coronavirus, please call us so we can reschedule your appointment.”
    2. All practices should disregard the previous questionnaire sent. Two new versions attached.
      Highlighted updates:
      1. Countries with CDC travel level 3
      2. Changed from 30 days to 15 days
      3. We received feedback that some of our offices could not follow the infection control protocol (i.e. not enough masks or private areas). As we are taking very precautionary measures, the form has been revised to say if you actually suspect the person has coronavirus follow to the best of your ability. If a person “merely” meets the criteria to immediately send them home. To some extent, our staff will need to use common sense and best practices.
    1. Questions we have already received:
      1. Can I hand the questionnaire to patients?
        Our preference is that a staff member ask the patient the questions BUT if you are not staffed for that, you can hand the patient the questionnaire. IF your office chooses to hand the patient the questionnaire, your location still must review the answers and know the precautionary protocols that are not listed on the alternative questionnaire. Regardless, if what questionnaire you use, all staff should visually assess patients and people accompanying them to their appointment.Based on what decision your practice location makes, there are two DIFFERENT questionnaires. As the Practice Manager, you are responsible for the appropriate distribution and education surrounding it.We realize that many of our location are different and that not everything can be one size fits all. Therefore, we are entrusting our Practice Managers along with our V.P.s of Operations to create the best workflow (with our priority being the safety of our staff and patients) that works best for that location.
      2. Should this questionnaire be part of the patient’s chart?
        Yes, this questionnaire should be part of the medical record BUT not the clinical record. Please scan this into the Administrative section of the patient’s chart.
  1. We are having the “STOP” poster and the questionnaires translated into Spanish. As soon as we receive these back, we will send them out to all locations.
  2. We have received various questions regarding supplies. If you are having trouble ordering a requisite item, please email incidentresponseteam@njurology.com and include Mark Herzog mherzog@njurology.com. We are going to look into making a bulk order and distributing from our CBO. We will keep you updated on our progress.
  3. If you or any of your employees have any specific questions or concerns regarding the coronavirus, New Jersey has set up a hotline: 1-800-222-1222. If you want additional information specific to healthcare professionals, you can also go to the CDC website: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html

 

Sincerely,

IRT

 


Bergen County Top Docs 2020

Bergen Magazine Names Bergen County’s Top Docs 2020

We are proud to announce that 7 New Jersey Urology physicians have been honored as 2020 Bergen County’s Top Doctors by BERGEN Magazine.

Bergen County is home to some of the most prominent and sought-after physicians in the country. BERGEN magazine commissioned Professional Research Services (PRS) of Troy, Michigan to select the finalists. All final honorees were fact-checked with the State of New Jersey and the New Jersey Division of Consumer Affairs License Verication System.

Congratulations to our esteemed urologists from our Englewood, and Maywood / Teaneck locations!

 

2020 BERGEN COUNTY’S TOP DOCS:

See BERGEN Magazine’s complete list of Urology doctors here >

Pandemic Incident Response Team (PIRT) – Coronavirus Physician Update

Physicians,

On Wednesday, a Coronavirus communication was sent out to Managers regarding training and signage. We subsequently realized that physicians did not receive this information and we apologize for that oversight. Going forward, we will ensure that all physicians know what information we are sending out to the Practice Managers.

As a result of this communication, we have received many questions, which led our organization to form a Pandemic Incident Response Team (PIRT). The PIRT was formed with approval from the PGB and includes four physician representatives: Marty Goldstein, Adam Perzin, Rupa Patel, and Gary Karlin. Additional members on the PIRT include: Victor Houtz, Maggie Johnson, Derek Grimes, Andrea Krug, and Sarah Finnegan.

The purpose of PIRT is to make decisions on how to address different issues and challenges with the Coronavirus as they arise. With this ever-evolving situation, we must make these decisions quickly and efficiently. Therefore, the PGB has entrusted PIRT to make these decisions on behalf of the entire organization. PIRT will vote on all outstanding issues and how the majority votes is how the question/issue will be handled.

Current outstanding issues that will be decided today:

  1. If we will move forward with hanging a sign on the outside door of all offices with a “warning” not to come in if they exhibit certain symptoms.
  2. Do we want to be proactive and contact all patients scheduled for appointments within the next 30 days with a pre-recorded message stating something along the lines of “If you have experienced XYZ and have been to these countries, please call us to reschedule your appointment…”
  3. The bigger discussion is how we treat our patients when they are already IN our office – do we do anything? Do we ask any questions? How do we train our staff – (continue to use the “common sense points published by the CDC?) to interact with patients with flu like symptoms?

Once these decisions are made, we will communicate to you and our employees accordingly.

If you have any questions about the Coronavirus,  we ask you to consult your you Practice Manager first. Practice Managers will be our first line of communication and defense. If the Practice Manager does not know how to respond, the Practice Managers should email PIRT at: IncidentResponseTeam@njurology.com.

To ensure consistent communications and to not flood this email address, we are requesting that only Practice Managers and above use this email.

Sincerely,

PIRT

 


The Prostate Gland: Man’s Center of Gravity

The prostate gland is a mysterious male reproductive organ that can be a source of curiosity, anxiety, fear and potential trouble. Since this gland is a midline organ nestled deep within the pelvis, I like to think of it as man’s “center of gravity.”

Where exactly is the prostate gland?

The prostate gland is located behind the pubic bone and is attached to the bladder (above) and the urethra (below). The rectum is directly behind the prostate (which permits access for prostate exam). The prostate is situated at the crossroads of the urinary and reproductive tracts and completely surrounds the urethra, allowing its many ducts to drain into the urethra. The relationship between the prostate and the urethra can potentially be the source of problems for the older male. When a man ages, the prostate gland gradually enlarges. This prostate enlargement can constrict and block the urethra, giving rise to bothersome urinary symptoms.

What is the prostate, what purpose does it serve, and how does it function?

The prostate is a male reproductive gland that produces prostate fluid, a nutrient and energy vehicle for sperm. The prostate consists of glandular and fibro-muscular tissue enclosed by a capsule of collagen, elastin and smooth muscle. The glandular tissue contains the secretory cells that produce the prostate fluid.

Semen is a “cocktail” composed of prostate fluid mixed with secretions from the seminal vesicles and sperm from the epididymis. The seminal vesicle fluid forms the bulk of the semen. The seminal vesicles and vas deferens (tubes that conduct sperm from testes to prostate) unite to form the ejaculatory ducts.

At the time of sexual climax, prostate smooth muscle contractions squeeze the prostate fluid through prostate ducts at the same time as the seminal vesicles and vas deferens contractions squeeze seminal fluid and sperm through the ejaculatory ducts. These pooled secretions empty into the urethra (channel that runs from the bladder to the tip of the penis). Rhythmic contractions of the superficial pelvic floor muscles result in the ejaculation of the semen.

What are the zones of the prostate gland?

The prostate gland is comprised of different anatomical zones. Most cancers originate in the “peripheral zone” at the back of the prostate, which can be accessed via digital rectal exam. The “transition zone” surrounds the urethra and is where benign enlargement of the prostate occurs. The “central zone” surrounds the ejaculatory ducts, which run from the seminal vesicles to the urethra.

Curious facts about the prostate:

  • The prostate functions to produce a milky fluid that serves as a nutritional vehicle for sperm.
  • Prostate “massage” is sometimes done by urologists to “milk” the prostate to obtain a specimen for laboratory analysis.
  • The prostate undergoes an initial growth spurt at puberty and a second one starting at age 40 or so.
  • A young man’s prostate is about the size of a walnut, but under the influence of aging, genetics and testosterone, the prostate gland often enlarges and constricts the urethra, which can cause annoying urinary symptoms.
  • In the absence of testosterone, the prostate never develops.
  • The prostate consists of 70% glands and 30% muscle. Prostate muscle fibers contract at sexual climax to squeeze prostate fluid into the urethra. Excessive prostate muscle tone, often stress-related, can give rise to the same urinary symptoms that are caused by age-related benign enlargement of the prostate.
  • Women have a female version of the prostate, known as the Skene’s glands.

Written by Dr. Andrew Siegel


Dr. Adam Perzin Designated as Urolift® Center of Excellence

18 Feb 2020 News

We’re proud to announce that the New Jersey Urology office of Dr. Adam Perzin in Burlington County has been designated as a UroLift® Center of Excellence. The designation recognizes that Dr. Perzin has achieved a high level of training and experience with the UroLift® System and demonstrated a commitment to exemplary care for men suffering from symptoms associated with Benign Prostatic Hyperplasia (BPH), also known as enlarged prostate.

Recommended for the treatment of BPH in both the American Urological Association and European Association of Urology clinical guidelines, the FDA-cleared Prostatic Urethral Lift procedure using the UroLift System is a proven, minimally invasive technology for treating lower urinary tract symptoms due to BPH. The UroLift permanent implants, delivered during a transurethral outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue.

The UroLift Center of Excellence program is designed to highlight urologists who are committed to educating their patients on BPH and the UroLift System as a treatment option and consistently seek to deliver excellent patient outcomes and experiences.

“Dr. Perzin has earned the UroLift Center of Excellence designation for his dedication to improving the lives of men who previously suffered from BPH symptoms and delivering superior patient outcomes with the UroLift System treatment,” said Dave Amerson, president of the Teleflex Interventional Urology business unit.

Over 40 million men in the United States are affected by BPH, a condition that 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.

Medication is often the first-line 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. While current surgical options can be very effective in relieving symptoms, they can also leave patients with permanent side effects such as urinary incontinence, erectile dysfunction, and retrograde ejaculation.

About the UroLift System
The FDA-cleared UroLift System is a proven, minimally invasive technology for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). The UroLift permanent implants, delivered during a minimally invasive transurethral outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue. Clinical data from a pivotal 206-patient randomized controlled study showed that patients with enlarged prostate receiving UroLift implants reported rapid and durable symptomatic and urinary flow rate improvement without compromising sexual function*1,2. Patients also experienced a significant improvement in quality of life. Over 100,000 men have been treated with the UroLift System in the U.S. Most common adverse events reported include hematuria, dysuria, micturition urgency, pelvic pain, and urge incontinence. Most symptoms were mild to moderate in severity and resolved within two to four weeks after the procedure. The Prostatic Urethral Lift procedure using the UroLift System is recommended for the treatment of BPH in both the American Urological Association and European Association of Urology clinical guidelines. The UroLift System is available in the U.S., Europe, Australia, Canada, Mexico and South Korea. Learn more at www.UroLift.com.

About NeoTract | Teleflex Interventional Urology
A wholly owned subsidiary of Teleflex Incorporated, the Interventional Urology Business Unit is dedicated to developing innovative, minimally invasive and clinically effective devices that address unmet needs in the field of urology. Our initial focus is on improving the standard of care for patients with BPH using the UroLift System, a minimally invasive permanent implant system that treats symptoms while preserving normal sexual function*1,2. Learn more at www.NeoTract.com.

About Teleflex Incorporated
Teleflex is a global provider of medical technologies designed to improve the health and quality of people’s lives. We apply purpose driven innovation – a relentless pursuit of identifying unmet clinical needs – to benefit patients and healthcare providers. Our portfolio is diverse, with solutions in the fields of vascular and interventional access, surgical, anesthesia, cardiac care, urology, emergency medicine and respiratory care. Teleflex employees worldwide are united in the understanding that what we do every day makes a difference. For more information, please visit www.teleflex.com.
Teleflex is the home of Arrow®, Deknatel®, Hudson RCI®, LMA®, Pilling®, Rusch®, UroLift® and Weck® – trusted brands united by a common sense of purpose

4 Common Causes of Urinary Incontinence in Men

17 Feb 2020 Blog

Urinary incontinence is the accidental leakage of urine that you can’t control. Anywhere from 5% to 15% of men over the age of 60 are affected.

Urinary incontinence is not just a medical problem – it often becomes an emotional and social problem that interferes with people’s everyday lives. Often targeting the cause of urinary problems can help you and your doctor find the best treatment option to reduce bladder leakage and restore daily function.

Common Causes of Urinary Incontinence in Men:

  1. Prostate problems. Prostate problems, especially as men age, can result in problems with urinary incontinence. If the prostate is enlarged, it may affect the flow of urine and cause a weak stream, frequent urination, or leaking. When the prostate is removed for cancer treatment, it is common to have stress incontinence, meaning coughing or sneezing can trigger leakage.
  2. Conditions that cause nerve damage. Because muscles and nerves must work together to control the bladder, any condition that damages the nerves can create urinary problems. Conditions may include Parkinson’s, a stroke, diabetes, or multiple sclerosis. Injuries of the spinal cord can also result in urinary incontinence.
  3. What you drink. Certain types of beverages can put stress on the urinary system. Limiting the amount of alcohol, caffeine, or carbonated beverages that you drink can help reduce bladder leakage. Staying hydrated is important, but it is not necessary to drink a certain amount of water during the day.
  4. Being overweight. Being overweight can cause or worsen male incontinence because extra weight weakens the muscles that help with bladder function. Obesity may affect female incontinence more than in men, but it can still be a factor of male incontinence.

Treating Male Urinary Incontinence

There are many ways to ease the symptoms of male urinary incontinence, including behavioral treatments, medication, and surgery. Speak with a urologist about your treatment options.


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