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PRIAPISM: NATURE’S CRUEL IRONY

Sexual function is a major concern for men and their urologists. A man’s ability to obtain an erection and engage in sex is often the sine qua non defining virility. Indeed, the consequence for a man, no matter how old, of losing this defining male quality often leads to emotional distress disproportionate to its health...
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10 Questions Men Must Ask About Their Urinary Symptoms

Lower urinary tract symptoms in men are amongst the most common reasons for urological visit. In this blog, I explore 10 questions that every man must ask when seeking urological help for these symptoms. Are my symptoms related to my prostate? The natural assumption is that urinary symptoms in men are related to a growing...
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Large Tumor in a Horseshoe Kidney

    80 year old gentlemen who had a CT scan done by his GI physician for nausea and vomiting Found to have a 9 cm tumor in his right kidney, but his kidneys were both joined together in the middle of his body, something we describe as a “horseshoe kidney Ordinarily, such large tumors...
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“The Tumor” By Noor Rahman

There was too much chaos and all I heard are battle cries. I couldn’t see or think.  It was all around me and there was no escape, but the thing is, I couldn’t tell the difference between my own voice and the others. I was trying to be louder than the crowd, but it was...
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THE THRILL OF A MISDIAGNOSED CANCER

“Dr. Rahman, can you squeeze in this patient today, she has kidney mass and is having fevers, and they really want to be seen today by you?” Already facing a full day, I advised my triage nurse that if the patient could be in the office before 4:30 I would see her. She obliged and...
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WHAT’S AILING US? FATIGUE AND THE TESTOSTERONE MYTH

    “I am tired all the time and my primary care doctor found my testosterone is low” I deal with some variation of this chief complaint several times per week.  As urologists, we deal with the many endocrine abnormalities involving the testosterone axis. The more I’ve encountered and studied this clinical theme in my...
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10 Essential Questions When Diagnosed With Bladder Cancer

Over 80,000 new cases of bladder cancer are diagnosed every year.  Of the new cases, over 62,000 are men, and over 18,000 are women.  Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black women.  The majority of cases are found with painless gross hematuria (although most patients with...
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WHEN CANCER ISN’T REALLY CANCER

One of the hardest jobs as a physician is to tell a patient and family that they have been diagnosed with cancer. As a urologist dealing with prostate, bladder and kidney cancer, I often give potentially life-threatening diagnosis while simultaneously reassuring hope and optimism, a skill that requires a deft mastery of the art of...
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RELATIONSHIP STATUS: IT’S COMPLICATED

The operative word describing the relationship between pharmaceutical companies and physicians is“complicated”.  These companies are responsible for innovative medicines, including cancer therapies providing hope to patients where none previously existed.  For example, when I started nearly 15 years ago very little could be offered to prostate cancer patients when hormonal therapy failed.   In the last...
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Medicine and Racial Bias: The Patient Experience

“Yolanda’s biggest problem is she needs to stop doing drugs,” exclaimed one of the doctors as he was talking to a nurse about Yolanda’s pain, implying that Yolanda was an addict to street drugs. In the early stages of my private practice career, I was shocked as I heard him utter these words, as she...
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