Monday, July 22, 2019

Vasectomy questions

No, you do not need spousal consent and to require is a HIPAA violation, most likely. 

No, there is no minimum age, aside for 18, the age of consent.   NYC has a minimum age of 21. 

Saturday, July 20, 2019

Marijuana and sperm

How does pot affect sperm?   Better question is how doesn't it affect sperm. 

Decreases LH and FSH release
Lowers T
Attaches to sperm head and tails
Decreases sperm production
Promotes loss of spermatogonia


Thursday, July 18, 2019

5 things that kill sperm production

These 5 things will damage sperm production.  So if you are trying to get your wife pregnant, avoid them.

  1. Marijuana: really bad for spermatogenesis for a multitude of reasons.  Also bad for sperm themselves
  2. Cigarettes: see marijuana 
  3. Abdominal obesity: surprisingly bad.  Causes both hormonal imbalances and sperm stem cell death
  4. Testosterone injections: causes decrease on the natural T production needed to produce sperm
  5. Heat: the testes hang in the sack for a reason.  Keep them cool by avoiding hot tubs, spas and steam rooms


Friday, May 19, 2017

Using SMART Goals in Male Infertility

Smoking-bad for sperm
Abdominal obesity-bad for sperm
Sedentary lifestyle-bad for sperm

Tell a patient, "lose weight", "eat better", "exercise" -worthless for sperm

Better approach- SMART

1: Walk track once this week and call me to tell me
2: Eat one vegetarian meal next week. 
3: Go one day without smoking.

Small, manageable, achievable, relavent, and testable goals.  Now that is SMART.

Wednesday, May 17, 2017

Just a few things I learned at #AUA17

Great meeting in Boston at the AUA. Here are just a few things, at the top of my head, that I learned.

  • Neonatal circumcision protects against penile cancer but not penile warts
  • HPV strain 16 is the most common type associated with penile cancer
  • The HPV vaccine in close to 100% effective vs strain 16
And from another course:
  • Using a tunica vaginalis patch can result in more testis saves during treatment for acute testis torsion
  • It is ok to place a testis prosthesis at the time of an orchiectomy for non-salvageable testes
and more...


Tuesday, November 24, 2015

MRI Guided Prostate Biopsies:Amazing Technology

The images below show a subtle lesion proven on biopsy to be high grade prostate cancer.