Better Man Clinics Podcast

In this episode we discuss Optilume, a novel treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate (BPH).  In previous episodes, we have covered a variety of other BPH treatments ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP an...

In this episode, we discuss Aquablation, a new treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate(BPH). In previous episodes, we have covered a variety of other BPH treatments ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP an...

In this episode we discuss penile injections for erectile dysfunction,  For most guys, treating erectile dysfunction means taking a pill.  But what do they do if the pills do not work or if they are not able to take the pills because of certain medical conditions or other medications they are taking? For many such guys, a reasonable next step has been to try penile injections.  But how do these in...

In this episode we discuss focal therapy for the treatment of prostate cancer.  Historically, men diagnosed with localized prostate cancer have had to choose between two treatment options: surgery and radiation therapy.  Both options involve treating the entire prostate gland, regardless of the size, location, or number of cancerous tumors.  Recently, however, more localized treatment options have...

In this episode we discuss delayed or absent orgasm. Most guys are familiar with premature ejaculation, a condition in which men achieve an orgasm and ejaculate too soon.  But what about guys who take too long to achieve an orgasm or cannot achieve one at all?   How long is too long when it comes to reaching an orgasm? What causes delayed or absent orgasms?  What are the treatment options and how...

In this episode we discuss Peyronies disease, a condition faced by about 10% of men.  Peyronies disease can cause pain, erectile dysfunction and, for some men, a complete inability to have sex.  But what exactly is Peyronies disease and what causes the condition?  How do you know if you have it? Does Peyronies disease always require treatment?  What are the treatment options and how well do they w...

In this episode we discuss varicoceles, a condition found in 15% of men that can cause both pain and infertility.  In fact, varicoceles are found in 35% of men with infertility.  But what exactly is a varicocele and what causes the condition?  How do you know if you have a varicocele? Do all varicoceles need treatment?  How are they treated and what are the outcomes?  To answer these questions and...

In this episode we discuss kidney stones, a very painful condition that affects 1 out of 11 people at some point in their lives. But what causes kidney stones? Can we do anything to prevent getting them? How do we know if we have them?  And when we do get them, what do we do? To answer these questions and many more we turned to a true expert.  Dr. Margaret Knoedler is an assistant professor at the...

In this episode we discuss headaches, a problem that most if not all of us have had at some point in our lives.  For most people, a headache is a minor inconvenience relieved with an over the counter medication.  But what happens when the headache does not go away or keeps recurring? What do we do then?  What can we do to avoid headaches?  What home remedies and alternative therapies may be worth...

In this episode we discuss Greenlight, a laser treatment for the urinary symptoms experienced by men due to an enlarged or obstructing prostate(BPH).  In previous episodes we have covered a variety of other BPH treatment ranging from the historical gold standard (TURP) to minimally invasive surgical therapies (MIST) such as Rezum, Urolift, and iTind to more specialized treatments such as HoLEP and...

In this episode we discuss genomic testing for prostate cancer. Historically, decision making for the treatment of prostate cancer has been guided by factors such as abnormalities felt by a physician during a prostate examination, the level of the PSA blood test, and the microscopic appearance of cells obtained from a prostate biopsy. More recently however, DNA testing has started to play a larger...

In this episode we discuss premature ejaculation, a problem faced by 30-40% of men at some point in their lives. But what defines premature ejaculation and, for that matter, what is considered a normal time to ejaculation?  10 minutes? 5 minutes?  1 minute?  What causes premature ejaculation in men? Do all men experience premature ejaculation for the same reasons?  And what, if anything, can be do...

In this episode we discuss the Urolift procedure for the treatment of the urinary symptoms associated with an enlarged prostate (BPH). It is considered one of the so called MIST procedures -minimally invasive surgical therapies for BPH. So where does Urolift fit in amongst the various procedures we have discussed for the treatment of BPH.  How does it compare to other minimally invasive procedures...

In this episode we discuss testicular cancer.  Being diagnosed with testicular cancer can be devastating for the nearly 10000 men found to have the disease yearly in the United States.  And unlike many other cancers, testicular cancer actually affects younger rather than older men, making the diagnosis all the more traumatizing.  But, in reality, testicular cancer is often considered a cancer “suc...

In this episode we discuss obesity.  The US is currently experiencing an epidemic of obesity, with over 40% of Americans grappling with this problem.  But what is driving this obesity epidemic?  Is it our Western Diet?  Our sedentary lifestyles?  Can obesity even be prevented or is it simply a matter of genetics?  Can we overcome obesity?  What has actually been shown to work?  Diet? Exercise? Med...

In this episode we discuss robotic radical prostatectomy as a treatment option for prostate cancer. Over the last 20 years, robotic radical prostatectomy has become the gold standard for surgical management of prostate cancer.  While the concept of robotic surgery is exciting, it also leads to a lot of questions amongst men faced with a decision as to how to treat their prostate cancer.  How does...

In this episode we discuss erectile dysfunction in young men. Did you know that 1 in 4 men under the age of 40 experience erectile dysfunction.  Are the erectile problems faced by these men different from the typical erectile dysfunction experienced by middle aged and older men? Is erectile dysfunction in young men caused by different underlying problems?  Do these men need a different evaluation?...

In this episode we discuss the Rezum procedure for the treatment of the urinary symptoms associated with an enlarged prostate (BPH).  Rezum is considered one of the so called MIST procedures -minimally invasive surgical therapies for BPH. Other such procedures include UroLift and Itind.  So how does Rezum compare to these other procedures as well as to more traditional surgical therapies such as T...

In this episode we discuss penile enlargement.  A recent study revealed that 45% of men wish that their penises were larger. That desire is further confirmed by the multitudes of creams, medications, and procedures promising to increase the length and/or the girth of the penis.  But is it actually possible to increase the size of the penis? Do any of these treatments actually work?  And, if so, to...

In this episode, we discuss prostate artery embolization for the treatment of urinary symptoms for men with an enlarged prostate, otherwise known as BPH. In recent episodes, we've discussed several procedures used to treat BPH. Now, what all these procedures have in common is that they all involve actually carving away part of the prostate that is obstructing the urinary stream. But what if I...

In this episode we discuss anxiety. Over the past few years, we have all experienced our share of anxiety.  Stress can be a natural part of our lives as a response to events that occur in relation to our jobs, our families or our health.  But what happens when stress transforms from a nuisance to a debilitating condition that impacts all aspects of our lives?  How do we even know if we have a prob...

In this episode we discuss robotic simple prostatectomy for men with urinary symptoms due to an enlarged prostate (BPH).  In prior episodes, we have discussed several treatment options for BPH including medications and a variety of procedures.  But what if the medications don’t work and the prostate is just too big to qualify for minimally invasive surgical procedures?  Fortunately, robotic simple...

In this episode we discuss the impact of the mind on how we perceive and manage chronic pain. We have all heard the concept of mind over matter and the importance of having the right mindset to overcome adversity and to succeed.  But can your state of mind impact how you actually experience pain?  And to that extent, can psychotherapy teach your mind to process chronic pain differently so as to ma...

In this episode we discuss penile implants.  Most guys are aware of the common treatments for erectile dysfunction ranging from pills to injections to vacuum pumps.  But what if those treatments don’t work or have intolerable side effects?  Did you know that erectile dysfunction can also be treated by surgically implanting devices into the penis that can create erections on demand?  So what is inv...

In this episode we discuss colon cancer.  Did you know that over 50,000 people die of colon cancer in the US every year?  Can these deaths possibly be prevented?  Can our diets and lifestyles affect our chances of developing colon cancer?  Can screening for colon cancer actually decrease your chances of dying from the disease?  And if so, how?  To help us answer these questions and many more we sp...