Word: urologist
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While emotional concerns can upset this process, most trouble results from physical problems. In young men, injury is the main cause of loss of potency. "Coming down hard on the narrow seat of a ten-speed bicycle can damage the arteries or the nerves," says urologist Irwin Goldstein of Boston University School of Medicine, who recently chaired an international conference on impotence research. But the vast majority of impotent men -- most are above age 55 -- are victims of poor habits or illness. Alcoholism, for example, can deaden nerves. Cigarette smoking can reduce blood flow to the penis by constricting vessels...
...patients at Memorial. These survivors offer considerable testimony of bad or even potentially fatal medical advice proffered by the physicians they saw first. Estelle Marsicano was scoffed at by her family doctor. "My liver is large too-want to feel it?" he asked. When John Alexion consulted a prominent urologist about his prostate cancer, the patient recalled, "the elderly doctor proceeded to lay a bomb on me. The only procedure he would consider was surgical castration and radical removal of the prostate. I thought, 'Jesus... they're going to turn me into a 6-ft. eunuch...
Such is the case for four out of five members of the Arnold Melman family of Ardsley, N.Y. The Melmans keep a chart tracing their rising and falling cholesterol and levels. Melman, a urologist, is the only member of his family who is free from such worries. His wife Lois and all three children have FH and must follow a strict lowfat, low-cholesterol diet. Lois and the two older children also take 30 gm a day of cholestid, a cholesterol-lowering drug similar to the cholestyramine used in the N.H.L.B.I. trial. Such drugs are expensive as well as unpleasant...
...stone is too big to be "basketed," doctors insert a metal rod that conducts high-frequency sound waves into the stone. "The surfaces tend to be pretty hard," says Urologist Robert Kahn of the University of California at San Francisco, "but once the thing is cracked, it falls apart." The fragments are removed by suction or the grabbing tool. Total time from start to finish: between half an hour and two hours, depending on the size, number and chemical composition of the stones...
...After this procedure, patients are up and around pain-free the next morning," reports Urologist Culley Carson of Duke University Medical Center. "It would be difficult for them to walk around for three or four days after conventional surgery." Another advantage: nephroscopy patients can return to their jobs in about a week; surgical patients require ten days of costly hospitalization and up to eight weeks of convalescence. "There really is no trauma to the system with this method," says Dr. Joseph Segura of the Mayo Clinic, which pioneered the technique...