Micro Blog Articles by Henry Rosevear, MD

Everyone knows that testosterone replacement makes men feel better.  It increases concentration, libido and energy levels.  It can also, though, cause significant problems not the least of which is deep venous thrombosis (DVT’s).  DVT’s are life threatening clots usually of the veins of the legs that can spread to the lungs causing death.  

In 2014, the FDA warned the public about the risk of testosterone replacement causing DVT’s.  The Harvard Medical School published a great article summarizing the FDA’s warning here.

Recently a new study has been published which questions this association.  The article published in the journal Urology(which you can read here) studied 1180 men on testosterone replacement and only found a 0.8% risk of DVT’s. The authors conclude that when compared to the general population, the risk of DVT’s in men on testosterone replacement is not significantly elevated.

While this is great news for men on testosterone replacement, it needs to be emphasized that the men on this study were still closely monitored for other risk factors for DVT’s including an elevated hemoglobin level so while men on testosterone replacement can sleep a bit better tonight, testosterone replacement remains a two-edge sword requiring careful medical management.

If you have questions regarding the pros and cons of testosterone replacement, please feel free to contact my office to make an appointment.

It’s never easy telling a patient they have cancer.  And it’s worse when you have to tell them that the disease has spread.  Until recently, when a patient presented with prostate cancer that had spread to other organs (referred to as metastatic prostate cancer), all I could offer them was a combination of hormone therapy, chemotherapy and immune therapy.

Not anymore.  A new study published here in the European Urology Journal (one of the most respected journals in urology) shows that patients with low volume metastatic prostate cancer benefit greatly from radiation therapy to the prostate in addition to standard treatment.

This is a true game changer and something that will improve not only patient’s quantity of life but also just as importantly their quality of life.

If you know a loved one battling metastatic prostate cancer and have questions about whether this new study directly impacts them, call me and we’ll sit down and discuss this terribly important study.

I love those commercials. Why? Because it perfectly sums up one of the most common and frustrating conditions that I treat; namely, an overactive bladder.

The Mayo Clinic has a wonderful website here that well summarizes the condition in great detail and it’s one that I often refer patients to.  Another wonderful website is the treatment algorithm here which is listed on the Society of Urodynamics and Female Urology’s website.

The good news about this condition is that the condition is very treatable.  Not only are there two types of medications available but there are minimally invasive options including neuromodulation that have very high success rates.

If you currently suffer from this debilitating and incredibly common disease and would like to learn more about the treatment options available, please call me for a visit, I look forward to talking to you.

Wonderful article about the medical history behind Werewolves, Vampires and Zombies.  Perfect for this time of year.  Enjoy your Halloween and safe Trick or Treating!

Forbes “These Disease May Have Inspired Halloween Monsters“

Ever wonder why it seems that all of the big hospitals in town are suddenly so interested in adding (ie buying) doctors to their staff instead of just working with the doctors already here in town?  It shouldn’t surprise you that it’s all about money.

It turns out the government and insurance companies allow hospitals to charge more for the same service as compared to local independent doctors.  They call it a “site of service” charge and it’s dramatically increasing the cost of medicine to the tune of billions of dollars a year.

Please join me in supporting changes to the law that will level the playing field between big corporate hospitals and local physicians like me.

If you want to read more, please visit this site to learn how “site of service” charges are driving many independent physicians out of business.