Dr. Cathy Naughton Chosen For "St. Louis' Best Doctors 2016"

We're excited to announce that Metropolitan Urological Specialists’ own Doctor Cathy Naughton was selected to be featured in St. Louis Magazine in a feature on St. Louis’ Best Doctors 2016. The following paragraphs are taken from that article.

Dr. Cathy K. Naughton, featured on the Best Doctors in America List each year for the past decade, is director of the Center for Sexual Health, a specialized medical facility of Metropolitan Urological Specialists. Her practice is focused on general urology and the handling of male infertility, urinary incontinence, and sexual dysfunction. Dr. Naughton provides all the treatments of erectile dysfunction and received specialized training in minimally invasive penile implant techniques. She is a professional in InterStim© Therapy, a nerve treatment for overactive bladder. Also, she initiated the FOOD AS MEDICINE program to promote lifestyle and diet changes for general health and weight loss.

Dr. Naughton got her Doctorate of Medicine from the State University of New York in Buffalo. She finished her urological surgery residency at Washington University School of Medicine and a clinical fellowship in male infertility and microsurgery at the Glickman Urological Institute at The Cleveland Clinic Foundation. Dr. Naughton is accredited by the American Board of Urology.

Information from St. Louis Magazine

The Many Causes Of Male Infertility

Like anything else in the field of medicine, there's always more than one potential cause to urological problems. Male infertility isn't an exception. When patients come to a urological specialist in St. Louis, MO, they usually don't realize how many factors may be adding to their condition. When you explore your various choices, Metropolitan Urological Specialists in St. Louis, Missouri would like for you to understand the many testing options which may be available to get down to the bottom of your male infertility.

The first and foremost test of male infertility is the sperm and semen study. In essence, it happens exactly as you may expect that it would. You go to a private room and you bring out a sample of semen. The professionals will use the sample to have a look at a number of things which could affect your virility, like your sperm count, their shape, their movement, and a number of other factors. Your doctor will request that you steer clear of all sexual activity for 2 or more days before the test so your semen has an accurate representation of what your sperm usually looks like. Needless to say, a higher sperm count is preferred, but the total absence of sperm is also a comparatively advantageous thing. The complete absence of sperm in your semen is called azoospermia, and it generally implies that there's a correctable obstruction in the piping that puts the sperm into the semen.

Another test which may be performed is a comprehensive physical examination of the pubic region. A urologist like the experienced experts at Metropolitan Urological Specialists will be the proper physician to seek out problems like varicocele or hormone problems. A hormone analysis could also be conducted, but that is quite the long shot because hormones are not the issue in more than ninety five percent of infertile men.

A testicular biopsy is yet another test which may be performed under certain circumstances. A needle biopsy can reveal in a more direct way the capacity of the testes to generate an ample amount of sperm. If the testes aren't found to be the problem, it normally means that there's a blockage present in the piping which prevents sperm from reaching the semen.

Male infertility is a problem which can be solved in many cases for men in St. Louis, MO with male infertility problems. If you feel that you may suffer from this medical condition, go to a local St. Louis urological doctor like those at Metropolitan Urological Specialists. They've got plenty of experience assisting men like you beat this problem by carefully and knowledgeably diagnosing the problem and creating an individualized treatment plan for you. Don't give up yet. Allow Metropolitan Urological Specialists to help you find the right answer to your male infertility.

How To Talk Knowledgeably With Your Doctor About OAB

Out of all the professionals that individuals come in contact with, you might think that their doctor would be one that they could confide in. Still, that isn't always very easy when talking about a very personal problem like overactive bladder, or OAB. However, this really should not be the case. Overactive bladder is something very common for people all over Creve Couer, Kirkwood, Florissant, Washington, and anyplace else in the St. Louis, Missouri area. Nevertheless, people may feel more responsive to address their symptoms straight away if they have some sort of help with how exactly to bring up the subject with their physician. For this reason the overactive bladder specialists at Metropolitan Urological Specialists have put together this article for you.

One thing to keep in mind with this is that you will probably end up going to a specialist. Nothing is wrong with beginning with your primary care doctor, but you need to realize that ultimately you'll want the advice and guidance of somebody who is an expert in the specific field of diagnosing and treating bladder incontinence. Metropolitan Urological Specialists has a staff of dedicated medical experts who specialize in this area of medicine.

The next thing to be aware of before you meet a physician about OAB is that you need to log your bathroom habits before the appointment. Obviously, you can just go to the doctor and attempt to explain the problem, but medically speaking the best option is to give the doctor some numbers to work with. Two to three days worth of info ought to be plenty. You will want to incorporate information such as when you urinate, what you ingest during the day, the relative amount that you urinate, the number of accidents you experience (if any), specific activities which usually result in leakages, and the relative amount of each leakage. In addition to this info, be ready to tell your doctor what medications you are taking and any surgeries that you have had.

One more thing to bear in mind is the necessity of learning how your bladder issues affect you and how you want to see that changed. Expect to articulate precisely how your bladder problems disrupt your daily life. Do you need to abandon specific activities as a result of the leakage that those activities cause? Do you have to make special considerations whenever you go out? How expressly do your overactive bladder symptoms affect you? Once you have all of these questions mapped out, be ready to tell your physician exactly what you want the end-goal of your urological treatment plan to be. Establishing these goals may be as general as just having a plan to handle the problem; or it may be as specific as having the capability to wear light pants without anxiety about leakage. In any case, have an end-goal for the appointment in mind.

You do not have to suffer through the symptoms of overactive bladder in silence. You could get help and get back to living your life rather than stressing about your bladder. Still, the initial step is one that no one else can take for you. You need to go to your primary care physician or a specialist such as those at Metropolitan Urological Specialists and let them know about it. They can supply you with the tools that you need to overcome overactive bladder. In St. Louis, Missouri, urological health problems may be addressed by the professionals at Metropolitan Urological Specialists.

The Many Options For Prostate Cancer Surgery

There are a lot of choices to think about with your doctor if you're seeking to treat prostate cancer. That’s why it’s so essential to have a great team of physicians to assist you with prostate cancer treatment to begin with. One of the numerous options that your physician will consider will be prostate cancer surgery. Metropolitan Urological Specialists in St. Louis, Missouri focuses primarily on prostate cancer diagnosis and treatment, including prostate cancer surgery.

Prostate cancer surgery is normally done on men who're wanting to reduce symptoms of prostate cancer or slow its growth. Men who're in the appropriate physical shape for surgery are the persons who'll be chosen for it. Generally, the men are going to be under seventy years old.

More specifically, prostate cancer surgery can be used to do one of several things. One of those things is to remove the prostate entirely and the cancer with it. This is normally referred to as a radical prostatectomy. In the process of executing a prostatectomy, the nearby lymph nodes are often removed to check for cancer.

Prostate cancer surgery may also mean fixing problems linked to the tumor pushing against the urethra by eliminating a part of the tumor. This is usually referred to as transurethral resection of the prostate or TURP. Remember, TURP can help you by removing part of the tumor, but this will only slow it down. It doesn't remove the entirety of the tumor.

The third option of prostate cancer surgery is an orchiectomy. An orchiectomy is the total removal of both testicles. Ordinarily a orchiectomy will cause the prostate cancer to shrink mainly because it requires the testosterone in the testicles to grow. As a result, symptoms are usually improved by this prostate cancer procedure. Nevertheless, an orchiectomy also causes its own side effects, like the enlargement of the breasts, loss of sexual desire, hot flashes, and not being able to get an erection.

Although prostate cancer surgery sounds serious, it does not have to be. Laparoscopic prostate surgery is a type of minimally intrusive surgery that uses a little camera to lessen the size of the incision. Along with laparoscopic prostate surgery, Washington, MO, St. Louis, Creve Coeur, Florissant, and Kirkwood, Missouri residents have several other options to pick from, only a few of which were mentioned in this article. If you have prostate cancer and would like a skilled team of prostate cancer care physicians, Metropolitan Urological Specialists is the perfect place to go.

Solutions for Female Stress Urinary Incontinence

Metropolitan Urological Specialists of Saint Louis, Missouri, with offices in Creve Coeur, Kirkwood, Florissant, and Washington, MO is focused on providing advanced solutions for common women’s health issues. Their objective is to give helpful, easy-to-understand facts so women, with their physicians, can weigh their options and make well-informed decisions.

What Is Stress Urinary Incontinence?

Stress Urinary Incontinence, or SUI, is the sudden, unintentional release of urine during normal, day to day activities. SUI is a different condition than Overactive Bladder (OAB), a problem characterized by urgency, frequency, getting up at night with or without having bladder seepage.  Many women have both varieties of incontinence.  You might have SUI should you lose urine when you:

• Cough, sneeze, or laugh
• Walk, exercise, or lift something
• Rise from a sitting or lying position

You may even go to the bathroom frequently throughout the day in order to prevent accidents. If you suffer from stress urinary incontinence, this means your urethra (the tube from the bladder by which urine leaves your body) does not remain closed until it’s time for you to urinate. This condition can occur as a result of:

• Pregnancy and childbearing
• Prolonged heavy-lifting or straining
• Menopause
• Obesity
• Cigarette smoking

Typical Signs and Symptoms Of Stress Urinary Incontinence

If you're experiencing urine leakage, take the time to ask yourself:

• Do you suffer from urine leakage while laughing, sneezing, coughing, or working out?
• Do you wear panti-liners or pads to soak up urine leakage?
• Do you limit or eliminate activities to avoid leakage?
• When planning a trip, outing, or event, does the availableness of bathroom facilities impact your final decision?

If you responded “yes” to even one of these basic questions, take the next move and talk with a physician or some other healthcare professional such as those at Metropolitan Urological Specialists in St. Louis, MO. Discussing the issue is the most important thing you can do to begin taking charge of your bladder symptoms. Unfortunately, for plenty of women, it is often the toughest step. It shouldn't be shameful -- urinary incontinence is a medical issue which is treatable.

Think about asking your doctor the subsequent inquiries to make that discussion a bit easier:

• What kind of urinary incontinence do I have?
• What medications are there to help me to get back urinary control? What type is appropriate for me?
• Can you manage this issue, or are you able to refer me to a doctor specializing in female urinary incontinence?

Treatments

Stress urinary incontinence is treatable at every age. But not all the methods work for every person or even for all kinds of incontinence. For SUI, a physician may encourage one or more of the following:
Behavioral/Muscle Therapy: Therapy often starts off with Kegel exercises to help you develop the pelvic floor muscles. Based on the seriousness of your condition, however, Kegels may not give suitable relief.

Biofeedback: In this method, the patient exercises the pelvic floor muscles while connected to an electrical detection device. The device gives “feedback” to help you to learn how to better control these muscle groups. Over time, biofeedback can help you utilize your pelvic muscles to diminish unforeseen impulses to urinate and minimize some kinds of pelvic pain.

Electrical stimulation: This method helps pelvic floor exercises by isolating the muscles involved.

Medication: Some patients have both SUI and OAB.  OAB symptoms are treatable with medications; but today there are not any drugs approved to help remedy SUI in the United States.

Surgery: An outpatient procedure, known as Transvaginal Tape, can be carried out to place a small piece of mesh beneath the tube you urinate through (urethra) through the vagina.

This information is presented by Metropolitan Urological Specialists. Should you have any more queries about stress urinary incontinence for women or any other urological issues, make an appointment at one of our practices' locations in Creve Coeur, Kirkwood, Florissant, or Washington, Missouri.

Information About Your Bladder Control Problems

Bladder control issues can encompass many symptoms, like urinary leakage (incontinence), inability to empty your bladder entirely (retention), or just the bothersome urgency and frequency to use the restroom.  If you have incontinence or any of these other aggravating symptoms, you're not alone. Urinary control problems affect countless Americans, which makes it as common as many different prominent diseases including asthma, diabetes, and osteoporosis. It isn't strictly a female issue, nor is it a normal part of the aging process.

Urinary control issues can be disastrous or at the very least lessen one’s quality of life in Creve Coeur, Kirkwood, Florissant, or Washington, Missouri. You may leak large or small volumes of urine, use the washroom quite often, or be unable to completely empty your bladder. These conditions might affect your life daily and can make straight forward day to day activities harder.  You may feel confined by a fear of leaking accidents, the need to be near the bathroom at all times, and a general preoccupation with your bladder.  These types of symptoms might affect one’s social life -- you might need to scale back on your hobbies, stop working, bypass going to the movies, eating out, or meeting with family and friends.

How Come I Have Urinary Control Issues?

Nerves carry info back-and-forth from the brain. Certain nerves manage the bladder and muscle tissues that relate to urination. When the communication system between these nerves and your brain isn't functioning properly, an individual might have bladder problems like urinary retention and over active bladder symptoms, such as urgency, frequency, nocturia (getting out of bed at night) with or without urinary incontinence.

Different Kinds Of Urinary Control Difficulties

With urge urinary incontinence, you may:

• Lose urine the instant you feel a powerful need to go to the washroom
• Leak urine when you cannot go to the restroom quickly enough
• Leak urine whenever you consume even a tiny amount of liquid, or when you hear or touch running liquid

With urgency-frequency, you may:

• Have frequent, aggravating, uncontrollable urges to urinate
• Visit the restroom more often than normal (over seven times a day)
• Often feel your bladder is not totally empty even after using the bathroom

With urgency-retention, you may:

• Spend a long time at the toilet but produce only a weak, dribbling stream of urine
• Leak urine (also called overflow incontinence)
• Not have a sensation whenever your bladder is full
• Have to use a catheter to empty your bladder

If you or someone you know is suffering from any of these annoying urinary symptoms, call Metropolitan Urological Specialists in St. Louis, Missouri and make an appointment with one of their physicians to start taking control of your life again.

Interstim Therapy for Bladder and Bowel Incontinence

Interstim Therapy was FDA approved in 1997 for the treatment of urinary urge, retention, and urgency/frequency.  It was authorized in 2011 for bowel accidents (fecal incontinence).

What exactly are annoying bladder symptoms?

• Leakage of small or large amounts of urine
• Urinating frequently
• Urinating urgently
• Getting up during the night to urinate
• Incapacity to fully empty the bladder, or may be not able to urinate at all (retention)

What exactly are annoying bowel symptoms?

• Fecal leakage
• Fecal smearing
• Diarrhea
• Constipation

How prevalent are urinary control issues?

• More than 33 million individuals (1 in 6 adults) suffer from urinary control problems within the United States alone.
• These issues can impact men and women.
• It may affect people of all ages; it is not just a regular part of the aging process.

Just how commonplace are bowel control issues?

Over 18 million people or 8.3% of adults are afflicted by symptoms of bowel control. Really, this affliction is most likely more prevalent than reported due to the embarrassing nature of the condition.

Exactly what are the factors that cause irritating bladder and bowel symptoms?

There might be multiple causes; like injury, side effects from specific medications, neurologic diseases, infection, bearing offspring, pelvic pain, and others.

How could I know whether Interstim Therapy is correct for me?

You will want to see a doctor with a special interest, training, and knowledge about Interstim Therapy.  Dr. Naughton, one of Metropolitan Urological Specialists’ physicians and voted Best Doctor in St. Louis for 10 consecutive years since 2007, concentrates on the management of bothersome bladder and bowel symptoms and has one of the best experiences with Interstim Therapy in Missouri.

Interstim Therapy has two phases:

1. Test trial period to find out if the therapy is suited to you—Percutaneous Nerve Evaluation (PNE)
2. Permanent Interstim Implant

Before placement of the permanent implant, your physician may suggest a Percutaneous Nerve Evaluation (PNE). PNE is an easy office test which allows you a chance to test two temporary leads (or wires) within the pelvic nerves.  Using local anesthesia in an office setting, two temporary leads are put on either side of the pelvic nerves.  The leads are taped to the rear and linked to an external battery the size of a beeper.  The patient will get the chance to test both leads over the next 3-5 days to find out if there are any changes to the bladder or bowel symptoms.  We consider a 50 percent improvement in symptoms a positive test, which makes the individual a candidate for placement of the permanent device.

What to know about the Percutaneous Nerve Evaluation (PNE) Procedure

• Please arrive 30 minutes before your scheduled meeting time.
• You might drive yourself to the procedure; but, it is substantially better to have somebody drive you to and from the procedure.
• This procedure is completed within the office under local anesthesia within 10-15 minutes.
• A small snack or meal is okay 2 hours before the procedure.
• Give up aspirin and ibupfren products (Motrin, Alleve, an such like) for at least 5 days before your procedure.
• Let our scheduler know whether you are taking blood thinners, including Coumadin (warfarin), Xaralto, and so forth.
• No baths or showers are permitted while in the testing period.  You may take sponge baths and clean your hair in the sink.
• Steer clear of heavy lifting or too much bending throughout the trial.

If you are not able to tolerate the PNE, there is an option to perform the trial phase in the operating room with anesthesia.  This is called a “Stage 1” procedure. You and the doctor will determine if a Stage 1 procedure is appropriate for you.

What you should expect on the day of the PNE procedure

• You will meet a medical assistant and representative(s) from Medtronic; the product company.
• You will be directed to lay on your stomach.  The medical assistant will wash off your back and buttocks.
• Your physician will perform the procedure with the assistance of the Medtronic agent.
• The Medtronic agent and the medical assistant will fasten the leads to your back and wipe off the cleaning solution on your back and buttocks before you get dressed.
• Following the treatment, you will talk with the Medtronic representative to check out voiding and bowel diary guidelines and set up contact plans with the agent to go over changes in your urinary and bowel function during the test period.
• You will make a scheduled appointment to see the physician in three to five days in the office before leaving to take off the leads and talk about the results of your trial.

What you want to know about the permanent Interstim implant procedure

Should you experience a greater than 50% improvement in urinary and/or bowel symptoms with your PNE, then you're a candidate for the full Interstim implant device.  This is an outpatient procedure under sedation lasting 15-20 minutes.  The battery and permanent lead is implanted all underneath the skin.  You won't be capable of getting a body MRI after the implant.  A brain MRI however is safe with the Interstim implant.  The battery will last 5-12 years following placement.

If you have any questions concerning the Interstim therapy or anything different associated with bladder issues, schedule an appointment with one of our experienced offices within the St. Louis area, such as Washington, Florissant, and Creve Coeur, MO.