hifu procedure for prostate cancer

I once received an anonymous letter at my office which changed my practice.  As a urologist for 30 years, I have spent much of my career devoted to helping men with erectile dysfunction.  It was after helping a man that I received the “anonymous” letter.  Like a frightening ransom note, the letters were cut and pasted from magazines.  The author was pleading with me to stop helping because, as a wife with her own difficulties, she was unable to participate in sex. She went on to question: what could I possibly offer to help her?

Well, what could I do?  I immediately started to educate myself about the often ignored subject of female sexual dysfunction.  Because half of my patients are women, I began to include an open-ended question about sexual health as part of a routine medical history.  Suddenly, I was listening to multiple stories from women about their desires and concerns that had gone unmentioned for years or decades.  More importantly, they were relieved and excited that a doctor should actually ask and be interested in their sexual health. The origins of the problems were varied, but the common goal was to restore a wonderful but missing part of their life.

Sexual health is a vital part of overall wellness. Here are Frequently Asked Questions concerning Men’s Sexual Health and Wellness.

Having been practicing medicine for more than 30 years, Dr. Gluck is a widely known urologist who is highly recommended among doctors who treat erectile dysfunction, provide incontinence treatment for men and women, and many other sexual health treatments. He is the Founder of Dr. Gluck’s Wellness Center in Hingham, Massachusetts, where he strives to deliver personalized treatments that help patients achieve their peak sexual health for a happy and fulfilling sex life.

Specializing in advanced sexual wellness and performing cutting edge procedures and techniques, like the HIFU procedure for prostate cancer, Dr. Gluck is helping to transform the landscape of sexual wellness for women and men. He is known for providing his patients with exceptional care and is certified in many advanced procedures.

FAQs for Votiva by InMode

Q: Why is my vagina dry and painful during intercourse?

A: The main reason for vaginal dryness lies in a lack or reduction in estrogen. Estrogen is the hormone which stimulates vaginal tissues to thicken, and to secrete fluids to moisten the lining of the vagina. In menopause, estrogen levels drop dramatically, and the vagina loses elasticity, thickness, sensation, and moisture.

In this week’s New England Journal of Medicine, a well written review article on intermittent fasting highlights the benefits of this practice. In October, I was fortunate enough to hear a full day of lectures by Dr. Jason Fung, the author of “The Diabetes Code” and “The Obesity Code.” He showed us the science behind intermittent fasting. Although the current recommendations for three meals a day plus snacks are supposed to improve our health, the US population continues to both gain weight and to have an increased incidence of diabetes. In fact it is a crisis of obesity and diabetes! Our bodies were not designed to work in this fashion.

I routinely see patients who regret having been treated for their prostate cancer with either surgery or radiation.  Almost none of these patients had known or been told about HIFU, High Intensity Focused Ultrasound, as an effective and non-invasive option for treating their prostate cancer.  While some studies have suggested that surgery is no better than Active Surveillance (watchful waiting), newer data from large, randomized controlled studies clearly shows that treatment is better than observation.  Nearly two thirds of men on Active Surveillance will require intervention in their lifetime due to the progression of their prostate cancer.

This small but provocative study highlights the benefits of testosterone therapy in post-menopausal women. Testosterone worked as a valuable tool to improve libido and the female sexual experience. The route of administration favors creams and gels over pills due to a rise in the triglycerides and LDL cholesterol with pills. The overall cholesterol, however, was decreased with testosterone therapy. The women showed no significant adverse effects.

The Holiday Season can be stressful! As we approach the end of December and the coming New Year, take a look at these Four Ways to Calm Your Mind in Stressful Times. With the use of four simple tools – breath, self-compassion, connection, and compassion for others – this article helps unpack how to effectively and efficiently keep stress levels low during this holiday season and beyond.

High Intensity Focused Ultrasound, or HIFU, is a well established and accepted method for treatment of localized prostate cancer. It has been in continuous use in Europe since 1994, and now has been employed world-wide, including the United States, where the Food and Drug Administration (FDA) approved HIFU in October of 2015. To date, tens of thousands of patients around the world have been successfully treated.