Thursday, June 1, 2017

A New Trend Among Trendsetters: The Hamptons Vasectomy

A page one article from Today's New York Post confirms what Dr. Ronald Frank sees at his office - an increase in the number of young, successful man who come in for a simple, minimally invasive vasectomy.

According to the report, affluent bachelors who visit The Hamptons on weekends are worried of women who have sex with them in order to get pregnant. These men prefer to minimize potential complications by undergoing the procedure, which removes sperm from a man's semen.

Dr. Frank's no-scalpel vasectomy with local anesthesia is designed to minimize discomfort and provide men with a safe, quick form of vasectomy. Visit the website or call (973) 731-6600 to schedule an appointment. For NYC patients, we arrange for transportation to and from NJ.

Friday, May 27, 2016

Elevated Prostate Specific Antigen

A recent article in the NYTimes, shows a shift in early-stage prostate cancer treatment. Over the past few years, treatment for men with early-stage prostate cancer has dramatically shifted from surgery to surveillance. In the past, most early-stage prostate cancer patients chose to remove or treat the cancer with surgery or radiation. Only 15% of patients left their cancers alone and had regular monitoring or active surveillance to make sure the tumor was not growing. Now, about 40-50% of patients are choosing active surveillance of their prostate cancer. In 2011, the National Institutes of Health concluded that active surveillance is a good choice for patients with small non-threatening tumors. Active surveillance requires regular PSA blood tests to determine the state of the cancer. Though active surveillance is helpful, it is not for everyone. Speak to a medical professional about the best treatment for you. 

Friday, July 10, 2015


Recent data from the American Urologic Association(AUA) meeting reported a decreased incidence of prostate cancer with increased monthly ejaculations.  This data is not altogether surprising since certain cancers are associated with chronic inflammatory conditions .  Frequent ejaculations will decrease gland engorgement and the associated inflammation.  This is clearly good news as a proactive measure to help ensure a healthy prostate.

Tuesday, August 12, 2014

XIAFLEX and Peyronie's disease

Xiaflex is the first FDA-approved drug for the treatment of Peyronie's disease. The drug, collagenase clostridium histolyticum, had previously been approved as a treatment for Dupuytren's contracture. Xiaflex acts by breaking up the collagen scar tissue and allowing for remodeling of the scar with improvement of the penile curvature. Candidates for Xiaflex injection would be a man with stable disease, Peyronie's disease for at least 12 months and a curvature of 30 degrees or more. Xiaflex is a product of Auxilium pharmaceuticals. Xiaflex is available through urologists participating in the REMS program for Peyronie's Disease.

Tuesday, January 14, 2014

More on EMR

In the NYT article-"A Busy Doctor's Right Hand"-1/14/14, I am amazed how the burden of EMR is magically solved in some corporate boardroom or home garage. 
The result is the absurd entity known as a "scribe".  A non-professional hired to shadow and assist the physician by insinuating and infiltrating the private domain of Medicine.  While assisting the physician with cumbersome tasks of entering data, the scribe will only further fracture the personal doctor-patient relationship which is already severely damaged.  Shame on those in the corporate world who concocted this pathetic entity and to those who subscribe to this service.  Yes, the problems of EMR were answered with this "Band-Aid" of a solution.  Yet, the root of the problem is once again ignored.

Wednesday, November 6, 2013

Prostate exams go live on TODAY show

In an effort to publicize awareness for men's health, Matt Lauer and Al Roker are to undergo prostate exams on live TV. How about that? Might this be a little too personal!! There are other more discrete ways to convey the message. I will wait and see the result of this demonstration.

Sunday, October 6, 2013

EMR(electronic medical record)=Medical texting while "driving"

It is clearly evident that the push for EMR(electronic medical records)continues. The national healthcare community fueled by goverment incentives continues to drive this trend. We are enamored by this technology whether we like it or not. As I walk down the corridors of a major New Jersey medical center, I cannot help but notice rows of medical professionals transfixed to computer screens as if they were seduced by the data before them. It consumes their attention. The patients are awaiting to be seen or have recently been evaluated. The professionals peruse the data and robotically configure the information into a medical "note". We cannot deny that this is a laborious process even for the most adept typists. I often thank God that I paid attention in Ms. McGillicutty's high school typing class not knowing then how important this skill would prove to be at this stage in my career! In all seriousness, I can reasonably understand the rationale and motivation to adopt this technology. The consolidation of data would certainly avoid the duplication of unnecessary services which could have astronomical savings in the context of an exorbitant and escalating national healthcare bill. But, let us not forget, first and foremost, the PATIENT. The number of hours in the day is unchanged and the additional computer tasks certainly extracts time from the traditional doctor-patient encounter. Futhermore, It's unfortunate that many physicians have resigned themselves to enter data using computer tablets during the patient encounter and avoiding any direct eye contact with the patient. It's very easy for the patient to feel distant and ignored from such an encounter leading to further erosion of the doctor-patient relationship. There was a time not too long ago when texting while driving was not regarded as hazardous. That was soon to change and the penalties are currently steep for those committing this act. For that matter, any distraction while driving is dangerous. EMR, can easily be equated to medical texting while "driving". While not recognized now, it may not be very long before we realize the detrimental effects on the quality of patient care and the doctor-patient relationship. Only time will tell whether this technology has irreparable damages.