Urology Group Raises Men’s Health Awareness

Urology Group Raises Men’s Health Awareness through Urinal Sponsorship at FirstEnergy Park

Many baseball fans are familiar with the game’s lingo – they know that the “bag” refers to a base and that ERA means earned run average. They may even be able to recite the batting averages of their home team’s starting line-up. But does the public know that ED means Erectile Dysfunction or BPH means Benign Prostatic Hyperplasia – also known as an enlarged prostate?

One local urology group has taken an untraditional approach to raising awareness of men’s health issues by partnering with the Lakewood BlueClaws and Trenton Thunder.

University Urology Associates of New Jersey (UUANJ) has taken advertising space in urinals at FirstEnergy Park, home of the Lakewood BlueClaws. The sponsorship makes the urinals a platform to promote the medical practice, but to also shed light on serious men’s health issues in a lighthearted way.

“It’s not always easy for men to come to terms with their health issues, especially urological issues. By putting signs in the urinals at the stadium, we’re bringing a bit of levity to an often uncomfortable topic of conversation and, more importantly, raising awareness of the potentially consequential conditions associated with urological health,” says Mukaram Gazi, M.D., a board-certified urologist at UUANJ and chief of urology at Monmouth Medical Center, Southern Campus.

Each urinal “wrap” features a clever slogan that refers to common urological problems such as overactive bladder, enlarged prostate and more – tying these issues into baseball. One wrap reads, “Standing here longer than you stood for the National Anthem?”

Although this kind of marketing tool has been used before, it is a new notion for this region. “Our concept isn’t groundbreaking, but it’s a new way to reach a significant number of people in the region. The sponsorship isn’t just a marketing concept – it serves as a public service announcement, bringing to light some of the common issues affecting men,” says Dr. Alexander Gotesman, a urologist who helped develop the idea.

UUANJ, which has offices in Freehold, Lakewood, Howell and Hamilton, is also sponsoring the urinals at Arm & Hammer Park, home of the Trenton Thunder.

For more information on UUANJ or to schedule an appointment with Dr. Gazi, call 732-928-5300. To learn more about Monmouth Medical Center, Southern Campus, visit www.barnabashealth.org.

University Urology Associates of NJ One of First in Central NJ to Offer New Minimally Invasive Treatment Option for Enlarged Prostate Sufferers


Hamilton, NJ (November 16, 2016) – University Urology Associates of New Jersey (UUANJ) now offers another minimally invasive option to the millions of men suffering from the effects of an enlarged prostate. UroLift, the first permanent implant to treat the symptoms caused by an enlarged prostate, is the latest technological advance in UUANJ’s comprehensive collection of treatment options.

The National Institutes of Health reports that over 50% of men in their 60s have symptoms of Benign Prostatic Hyperplasia (BPH) and as many as 500 million men worldwide suffer from BPH-related symptoms. BPH is a common, non-cancerous condition in men where the prostate gland becomes enlarged. Unfortunately, an enlarged prostate can constrict the urethra and cause a wide variety of symptoms including frequent urination or difficulty urinating. BPH symptoms can cause loss of productivity and sleep, depression and decreased quality of life.

“The providers at UUANJ are dedicated to providing the highest level of patient care and a part of that is offering an array of treatment options for urological conditions. The UroLift procedure is a relatively new procedure and a reasonable alternative to drug therapy or more invasive surgery but this procedure is not a one-size-fits-all treatment. Our philosophy is patient-centered care and our goal is to help the patient achieve the best quality of life possible,” said Dr. Mukaram Gazi, a board-certified urologist and president of UUANJ. Dr. Gazi was one of the first urologists in the area to offer the UroLift procedure to patients and is currently one of the top implanters in the region.

Treatment options for BPH range from medications to surgery. The UroLift implants are delivered during a minimally-invasive procedure and act like window curtain tie-backs to hold the lobes of an enlarged prostate open. It is a simple procedure that does not require any cutting, heating or removal of prostate tissue. Patients normally recover from the procedure quickly, and return to their normal routines with minimal downtime.

Data from clinical trials showed that patients receiving UroLift implants reported rapid symptomatic improvement, improved urinary flow rates, and sustained sexual function. Patients also experienced a significant improvement in quality of life. For more information on the UroLift procedure, please visit http://urolift.com/urolift-system/.

It would be difficult to watch an hour of prime time television today without seeing an advertisement for overactive bladder medication or adult diapers. The fact is more than 37 million adults in the United states-one in six-suffers from overactive bladder, urinary frequency, or urgency. Unfortunately, many people dismiss such urinary symptoms to be a part of “getting older” and do not seek medical intervention. The fact is, overactive bladder and urinary retention (the inability to completely empty the bladder) are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically.


Women are twice as likely as men to experience urinary incontinence. This is due to pregnancy, childbirth, menopause and the structure of the female urinary tract. Older women experience urinary incontinence more often than younger women. Bladder control problems may also affect younger people, especially women who have just given birth. In fact, a recent study found 25 percent of women over 18 years old has experienced episodes of leaking urine involuntarily, and one-third of men have experienced loss of bladder control during their adult lives. Only one in eight Americans who have experienced loss of bladder control have been diagnosed. Recent data has shown that women wait and average of 6.5 years from the first time they experience symptoms until they obtain a diagnosis for their bladder control problems. People experiencing bladder control issues often suffer diminished social lives. Even mild symptoms affect social, sexual, interpersonal and professional function. People with bladder control problems often struggle with simple everyday activities, such as working, shopping, or seeing a movie, for fear of embarrassing wetting episodes or not being near a restroom. Also, overactive bladder sufferers are two to three times more likely to regularly experience disturbed sleep, overeating, and poor selfesteem.


Bladder control issues can be caused by a multitude of factors. In certain cases, pregnancy and childbirth, obesity, weak pelvic muscles or diabetes can contribute to overactive bladder. Additionally, certain medications or inactivity also can contribute to such issues. In some people, bladder control problems are caused by miscommunication between nerves. Specifically, the brain and sacral nerves, which control the bladder, do not communicate properly, causing the nerves to tell the bladder to release urine at the wrong time. The first step towards treatment is diagnosing the type of incontinence and then pinpointing the underlying cause or causes. We ask our patients to complete a “voiding diary” which provides great insight and aids in diagnosis. The gold standard for diagnosing urinary issues, including incontinence, is called Urodynamic testing or Urodynamic study. This series of tests, all done in one visit, along with the data from your voiding
diary will give the physician objective data related to bladder functions. Additionally, physicians often perform a cystoscopy to further assess the urinary tract. A cystoscopy is a test that allows the doctor to look at the inside of the bladder and the urethra using a thin, lighted instrument called a cystoscope. This study helps find the cause of symptoms such as blood in the urine (hematuria), painful urination (dysuria), urinary incontinence, urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and overwhelming need to urinate (urgency) and much more.


In some instances, behavior modification may be sufficient to deal with urinary incontinence. You may be asked to limit fluid intake, avoid bladder irritants such as a caffeine and alcohol, and do pelvic floor exercises-“Kegels”. There are also medications commonly used to treat overactive bladder (OAB) and are sometimes prescribed to treat stress urinary incontinence. In certain cases of incontinence involving the miscommunication of nerves to the bladder, a neurostimulator (commonly called a Bladder Pacemaker) may be the best treatment option. Incontinence is not a hopeless problem. There are many treatment options available, however, only proper diagnosis will lead to proper treatment. Although behavior modification and pharmaceutical therapy work for some, they may be ineffective or poorly tolerated by other patients. It is definitely possible to live life dry.

Types of Incontinence

  • Stress Urinary Incontinence (SUI) – Leakage on effort, exertion, sneezing or coughing.
  • Urge Incontinence – Leakeage accompanied by or preceded by urgency (an overwhelming need to urinate… “Gotta go, gotta go!”)
  • Mixed Incontinence – Leakage associated with urgency AND effort, exertion, sneezing or coughing.


Prostate cancer is the most common non-skin cancer in America, affecting 1 in 7 men. Approximately 233,000 men will be diagnosed with prostate cancer in 2014, and more than 29,000 men will die from the disease. One new case occurs every 2.3 minutes and a man dies from prostate cancer every 18 minutes. A non-smoking man is more likely to develop prostate cancer than he is to develop colon, bladder, melanoma, lymphoma and kidney cancers combined. In fact, the latest statics reveal that a man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer.

As serious as prostate cancer can be, most men diagnosed with it do not die from it. In fact, more than 2.5 million men in the United States who have been
diagnosed with prostate cancer at some point are still alive today.

Risk Factors for Prostate Cancer

Race, age and family history all affect the likelihood of a man being diagnosed with the disease.

African American men are 60% more likely to develop prostate cancer compared with Caucasian and Hispanic men and nearly 2.5 times more likely to die from the disease.

As men increase in age, their risk of developing prostate cancer exponentially increases. Although only 1 in 10,000 under age 40 will be diagnosed, the rate increases to 6 in 10 for ages 65 and older.

Men with a single first-degree relative—father, brother, or son—with a history of prostate cancer are twice as likely to develop the disease, while those with two or more relatives are nearly four times as likely to be

How curable is prostate cancer?

Because nearly 90% of all prostate cancer is detected in the local and regional stages, the cure rate for prostate cancer is very high—nearly 100% of men diagnosed at this stage will be disease-free after five years. This is largely due to advancements in healthcare. By contrast, in the 1970s, only 67% of men diagnosed with local or regional prostate cancer were disease-free after five years.

What are the symptoms of prostate cancer?

In the earliest stages, most men with prostate cancer will not experience any symptoms. Some men, however, will experience frequent, hesitant, or burning urination, difficulty in having an erection, or pain or stiffness in the lower back, hips or upper thighs.

Because these symptoms can also indicate the presence of other diseases or disorders, we do a thorough “work-up” of each patient to determine the underlying cause of the symptoms.

How do you screen and treat prostate cancer?

We screen for prostate cancer by doing a prostatespecific antigen blood test (PSA) and a digital rectal exam (DRE – often referred to as a “prostate exam”).

If there are any abnormal findings, a biopsy will be recommended to make a definitive diagnosis. Prostate cancer treatments vary from one individual to another. Once a patient is diagnosed, his treatment can be tailored to his specific needs.


Understanding BPH

The prostate is a walnut-sized gland that produces semen, the fluid that transports sperm and is located below the bladder and surrounding the urethra (the tube that carries urine out of the body). BPH is a common, non-cancerous condition in men where the prostate gland becomes enlarged. An enlarged prostate can constrict the urethra and cause a wide variety of symptoms
including frequent urination or difficulty urinating.

The National Institutes of Health (NIH) data states that more than 50% of men in their 60’s and as many as 90% in their 70’s and 80’s have some symptoms of BPH.

The common signs and symptoms of BPH include:

  • An often recurring, sudden urge to urinate.
  • An increase in frequency of urination – especially at night.
  • A weak or interrupted urinary stream.
  • Difficulty starting and stopping urination.
  • Dribbling or leaking of urine.
  • Inability to completely empty the bladder.

Diagnosing BPH

Diagnosing BPH is often initially done through a routine digital rectal exam (DRE). Additionally, we also order a common blood test known as PSA (prostate specific antigen) to explore and rule out other causes for these symptoms including prostatitis (infection of the prostate) and prostate cancer. In certain cases, we recommend our patients have a cystoscopy. This procedure allows us to see the size of the prostate and evaluate the degree of obstruction.

Treating BPH

Men who have symptomatic BPH will eventually require some medical intervention. BPH can be treated by taking daily medications, however, many men find this to be a burden. Ultimately many patients often find minimally invasive treatment or surgery to be the correct treatment option for them. Such treatments are done in the office or at the same day surgery department and rarely require any admission to the hospital.

Untreated BPH can lead to permanent damage to the bladder or kidneys. I would urge you to take your husband to a urologist for further evaluation and to discuss the treatment options that are best for him.