Author: Potomac Urology

Regain Control with Dr. Alok Desai | Free Webinar: Mar. 29

Did you know that overactive bladder and fecal incontinence are extremely common but not a normal part of aging?

1 in 6 adults has overactive bladder (OAB) and 1 in 12 has fecal incontinence (FI).

Are these symptoms causing you to say “no” to activities you love?

  • Uncontrollable urges to go to the bathroom.
  • Frequent accidents resulting in wearing pads.
  • Getting up multiple times at night.

You are not alone.

Find relief today! Join us for a free educational event and learn options for control.

Webinar Details
Regain Control with Dr. Alok Desai

Mar 29, 2023 5:30 PM in Eastern Time (US and Canada)

Register Here

Top 3 misconceptions about prostate cancer

Top 3 misconceptions about prostate cancer

By Alex M Kandabarow MD

Whether it’s reviewing a PSA screening test, breaking a new prostate cancer diagnosis, or following up with a patient after treatment, I discuss prostate cancer with patients on a daily basis. I’ve seen patients’ attitudes towards prostate cancer range from indifference to paralyzing anxiety. Often those feelings are not aligned with the reality of the risks that those patients are facing. Here are three misconceptions about prostate cancer that I frequently help patients overcome:

1. “I don’t need to get checked because I feel fine”.

The most important thing to know about prostate cancer is that there are no symptoms of prostate cancer until it is much too late. This is why it is so important to screen for prostate cancer with a PSA blood test. In general, PSA screening is appropriate for men aged 55-70. However, if you have risk factors for prostate cancer, such as a family history of prostate cancer or African-American race, you may want to start screening as early as 40.

2. “My urine stream is weak… is it prostate cancer?”

It is extremely common for men to develop difficulty with urination as they get older. This is often due to an enlargement of the prostate. However, this enlargement of the prostate with aging is benign, and is not related to prostate cancer. So, just because you develop urinary symptoms does not mean you are developing prostate cancer, and just because you don’t have urinary symptoms doesn’t mean you are free of prostate cancer.

3. “A cancer diagnosis is a death sentence.”

Compared to many other cancers in the body, prostate cancer grows slowly. Low-grade prostate cancer can be managed with no treatment at all, as along as patients to adhere to an “active surveillance” regimen where the cancer is monitored for rapid progression. When higher-grade prostate cancer confined to the prostate is found, a complete cure is likely with appropriate treatment. Even if the cancer has spread, the number of new medications and treatments for metastatic prostate cancer have grown substantially over the past several years.

Potomac Urology Providers Earn 2021 Top Doctor Award from Washingtonian Magazine

Potomac Urology’s board-certified urologists, Dr. Alok Desai, Dr. Pratik Desai, Dr. John Klein, and Dr. Jeffrey Wong have been awarded Washington, DC’s Very Best Doctors: 2021 Top Doctor Award from Washingtonian magazine.

Each spring, Washingtonian magazine asks nearly 13,000 doctors in DC, Maryland, and Virginia which colleague they would recommend in a variety of specialties. To ensure the data’s accuracy, each physician is sent an online survey and obliged to log in with a current medical-license number registered in either the District, Maryland, or Virginia. Doctors can submit just one ballot each and can not vote for themselves. The top vote-getters in each of the 39 categories were designated Top Doctors.

 Office Procedures for COVID-19

NOTE: As we are experiencing high volume, please use our patient portal for any appointment changes or cancelations, as well as TeleVisit requests. You can visit our page with instructions by clicking here. 

Due to the COVID-19 pandemic, we are taking the following precautions to protect our patients and staff:  Effective May 11th, 2020 Potomac Urology Center will be seeing both urgent and a limited number of routine patient visits while maintaining social distancing principles to ensure safety of both staff and patients during the COVID crisis.

If you are or anyone in your home is experiencing signs or symptoms of a respiratory illness, or is running a fever, we ask that you reschedule your appointment, as we will not be able to see you in the office. Please note, if you are unable to be seen in the office, we will be able to offer a televisit instead.

  1. We are requesting that patients attend their appointments alone.  Due to social distancing recommendations, and limited space in the office, additional visitors with the patient will be allowed only in extenuating circumstances. Family members or other visitors can be looped in via teleconference or conference call during the appointment as necessary.
  2. To limit patients in the waiting room and maintain social distancing, you may be asked to wait in your car after check-in, and receive a call or a text to return to the office when a patient room is available.
  3. Mask wearing/nose and mouth covering is required while in the office, to protect yourself and others.
  4. All patients and visitors will be subject to screening upon arrival and will be asked to reschedule if you are exhibiting respiratory symptoms or a fever upon arrival.  Please feel free to reschedule any non-urgent appointment, or convert to a televisit.

Please feel free to contact our office using the following options:

  2. By Phone: 703-680-2111

If you have an upcoming surgery, please stay in close contact with our surgery schedulers. Based on guidance by governor Northam, area hospitals are reopening for elective surgeries, with special procedures in place to maintain safety. A COVID test may be necessary prior to surgery, and the schedulers will be able to help you get this testing completed 72 hours prior to surgery. A surgery scheduler will guide you to make a new plan if your surgery is cancelled for any reason.

In order to assist our community with the burden to all healthcare facilities during this time, we ask that you contact our office FIRST for any URGENT urologic conditions prior to going to an Emergency Room or urgent care facilities. We may be able to offer an alternative to an acute care facility visit.

Our team at Potomac Urology Center appreciates the trust you place in us to care for your urologic needs.  During this unprecedented time, we appreciate your patience and understanding as we navigate through the coming weeks.  We can assure you that we will do our best to continue to deliver the best care possible for all our patients. We encourage you to stay informed, practice social distancing, and assist our communities in getting through this time as safely as possible.

Female Sexual Dysfunction FAQ

Why don’t I feel like having sex anymore?

You may have the most common type of female sexual dysfunction which is Hypoactive Sexual Desire Disorder (HSDD)

  1. What is it? It is an ongoing decrease or lack of spontaneous sexual desire and/or loss of desire to initiate sex that a woman may find frustrating. There is an imbalance of chemical messenger activity in the brain that results in low sexual desire
  2. Symptoms can include? Having a negative body image, find that you are avoiding intimacy, and having low self -esteem
  3. Who does it affect? Any woman
  4. How can we help you with this? Medications, treat low testosterone if appropriate

Why do I have pain with sex?

You may have Female Genital Arousal Disorder (FGAD)

  1. What is it? Trouble with being able to have an adequate genital response for sex
  2. Symptoms can include? Physical vaginal concerns or pain, Vaginal dryness and lack of lubrication for sex, find yourself avoiding intimacy, and having low self-esteem
  3. Who does it affect? Any woman
  4. How can we help you with this? Medications, Lubrication, increase blood flow with devices, treat low testosterone if appropriate

Why can’t I have an orgasm?

You may have Female Cognitive Arousal Disorder (FCAD)

  1. What is it? Trouble with being able to feel mental excitement about sex
  2. Symptoms can include? Cannot feel aroused mentally, negative body image, find you are avoiding intimacy, and having low self-esteem
  3. Who does it affect? Any woman
  4. How can we help you with this? Medications, lubrication, treat low testosterone if appropriate

Potomac Urology is one of the only practices in Northern Virginia with providers who have clinical interest and specialized training in helping women with sexual dysfunction. Katie Cage, NP is a Board Certified Family Nurse Practitioner who is also one of the few Certified Urology Nurse Practitioners in Northern Virginia, and she can help you with any of these concerns. Katie has over 10 years of experience in female urology and she works closely with our Urogynecologist, Dr. Alok Desai.

If you feel any of these describes how you are feeling, then please take this questionnaire below. Please click on the “make appointment” tab and make an appointment with Katie Cage, NP so that she can work with you to develop a personalized plan to help address your sexual issues. Potomac Urology is excited to be able to offer this type of care to members of our community.

The Decreased Sexual Desire Screener (DSDS) is a simple, validated diagnostic tool to help you identify and discuss HSDD

Please choose YES or NO

  1. In the past, was your level of sexual desire or interest good and satisfying to you? YES NO
  2. Has there been a decrease in thy or level of sexual desire or interest? YES NO
  3. Are you bothered by the decreased level of sexual desire or interest? YES NO
  4. Would you like your level of sexual desire or interest to increase? YES NO


5. What factors do you feel may be contributing to your current decrease in sexual desire or interest?

  1. an operation, depression, injuries, or other medical conditions
  2. medications, drugs, or alcohol you are currently taking
  3. pregnancy, recent childbirth, menopausal symptoms
  4. other sexual issues you may be having (pain, decreased arousal or orgasm)
  5. your partner’s sexual problems
  6. dissatisfaction with your relationship or partner
  7. stress or fatigue

Why do I keep getting urinary tract infections (UTI’s)?

What is a urinary tract infection (UTI)?

A urinary tract infection refers to a condition where there is overgrowth of bacteria in the urinary system. This is a general term that can include any portion of the urinary system including the kidneys, the ureters, the bladder, and the urethra.

What is the difference between a bladder infection and a kidney infection?

A bladder infection is the most common type of urinary tract infection, and is also known as bacterial cystitis. Symptoms of a bladder infection are typically irritative and localized. Symptoms can include painful urination, pain in the lower abdomen or lower back, urgency and frequency of urination. We note that your body is able to eliminate some bladder infections on its own without antibiotic use.

A kidney infection is also known as pyelonephritis. Symptoms of a kidney infection tend to be systemic. These can include fevers, chills, back pain in addition to the symptoms of a bladder infection such as painful urination urgency and frequency. Kidney infections are more serious than a bladder infection and require prompt treatment with antibiotic therapy to prevent progression to a more serious infection known as urosepsis.

Where do the bacteria that cause urinary tract infections come from?

The majority of bacteria that cause urinary tract infections come from the bowel system. The distance between the vagina and anus is quite close in women and colonization of the opening of the vagina occurs quite easily. This has nothing to do with hygiene, the majority of our patients who have recurrent urinary tract infections do practice good hygiene. Since it is impossible to sterilize the skin, even with hygienic behaviors, colonization of the opening of the vagina can occur. The distance between the urethra and the opening of the vagina is quite short, and it is quite easy for bacteria to be pushed from the vaginal opening into the urethra either with intercourse or with daily activities.

Less commonly, bacterial infections can be related to concurrent conditions such as very large kidney stones, abnormal connections between the bowel and the bladder, abnormalities of the anatomy of the urinary tract, or incomplete bladder emptying.

How do antibiotics treatment urinary tract infections?

Antibiotics typically are processed either through the liver or the kidneys, excreted into the blood which then achieves therapeutic levels in the urine. There are numerous antibiotics, and each has a different mechanism of action that results in either stopping growth of bacteria or destroying the bacteria.

When we obtain urine tests for infection, we commonly will obtain a test called a urine culture, which shows us which bacteriuria is causing the infection and also gives us a list of antibiotics that the bacteria is sensitive to.

What are the risks of using antibiotics too frequently?

There are many healthy bacteria that exist in every organ system in our body. Antibiotics act fairly indiscriminately, and result in destruction of both healthy and unhealthy or pathogenic bacterial colonies. As a result of this, antibiotic use can result in disruption of bowel function, overgrowth of yeast, and overgrowth of bacteria on the skin. The worst complication can be overgrowth of a bacteria in the gut known as C. Dificile. This bacteria results in severe inflammation of the lining of the intestine, loss of the intestines ability to absorb fluid and nutrients, severe diarrhea and can be life-threatening.

What Every Man Should Know About Vasectomy

Half a million men in the U.S. undergo a vasectomy each year, and it has now become the most commonly performed urological procedure. By comparison though, three times more women undergo permanent contraception. With tubal ligation comes more health risks for the female because it is a more invasive procedure. In addition It is much more costly, and it requires a longer recovery time. What’s wrong with this picture? Continue reading “What Every Man Should Know About Vasectomy”

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