Shockwave Restorative Therapy for Erectile Dysfunction 2024 Updates

At Broward Urology Center we offer shockwave therapy for erectile dysfunction. In addition to platelet rich plasma aka the P-shot, we have performed low intensity shockwave therapy for the past four years.

We have the most experience in this treatment in Broward County. Our doctors are trained in sexual medicine and use the latest high end equipment.

For details on the treatment please visit our website. If you’re curious to hear about the latest updates on this treatment, listen to the latest Urology podcast, Man Up, Episode 70 on this topic.

When you’re ready to talk, call us for an appointment.




Rezum Treatment Updates

Recent studies on Rezum therapy for benign prostatic hyperplasia (BPH) have provided valuable insights into its efficacy, safety, and long-term outcomes. A systematic review and meta-analysis highlighted significant improvements in urinary symptoms and quality of life in patients treated with Rezum. This analysis included a total of 1015 patients across several countries, demonstrating consistent benefits in terms of reduced International Prostate Symptom Score (IPSS), improved quality of life (Qol), and increased maximum urine flow rate (Qmax) up to one year post-treatment. The therapy’s impact on post-void residual (PVR) volume was also notable, with a significant decrease observed, suggesting a reduction in urinary retention risk. However, the therapy’s effect on erectile and ejaculatory functions was neutral, indicating that it does not significantly impair sexual function​​.

Further real-world studies confirm these findings, showing that Rezum therapy not only improves lower urinary tract symptoms (LUTS) and quality of life irrespective of prostate volume but also maintains these improvements over a four-year period. Importantly, the therapy has been found effective across a wide range of prostate sizes, with no significant differences in postoperative adverse events or regret scores among different patient cohorts. Postoperative complications were within expected ranges and included urinary tract infections, need for surgical reoperation, and temporary symptoms such as dysuria and urinary retention. The study emphasizes the durability of symptom relief and functional outcomes, including preserved sexual function, over a long term​​.

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These findings underscore Rezum therapy’s role as a valuable treatment option for men with BPH, offering sustained symptom relief and a favorable safety profile. Patients considering Rezum therapy, especially those with larger prostate volumes, should be informed about the potential for ongoing BPH medication use post-treatment, although the need for such medication may decrease over time for many patients.

For more detailed insights, the original articles from BMC Urology​ and Urology Times​​ provide comprehensive analyses of Rezum therapy’s outcomes, highlighting its effectiveness and safety for treating BPH symptoms.




MRI-US Fusion Prostate Biopsy

We are excited to announce that September 15, 2023, Dr. Gorbatiy performed Broward Health’s first MRI-Ultrasound fusion prostate biopsy.

This is a new technology that is making prostate biopsies more accurate and precise as the computer software allows to combine the diagnostic ability of an MRI (that finds suspicious spots within the prostate) with the live ultrasound image for prostate biopsies.

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We are able to create 3-Dimensional models of the prostate from the MRI image and superimpose this on the 3-Dimensional model of the prostate ultrasound image that is done live during the biopsy.

Along with Dr. Chenven‘s SpaceOar placement program at our office, we are making the diagnosis and treatment of prostate cancer more precise, efficient and safe.

This is yet another way Broward Urology Center stays on the cutting edge of medical technology and brings it to the “Venice of America”.

Watch the technology in action



First Single Port Robotic Urology Case in Fort Lauderdale


First SP robotic case at Broward Health Medical Center
First SP robotic case at Broward Health Medical Center

 

Proud of my robotics team at Broward Health Medical Center as on June 13, 2023, we performed the first DaVinci Single Port Urology case in Fort Lauderdale.

This is taking robotics to a new level. We move from 5 small incisions to just one and with that the patients are recovering much faster with less requirements for any pain medications. Dr. Gorbatiy is very excited to spearhead this new technology that’s only available at just a few centers around the country.

Come and ask our surgeons if you’re a good candidate for the Single Port Robot. We also encourage you to read more and watch the amazing videos of this new device on the Intuitive Surgical SP Website.