Dr Cletus Georges
Dr. Cletus Georges - Overactive Bladder

Urologist Dr. Cletus Georges Addresses the Condition Known As Overactive Bladder

Cletus Roy Georges, MD offers a closer look at the uncontrollable and urgent need to urinate, commonly known as overactive bladder.

 

Dr. Cletus Georges
Dr. Cletus Georges

A common bladder problem among patients in the United States and globally, the condition is known as overactive bladder represents an urgent need to urinate which patients cannot control. An experienced urologist based in Florida, Dr. Cletus Georges explains more about the frequently occurring but often highly debilitating health complaint.

 

“Closely tied to another common condition known as stress urinary incontinence, overactive bladder is unique in that it is a condition tied solely to the bladder itself,” reveals Dr. Georges. Stress urinary incontinence, meanwhile, he goes on to explain, is anatomically distinct from overactive bladder, with the former, instead, affecting the urethra specifically.

 

Both conditions, however, are highly prevalent, particularly among the more elderly patients, according to the Urology Care Foundation, a 22,000-strong member organization committed to advancing urology research and education, headquartered in the community of Linthicum in Anne Arundel County, Maryland.

 

“Patients who suffer from both overactive bladder and with stress urinary incontinence,” explains Dr. Georges, “are said to suffer from what’s known as ‘mixed incontinence.'”

 

Male patients, he says, are more likely to suffer from overactive bladder than stress urinary incontinence. “Where stress urinary incontinence presents in male patients,” Dr. Georges explains, “it’s often due to damage or injury to the pelvic nerve or a side effect of prostate cancer surgery.”

 

“Overactive bladder, however,” he continues, “can present as a problem in anyone, and although it’s more prevalent in female patients and the elderly, it’s not necessarily tied to a secondary condition or surgery, as is often the case in other, similar conditions, particularly among male patients.”

 

Risk factors for overactive bladder include aging and diabetes—in all patients—plus an enlarged prostate in male patients, according to Dr. Georges.

 

“Affected patients typically experience the desperate need to urinate urgently, which may be difficult to control, and which may lead to the involuntary release of urine, something which can prove to be embarrassing, and may limit activities,” explains the expert.

 

Common ways to help address the problem, he says, include behavioral modification and pelvic floor muscle exercises. “These and further treatment options are widely demonstrated to reduce or eliminate symptoms in many patients,” Dr. Georges adds.

 

“Other treatment options for overactive bladder,” he notes, wrapping up, “currently include InterStim therapy, Botox, pharmacological intervention, and percutaneous tibial nerve stimulation.”

 

Cletus Roy Georges, MD attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology specialist Dr. Cletus Georges began his practice in Sebring, Florida, before relocating to the Orlando area where he remains settled today.

Dr. Cletus Roy Georges shares professional insight into testosterone deficiency

Cletus Roy Georges, MD

Defined by symptoms including low libido and unexplained weight gain, urologist Cletus Georges, MD offers a closer, professional look at testosterone deficiency

Largely a symptom of the normal aging process, testosterone deficiency also has a number of other causes. From pituitary gland conditions and various medical disorders to having undergone chemotherapy and other forms of cancer treatment, urologist Cletus Roy Georges, MD reveals more about the issue, its symptoms, and its causes.

“Most notably in younger male patients, testosterone deficiency is quite often tied to conditions of the pituitary gland,” reveals Dr. Georges, “but can also be caused by kidney and liver disease, obesity, and diabetes, as well as AIDS and numerous genetic conditions.”

Testosterone deficiency, he says, can present with a variety of signs and symptoms, many of which are capable of drastically reducing the general health and wellness of affected patients. Also seen in those who have undergone chemotherapy and other primarily intensive forms of treatment for cancer, low testosterone or testosterone deficiency may also be the result of an infection or injury affecting the testicles.

“As far as the pituitary gland goes,” Dr. Georges adds, “located at the base of the brain, it controls all organs capable of producing hormones in the body, and thus, problems here, in particular, have the potential to cause a drastic drop in testosterone levels.”

Of symptoms witnessed by those experiencing testosterone deficiency, Dr. Cletus Georges Urology goes on to explain that the severity often depends on the length of time for which a patient has been suffering from reduced levels of the vital hormone. “Patients suffering from testosterone deficiency may find themselves feeling overly tired, sad, down, or depressed, experiencing low libido, mood irritability, and reduced exercise endurance,” he reveals, “and, also, otherwise unexplained, unwanted weight gain.”

More serious still, those experiencing reduced testosterone levels may encounter difficulty in gaining muscle mass, a loss of existing muscle, gynecomastia, a loss of body hair, a loss of facial hair, a low sperm count, and, indeed, infertility.

“Perhaps most serious of all among the effects of testosterone deficiency, however,” reveals Dr. Cletus Georges, “is a reduction in bone mineral density, and, with it, bone thinning.”

Dr. Cletus Roy Georges says that anyone experiencing any of the obvious, outward symptoms of testosterone deficiency should visit their physician or, preferably, a specialist, such as a urologist. “It’s advisable to have blood drawn, following which hormone levels may be precisely measured, and a diagnosis or conclusion promptly reached,” adds the expert, wrapping up.

Cletus Roy Georges, MD attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology specialist Dr. Georges began his practice in Sebring, Florida, before relocating to the Orlando area where he remains settled today.

Dr. Cletus Roy Georges - Benign Prostatic Hyperplasia

Dr. Cletus Roy Georges Presents a Closer Look at Benign Prostatic Hyperplasia

Urologist Cletus Roy Georges, MD gives his professional insight into age-associated prostate gland enlargement.

 

Dr. Cletus Georges
Dr. Cletus Georges

A form of age-associated prostate gland enlargement, benign prostatic hyperplasia can cause urination difficulty, and, in other cases, incontinence or sexual dysfunction. An experienced urologist based in Kissimmee, Florida, and serving the local community and those from surrounding areas for many years, Dr. Cletus Roy Georges provides a closer, professional look at the common prostate condition.

 

“Symptoms of benign prostatic hyperplasia or so-called prostate enlargement, further to urination difficulties, may also include frequent urination, weak stream, or a loss of bladder control,” explains urologist Dr. Georges, “and, in some cases, sexual dysfunction.”

 

With more than 3 million U.S. cases diagnosed per year, benign prostatic hyperplasia requires a formal diagnosis and is usually treatable by medical professionals.

The condition is most commonly diagnosed in those aged over 40. “Laboratory tests or imaging are often required,” Dr. Georges explains, “and while benign prostatic hyperplasia is considered chronic, often lasting for years, or proving to be lifelong, the condition is generally treatable or can be managed by urologists such as myself, as well as the wider medical profession.”

 

Despite some misconceptions, benign prostatic hyperplasia isn’t believed by medical professionals to be a precursor to prostate cancer. Other secondary conditions may arise, however, further to the symptoms already outlined by Dr. Georges, and may include bladder stones and reduced kidney function, plus associated, often localized infections.

 

“Common treatments for benign prostatic hyperplasia include medications developed to relax the bladder, or to shrink the prostate, as well as what is typically a minimally invasive form of surgery,” reveals expert Dr. Georges.

 

Medications employed in the treatment of the condition currently include alpha-blockers, such as terazosin, and dihydrotestosterone blockers, such as finasteride. The exact cause of benign prostatic hyperplasia, according to Dr. Georges, is unclear, although risk factors are understood to include a family history of the condition, type 2 diabetes, obesity, and a lack of exercise.

 

“Existing prescribed medications such as pseudoephedrine, anticholinergics, and calcium channel blockers,” he adds, wrapping up, “may also worsen symptoms in those suffering from benign prostatic hyperplasia, which should also be taken into account.”

 

Cletus Roy Georges, MD attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology specialist Dr. Georges began his practice in Sebring, Florida, before relocating to the Orlando area where he remains settled today.

Dr. Georges Erectile Dysfunction Insights

Urologist Cletus Roy Georges, MD Provides Professional Insight Into Erectile Dysfunction

Urology specialist Cletus Roy Georges, MD offers information and advice surrounding the condition known as erectile dysfunction.

 

Cletus Roy Georges, MD.
Cletus Roy Georges, MD.

Most commonly a sign of an underlying physical or psychological condition, erectile dysfunction can cause stress, low self-confidence, and put a strain on relationships. A urology specialist with many years of experience in the field, Cletus Roy Georges, MD offers a closer look at erectile dysfunction, its symptoms, available treatments, and more.

 

“The main symptom of erectile dysfunction involves a man’s inability to get or maintain an erection,” explains Dr. Georges.

 

Patients suffering from erectile dysfunction, he says, should, in the first instance, be evaluated for any underlying conditions, both physical and psychological. “If an underlying condition cannot be found, or treatment of any such condition or conditions proves ineffective, medications and what is known as ‘assistive devices’ can be prescribed,” he adds.

 

Erectile dysfunction most commonly affects those aged 60 and above, Dr. Georges reveals, although the condition is becoming increasingly prevalent among men aged over 40, and may also affect younger individuals. “Easily treatable by medical professionals, erectile dysfunction is typically self-diagnosable and rarely relies on lab tests or imaging, for example,” the urology specialist continues, “although the condition can be chronic, lasting for several years, or even lifelong in other cases.”

 

Further to its main symptom of a man’s inability to get or maintain an erection, other symptoms of erectile dysfunction may include more general sexual dysfunction, reduced sex drive, soft erections, and anxiety, according to Dr. Georges. “If a patient suspects or finds that he is struggling with erectile dysfunction, he should approach either his primary care provider or a urologist such as myself,” he goes on to explain.

 

Patients may be referred to a clinical psychologist or a psychiatrist, or be offered medications including Tadalafil, Vardenafil, Avanafil, and Sildenafil, as well as other so-called vasodilators, plus assistive devices, such as pumps.

 

“Hormonal options may also be explored,” Dr. Georges explains, “and self-care advice offered, such as increasing physical exercise or quitting smoking, where relevant, in an effort to combat the condition.”

 

“For further information or advice,” he adds, wrapping up, “anyone suspecting that they may be suffering from erectile dysfunction should consult either a urologist or their primary care provider at their earliest convenience for help in dealing with or managing the condition.”

 

Cletus Roy Georges, MD attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology specialist Dr. Georges began his practice in Sebring, Florida, before relocating to Orlando where he remains settled today.

Dr. Cletus Roy Georges explains more about stress urinary incontinence

Dr. Cletus Roy Georges

Urology specialist Cletus Roy Georges, MD reveals more about stress urinary incontinence and the associated condition known as ‘overactive bladder.’

Stress urinary incontinence is a condition wherein which urine leaks out with sudden pressure on the bladder and urethra, according to the Urology Care Foundation, a 22,000-strong member organization committed to advancing urology research and education, headquartered in the community of Linthicum in Anne Arundel County, Maryland. A urology specialist with decades of experience in the field, Dr. Cletus Roy Georges explains more about the issue and the associated condition known as ‘overactive bladder.’

“In mild cases, the pressure which causes stress urinary incontinence may be the result of sudden forceful activities, such as sneezing or exercise, as well as coughing or laughing,” explains Dr. Georges, an experienced urology specialist based in Orlando, Florida.

Also known as ‘SUI,’ stress urinary incontinence is a particularly common bladder problem among female patients. “Although occurring rather less frequently in men, male patients may be affected by SUI, too,” adds Dr. Georges.

In more severe cases, patients may experience the effects of stress urinary incontinence when enduring even routine, non-forceful, day-to-day activities such as walking, standing up, or bending over. “The result,” explains Dr. Georges, “can range from a few drops of leaked urine to enough to soak through a patient’s clothes.”

Often associated with another common bladder problem, known as ‘overactive bladder’ or ‘OAB,’ those with the latter condition typically experience an urgent need to urinate which they can’t control. “The main difference, however, between stress urinary incontinence and overactive bladder,” Dr. Georges explains, “is anatomical.”

“That’s because,” he continues, “stress urinary incontinence is a strictly urethral problem, while overactive bladder is a problem centered around the bladder itself.”

Many people with stress urinary incontinence, Dr. Georges goes on to reveal, also suffer from overactive bladder. “This is known,” he says, “as ‘mixed incontinence.'”

Male patients are more likely to suffer from overactive bladder than stress urinary incontinence. “Where stress urinary incontinence is an issue in male patients,” explains Dr. Georges, “it is often due to prostate cancer surgery, or damage or injury to the pelvic nerve.”

In the United States, around one in three women will likely suffer from stress urinary incontinence at some point in their life, according to the Urology Care Foundation. “Established more than three decades ago, the foundation is now a leading advocate in urologic health in the United States and globally, uniquely qualified to speak on behalf of urology specialists such as myself,” says Dr. Georges of the organization.

Becoming more prevalent with age, predominantly affecting those aged 60-65 and above, therapeutic options available to address stress urinary incontinence include behavioral modification and pelvic floor exercises, as well as surgical intervention, according to Dr. Georges. “With regards to overactive bladder and urge incontinence, meanwhile,” he adds, wrapping up, “further to behavioral modification, other treatment options include InterStim therapy, Botox, pharmacological intervention, and percutaneous tibial nerve stimulation.”

Cletus Roy Georges, MD graduated from Andrews University in Berrien Springs, Michigan with a bachelor’s degree in zoology with a biomedical option in 1987. Georges subsequently attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology physician Dr. Georges started his practice in Sebring, Florida before relocating to Orlando, where he remains settled today.

Dr. Cletus Georges

Urology specialist Dr. Cletus Roy Georges shares insight into vasectomy procedures

Cletus Roy Georges, MD offers professional insight into the male sterilization procedure known as a vasectomy.

A medical sterilization procedure for men who wish to permanently ensure against possible future pregnancies, a vasectomy is a surgery which involves cutting or blocking the two tubes known as the vas deferens. A urology specialist based in Orlando, Florida, Cletus Roy Georges, MD explains more about the procedure.

“A vasectomy is a relatively minor surgical procedure which renders a male patient permanently unable to make a female partner pregnant,” explains the urology specialist, “and involves cutting—or otherwise blocking—two tubes, known in medicine as the vas deferens so that sperm can no longer make its way into a man’s semen.”

Permanent and requiring surgery, modern vasectomy procedures are over 99% effective, according to Power to Decide, the campaign to prevent unplanned pregnancy. “The vasectomy operation itself takes around 30 minutes,” Dr. Georges explains. “A patient is given a local anesthetic before a urology specialist removes a small section of the vas deferens, usually before sealing the area with small clamps, one on either side,” he adds.

The punctures created, says Dr. Georges, are so tiny that stitches are not needed. “After the surgery, a patient should have someone available to drive them home safely,” adds the expert.

Pain, swelling, and bruising in the immediate area may follow, with any bruising typically having subsided within two weeks according to Dr. Georges. “Ensure plenty of rest in the hours or days which follow and most patients should be back to their normal activities within no time,” he continues, “although it is important to take things easy until everything is fully healed.”

Blood-thinning pain killers including aspirin and ketoprofen should be avoided in the week prior to undergoing the procedure. “Ibuprofen and naproxen can, however,” Dr. Georges explains, “be taken following the procedure, if necessary, but aspirin should be avoided for a further one week.”

“Most men,” he goes on, “can return to non-strenuous work within a couple of days, although if a patient is engaged in physical labor, for example, it’s vital that they talk with their urologist about when they can safely get back to work.”

Vasectomy, says Dr. Georges, is a permanent alternative to condoms and other predominantly female-focused birth control methods, including the birth control pill, intrauterine devices, diaphragms, and birth control shots, patches, and implants. “Furthermore,” he adds, wrapping up, “it’s among the safest, most effective forms of birth control currently available, hence its growing popularity among patients in the United States and globally.”

Cletus Roy Georges, MD graduated from Andrews University in Berrien Springs, Michigan with a bachelor’s degree in zoology with a biomedical option in 1987. Georges subsequently attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology physician Dr. Georges started his practice in Sebring, Florida before relocating to Orlando, where he remains settled today.

Cletus Roy Georges - Kidney Stone Treatment

Cletus Roy Georges, MD Explains Diagnosis & Treatment of Kidney Stones

Dr. Cletus Georges, urology physician, explains more about the diagnosis and subsequent treatment of the painful condition known as kidney stones.

 

Cletus Roy Georges, MD.
Cletus Roy Georges, MD.

A small, hard deposit which forms in the kidneys, kidney stones affect more than 200,000 patients in the United States each year. Often incredibly painful to pass, kidney stones can be treated by a medical professional such as specialist physician Dr. Cletus Georges. Here, the experienced and highly-regarded urologist explains more about the diagnosis and treatment of the condition.

 

“Kidney stones are solid deposits of acid salts and other minerals which stick together and form in patients’ urine,” explains Cletus Roy Georges, MD, a urology specialist based in Orlando, Florida. The most common symptom of kidney stones, he says, is severe pain. “Usually presenting in the side of the abdomen, the pain can become so severe that patients find themselves physically nauseous,” adds the urology doctor.

 

While often excruciatingly painful, kidney stones do not typically cause any permanent damage. However, confirming cases of the condition usually calls for a formal medical diagnosis, with lab tests or imaging often required, according to Dr. Georges. “Treatment for kidney stones typically includes pain relievers,” he explains, “coupled with drinking adequate fresh water, in order to facilitate the prompt passing of the stone or stones in question.”

 

Dr. Georges Further Explains

Treatment is usually considered ‘short-term,’ resolving within a matter of days or weeks. “In severe cases, a medical procedure may be necessary to remove or break up large stones which a patient is unable to pass unaided,” adds the urologist.

 

Other symptoms are known to include pain in the back, blood in the urine, frequent urination, and excess sweating. “If you or a friend or family member suspects that they may be suffering from kidney stones, it’s important that you or they consult a doctor for more in-depth medical advice, and to rule out any other potential conditions,” adds Cletus Roy Georges, wrapping up.

 

Cletus Roy Georges, MD graduated from Andrews University in Berrien Springs, Michigan with a bachelor’s degree in zoology with a biomedical option in 1987. Georges subsequently attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology physician, Cletus Roy Georges started his practice in Sebring, Florida before relocating to Orlando, where he remains settled today.

Dr. Cletus Georges

Dr. Cletus Georges offers a closer look at risk factors for bladder cancer

Urology specialist Dr. Cletus Georges uncovers common risk factors for bladder cancer and explains more about the condition and its symptoms.

With bladder cancer risk factors ranging from smoking and previous cancer treatments to a history of chronic bladder inflammation, as well as age, gender, and chemical exposure, with approximately 68,000 adults affected by the disease in the United States each year, understanding both the risk factors and symptoms is vital according to Cletus Roy Georges, MD.

“Bladder cancer is now one of the most commonly diagnosed cancers,” reveals Dr. Cletus Georges, a specialist physician focused on urology and based in Orlando, Florida, “most prevalent in men and with risk factors including smoking, a history of the disease, and past chronic bladder problems.”

Further risk factors, he says, extend to chemical exposure, exposure to arsenic, the diabetes drug pioglitazone, and Lynch syndrome, among others. “One of the most significant risk factors is gender,” adds Dr. Georges, “with men up to four times more likely to develop bladder cancer than women.”

Age-wise, more than 70% of individuals currently diagnosed with bladder cancer are aged 65 years or older, according to Dr. Georges. However, when diagnosed early, he points out, bladder cancer is considered highly treatable.

It’s for this reason, says Dr. Georges, that understanding both the risk factors and symptoms of the disease is vital. “Common bladder cancer symptoms or signs include blood in the urine, painful urination, and pain in the pelvic area,” explains the urology specialist. Other, less-specific symptoms which are also common signs of typically less serious conditions include back pain and frequent urination.

“If there’s any doubt, or a patient has any concerns surrounding bladder cancer and its risk factors or symptoms, they should seek advice from their regular primary care physician or a urology specialist at their earliest convenience,” advises Dr. Georges.

“Blood in the urine, in particular,” he adds, wrapping up, “warrants an appointment without delay, although it’s important to explore any signs or symptoms which are causing particular concern or distress.”

Cletus Roy Georges, MD graduated from Andrews University in Berrien Springs, Michigan with a bachelor’s degree in zoology with a biomedical option in 1987. Georges subsequently attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, Dr. Georges started his practice in Sebring, Florida before relocating to Orlando, where he remains settled today.

Dr. Cletus Georges Explores Key Prostate Cancer Risk Factors

Dr. Cletus Georges Explores Key Prostate Cancer Risk Factors

Dr. Cletus Georges
Dr. Cletus Georges

From age to family history, it’s vital that prostate cancer risk factors are fully understood, particularly among men aged over 50. That’s according to Cletus Roy Georges, MD, a specialist physician focused on urology and based in Orlando, Florida as he shares a professional insight into key risk factors associated with cancer of the prostate.

“All men,” says Dr. Cletus Georges, “are at some risk for prostate cancer.”

In fact, for every 100 American men, approximately 13 will be diagnosed with prostate cancer during their lifetime, according to recent studies. “Of those dozen-or-so men, two or three are currently likely to lose their lives as a result of the disease,” adds Dr. Georges, “which is why it’s so important that we fully understand and appreciate the risk factors involved with prostate cancer.”

While age and a family history of prostate cancer are among the biggest risk factors and cannot be changed, other less-well-understood factors, such as diet and smoking, can, says Dr. Georges, be more easily addressed. “Quitting smoking, for example, is advised in any instance, but it’s especially important in helping to prevent against not just prostate cancer, but many other cancers, too,” he adds.

Currently, around six in ten cases of prostate cancer occur in men aged over 65. While the disease is rare in those under 40, chances of developing prostate cancer rise significantly after age 50, according to Dr. Georges.

Of family history, Dr. Georges explains that having a father or brother diagnosed with prostate cancer more than doubles a man’s risk of also developing the disease. “In such instances, it’s vital to seek regular prostate cancer screening,” he goes on to suggest.

Other factors, alongside diet and smoking, with less clearly defined effects on prostate cancer risk are believed to include obesity, chemical exposure, sexually transmitted infections, vasectomy, and inflammation of the prostate.

“If there’s any doubt, or a patient has any concerns surrounding prostate cancer and its risks, they should seek advice from their regular primary care physician or a urology specialist at their earliest convenience,” adds Dr. Georges, wrapping up.

Cletus Roy Georges, MD graduated from Andrews University in Berrien Springs, Michigan with a bachelor’s degree in zoology with a biomedical option in 1987. Georges subsequently attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly thereafter, Dr. Georges started his practice in Sebring, Florida before relocating to Orlando, where he remains settled today.