SHANDRAWILSON.COM
Dealing with Urology Issues?
Let Dr. Wilson or her team, the best Urology care in the South Denver region, take care of you. From complicated topics like elevated PSA or prostate cancer to blood in the urine and bladder cancer, or more strainght-forward things vasectomy, you will find an empathetic, professional at AdventHealth medical group. A healthcare experience the way you imagined
Patient Information/Education
Blood in Urine
Although blood in the urine is not dangerous, and often signals relatively common conditions like a urinary tract infection or bengin prostate growth, occasionally blood in the urine can signify the development of bladder cancer. Most bladder cancer has an excellent prognosis, although it is prone to recurring, this type is superficial in the bladder. Around 15% of bladder cancer is invasive. This type requires bladder removal after chemotherapy which Dr. Wilson has done thousands of
Kidney Cyst/Mass
Luckily most areas of abnormality on the kidneys are cysts, or water blisters. Rarely, however, a "lesion" on the kidney can have blood flow, signifying more likely than not, it is a tumor. Most kidney cancer has a very high cure rate, and most times, cure can be obtained with a partial nephrectomy using the surgical robot, a surgery Dr. Wilson thinks is most elegant
Elevated PSA/Prostate Cancer
Although most PSA elevation is from an enlarged prostate, the standard work-up for elevated PSA now includes an MRI. If the Mri shows an area of concern, general work-up includes an MRI-fusiom trans-perineal prostate biopsy. Prostate cancer. Although 10-15% of prostate cancer requires treatment because it is aggressive, low-grade, it is recommended favorable-risk prostate cancers be treated with "active surveillance," to avoid side effects. Dr. Wilson is comfortable with active surveillance as well as robotic prostatectomy when required
Urinary Tract Infection, UTI v. Interstitial Cystitis, IC
Dr. Wilson and her team knows that bladder pain can be a UTI or it can be IC, a condition that feels the same but is triggered by stress causing pelvic floor dysfuction and/or high potassium (and other) foods. So that patients can enjoy their weekends, holidays, and sex - and also not end up with terrible antibiotic resistance - Dr. Wilson will often teach women to buy urine test strips on Amazon where they can realize they have a UTI and self-start antibiotics (only when both nitrates and leukocytes are positive). This strategy decreases wait-time for relief and empowers patients
Risk factors for kidney stones include not drinking enough water (most common risk factor), drinking too much caffeine, family history of stones, too much salt intake, not enough citrate (found in oranges and lemons) for most patients. Rarely recurrent infections and too much protein intake can increase the risk of stones. Treatment options for stones include ESWL or lithotripsy outside of the body while asleep if the stone is smaller, not infected and up high in the kidney or internal lithotripsy with a laser if the stone is infected, large, or has moved down the ureter to block it. Although no one likes having a stone, and the stent that helps urine get by an obstructed stone is no one's favorite, Dr. Wilson's team aims to get ESWL patients to the stone center quickly or get them in for more invasive surgery as soon as possible as well.
Kidney Stones
