Word: urologist
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Dates: during 1980-1989
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While emotional concerns can upset this process, most trouble results from physical problems. In young men, injury is the main cause of loss of potency. "Coming down hard on the narrow seat of a ten-speed bicycle can damage the arteries or the nerves," says urologist Irwin Goldstein of Boston University School of Medicine, who recently chaired an international conference on impotence research. But the vast majority of impotent men -- most are above age 55 -- are victims of poor habits or illness. Alcoholism, for example, can deaden nerves. Cigarette smoking can reduce blood flow to the penis by constricting vessels...
Until the 1980s, the only therapy doctors had to offer was penile implants -- prosthetic devices that are surgically inserted into the penis to mimic an erection. Now, declares urologist Drogo Montague of the Cleveland Clinic, "the implant is the end of the treatment line." Before resorting to implants, doctors are able to draw upon less drastic remedies...
...penis. The resulting vacuum draws blood into the penis until it becomes rigid. Rubber bands are then slipped onto the base of the penis to keep the blood from escaping; the bands can be left in place safely for half an hour. The vacuum machine costs about $450. Urologist Perry Nadig of San Antonio has followed 340 of his patients who have used the device, some for as long as six years; fully 80% of the men are satisfied with the results. Morton Perrin, 76, of Durango, Colo., whose impotence followed surgery for prostate cancer ten years ago, says...
...patients at Memorial. These survivors offer considerable testimony of bad or even potentially fatal medical advice proffered by the physicians they saw first. Estelle Marsicano was scoffed at by her family doctor. "My liver is large too-want to feel it?" he asked. When John Alexion consulted a prominent urologist about his prostate cancer, the patient recalled, "the elderly doctor proceeded to lay a bomb on me. The only procedure he would consider was surgical castration and radical removal of the prostate. I thought, 'Jesus... they're going to turn me into a 6-ft. eunuch...
Such is the case for four out of five members of the Arnold Melman family of Ardsley, N.Y. The Melmans keep a chart tracing their rising and falling cholesterol and levels. Melman, a urologist, is the only member of his family who is free from such worries. His wife Lois and all three children have FH and must follow a strict lowfat, low-cholesterol diet. Lois and the two older children also take 30 gm a day of cholestid, a cholesterol-lowering drug similar to the cholestyramine used in the N.H.L.B.I. trial. Such drugs are expensive as well as unpleasant...