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The age to start prostate cancer screening is a subject of debate and may vary depending on individual risk factors and guidelines. Generally, it is recommended to discuss screening with a healthcare provider at around age 50 for most men. However, for individuals with a higher risk, such as those with a family history of prostate cancer, screening may start earlier, typically around age 45 or even earlier.

A patient's medical history, physical exam and labs are valid for 30 days. EKG's that are normal are valid for 90 days. These parameters may vary if the patient has comorbidities.

Preventive care plays a crucial role in maintaining good health and catching potential health issues early, leading to better outcomes and improved quality of life. Examples of preventive care for men include:

• Annual physical examinations: Regular visits to a healthcare provider for comprehensive evaluations of overall health, blood pressure, weight, and other vital signs.
• Prostate cancer screening: For men over a certain age or with risk factors, regular prostate-specific antigen (PSA) blood tests and digital rectal exams (DRE) to check for signs of prostate cancer.
• Colorectal cancer screening: Recommended screening tests such as colonoscopy, sigmoidoscopy, or stool-based tests to detect early signs of colorectal cancer.
• Cardiovascular screening: Assessing cardiovascular risk factors like cholesterol levels, blood sugar, and blood pressure to prevent heart disease.
• Testicular cancer self-exams: Encouraging self-examination to detect any abnormal lumps or changes in the testicles.
• Vaccinations: Keeping up-to-date with vaccinations, including flu shots, tetanus, hepatitis, and human papillomavirus (HPV) vaccines, where applicable.
• Skin cancer screening: Regular skin checks by a dermatologist to detect any suspicious moles or skin changes.

Nearly all men will experience some erectile dysfunction (ED) for the first few months after prostate cancer surgery. The reason is that the cavernous nerves located along the sides of the prostate may need to be removed, or may be damaged in surgery. However, within one year after treatment, nearly all men with intact nerves will see substantial improvement. Treatment options for ED include medication, injections, a vacuum device, implants, and pelvic floor exercises.

The treatment for overactive bladder (OAB) in men typically involves a combination of lifestyle modifications, behavioral therapies, and medical interventions. It's essential to consult with a healthcare professional to determine the most suitable treatment plan.

Some common approaches used to treat OAB in men include:

• Lifestyle modifications: Adjusting fluid intake, timed voiding, and bladder training.
• Behavioral therapies: Pelvic floor exercises and biofeedback.
• Medications: Anticholinergics, beta-3 adrenergic agonists.
• Nerve stimulation: PTNS and SNS.
• Botox injections: To relax bladder muscles.
• Minimally invasive procedures: Urethral bulking agents, RFMR.
• Surgical intervention: For severe cases, like bladder augmentation or urinary diversion.

The majority of overactive bladder cases in men are due to an enlarged prostate, although other health conditions may be a factor. If conservative modalities fail to provide relief, surgery might be the answer. A surgeon can remove part of the prostate, or ablate it with a laser.

A polyp is a result of genetic mutations in the cells of the colon lining that affect the normal cell life cycle. A polyp is a growth in the large intestine or rectum. They may not cause symptoms, so screening is needed to help prevent a polyp from turning into colorectal cancer. Screening methods include colonoscopy, sigmoidoscopy, a stool test, and CT scans.

Erectile dysfunction (ED) can have various causes, including underlying medical conditions such as cardiovascular disease, diabetes, hormonal imbalances, neurological disorders, psychological factors (stress, anxiety, depression), certain medications, and lifestyle factors (smoking, excessive alcohol consumption, obesity). It is important to consult a healthcare professional for proper evaluation and personalized treatment options.

Vasectomy is a highly effective form of permanent contraception. The success rate of vasectomy in preventing pregnancy is generally considered to be over 99%. However, keep in mind that it takes some time after the procedure for the remaining sperm to clear from the reproductive system, so an alternate form of contraception should be used until a post-vasectomy semen analysis confirms the absence of sperm.

The American Cancer Society recommends that both men and women undergo colonoscopy every 10 years, beginning at age 50. If you have a family history of colon cancer or other genetic risk factors, screening may start earlier.

Low testosterone, also known as hypogonadism, can be treated through various methods to raise testosterone levels and alleviate associated symptoms. The specific treatment approach will depend on the individual's age, overall health, severity of symptoms, and underlying causes of low testosterone. Common treatment options include:

• Testosterone replacement therapy (TRT) involves administering testosterone through different methods. 
• Clomiphene citrate is a medication that stimulates the body's natural production of testosterone and is sometimes used to treat secondary hypogonadism.
• Human chorionic gonadotropin (hCG) can stimulate the testes to produce more testosterone and is sometimes used to treat primary hypogonadism.
• Addressing underlying conditions: If low testosterone is caused by an underlying medical condition, such as a pituitary gland disorder or chronic illness, treating the root cause may help restore testosterone levels.