News & Events

Author: Miguel A. Mercado, MD

Are You a Candidate for UroLift®?

Posted on by Miguel A. Mercado, MD

Benign Prostatic Hyperplasia (BPH) is a common condition affecting men as they age. Also known as enlarged prostate, BPH can lead to uncomfortable urinary symptoms that impact daily life.

If you’re seeking relief without relying on medication or undergoing invasive surgery, the UroLift® System could be a great solution. This minimally invasive treatment is designed to provide fast, effective relief with minimal downtime. Below, we take a look at whether UroLift® is right for you.

What Is UroLift®?

UroLift® is a revolutionary treatment for BPH that offers an alternative to medication and traditional surgery. Instead of the removal of prostate tissue, the UroLift® System uses tiny implants to lift and hold the enlarged prostate tissue away from the urethra, which allows urine to flow freely. This outpatient procedure typically takes less than an hour and does not require cutting, heating, or tissue removal.

Common Symptoms of Enlarged Prostate

BPH symptoms can significantly affect a man’s quality of life. Common symptoms are:

  • Frequent urination, especially at night (nocturia)
  • Trouble starting or maintaining a steady stream of urine
  • Weak or interrupted urinary flow
  • Feeling as though the bladder is not completely empty after urination
  • Sudden, urgent need to urinate

Symptoms can disrupt sleep, reduce productivity, and cause embarrassment or frustration in social situations. While medications can provide temporary relief, they often come with side effects and may not address the root cause of the problem.

Who Is an Ideal Candidate for UroLift®?

UroLift® is ideal for men who:

  • Have moderate to severe symptoms of BPH
  • Want to avoid the side effects of medications, such as dizziness or sexual dysfunction
  • Are not ready or eligible for more invasive surgical procedures
  • Have a prostate size suitable for the UroLift® System (typically less than 100 grams)
  • Prefer a quick recovery with minimal disruption to their daily life

It’s important to consult with an expert urologist like Dr. Miguel Mercado to determine if UroLift® is the right option for you. Your doctor will assess your symptoms, medical history, and prostate size to create a personalized treatment plan.

What to Expect During the UroLift® Procedure

The UroLift® procedure is performed in a urologist’s office or outpatient setting. Here’s what you can expect:

  • Preparation: Local anesthesia or mild sedation is used to ensure your comfort.
  • Placement: The urologist uses a special delivery device to place tiny implants in the prostate. These implants hold back the prostate tissue, opening the urethra.
  • Completion: Typically performed in less than an hour, and you can usually go home the same day.

Most patients have symptom relief within two weeks and return to normal activities quickly. Unlike other surgical treatments for BPH, UroLift® minimizes the risk of side effects like incontinence or sexual dysfunction.

What Are the Advantages of UroLift®?

  • Quick Symptom Relief: Many men notice improvement within days or weeks.
  • Minimally Invasive: The procedure does not include any cutting, heating, or removal of tissue.
  • Outpatient Procedure: Most patients go home the same day.
  • No Ongoing Medication: Reduces or eliminates the need for daily pills.
  • Preserves Sexual Function: Minimal risk of side effects like erectile dysfunction.

UroLift® for BPH in The Woodlands, TX

If BPH symptoms are affecting your quality of life, UroLift® could be the answer you’ve been looking for. The best way to find out if you’re a candidate is to schedule a consultation with Urologist Miguel Mercado, MD. Together, you can discuss your symptoms, explore treatment options, and develop a plan to restore your comfort and confidence.

Don’t let BPH hold you back! Call (281) 351-5174 to schedule a consultation.

Kidney Cancer Prevention: Lifestyle Changes That Can Reduce Your Risk

Posted on by Miguel A. Mercado, MD

Kidney cancer is one of the most common types of cancer, affecting thousands of people every year. While some risk factors, like age and genetics, are beyond our control, there are many lifestyle changes you can make to reduce your risk. Prevention starts with understanding how daily habits impact kidney health and taking proactive steps toward a healthier lifestyle.

Why Kidney Cancer Prevention Matters

The kidneys play a vital role in filtering toxins and waste from your blood, controlling blood pressure, and balancing essential nutrients. When kidney health is compromised, it can lead to severe complications, including kidney cancer. Adopting preventive measures is not only an investment in your kidney health but also in your overall well-being.

What Are Modifiable Risk Factors?

Several lifestyle-related factors increase the risk of kidney cancer. By addressing these, you can significantly lower your chances of developing the disease:
  • Smoking: Tobacco use is a leading cause of kidney cancer. Chemicals in cigarettes damage kidney cells, leading to mutations that increase cancer risk.
  • Obesity: Excess body weight places additional strain on the kidneys and promotes the production of hormones that can lead to cancer development.
  • High Blood Pressure: Hypertension damages kidney tissue over time, increasing susceptibility to cancer.
  • Poor Diet: A diet high in processed foods, red meats, and sugary beverages contributes to obesity and high blood pressure, further elevating cancer risk.

Lifestyle Tips to Reduce Kidney Cancer Risk

You can make the following lifestyle changes to decrease your risk of kidney cancer.

Quit Smoking

Kicking the habit is one of the most effective ways to protect your kidneys. There are numerous resources available, including counseling and nicotine replacement therapies, to help you quit for good.

Maintain a Healthy Weight

Achieving and maintaining a healthy weight through balanced eating and regular exercise reduces strain on your kidneys. Aim for a combination of aerobic activities like walking or swimming and strength-building exercises for overall health.

Manage Blood Pressure

Monitor your blood pressure regularly and take steps to keep it in a healthy range. This may include limiting salt intake, engaging in regular physical activity, and managing stress. If prescribed, take blood pressure medications as directed by your healthcare provider.

Eat a Kidney-Friendly Diet

Focus on a diet rich in vegetables, whole grains, fruits, and lean proteins. Reduce consumption of red and processed meats, as well as foods high in sodium and sugar. Staying hydrated by drinking plenty of water is also critical for kidney health.

Avoid Excessive Alcohol and Medications

Limit alcohol intake, as excessive drinking can harm the kidneys. Similarly, avoid overusing over-the-counter medications like ibuprofen, which can strain kidney function over time.

Stay Active

Exercise not only helps maintain a healthy weight but also improves blood flow and reduces inflammation, both of which support kidney health. Aim for at least 30 minutes of moderate activity most days of the week.

Take Charge of Your Kidney Health

Prevention is within your control. By making these lifestyle changes, you can significantly reduce your risk of kidney cancer and enhance your overall quality of life. If you have questions or need guidance tailored to your unique health needs, Dr. Miguel Mercado is here to help. Call (281) 351-5174 to schedule a consultation in The Woodlands or Tomball today.

What Are Treatment Options for Erectile Dysfunction When Pills Don’t Work?

Posted on by Miguel A. Mercado, MD

Erectile dysfunction is defined as the inability to get or maintain an erection firm enough for sexual intercourse. With regard to sexual health, erectile dysfunction is the most reported problem by men to their doctor. It is estimated that as many as 100 million men worldwide have ED, however as many as 85% do not report it. Many men believe aging is the only cause, but that’s not exactly true. In most cases, men are prescribed the “little blue pill,” but what are treatment options for erectile dysfunction when pills don’t work?

Diagnosis of Erectile Dysfunction

If you are wondering about ED, see an experienced urologist who diagnoses and treats ED like Dr. Mercado.

One test is a Penile Doppler Ultrasound which will diagnose the root cause of erectile dysfunction: blood flow in the penis. This is done accompanied by a physical exam, urine and blood tests, and maybe an overnight test.

Once other medical issues are eliminated, Urologist Dr. Miguel Mercado can make a definitive diagnosis.

Pill Problems

Sometimes the pills for ED don’t work. In addition, certain men cannot take this prescription due to side effects and other health issues including: severe heart disease or heart failure, low blood pressure, and those who take nitrate meds for chest pains. There must be some other alternatives.

You can try lifestyle changes like stopping smoking, exercise, pelvic floor exercises, stress management, and diet.

If you are among the men who do not respond to pills for ED, cannot take them due to other health problems, and if lifestyle changes don’t help, there are other options.

What Are Treatment Options for ED Aside From Medication?

Medical science and technology always have an answer. If you have ED, maybe one or more of these alternatives will help.

Vacuum Erection Device (VED)

A vacuum erection device, or VED, is sometimes known as a penile pump. Using suction it manually pulls blood into the penis. A tension ring is slipped onto the base of the penis to maintain the erection. Side effects include some restriction of the ejaculation, a cold penis to the touch, and mild bruising.

Drug Pellets

Drug pellets inserted into the tip of the penis are like suppositories. They take about 10 minutes to work, and can last 30 to 60 minutes. Side effects include a burning sensation and minor bleeding from the penis.

Penile Injections

Penile injections are another option. These meds improve blood flow even better than pills. Side effects can include some bleeding and minor pain at the site of the injection, longer erections than you desire, and scar tissue within the penis.

Penile Implants

Penile implants involve a 30 to 45 minute procedure to place a device inside the penis which you control. You then have the ability to create erections and decide how long they last. This option has high satisfaction results.

Shock Wave Therapy

Another option is a high frequency and low intensity shock wave treatment directed at the penis with a handheld device. It works to increase blood flow by eliminating plaque in existing blood vessels and increases the growth of new blood vessels. It is painless and after a series of treatments, it can last up to 3 years with some minimal maintenance.

Erectile Dysfunction Specialist in The Woodlands, TX

Contact Urologist Dr. Miguel Mercado at (281) 351-5174 if you would like to discuss any of these treatment options for erectile dysfunction and find out if they could be right for you.

The Benefits of Aquablation for Treating Benign Prostatic Hyperplasia (BPH)

Posted on by Miguel A. Mercado, MD

It seems every type of treatment for every kind of medical issue comes with side effects. Simple things like taking aspirin have side effects with some being positive and others negative. Certain treatments and procedures have their own set of side effects. Typically your doctor will help you weigh the risks vs the benefits of your decision. Any type of prostate procedure can cause side effects, most of which are not desirable. Maybe things are changing. Let’s learn about the benefits of Aquablation for treating benign prostatic hyperplasia (BPH).

What Is an Enlarged Prostate?

Known as benign prostatic hyperplasia, it is the term reserved for an enlarged prostate. Benign signifies it is not cancerous, but it creates many issues mostly for men over the age of 50.

They are frequently called lower urinary tract symptoms (LUTS) including:

  • Frequent urination
  • Difficulty starting to urinate
  • Weak stream
  • Feeling of an incomplete bladder emptying

Dr. Mercado may suggest a PSA blood test which tells what level of a protein antigen is in your bloodstream.

Some physicians take a “watch and wait” approach with meds to reduce the symptoms.

Exploring Treatment Options and Potential Side Effects

How long you watch and wait and continue to take medications is not set in stone.

There are several treatments and surgeries to relieve the symptoms of BPH as described above. Unfortunately, they can end up causing another set of symptoms including erectile dysfunction, bleeding, incontinence, frequent urinary tract infections, and semen flowing backwards into the bladder.

What Are the Benefits of Aquablation Therapy for BPH?

Aquablation therapy is a newer treatment for the symptoms of BPH. It answers the dilemma of waiting too long vs dealing with the symptoms.

If you are living with the LUTS of BPH, Aquablation therapy may be the answer for you. It is a one of a kind treatment using high definition imaging in real time, ultrasound guided and a robotic-assisted waterjet without heat. It is non-invasive since no incision is necessary as the water moves through the urethra.

The water ablates the problematic tissue in the prostate and protects other tissue in order to preserve your sexual functionality and continence.

Clinical Studies Show Promising Results

  • 100% of patients had no effect on their sexual functionality, satisfaction, sexual desire or orgasms.
  • Over 99% of men did not have incontinence after the therapy.
  • 89% of men retained their ability to ejaculate normally.
  • 94% did not need any further treatments or surgeries 5 years after Aquablation.

There is no need to compromise sexual performance for reduced symptoms. Aquablation has fewer side effects than all the other surgical procedures.

Aquablation Therapy in The Woodlands, TX

If you are living with the symptoms of BPH, but want to sleep through the night again, take less breaks during your workday, and sit through an entire show or movie without having to “hit the head,” maybe Aquablation is your answer.

Contact Dr. Miguel Mercado at (281) 351-5174 to schedule an evaluation and discussion of whether Aquablation is right for you.

How Low Testosterone Affects Your Health and Quality of Life

Posted on by Miguel A. Mercado, MD

Testosterone plays a vital role in the body, impacting everything from bone density and muscle mass to mood and energy levels. While it’s commonly associated with men’s health, testosterone is essential for both males and females.

When testosterone levels drop—a condition often referred to as Low T—it can have significant physical, emotional, and social impacts, affecting overall life quality. Let’s explore how low testosterone affects your health, the symptoms to watch for, and available treatment options.

The Role of Testosterone in the Body

Testosterone is a hormone produced primarily in the testes in men and the ovaries and adrenal glands in women. It regulates key functions, including:

  • Development of muscle mass and strength
  • Maintenance of bone density
  • Red blood cell production
  • Fat distribution
  • Libido and sexual function
  • Mood and cognitive performance

Optimal testosterone levels help maintain a healthy, active lifestyle. When levels decline, either due to aging or medical conditions, the effects can be profound.

Common Symptoms of Low Testosterone

Low testosterone can manifest in various ways, including:

  • Physical Symptoms: Fatigue, reduced muscle mass, increased body fat, and decreased bone density.
  • Emotional Symptoms: Irritability, depression, anxiety, and difficulty concentrating.
  • Sexual Symptoms: Reduced libido, erectile dysfunction, and decreased sexual satisfaction.

These symptoms can lead to a diminished sense of well-being, affecting confidence, motivation, and social relationships.

How Low Testosterone Impacts Health

Low-T affects many aspects of health, including:

Muscle Mass and Strength

Testosterone plays a key role in maintaining muscle mass. Low T can lead to muscle loss and reduced strength, making physical activity and daily tasks more challenging.

Bone Density

Low testosterone contributes to reduced bone density, increasing the risk of osteoporosis and fractures, particularly in older adults.

Cardiovascular Health

Studies suggest that low testosterone levels may be linked to an increased risk of cardiovascular disease. Maintaining healthy testosterone levels can support heart health and circulation.

Mood and Cognitive Function

Low T can lead to feelings of depression, anxiety, and brain fog, significantly impacting mental health and daily functioning.

Treatment Options for Low Testosterone

Fortunately, Low T can be managed effectively with the right treatment plan. Options include:

Testosterone Replacement Therapy (TRT)

TRT involves administering testosterone via injections, gels, patches, or pellets to restore hormone levels. This treatment can improve energy, mood, libido, and muscle mass while reducing symptoms like fatigue and depression.

Lifestyle Changes

Adopting a healthy lifestyle can naturally boost testosterone levels. Key strategies include:

  • Regular exercise, particularly strength training
  • A balanced diet rich in healthy fats, protein, and essential nutrients
  • Stress management and adequate sleep

Regular Monitoring

It’s important to monitor testosterone levels regularly, especially if you experience symptoms of Low T. Regular check-ups can help tailor treatments to your individual needs and ensure long-term health.

Low Testosterone Treatment in The Woodlands, TX

Low testosterone can significantly impact your health and quality of life, but with early detection and proper management, you can regain vitality and well-being.

If you suspect you may have Low T, contact Dr. Miguel Mercado at (281) 351-5174 to explore treatment options and take steps toward a healthier, more fulfilling life.

Men’s Guide to Urinary Incontinence

Posted on by Miguel A. Mercado, MD

While women are more likely than men to experience urinary incontinence, the condition can be especially troublesome for men. Men seek care from incontinence after living with the problem for about 4.2 years on average. You don’t have to wait years to get some help. Take control by reading this men’s guide to urinary incontinence.

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The Truth About Penile Implants: Myths and Facts

Posted on by Miguel A. Mercado, MD

For many men, the idea of a penile implant can seem intimidating. In large part, this is due to common misconceptions and misinformation. While penile implants are a proven and effective solution for erectile dysfunction (ED), myths surrounding the procedure can still cause unnecessary hesitation.

Below, we’ll separate fact from fiction to help you make an informed, empowered decision about this life-changing treatment!

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Choosing the Right Time for a Vasectomy

Posted on by Miguel A. Mercado, MD

A vasectomy is a common and highly effective form of male contraception. It involves a surgical procedure where the vas deferens, which are the tubes that transport sperm from the testicles to the urethra, are cut, sealed, or blocked to prevent sperm from mixing with semen. This makes a vasectomy a permanent form of birth control for men who are sure they don’t want any more children.

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The Benefits of Penile Implants

Posted on by Miguel A. Mercado, MD

Erectile dysfunction (ED) is a common condition affecting millions of men around the world, often having a significant impact on their self-confidence, relationships, and general life satisfaction. While many individuals find relief through medications, lifestyle changes, or other therapies, some cases of ED require a more permanent and reliable solution. For men who haven’t achieved success with traditional treatments, penile implants offer an effective and life-changing option.

This blog explores the types of penile implants, their benefits, and how they can restore intimacy and improve quality of life.

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How to Talk to Your Partner About Getting a Vasectomy

Posted on by Miguel A. Mercado, MD

If the prospect of having the talk about vasectomy with your partner or husband affects your blood pressure, you’re not alone. If you have never even broached the subject before, we want to give you some tips to make it as pain free as possible. Let’s dive in on how to talk to your partner about getting a vasectomy.

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