- Male InfertilityMale Infertility: Approximately half of all fertility cases are male fertility cases. Men can struggle with infertility for a variety of reasons, some of which are treatable.
- Female Infertility
- Bladder Cancer
- UrologyDr Vorstman was born to Dutch parents in Indonesia and grew up in New Zealand. Bert graduated from the Otago Medical School in Dunedin New Zealand in 1975 and, completed a residency in urology at Auckland Hospital in New Zealand. After Fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia and, undertaking NIH sponsored, pioneering research there on “Urinary Bladder Reinnervation” he earned the honor of a Masters of Surgery Diploma through the University of Otago. Dr Vorstman then went on to become a faculty member at the University of Miami, Jackson Memorial Hospital, Miami, Florida. From here, Dr Vorstman established his private practice Florida Urological Associates pa, in Coral Springs, Florida as a Board Certified urologist. His three associates and colleagues have continued the practice of urology at the same location.
- Urinary Tract Infection> all PSA levels fluctuate normally. Laboratory errors and other causes such as taking the test the day after sex or, after a recent bout of prostatitis or, a urinary tract infection can lead to a false positive PSA so no action should ever be undertaken on a single so-called abnormal PSA level
- Prostate CancerBelow you will find some PDF’s that have garnered National attention in the prostate cancer industry. You are encouraged to read through the articles and to discuss your specific treatment options with your doctor.
- Ultrasound> in addition to repeating the PSA and PSA derivatives, the PSA density can be very helpful. The prostate size can easily be measured via a suprapubic ultrasound and then its volume can be divided into the PSA to obtain the density. This number should be less than about 0.16 and, a normal density measurement can usually eliminate the need for risky and inaccurate 12-core, template or, saturation prostate biopsies
- MRI> if the PSA, PSA derivatives and PSA density levels are persistently abnormal or, show worsening trends, a 3T mp-MRI of the prostate (not with an endorectal coil and, by an expert in the field) can examine the whole of the prostate. This is far more reliable than the unscientific and random needle biopsy of the prostate (but not foolproof)
- VasectomyVasectomy Reversal: Men who have had a vasectomy and have decided they would like to be fertile again can choose to have a vasectomy reversal to make this possible.
- Skin Cancer– In 2017 an estimated 160,000 men will be diagnosed in the United States as having prostate cancer. Thus prostate cancer the number one type of cancer in men in the nation (excluding skin cancer).