Advanced Urology Institute's Online Review Report Card

Dr. Lawindy did a precise urethral dilation and I am doing fantastic. Great bedside manner and professionalism He’s gonna be a great dr fir years to come

ATTENTION ALL MEN considering this practice....I am a 58 YO male and recently had a PSA score of 5.1 in May 2018, up from 3.8, about 18 months earlier. SO, my PCP referred me to this practice for further evaluation. On my first visit, I saw Dr Fynes.. My urine test was clean, (no infection), my DRE was good, (no suspicious spots), and I had no other symptoms of the worst case prostate scenario... Yet - Dr. F. was advising me to do a biopsy. IDK if this is a CYA thing due to malpractice Ins, OR a profit driven thing pushed by this practice, BUT I advised Dr. F. that I wanted to wait a few months - revise my diet, add some prostate supplements, etc and retest.. He agreed..In July 2018, my PSA was down a little to 4.7 and my Free PSA was 12%, ( a 25% chance I could have prostate cancer..) I went in for my second appt, and again, Dr. F. discussed scheduling me for a biopsy. I discussed several other NON-Evasive methods to determine my prostate health and while Dr. F. listened, there was still a definite push for a biopsy..I instead decided to have a Prostate MRI done at this point. My MRI report showed NO Suspicious Lesions, and no signs of any prostate cancer. Yet, upon receipt of this report, Dr' F's office said he still would advise me to do a biopsy and when I asked WHY, I was told I had to come in for another appointment to talk to Dr. F. in person... This is when I decided to seek a second opinion!I went to see a new urologist, and he said based on all the information I presented him with, he wouldn't advise doing a biopsy at this time, but would advise doing a PSA test every 6 months. (I Can Live With That!). Also, my new Urologist told me that based on the size of my prostate / 70 cm (as determined by the MRI), he told me my PSA reading was in line for a 70 cm prostate. YET, Dr. F. or his office never discussed this with me..My review here is NOT to slam Dr. F. or this practice, as perhaps they might do good work, BUT it is to ALERT men that you do not have to have an evasive biopsy done without knowing more information. I would highly recommend having an MRI done PRIOR to a biopsy as there are numerous issues with biopsy's.. If the MRI shows cause for alarm, then there are also better, more accurate and more Non-evasive biopsy's on the market today.DO YOUR HOMEWORK before agreeing to have a biopsy done! Study how diet affects prostate health, and understand all the treatment options available to you today.TO YOUR GOOD HEALTH!