What's New - Newsletters, Announcements & Medical News Articles

FDA Gives Green Light to Focused Ultrasound for Ablation of Prostate Cancer

Clinicians now have a new tool for combating prostate cancer in a non-invasive way. The U.S. Food and Drug Administration (FDA) on October, 9, 2015, approved a high intensity ultrasound system (Sonablate 450) for prostate tissue ablation. Click here to read the full article

CME Grand Rounds

Welcome Dr. Brian Tully to Central Maryland Urology Associates.

Brian T. Tully, M.D. graduated from University of Notre Dame in 1999 and received his Doctorate of Medicine from Georgetown University School of Medicine in 2004. Dr. Tully completed his urologic residency at University of Maryland Medical Center in 2010.

Click here to learn more about Dr. Tully


1 in 6 men will be diagnosed with prostate cancer during his lifetime.
Get checked, it could save your life!

Dr. Robert Gessler is Retiring
August 1, 2014

Dear Patients,

It is with mixed emotions that I am announcing my retirement from active practice effective September 1, 2014.  It has been a great pleasure providing for your health care needs over the years.

The excellent physicians and staff at our practice will continue to provide you with the same quality health care and we have added Dr. Brian Tully to our practice so that you will have a smooth transition of care.  If, however, you would prefer to seek medical care elsewhere you are free to do so.  If you choose a physician outside of our practice please stop by to fill out an authorization to transfer your medical records and we will be happy to do so for you.

I have greatly valued our relationship and thank you for your loyalty and friendship over the years.  Best wishes for your future health.

Robert A. Gessler, M.D.

Dr. Jennifer Bepple featured in the Wellness Matters magazine!

[Read More]

Dr. Jennifer Bepple is featured on the cover of the March/April issue of Maryland Physician Magaizine.

[Read the full article]





Dr. Kevin Blumenthal Featured on In View Series with Larry King - Dr. Blumenthal performing HIFU Prostate Procedures.

Dr. Kevin Blumenthal Leads CMUA HIFU Program One of the Only Programs in the Mid-Atlantic Certified in Minimally Invasive Prostate Cancer Treatment Offering Disease Control with Fewer Side Effects [Read Full Article]

Web Portal

Join the future of medicine and sign up for the CMUA Patient Portal.

Our patient portal is how we now send our patients their lab results, appointment reminders and provide a real-time and constantly updated health and medication history. This is the easiest, quickest and most advanced way for us to provide the best possible care for our patients.

Take advantage of all the benefits the patient portal has to offer: make appointments, access your labs at your convenience, request refills, and pay your bills.

Call the office to set up your patient portal account. We will email you asking you to log in to the patient portal...and off you go.

Call us for an appointment and to register for the patient portal: 410-772-7000.

Newsletter Archives

News and Announcements

Vasectomy Madness: Schedule a vasectomy coinciding with the upcoming basketball tournament.
More Information Flyer (pdf)

Howard County General Hospital Urology Department ranked in the "high-performing" category in the 2012 U.S. News & World Report Baltimore Metro Area Top Hospital Rankings for the second year in a row. [Learn more]

Prostate Cancer Screening

Prostate screenings are recommended for all men over the age of 50 and for men over 40 with a family history of prostate cancer. To promote early detection of prostate cancer, Laurel Regional Hospital in conjunction with Central Maryland Urology Associates, periodically offers free prostate cancer screenings.

Information and dates for screenings are available by calling the Laurel Regional Hospital Public Relations and Development Department at 301.497.7914 or 410.792.7636.

What's New

  • We have a NEW state-of-the-art office and attached surgery center located in multispecialty office complex across the street from Howard County General Hospital
  • Urethral Slings (Monarc) - Minimally Invasive outpatient procedure for female incontinence
  • InterStim® Therapy for Urinary Control - Outpatient procedure for overactive bladder and female incontinence
  • HIFU technology - Minimally Invasive Treatment of Prostate Cancer (Dr. Blumenthal is one of a few select physicians in the D.C. Baltimore area providing this treatment.
  • Urodynamic Evaluation - Studies are preformed by a CMUA physician with real-time instantaneous interpretation by a physician!

Medical News Articles

Faces of Cancer: Third in a 4-part series.
Men's Health Alert... Prostate Cancer

Often a symptom-free disease, prostate cancer is the most commonly occurring cancer among men, excluding skin cancer. One in five men will develop prostate cancer. As you get older, your chance increases.

According to the American Cancer Society, more than eight out of 10 men with prostate cancer are over the age of 65. African American men are twice as likely to get prostate cancer as Caucasian men.

Your Prostate

The prostate is a walnut-shaped gland, found in men, which sits below the bladder and in front of the rectum. The prostate redirects fluid for semen production and is situated in close proximity to the nerves involved in penile erection. It surrounds the

urethra, which carries urine from the bladder. A healthy prostate gland is smooth and firm and can be examined by your doctor when performing a rectal exam.

Development and Diagnosis

According to Dr. Clement Knight, an oncologist on staff at Howard County General Hospital, prostate cancer often develops slowly and can be difficult to detect at an early stage, when it offers the best chance for a cure. Should you experience any of the following prostate cancer-warning signals, consult your physician:

  • Urinary retention or burning
  • Post-urination leaking or dribbling
  • Abnormal urine color or blood in the urine
  • Pain with urination, ejaculation, bowel movement and in the groin or lower back

"There is no one major symptom of prostate cancer," says Dr. Scott Maurer, a primary care physician on staff at Howard County General Hospital.

Testing and Treatment

Dr. Alejandro Rodriguez, Central Maryland Urology Associates If a first degree relative such as your father, brother or son has had prostate cancer, your risk for development is significantly increased. "You should have annual screening tests for prostate cancer beginning at the age of 40, or at the age of 35 if you have a family history of prostate cancer or breast cancer," says Dr. Alejandro Rodriguez, a urologist on staff at Howard County General Hospital. Your doctor should perform the following tests during your annual examination to detect any irregularities in your prostate:

Digital rectal examination (DRE) is performed during an office visit with the insertion of the doctor's gloved finger into your rectum to examine the prostate.

Prostate-specific antigen (PSA) is a simple blood test that measures the level of a protein made by prostate cells. "Your doctor may suggest a trans-rectal ultrasonography, performed by inserting a probe the size of an index finger into your rectum," continues Dr. Rodriguez. The probe emits high-frequency sound waves that bounce off the prostate gland and produce echoes on a sonogram, which your doctor will examine for abnormalities. If prostate cancer is detected, your treatment will be individualized based on your age, general health, extent of its spread, aggressiveness of the cancer, and personal preference.

Treatment options include:

Radical prostatectomy, a procedure offered at Howard County General Hospital, to remove your prostate and attached seminal vesicles, which are two glands that lie behind the prostate and also secrete fluids for semen. A catheter is left in place for several weeks after surgery.

Radiation therapy to destroy cancer cells with the use of high energy x-rays.

Brachytherapy, also a procedure offered at Howard County General Hospital, utilizes imaging equipment such as ultrasound, CT scans or MRI to view the prostate three-dimensionally. By doing this, your doctor can accurately position thin needles through the skin and into the prostate to deliver pellets that give off radiation for weeks or months.

Hormonal therapy suppresses the release of male hormones from the testicles when the cancer has spread outside of the prostate. This can include removal of the testicles.

Lowering Your Risk

You should follow general healthy living guidelines for prostate cancer prevention. Maintain a diet low in animal fat and high in vegetables, fruits and grains. tomatoes, grapefruit and watermelon help prevent damage to DNA and might help lower your prostate cancer risk. Avoid large

amounts of carbohydrates, limit your alcohol consumption and don't smoke. Also, take a reasonable daily dose of vitamin E and limit your intake of high doses of any vitamin supplement. You should exercise on a regular basis, too. If every man were tested annually with a DRE and PSA, deaths from prostate cancer could fall dramatically. "Prostate cancer has been diagnosed more often in the past five years because of the use of the PSA," says Dr. Maurer. Early diagnosis and appropriate treatment are key to survival. Be responsible for your health by undergoing annual screenings for prostate cancer. For further information on prostate cancer, visit www.hcgh.org or www.cancer.org. For a referral to a physician on staff at Howard County General Hospital, call 410-740-7750.

Originally published in Wellness Matters, Spring, 2002

Howard County General Hospital offers
New Prostate Cancer Treatment

Robert Gessler, M.D.
It is as small as a single grain of rice. But the potential benefits to a prostate cancer patient are enormous.

A relatively new prostate cancer treatment, internal radiation therapy or brachytherapy, uses small radioactive pellets that are implanted directly into the prostate to fight localized cancer.

Brachytherapy utilizes imaging equipment such as ultrasound, CT scans, or MRI to view the prostate three-dimensionally. This allows physicians to accurately position radioactive pellets to treat the prostate cancer.

The permanent pellets, sometimes called seeds, are small, metallic objects comprised of radioactive material. They are placed inside thin needles and are then inserted through the skin into the prostate giving off radiation for weeks or months. During brachytherapy, the surgeon can see each needle entering the prostate with the ultrasound, and can guide its exact placement. This form of treatment minimizes radiation to the normal tissues and organs that surround the prostate, allowing more radiation energy to be applied directly to the prostate cancer.

Brachytherapy is performed while the patient is under general or spinal anesthesia and takes about two hours to complete. Patients are only required to spend one day in the hospital following the procedure.

According to Dr. Robert Gessler, a urologist on staff at Howard County General Hospital, "brachytherapy offers the patient the benefits of minimal surgery with minimal complications. Patients experience fewer side effects than traditional radical prostate surgery where the prostate gland is totally removed. With brachytherapy there is less risk of bleeding, incontinence and sexual dysfunction." Since brachytherapy is performed with a needle, there is no incision and thus minimal postoperative discomfort and time required for healing. The patient can usually return to normal activities within 3-4 days.

"Not only is brachytherapy easier for patients to tolerate, " says Dr. Gessler, "but recent clinical data suggests that it appears to be as effective as radical prostate surgery for those with early stages of prostate cancer."

Originally published in Wellness Matters, Summer, 2000


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