What happens when NFL legend Deion Sanders has his bladder removed? How do doctors decide between watchful waiting and aggressive treatment for prostate cancer? And why are testosterone levels declining across the population?

Dr. Nimrod Barashi, a urologist at St. Luke's Hospital, takes us on a fascinating journey through the world of urological health in this episode of Doc Discussions. With his unique international background—born in Venezuela, educated in Colombia, and trained at prestigious American institutions—Dr. Barashi brings a global perspective to common but often misunderstood conditions.

The conversation begins with an in-depth look at bladder cancer through the lens of Deion Sanders' recent diagnosis. Dr. Barashi explains why Sanders required complete bladder removal despite having non-muscle invasive disease, detailing the three reconstruction options patients face after cystectomy. His clear explanation of warning signs—particularly blood in the urine—serves as a crucial reminder that early detection saves lives.

When the discussion shifts to prostate cancer and baseball star Ryan Sandberg's recent death at 65, Dr. Barashi carefully outlines the risk-stratified approach modern urology takes. From active surveillance for low-risk disease to the balancing act between quality and length of life in treatment decisions, listeners gain practical knowledge about this common cancer.

Perhaps most relevant to many male listeners is the final segment on testosterone replacement therapy. Dr. Barashi addresses the apparent decline in testosterone levels across the population, explaining diagnostic criteria, treatment options, and the surprising ways low testosterone impacts overall health beyond just sexual function.

Throughout the episode, Dr. Barashi's patient-centered philosophy shines through—we treat symptoms, not numbers. This approach reminds us that while medical technology continues to advance, the art of medicine remains deeply human.

Have you noticed changes in your urinary habits or experienced symptoms that concern you? Don't wait—reach out to a urologist for proper evaluation. Your quality of life matters, and as Dr. Barashi demonstrates, modern urology offers more options than ever before.