https://www.metrovanurology.com/home daily 1.0 2023-06-30 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1615491195102-AW2K7QYOMM06FWOL05HP/MVU-homepage-1.jpg Home https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1615491228185-7PXTS8WCI7H14X0AUPBW/MVU-homepage-2.jpg Home https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/f76c0a7a-215a-455a-a854-1f12f1f5b5fd/MVU-slideshow-4.jpg Home Metrovan Urology friendly face https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/116c3135-6f49-4706-a7f8-5d0a90f3ef48/MVU-slideshow-1.jpg Home Grandpa and grandson enjoying time together https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/55b4f8cc-55c4-4f96-ab0c-0e6847776f6c/MVU-slideshow-2.jpg Home Metrovan Urology doctor with patient https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/7cc08048-e2e1-4ef1-96cc-07ee5abeb0c1/MVU-slideshow-3.jpg Home Couple enjoying an autumn day https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/35a2e22a-d669-4943-b0b1-5ec2dac01850/MVU-slideshow-5.jpg Home Metrovan Urology surgeon in action https://www.metrovanurology.com/blank-page daily 0.75 2021-03-16 https://www.metrovanurology.com/contact daily 0.75 2023-05-23 https://www.metrovanurology.com/site-search daily 0.75 2023-06-30 https://www.metrovanurology.com/reschedule-appointment daily 0.75 2021-12-08 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1615494773716-Q7Y6Q6HBY0XW24KWLJ10/MVU-appointment.jpg Reschedule Appointment https://www.metrovanurology.com/dr-corrie-g-krahn daily 0.75 2021-03-19 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616117634954-884RMNGUQ1PZM22PNRNV/Krahn1x1.jpg Dr. Corrie G. 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This page is your entry point to learning what we do and how we do it. https://www.metrovanurology.com/about-us daily 0.75 2021-05-27 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616003453589-SWTA1OPA5MH3TA2ZJ2LC/Mickelson1.jpg About Us Jennie Mickelson, M.D. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616005033928-B28US38O25NW08JQNXKL/Taylor1x1.jpg About Us William N. Taylor, M.D. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616003381210-ADW8978UOX4T5MMTK2JM/Rapoport1x1.jpg About Us Daniel Rapoport, M.D. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616005096202-1TUROOUOVDMKZL38HKPB/Krahn1x1.jpg About Us Corrie G. Krahn, M.D. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616003294717-JUH9ESAPH5F8CVVMW64C/Poonpic1x1.jpg About Us Kenneth S. Poon, M.D. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616003426563-XQQQLZDIQAE8N6Z8XO9X/Kiara+Headshot+2011+Cropped+Full+Res.jpg About Us Kiara Hennessey, M.D. https://www.metrovanurology.com/physicians daily 0.75 2021-12-21 https://www.metrovanurology.com/dr-wiliam-n-taylor daily 0.75 2021-03-19 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616117260009-0FHFKM8GFHJB4FEUW2ZW/Taylor1x1.jpg Dr. Wiliam N. Taylor https://www.metrovanurology.com/novel-coronavirus-what-you-need-to-know daily 0.75 2021-12-08 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1615491157515-QW5VW4OXQ50TXDZT7V3C/MVU-homepage-3.jpg Novel Coronavirus - What you need to know - THE 2019 NOVEL CORONAVIRUS (COVID-19) Learn about our preparedness and our updated policies to protect patients and staff. https://www.metrovanurology.com/dr-daniel-rapoport daily 0.75 2024-04-07 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616118010133-LOUD883OJKM67USPJZKW/Rapoport1x1.jpg Dr. Daniel Rapoport https://www.metrovanurology.com/preparing-for-your-appointment-old daily 0.75 2021-05-21 https://www.metrovanurology.com/recommended-websites daily 0.75 2021-12-08 https://www.metrovanurology.com/dr-kiara-hennessey daily 0.75 2021-03-19 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616118394670-YBFTG3R3D2PHE8CIVSR6/Kiara+Headshot+2011+Cropped+Full+Res.jpg Dr. 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https://www.metrovanurology.com/general-postoperative-instructions daily 0.75 2025-09-17 https://www.metrovanurology.com/mvu-locations daily 0.75 2021-03-19 https://www.metrovanurology.com/bookings-and-inquiries daily 0.75 2021-05-21 https://www.metrovanurology.com/bladder-botox-injections daily 0.75 2021-11-09 https://www.metrovanurology.com/cystoscopy daily 0.75 2021-11-12 https://www.metrovanurology.com/surgery-for-kidney-tumors daily 0.75 2021-05-22 https://www.metrovanurology.com/prostate-biopsy daily 0.75 2021-09-03 https://www.metrovanurology.com/endoscopy-bladder-biopsy-and-tumor-resection daily 0.75 2023-07-31 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Endoscopy bladder biopsy and Tumor Resection https://www.metrovanurology.com/satellite-and-hospital-locations daily 0.75 2021-06-02 https://www.metrovanurology.com/preoperative-instructions daily 0.75 2021-04-06 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Pre-operative Instructions https://www.metrovanurology.com/preparing-your-child-for-surgery daily 0.75 2021-05-22 https://www.metrovanurology.com/urodynamics daily 0.75 2021-04-09 https://www.metrovanurology.com/prostate-health daily 0.75 2021-03-24 https://www.metrovanurology.com/bladder-irritants daily 0.75 2021-05-20 https://www.metrovanurology.com/behavioral-therapy-bladder daily 0.75 2021-05-20 https://www.metrovanurology.com/urological-medication-the-eyes daily 0.75 2021-05-21 https://www.metrovanurology.com/background-information-infertility daily 0.75 2021-12-22 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616633813720-KG9CWHTACE9W2QKZK6D0/INFERTILITY-CONCEPTION-Natural_History_INFERTILE+COUPLES_Monthly.png Background Information on Infertility https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617747922965-J18TOHSXCUH6OQSK4YO8/INFERTILITY-CONCEPTION-Natural_History_INFERTILE+COUPLES.png Background Information on Infertility Figure: This is the natural history of couples who have continue with intercourse despite a failure to conceive after 1 year of trying. It can be seen that over the 2 years following an initial year of failure that 2 in 5 couples will achieve a pregnancy on their own. Couples are more likely to conceive if there is no identifiable impediment to pregnancy than those who have an identifiable problem. Date modified from (1) Snick et al. The spontaneous pregnancy prognosis in subfertile couples: the Walcheren primary care study. Human Reproduction 1997 and (2) Collins et al. Prognosis for live birth among untreated infertile couples. Fertility and Sterility 1995. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616633558060-OG0IJUP460COJEZUO2R4/INFERTILITY_FACTORS_INFERTILITY.gif Background Information on Infertility https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616633877031-3PX29EVHVKFYUOHLN7SU/INFERTILITY-Conception-Natural-History-Effect-of-Disease.png Background Information on Infertility Figure: Effect of a male, female or combined fertility problem on the probability of conception over time. If a couple were sterile, the probability of conception would be zero (0) at each time period - i.e. a flat line overlapping the bottom axis. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1616633698263-SUH2XOPEC56E0HHNRAJ5/INFERTILITY-Conception-Natural-History.gif Background Information on Infertility Figure: this graph demonstrates the cumulative number of 'first pregnancy planners' who become pregnant over time. The start time is the first month of attempted conception. Each month can be considered one 'try' - since ovulation occurs once a month. Note thate about 6 out of 10 couples will have conceived by 6 months and about 8 out of 10 couples by 1 year (12 months). https://www.metrovanurology.com/osteoporosis-in-men daily 0.75 2021-06-02 https://www.metrovanurology.com/varicoceles daily 0.75 2023-07-28 https://www.metrovanurology.com/urethral-structures-reconstruction daily 0.75 2021-04-06 https://www.metrovanurology.com/conditions-template daily 0.75 2021-05-18 https://www.metrovanurology.com/assisted-reproductive-technologies daily 0.75 2021-12-22 https://www.metrovanurology.com/scheduling-information-for-patients daily 0.75 2021-04-06 https://www.metrovanurology.com/fertility-template daily 0.75 2021-04-07 https://www.metrovanurology.com/surgical-sperm-retrieval daily 0.75 2021-12-22 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Surgical Sperm Retrieval https://www.metrovanurology.com/semen-analysis daily 0.75 2022-04-21 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617831071784-YDW0QW7AQWY6S9ZCEI9J/INFERTILITY_SEMEN_ANALYSIS_VARIATION.png Semen Analysis Figure: This graph shows how the concentration in a single man naturally varies over time with several measurements. These are the normal 'ups and downs' found in sperm production and with lab variance. Despite the sometimes dramatic changes in concentration, this man's intrinsic fertility potential was unchanged. The take home message is not to get too excited by the changes seen between a couple of semen analysis reports. They are more likely the result of normal variation than an indicator of increased or decreased fertility potential. Consistent changes which trend either upwards or downwards are required before it can be stated if things are getting 'better or worse'. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1612563716388-Z2UY1WLZ5WREJCA49OY3/PDF_icon.png Semen Analysis https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617831262167-ON1K4YO6YQL4W7N7I6M0/INFERTILITY_SEMEN_ANALYSIS_CONCENTRATION_PRIMARY_PLANNERS.png Semen Analysis https://www.metrovanurology.com/endoscopic-procedures daily 0.75 2021-05-22 https://www.metrovanurology.com/prostate-biopsy-grading-tumours daily 0.75 2023-04-21 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617835865705-9FWGZCGOZE189JXX7U0E/Clinic_Tests_TRUSBx_magnum.jpg Prostate Biopsy & Grading of Tumours https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617835844982-DQACAAVFSZUX3GWXXAC8/Clinic_Tests_trusbx_overview.jpg Prostate Biopsy & Grading of Tumours https://www.metrovanurology.com/benign-prostatic-hyperplasia daily 0.75 2024-05-31 https://www.metrovanurology.com/vasectomy daily 0.75 2023-01-26 https://www.metrovanurology.com/urethroplasty daily 0.75 2021-04-07 https://www.metrovanurology.com/prostate-cancer-template daily 0.75 2021-05-21 https://www.metrovanurology.com/prostate-cancer daily 0.75 2021-04-07 https://www.metrovanurology.com/screening-diagnosis-prostate-cancer daily 0.75 2024-04-20 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617925238514-R7GD8PDB535RW826HK49/Cancer+Prostate+Risk+Benefits+of+Biopsy_0.jpg Prostate Cancer: Screening & Diagnosis https://www.metrovanurology.com/general-cancer-information daily 0.75 2021-04-09 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617930778552-4OSLAEWTWUYBSLHYTL9N/ONCOLOGY_KM_Survival_Prognosis_EarlyvsLate.png General Cancer Information Figure - Different time courses for different cancers or subtypes of a cancer: In this example, all of these cancers carry the same prognosis at 5 years - that is, about 3 in 4 patients have died. Note that in the condition where 'Most recurrences occur early' that almost all of the 3 patients who died did so in the first 2 years and very few died between years 2 and 5 - it could be said that if a patient with a disease which was prone to early recurrences managed to get through the first couple of years with out a problem, they would basically be 'out of the woods'. However, a patient with a disease prone to late recurrences (such as that represented by the dark blue line), could be described as having a 'honeymoon' phase for the first few years after diagnosis, but would need to be cautious between years 3 and 5. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617930701511-0GMO0QHEY2ZYAZ12D9UU/ONCOLOGY_KM_Survival_Prognosis_Basic.png General Cancer Information Figure - Kaplan Meier Survival Curve: These show the probability of being alive over time. The diagnosis is made at 'time zero' - at the far left of the graph. At this point in time, all (100%) of patients are alive. Over time, this cancer causes the death of patients such that at 12 months after diagnosis, 1 in 10 patients have died as a result of the cancer, but 9 in 10 patients are still alive; at 36 months (3 years), an additional 2 patients have died, brining the total number of deaths to 3 of the 10 original patients; by 60 months (5 years), an additional 2 patients have died brining the total to 5 of the 10 original patients. Because half of the patients have died by 5 years after diagnosis, the median survival is 5 years. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617930742204-OS76JLV25K34YBCPO1GA/ONCOLOGY_KM_Survival_Prognosis_Risk_0.png General Cancer Information Figure - Effect of cancer aggressivenss on prognosis: This graph is meant to show how more increasing risk (whether it be worse stage, more aggressive tumor, etc.) can negatively affect the chances of dying with time. Note that in this particular example, the risk of dying from this particular type of cancer is highest in the first 4 years - after 4 years, the survival curves are 'flatter' which indicates that the number of new deaths is decreasing. https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1617930821031-KFVT6OS1AQ9RX2TT9HBN/ONCOLOGY_KM_Survival_Prognosis_TreatmentEffect.png General Cancer Information Figure - Effect of Treatment: If a treatment were 100% effective, no patient would die of a disease after they were treated. Patients who received the treatment would be alive at every time point after treatment. Note that in this example all of the patients who received treatment were alive after 5 years, but only half of patients who did not receive treatment were alive. 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Author: Piotr Michal Jaworski https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1621476667517-03Z50LN4LUCQGQQX146Z/1000px-Urinary_system.svg_.png Normal Anatomy & Function of the Genitourinary Tract - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.metrovanurology.com/prostate daily 0.75 2021-05-19 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1621385024529-RWR738FIMLLEB74Q5XUC/ANATOMY+Prostate.jpg Prostate - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.metrovanurology.com/urethral-strictures daily 0.75 2021-05-18 https://www.metrovanurology.com/sexually-transmitted-infections daily 0.75 2021-05-18 https://www.metrovanurology.com/vasectomy-reversal daily 0.75 2021-12-22 https://images.squarespace-cdn.com/content/v1/5fbaf9adacae6b21e9306a4f/1621380578077-XGOI0BQFIU0SUHD1E8AS/INFERTILITY_VASECTOMY_REVERSAL_SUCCESS.png Vasectomy Reversal - Make it stand out Figure: Technical success and pregnancy decrease with the time from vasectomy. 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