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Arkansas Urology is the largest urology practice in Arkansas and continues to offer the latest innovations in medical technology and surgical techniques to patients with a variety of urological conditions.


August 2020

Women and Pelvic Health

By: Arkansas Urology


Pelvic health is a factor of our lives that many people don’t begin to consider until they start experiencing age and illness. Being proactive is the key to promoting pelvic health and maintaining it through life. Here is our advice for steps you can take right now: 
1. Strengthen Your Pelvic Floor
Kegel exercise is the best way to exercise the muscles that contain the contents of your pelvis, which is your pelvic floor. These muscles keep different organs in place, maintain the function and control over the bladder and bowels. Practicing Kegels one to three times daily will optimize your results.
2. Maintain a Healthy Body Weight
All factors of health are generally connected in one way or another. As you age, eating healthy and staying active will help prevent a multitude of diseases, and incontinence is one of them. Excess weight puts a strain on the pelvic muscles that often leads to weakening and tearing.

3. Understand the Way the Body Ages
As we age, the body lessens its collagen production leading to decreased connective tissue and more stress on the area. This can be lessened with the addition of some supplements, like glucosamine or chondroitin sulphate.

The important thing to remember about pelvic health is that prevention is key. Consistency with pelvic floor exercises, particularly during pregnancy, and a generally healthy lifestyle are the best ways to promote and maintain pelvic health.




August 2020

Kidney Stones: What Can I Do to Pass One at Home?

By: Arkansas Urology


Kidney stones are more common in the summertime, and you aren’t alone in wanting to pass one
from the comfort of your home instead of making a trip to the hospital. An estimated 10 percent of
Americans will experience kidney stones in their lifetime, and if you’ve suffered from this condition
before, you know just how unpleasant it can be. Also, about 50% of people who develop kidney stones
will have more stones in the future, so prevention is key. While kidney stones can certainly be painful,
there are several things you can do at home to make passing one as comfortable as possible.
The single most important thing you can do to pass a kidney stone is drink plenty of water. You
should drink more water than you usually do until the stone passes. Keep in mind that regularly
mixing lemon juice in your water is an excellent way to prevent stones from forming again in the
future. Avoid high-oxalate foods and sugary, caffeinated drinks like soda and sweet tea.
Be sure to take over-the-counter pain medications as needed until the stone passes as well. A heating
pad or warm bath can also help relieve pain if it’s intense. If possible, you should try to remain active
and walk around, as movement may also help the stone pass more easily.

If any of the following occur due to kidney stones, you should see a doctor as soon as possible:

● Fever
● Vomiting
● Blood in your urine
● Severe pain that is unbearable

In some cases, medication or other treatments may be necessary. For instance, if a stone causes the
complete block of urine flow, extreme pain that is not controllable with medication, or a urinary tract
infection. Treatment options can include extracorporeal shockwave lithotripsy (ESWL), percutaneous
nephrolithotomy and ureteroscopy, and in rare cases, surgery. If you’re having complications passing
a kidney stone, don’t hesitate to call your doctor.


At Arkansas Urology, we’re here for you. Our patients’ health has been and will always be
our top priority! Are you suffering from kidney stones? Contact us today to schedule your
appointment, or book your appointment online.




July 2020

Staying Hydrated in the Summer Heat

By: Arkansas Urology


It’s summertime in Arkansas. We all know what that means. Hot days, warm nights, with excessive heat and even more humidity.


Whether playing golf, riding your bike, walking the dogs, or doing a little yardwork, when we get hot, our internal thermometer will respond by attempting to cool itself. The human body is made up of over 60% water and that is a reminder of how important it is to avoid dehydration. Water is essential for life and our best choice for refueling.


For the average person, who does light outdoor activities, the recommendation on how much water to drink is 8 – 10 glasses a day. Older adults have a higher risk than younger adults of becoming dehydrated, especially during the hotter months of the year. If you work outside or exercise a lot, you’ll need to drink more water per day than someone who doesn’t sweat as often. If you take certain medications, such as a diuretic, you need to drink more water than the average person since you urinate more often. Athletes need to take extra precautions by drinking water one hour prior to exercise, every 15 minutes during exercise and an hour after exercise.


You can also stay fully hydrated by eating foods with high water content. Fruits such as watermelon and oranges or vegetables like celery, tomatoes, and cucumbers provide a nutrient-rich water source. Coffee and tea can also count. However, you should limit your intake of alcohol, because it is a diuretic. Diuretics make you urinate more and lose additional fluid.


Drinking sufficient levels on a daily basis is an important part of your bladder and kidney health. Good hydration is thought to help ‘flush out’ bacteria from the urinary tract and avoid infections (UTIs). It also helps to decrease the concentration of substances and crystallization involved in kidney stone formation.


When first becoming dehydrated, you might simply experience increased thirst. For most people, this is a very good indication that you need more water. Even before you become dehydrated, you'll feel thirsty, and your mouth may feel dry or sticky.


You can also tell if you are getting enough fluids by checking your urine. It should be light-colored (pale yellow) and you should be urinating every 2-4 hours. Additional warning signs include becoming lethargic, dizzy, having muscle cramps, fatigue, and other unpleasant symptoms. Our thinking and cognition can suffer. We might lose appetite, experience mild constipation and lightheadedness, or kidney stones. Mild dehydration is easy to reverse – simply drink more water. Severe dehydration, on the other hand, requires immediate medical treatment.


As we enter into what is typically the hottest time of the summer months, be safe and drink plenty of water.




July 2020

Myth or Fact: Are Kidney Stones Really More Prevalent in the Summer?

By: Arkansas Urology


Kidney stones are a pain at any time of year, and they are certainly more common in the summer months. When you think of summertime, you probably think of barbecues, exploring the outdoors and spending time in the sunshine. While enjoyable, those things can increase your chances of developing painful kidney stones if you aren’t careful.

The main reason this condition is more common this time of year is dehydration. It’s hot outside and many people don’t drink enough water each day. We sweat more in the summer, causing us to lose water and not urinate as often as we should. When your body can’t get rid of excess minerals through urination, those minerals clump together and form stones. Kidney stones vary in size, and symptoms can range from mild to severe. The best thing you can do to avoid the formation of kidney stones is to drink plenty of water, especially if you’ll be spending time outside in the heat.

While enjoying a barbecue every once in a while probably won’t do you any harm, it’s important to limit foods that are high in salt, sugar and protein. High-oxalate foods, such as almonds, chocolate, tofu and spinach should also be limited. Watch your soda intake as well, as drinking too much soda can also lead to the development of kidney stones. Make sure that your diet includes plenty of fresh fruits and vegetables, and drink a glass of water with every meal if you can.

If you do end up with a kidney stone, don’t fret! Most stones will pass on their own with plenty of fluids, and all you’ll need are some over-the-counter pain relievers. However, if you’re experiencing severe pain, it’s best to make an appointment with your urologist to rule out any complications.

At Arkansas Urology, we’re here for you. Our patients’ health has been and will always be our top priority! Contact us today to schedule your appointment, or book your appointment online.






June 2020

June is Men's Health Month

By: Arkansas Urology

June is celebrated across the country as Men’s Health Month with a variety of preventative screenings, health fairs and other education and outreach events.

Men are known to be big, strong and invincible. However, men’s desire to resist health care is dangerous. It’s the women in their lives who get them to go to their doctors. Cancer, unintentional injuries, diabetes, suicide and stroke are some of the top causes of death for men.

Many of these have early signs and symptoms and can be prevented and treated if caught early. But, society has traditionally expected when boys grow into men that they be tough and ignore pain. So most men push through symptoms and hide their feelings, thinking this makes them more of a man. Unfortunately, that just makes men more likely to die from these conditions.

Why the need for an entire month devoted to your health? Because, most men are stubborn when it comes to health care. A large number of men don’t actively engage in preventative health or the health care system early in life. And the older guys get, the less likely they will get involved with their health and more likely they will have excuses like: “We are busy,” “I’ll be ok,” “It’s too expensive,” “I feel fine,” or the worst of all, “I don’t ever get sick.”

Men are 17% more likely than women to have cancer and twice as likely than women to have hearing loss. They are 50% more likely than women to die of heart disease. And yet, men are 50% less likely than women to seek preventative care. A man’s wife, children, grandchildren and friends love him and need him in their lives. Men guide them, amuse them, comfort them and challenge them. Don’t be a statistic. Real men do admit when something isn’t right. Real men go to the doctor.

At Arkansas Urology Men’s Health, we give men 10-point checkups daily. These tests go well beyond low testosterone and prostate related issues to blood sugar, sleep, sexual health, thyroid and more. See more the full list at

As we enter the summer of 2020, real men do take care of themselves. It’s smart. And will allow men to likely live a longer, healthier life. Contact us today if you are interested in a free men’s health screening.



June 2020

7 Facts About Men's Health

By: Arkansas Urology

June is Men’s Health Month, and it’s all about raising awareness for a variety of conditions unique to men. We want to take a moment to share a few simple — yet important — facts about men’s health with you. Routine urological checkups are extremely important for men, especially once you turn 50 years of age. Several conditions are highly treatable when caught early.


Some facts you should know include:

1. A low level of testosterone may cause men to experience fatigue, weight gain, hair loss and sexual dysfunction. If you suspect low testosterone, get it tested.

2. Benign prostatic hyperplasia (BPH), also known as enlarged prostate, isn’t cancer and hasn’t been linked to cancer. However, it can cause uncomfortable symptoms such as painful urination, weak urine flow and urinary incontinence.

3. Prostate cancer is the second-leading cause of cancer deaths among men in the United States. However, when detected early, it’s highly treatable and curable.

4. Erectile dysfunction is not considered normal, and it doesn’t just occur in older men. It can occur at any age, and a variety of factors may contribute to the problem.

5. A PSA (Prostate-Specific Antigen) test measures the level of a protein produced by the prostate that circulates in the blood. You should get tested annually, as elevated PSA levels can indicate a variety of problems, ranging from inflammation to cancer.

6. Tumors caused by testicular cancer are most common in men between the ages of 20 and 40. They’re also highly curable. You should perform monthly self-exams and schedule an appointment if you detect anything abnormal.

7. There are three levels of prostatitis (an inflammation of the prostate): nonbacterial prostatitis, acute bacterial prostatitis and chronic prostatitis. If you experience difficulty urinating, pelvic pain, pain in the lower back and a burning feeling while urinating, you should schedule an appointment with your urologist as soon as possible to get to the root of the issue.


Your health is very important to us, and we encourage you to keep up with all routine exams, even if you haven’t developed any new symptoms. If you do experience symptoms, it’s best to get them checked out right away before conditions have the chance to get worse. This Men’s Health Month, take control of your health and take steps toward being more proactive.

At Arkansas Urology, we’re here for you. Our patients’ health has been and will always be our top priority! Contact us today to schedule your appointment, or book your appointment online.





May 2020

Is Bladder Training Actually Helpful?

By: Arkansas Urology

Urinary incontinence affects twice as many women than men and is very common. It’s embarrassing but you might be surprised to know the number of women and probably your friends who struggle with the same thing. The good news is there are several solutions including bladder training. Bladder training can help manage the symptoms of urinary incontinence and overactive bladder. Many people are embarrassed to talk about urinary incontinence, even with a urologist, but it’s nothing to be ashamed of. With some help from your doctor, you can experience the noticeable differences that bladder training can make in your day-to-day life.

Bladder training can control wetting accidents, frequency (the need to urinate often) and urgency (the uncontrollable, sudden need to urinate) to a degree by helping you change your urination habits. When you begin, your doctor will likely ask you to keep a record of certain information, such as how often you need to urinate each day and night. That, along with other information, will help your doctor develop a bladder training program unique to you.

Some helpful, common bladder training techniques are listed below:

  • Scheduled Restroom Visits: Some people find it helpful to control urination by scheduling their trips to the restroom. This works by planning to go to the restroom and urinate at set times, regardless of whether or not you feel the need to go. Over time, you can increase the amount of time in between bathroom breaks until you find a schedule that comfortably works for you.
  • Kegel Exercises: These exercises are designed to strengthen your pelvic floor muscles, which will allow you to stop the flow of urine more easily. This is especially helpful for women.
  • Delayed Urination: When you feel the sudden urge to urinate, try to hold your urine for another five to ten minutes. You can gradually increase the amount of time that you hold your urine until you can hold it for a few hours in between trips to the bathroom.

Some lifestyle changes can also help you keep incontinence and OAB under control, such as limiting caffeinated beverages and alcohol, and not drinking anything a few hours before bedtime.

Remember that your doctor will be able to help you find the right mixture of bladder training techniques for your unique situation. And as May is Women’s Health Month, now is the time to take charge of your health and bladder. Don’t hesitate to reach out to your urologist and take back your quality of life!


At Arkansas Urology, we’re here for you. Do you have questions? We have answers! Contact us today to schedule an appointment with one of our professionals, or book an appointment online in minutes.






May 2020

Transperineal Biopsies

By: Arkansas Urology

Most men are advised to be screened annually or every other year for prostate cancer depending on their age and family history. Screening may consist of a blood test which measures prostate-specific antigen (PSA) and digital rectal exam (DRE). At Arkansas Urology, we are closely following the CDC guidelines and performing only performing urgent and emergent cases as approved by the Arkansas Dept. of Health. These cases may include kidney stones or situations where somebody is unable to urinate or cases in which an increased risk of prostate cancer is time-sensitive. Due to the COVID-19, we are not doing all prostate cancer biopsies right now, but definitely those who are at high risk. To avoid a potential risk of Infection, we are utilizing the transperineal prostate biopsy rather than the standard transrectal biopsies.

When somebody is at high risk of cancer, there may be a need to do a biopsy procedure to find out if the patient has cancer or not. If the patient has a confirmed elevated or rising PSA or an abnormal DRE, the next step is often to proceed with a transrectal ultrasound-guided prostate biopsy. However, due to the risks right now being associated with the coronavirus, we have started doing transperineal biopsies, which goes through the skin directly into the prostate gland, which decreases the risk for infection dramatically. The last thing we want to do is cause an infection and a patient end up in a local ER.

In a transperineal biopsy, the urologist passes the biopsy needle through the perineal skin and into the prostate, rather than passing the biopsy needle through the potentially contaminated rectum which may pose a higher risk of infection. The biopsy needle is still guided by an ultrasound placed in the rectum. Transperineal biopsy is appropriate for all patients, but may specifically benefit patients with the following conditions:

  • History of infection after a previous transrectal biopsy
  • History of prostatitis
  • Inflammatory bowel disease
  • Rectal bleeding complications after previous biopsy
  • Previous negative transrectal biopsy with suspicion of anterior prostate tumor

The main benefit is safety, due to the lower risk of severe life-threatening infection. Also, with a transperineal approach it is much easier to access the anterior prostate, which is not well sampled with transrectal biopsy.

After COVID-19 subsides, we will all be stronger because of what we have gone through as a state, nation and world. In healthcare, I do think a silver lining in all of this will be how many physicians are learning new procedures like this one and being taught new ways to practice medicine like telehealth. I think we will do more transperineal biopsies in the future. While most biopsies will continue to be transrectal, certain patients will be better suited for a transperineal approach.

Many patients who have prostate cancer, may be referred to the Arkansas Prostate Cancer Center, which offers radiation therapy for the treatment of prostate cancer. Patients with prostate cancer also have several treatment options, including: surgery, external beam radiation therapy (EBRT), prostate brachytherapy, hormone therapy, chemotherapy, cryosurgery and watchful waiting.




April 2020

Telemedicine Services at Arkansas Urology

By: Arkansas Urology

Telemedicine Services at Arkansas Urology


Q: How is Arkansas Urology making clinical adjustments during this time of COVID-19 while still seeing patients?

A: During this state of national emergency, Arkansas Urology is proud to offer telehealth services to our patients. This means that in many cases, you now have the option to meet with your doctor through your smartphone or computer.

Q: Why is this a better option than seeing a doctor or APN in a clinic?

A: Your safety is our top priority, and we want to make sure that you stay as healthy and comfortable as possible. Thanks to telemedicine, you can also save time, money and energy without missing your appointment or having to leave your home. This is especially helpful for follow-up appointments. Arkansas Urology wants to ensure that some urgent and emergent care is diverted to our clinic and surgery center to avoid potential overloading of the hospital emergency rooms.

Q: In terms of technology, how does this work?

A: You can still keep your appointment and see your physician or provider from home via secure and interactive video equipment. All you need is a computer, iPad or smartphone with audio and video capabilities. All sessions are secure, encrypted and follow the same privacy guidelines as traditional, in-person medical appointments. They’re confidential and you never have to worry about them being recorded.

Q: Will my insurance provider cover the cost of a telemedicine visit?

A: In many cases, yes. The federal government has relaxed many regulations and so have many commercial insurance plans. We will verify for you when you set up your appointment.

Q: What are physicians still seeing patients in-person for vs. telemedicine?

A: Physicians are still seeing patients for those who have pre-existing conditions and treating urgent/ emergent situations that are life threating. In addition, we are still seeing patients in the clinic for circumstances that do not allow for telemedicine. If you do come to our clinic, we are screening all patients and our staff to ensure the safety and wellbeing of everyone.

Q: How do I schedule a telemedicine appointment? How should I prepare?

A: You can schedule telemedicine appointments the same way you would a traditional appointment — online or by phone. After your appointment is scheduled, you will receive a confirmation email with further instructions. If you are unsure that your appointment would meet telemedicine requirements, you can request it and our staff members will review and let you know well in advance of the appointment. On the day of your appointment, make sure that the room you’re in is well-lit, and it’s easy for your doctor to view, observe and speak to you. If you have any questions about telemedicine or what you need for your appointment, don’t hesitate to reach out to us.

At Arkansas Urology, we’re here for you. Our patients’ health has been and will always be our top priority!

Tim Langford, M.D.

Arkansas Urology

1300 Centerview Dr.

Little Rock, AR 72211

Toll Free - 800-255-1762

Local 501-219-8900




March 2020

Enlarged Prostate: What Does It Mean?

By: Arkansas Urology

Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a fairly common urological condition among men. In fact, enlarged prostate symptoms occur in more than half of all men between the ages of 51 and 60, and it’s even more common in men over 70. Risk factors include aging, conditions such as diabetes, and family history. 

The good news is prostate enlargement isn’t cancer and doesn’t appear to lead to cancer. However, as your prostate grows, it can squeeze down on your urethra. You may experience uncomfortable symptoms such as:

  • Frequent urination
  • Urinary incontinence
  • Weak or slow urine flow
  • Feeling that your bladder isn’t empty
  • Painful or difficult urination
  • Increased nighttime bathroom visits disrupting sleep

BPH can be diagnosed with the UroCuff Test, a noninvasive procedure used to evaluate urine flow, bladder function and voiding pressure. It’s simple and a comfortable option for most patients, and helps physicians empirically evaluate bladder functioning over time. Other tests that may be offered include a prostate-specific antigen test, digital rectal exam, urinalysis, ultrasound or blood creatinine test.

When it comes to an enlarged prostate, treatment options include medication, UroLift, laser treatment and surgery. Your urologist will be able to explain these options in detail and suggest the best method of treatment for your unique situation. The good news is surgical treatment is typically a last resort reserved for rare cases. Most of the time, less invasive treatments will be able to relieve your symptoms and restore your quality of life.


At Arkansas Urology, we’re here for you. Do you suffer from enlarged prostate and have questions? Contact us today to schedule an appointment with one of our professionals to discuss your options, or book an appointment online in minutes.