Welcome to Dr. Knowles's ED Blog

David Knowles, M.D. Health Pro
  • I chose the field of medicine originally because I was very good in basic science. I was planning to go into basic medical science research. However, once I started to work with patients in medical school, I enjoyed it so much that I changed my focus toward clinical practice.

    I always loved to work with my hands, and found out that I had a skill in surgery. That drew me toward a surgical specialty. I would have never guessed that I would go into urology, until I did my clinical clerkship during my third year in medical school. That was mostly because I didn't know what urologists really did. I discovered an incredible specialty that entailed a combination of multiple medical practice aspects with almost every medical sub-specialty problems encountered.
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    In urology, we deal with both the medical and surgical issues associated with the urinary and sexual systems. Problems in the urinary and sexual tracts include issues in infectious disease, congenital malformation (birth defects), cancer, psychology and lifestyle. I fell in love with the comprehensive and extensive diseases and treatments available. As well, there have been great strides recently in the research aspects of urology, so one must constantly stay on top of the new and developing aspects of the specialty. A career in urology was a perfect match for me. It’s a mixture of medicine and surgery where patients have multiple treatment options, and I work with patients to determine which treatment option is right for them.

    We see this in almost every aspect of urology, from prostate and bladder cancer to sexual dysfunction. Sexual dysfunction is special because it not only takes good interpersonal communication skills but also takes sensitivity and understanding due to the personal and seemingly embarrassing aspects often involved with the subject mater. Sexual function and dysfunction are integral parts of our daily life. It influences so much of our daily lives and our physical and mental well-being. People are often not aware of the happiness, joy, depression and pain our sex lives may cause in our lives. Fortunately, in our society, we are becoming more aware and sensitive to sexual issues and how they shape our lives. It is also one of the few times in medicine that when you treat and help your patient, it not only improves their lives but also directly affects the well-being of the people around them, i.e. their partners. It gives me great joy to see the lives of my patients and the lives of their family improve as their sexual problems are eliminated.

    Sexual dysfunction is also exciting to practice, because we have recently been making so many great advances in diagnosis, pathological understanding and treatment of the diseases that affect sexual function. You have to constantly stay informed about these advances to provide the best treatment for your patient. This makes it a more exciting and dynamic to see, evaluate and treat patents with sexual dysfunction. You may have seen a patient a year before and not had a treatment for their problem, and they left disappointed. Then you see them a year later, and you are able to effectively treat their problem. So it is very important that I stay up on the literature and research being done in the field. It keeps me constantly on my toes.

  • Any problems--please get in touch with me. I look forward to being part of your guide through this condition.
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Published On: May 26, 2006