Dr. Romeo Lloyd T. Romero - Urology Clinic and Telemedicine Services

04/10/2025

🌙 Lagi ka bang nagigising sa gabi para umihi?

Baka hindi lang simpleng malamig ang gabi — maaaring ito ay nocturia, at isa sa pinakakaraniwang dahilan nito sa mga lalaki ay ang BPH o Benign Prostatic Hyperplasia (lumalaki ang prostate).

Karaniwang Sanhi:
• Pag-inom ng maraming fluids bago matulog
• Pagtaas ng urine production sa gabi (nocturnal polyuria)
• Mga kondisyon tulad ng diabetes, heart problems, o enlarged prostate
• Pagkabawas ng bladder capacity sa edad

Paano nagdudulot ng nocturia ang BPH?
Habang lumalaki ang prostate, naiipit nito ang urethra (daanan ng ihi).
Dahil dito:
1. Humihina ang daloy ng ihi
2. Hindi lubusang nauubos ang laman ng pantog
3. Mas madalas ang pag-ihi, lalo na sa gabi

⚠️ Iba pang sintomas ng BPH:
• Mahinang ihi o putol-putol ang daloy
• Pag-aatubiling umihi (hesitancy)
• Biglaang pagnanais umihi (urgency)
• Pakiramdam na hindi lubusang nailabas ang ihi

Ang nocturia ay hindi lang istorbo sa tulog — maaari itong magdulot ng pagod, irritability, at poor quality of life. Mas mahalaga, puwede rin itong senyales ng underlying prostate issue na kailangang mabigyan ng tamang gamutan bago lumala.

Maraming paraan para magamot ang BPH — mula sa lifestyle changes, gamot, hanggang minimally invasive procedures. Ang tamang treatment ay depende sa sintomas at prostate size ng pasyente.

📌 Kung madalas kang bumabangon ng 2 o higit pang beses kada gabi, huwag ipagwalang-bahala.
Magpakonsulta sa iyong urologist para sa tamang diagnosis at lunas.

21/09/2025

Kalalakihan, may napapansin ba kayong pagbabago sa pag-ihi o kalusugan sa ibaba?
Huwag balewalain—maaaring sintomas ito ng prostate condition.

Ang prostate ay isang maliit na glandula sa kalalakihan na may malaking epekto sa pag-ihi at reproductive health. Kapag ito ay lumaki o nagkaroon ng problema, nagkakaroon ng mga sintomas na hindi dapat isawalang-bahala.

Karaniwang Sintomas ng Prostate Issues:

🟡 Pagbabago sa pag-ihi:
-Madalas na pag-ihi lalo na sa gabi
-Mahina o putol-putol na ihi
-Pakiramdam na hindi lubusang naubos ang ihi
-Hirap magsimula o pagpigil ng ihi
-Pag-ihi na may kirot o hapdi
-Dugo sa ihi o semilya

⚠️ Paninigas at pananakit:
-Pananakit sa ibabang likod, balakang o singit
-Sakit tuwing mag-ejaculate

💡 Pagbabago sa s*xual function:
-Erectile dysfunction
-Bawas ang lakas o dami ng semilya
-Nawawalan ng gana sa pakikipagtalik

🩺 Mga posibleng sanhi:
-Benign Prostatic Hyperplasia (BPH) – paglaki ng prostate, karaniwan sa tumatanda
-Prostatitis – impeksyon o pamamaga ng prostate
-Prostate Cancer – minsan walang sintomas sa simula, kaya mahalaga ang maagang pag-screen

⏰ Kailan dapat magpatingin?
Kung may paulit-ulit o nakakabahalang sintomas, lalo na kung lampas edad 40 — kumonsulta agad sa isang urologist.
Maagang aksyon = mas magaan ang gamutan at mas magandang kalidad ng buhay.

📌 Health info lamang ito at hindi kapalit ng personal na konsultasyon. Para sa tamang gabay, kumunsulta sa urologist.

12/09/2025

Understanding Laser Lithotripsy via Ureteroscopy for Ureteral Stones

Ureteral stones—commonly known as “bato sa daanan ng ihi”—can cause severe flank pain, urinary obstruction, and hematuria. When conservative measures and shockwave lithotripsy are insufficient or inappropriate, ureteroscopy with laser lithotripsy is a well-established treatment option.

What is Laser Lithotripsy via Ureteroscopy?
1. Ureteroscopy (URS) is a minimally invasive procedure where a thin scope is passed through the urethra and bladder to directly visualize the ureter.
2. Using a laser, such as the Holmium:YAG or Thulium Fiber Laser, stones are fragmented into smaller pieces for natural passage or direct retrieval.
3. This technique requires no external incision and is typically performed under regional or general anesthesia.

When is it considered?
Laser lithotripsy is typically indicated for:

1. Ureteral stones not responding to conservative or medical expulsive therapy
2. Stones that are too large, impacted, or located in areas less amenable to shockwave lithotripsy
3. Situations where rapid decompression or definitive stone clearance is needed
4. Stones associated with infection, hydronephrosis, or recurrent obstruction

Benefits and Considerations

1. High stone clearance rate, especially for distal and mid-ureteral stones
2. Safe for most patients; low risk of significant complications
3. Allows direct visualization of stone and ureteral anatomy
4. Often performed as day surgery with short recovery time
5. Temporary ureteral stent may be placed depending on intraoperative findings

Laser lithotripsy via ureteroscopy is a precise, minimally invasive method for managing ureteral stones, especially when non-invasive treatments are not effective or appropriate. As with all procedures, the choice of treatment should be individualized based on stone characteristics, patient anatomy, and clinical context.

29/08/2025

For appointments and online consultations:
Please contact Ms. Xenia
at 09953808506
or schedule via NowServing App:

Hi guys! Thanks for dropping by on my SeriousMD Page. My name is Dr. Rome Romero. I am a Urologist from the Philippines. Please feel free to send a message about any of your Medical Concerns. I have FB messenger, Zoom, Viber, WhatsApp and Telegram. Services: General Medical Consults, Prostate and Ot...

31/07/2025

📢 Website Now Live: romerourology.com

I am pleased to share the official launch of my professional website:
🌐 https://romerourology.com

As a urologist, I provide comprehensive care for conditions involving the kidneys, prostate, bladder, and urinary tract. My practice includes both in-person consultations across Metro Manila and secure online teleconsultations.

Through this website, you can:
✔️ Learn more about the services I offer
✔️ View clinic schedules and locations
✔️ Book consultations directly via NowServing

Your time and health are important. This platform is designed to make access to expert urologic care more efficient, clear, and convenient.

Thank you for your trust.

— Dr. Romeo Lloyd Romero

https://romerourology.com

Dr. Romeo Lloyd Romero Comprehensive Urologic Care for All Board-Certified Urologist Providing clear, compassionate care for patients with urinary, kidney, and prostate concerns—online and in-clinic. Book Here Services Offered Prostate HealthEvaluation and management of Benign Prostatic Hyperplasi...

16/07/2025

Learn how Shockwave Lithotripsy (SWL) breaks kidney stones without surgery. Discover how the procedure works, its benefits, recovery process, and if it's right for you.

09/07/2025

🔵 When Should You Get Checked for Prostate Cancer?
Maraming lalaki ang nahihiya magpa-check—pero tandaan:
👉 Prostate cancer is common, but very treatable if caught early.

Ayon sa international guidelines (AUA, EAU, NCCN):

✅ Kung 45 years old ka pataas – dapat ka na magpa-screen
✅ Kung 40–45 years old ka at may risk factors, mas maaga dapat:
• May kamag-anak na may prostate cancer (tatay, kapatid)
• Ikaw ay Filipino (kasama sa higher risk group)
• May genetic risk (BRCA gene – minsan nalalaman lang sa family history)

🧪 Dalawang simple lang na tests:

PSA Blood Test – dugo lang
Re**al Exam – mabilis, at hindi masakit
🕒 Gaano kadalas?
• Every 2 years kung okay ang resulta
• Every year kung medyo mataas ang PSA

⚠️ Walang nararamdaman ≠ Walang cancer.
Tahimik minsan ang prostate cancer. Hindi mo mararamdaman hanggang lumala na.

🩺 Payo ng mga eksperto sa buong mundo:
Mas mabuti ang maagap kaysa sa huli.
Magpa-check. Para sa sarili mo, at para sa mga mahal mo.

07/07/2025

Trusted Insights on Kidney & Prostate Health

https://kidneyandprostate.ph

Get expert-backed insights on kidney and prostate health. Learn about kidney stones, prostate cancer, and urology treatments. Stay informed & take control of your health.

06/07/2025

🚨 3 RED FLAGS: When You Should See a Urologist ASAP 🚨

Some things can wait. These can’t.

If you or someone you care about is experiencing any of the following, it’s time to book a check-up with a urologist:

🚩 1. Blood in your urine (even just once)
This isn’t something to brush off. Even painless bleeding can be a warning sign.
It might be:
A urinary tract infection (UTI)
Kidney stones
Or something more serious like bladder or kidney cancer

🚩2. Trouble urinating or a weak urine stream
Can’t start right away? P*e keeps stopping and starting? Stream feels too slow?
Common causes include:
Prostate enlargement (BPH)
A narrowing of the urethra
Or early signs of prostate cancer

🚩3. Sharp pain in your side, back, or groin
That sudden, intense pain that comes in waves could be a kidney stone.
Other causes might be:
Blocked urine flow
Infection in the urinary tract

Bottom line:
These symptoms are NOT “normal” and NOT just part of getting older.
They're signals your body is sending—don’t ignore them.

29/06/2025

"Wala ka na bang gana? Hindi ka nag-iisa."

Madami ang dumadaan dito—lalaki man o babae. Minsan stress lang, pero minsan may mas malalim: hormones, health issues, lifestyle, o problema sa relasyon.

As a doctor, I see this a lot. And honestly, libido is a good sign of how your body and mind are doing.

✔️ Lagi bang puyat?
✔️ Pagod na pagod?
✔️ May iniinom na gamot?
✔️ May tampuhan o lamig sa partner?

Lahat ’yan pwedeng makaapekto.

Kung matagal mo nang napapansin ‘to, wag mo na i-deadma. May mga paraan para matulungan—whether physical, emotional, or medical.

Sharing this episode from Pinoy MD where I guested a few years ago. Baka makatulong sa’yo or someone you know.

Aired (February 12, 2022): Ano-ano nga ba ang mga posibleng dahilan kung bakit bumababa ang s*x drive ng isang tao? Alamin ang kasagutan sa video na ito. Ho...

01/05/2025

SNIPPED THE STIGMA

The Commission on Population and Development praised television personality Drew Arellano, who recently had a vasectomy, revealing that only 0.1% of Filipino men have had it. Full story in the comments

26/04/2025

Prostate Cancer: Early Detection Could Save Your Life

Prostate cancer is one of the most common cancers in men, but when caught early, it is also one of the most treatable. Many cases develop silently, without noticeable symptoms in the early stages, making routine screenings essential for early detection and successful treatment. Here’s why recognizing the warning signs and getting regular check-ups can make all the difference.

Why Early Detection Matters

According to the American Cancer Society (2022), men diagnosed with localized prostate cancer have a 99% five-year survival rate. However, once the cancer spreads beyond the prostate, survival rates drop significantly. Regular screenings can detect prostate cancer in its earliest, most treatable stages.

Who Is at Risk?

Certain factors increase the risk of developing prostate cancer:

Age: Risk increases significantly after age 50.
Family History: Men with a father or brother who had prostate cancer are twice as likely to develop it.
Ethnicity: African American men have the highest risk and are more likely to develop aggressive forms of the disease.
Lifestyle Factors: Diets high in red meat and low in vegetables, obesity, and smoking have been linked to an increased risk.
Signs and Symptoms to Watch For

While early prostate cancer may not cause noticeable symptoms, more advanced cases can present with:

Frequent urination, especially at night
Weak or interrupted urine flow
Blood in the urine or semen
Pain or discomfort in the pelvic area
Erectile dysfunction
Screening and Diagnosis

The two most common tests used for prostate cancer detection are:

Prostate-Specific Antigen (PSA) Test – Measures PSA levels in the blood; higher levels may indicate cancer or other prostate conditions.
Digital Re**al Exam (DRE) – A doctor manually checks the prostate for lumps or abnormalities.
The U.S. Preventive Services Task Force (2021) recommends that men discuss PSA testing with their doctors starting at age 50, or earlier if they have risk factors.

Steps to Lower Your Risk

Although some risk factors cannot be changed, certain lifestyle adjustments can help reduce the likelihood of developing prostate cancer:

Maintain a Healthy Diet – Eat plenty of fruits, vegetables, and whole grains while reducing red meat and processed food intake (Journal of Clinical Nutrition, 2021).
Exercise Regularly – Staying physically active lowers inflammation and improves overall health.
Get Routine Check-Ups – Regular screening is crucial for early detection and better outcomes.
Know Your Family History – If prostate cancer runs in your family, discuss earlier screening options with your doctor.
Final Thoughts

Early detection of prostate cancer saves lives. Regular screenings, knowing your risk factors, and leading a healthy lifestyle can significantly reduce the impact of this disease. Don’t wait for symptoms—schedule a check-up and take control of your prostate health today.

https://seriousmd.com/doc/urologistinthephilippines