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

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.

*xDrive

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

20/04/2025

Kidney Health 101: Simple Habits to Keep Your Kidneys Strong

Your kidneys work tirelessly to filter waste, balance fluids, and regulate essential minerals in your body. Keeping them healthy is crucial to overall well-being and preventing kidney disease. Fortunately, small lifestyle changes can make a big difference in maintaining strong kidneys. Here are some science-backed habits to help protect your kidney health.

1. Stay Hydrated, But Don’t Overdo It

Drinking enough water helps your kidneys flush out toxins efficiently. Research by Ronco et al. (2017) suggests that staying hydrated reduces the risk of kidney stones and urinary tract infections. However, excessive water intake can strain kidney function, especially in those with kidney disease. Aim for 8–10 glasses per day, adjusting based on your activity level and climate.

2. Follow a Kidney-Friendly Diet

A well-balanced diet plays a crucial role in kidney health. According to the National Kidney Foundation (2020), reducing sodium, processed foods, and excessive animal protein can help lower the risk of chronic kidney disease (CKD). Focus on:

Fruits and vegetables high in antioxidants (e.g., apples, bell peppers, cabbage)
Whole grains instead of refined carbohydrates
Healthy fats from nuts, seeds, and olive oil
Moderate protein intake, prioritizing plant-based sources like beans and lentils
3. Manage Blood Pressure and Blood Sugar Levels

High blood pressure and diabetes are the leading causes of kidney disease. A study by Jafar et al. (2003) found that controlling hypertension significantly slows kidney function decline. Monitor your blood pressure regularly, and if you have diabetes, keep your blood sugar levels stable with a balanced diet and regular exercise.

4. Exercise Regularly

Physical activity improves circulation and reduces risk factors for kidney disease, such as obesity and high blood pressure. The World Health Organization (WHO) recommends at least 150 minutes of moderate exercise per week to support cardiovascular and kidney health. Activities like walking, swimming, and cycling can help maintain optimal kidney function.

5. Avoid Excessive Use of Painkillers and Over-the-Counter Medications

Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen can cause kidney damage. Research from the Mayo Clinic (2019) indicates that prolonged NSAID use may reduce blood flow to the kidneys, increasing the risk of acute kidney injury. If pain relief is needed, consult your doctor for safer alternatives.

6. Quit Smoking and Limit Alcohol Intake

Smoking and excessive alcohol consumption impair kidney function over time. A study published in the American Journal of Kidney Diseases (2015) showed that smoking increases the risk of proteinuria (excess protein in urine), an early sign of kidney damage. Reducing or eliminating these habits supports long-term kidney health.

7. Get Regular Kidney Screenings

Early detection of kidney disease is key to preventing progression. The Centers for Disease Control and Prevention (CDC) recommends that individuals with diabetes, hypertension, or a family history of kidney disease undergo annual kidney function tests. Blood tests measuring creatinine and estimated glomerular filtration rate (eGFR) can provide insights into kidney function.

Final Thoughts

Your kidneys play a vital role in overall health, and simple daily habits can go a long way in protecting them. Stay hydrated, eat a balanced diet, exercise, and monitor key health markers to ensure your kidneys function optimally. If you have existing kidney concerns, consult a healthcare professional for personalized guidance.

https://seriousmd.com/doc/urologistinthephilippines

19/04/2025

TURP: An Effective Treatment for Enlarged Prostate

For men struggling with urinary issues due to an enlarged prostate (Benign Prostatic Hyperplasia or BPH), Transurethral Resection of the Prostate (TURP) is a widely used treatment. This minimally invasive procedure effectively removes excess prostate tissue, relieving symptoms and restoring normal urine flow.

What Is TURP?

TURP is a surgical procedure in which a resectoscope, a thin instrument with a camera and an electrical loop, is inserted through the urethra. The loop trims away excess prostate tissue, improving urine flow without the need for external incisions.

Who Needs TURP?

TURP is recommended for men experiencing:

Frequent urination, especially at night.
Difficulty starting or maintaining urine flow.
Weak stream or incomplete bladder emptying.
Urinary retention leading to infections or bladder stones.
BPH symptoms unresponsive to medication.
How the Procedure Works

The patient is given spinal or general anesthesia for comfort.
A resectoscope is inserted through the urethra to access the prostate.
Using an electrical loop, excess prostate tissue is carefully removed.
A catheter is placed to assist with urine drainage during recovery.
Recovery and What to Expect After TURP

Improved Urine Flow – Most patients notice relief within days.
Temporary Side Effects – Mild discomfort, light bleeding, or temporary urgency may occur.
Short Hospital Stay – Typically, a 1-2 day hospital stay is needed, with full recovery in a few weeks.
Follow-Up Care – Drinking plenty of fluids and avoiding heavy lifting help in smooth recovery.
Benefits of TURP

✔ Highly Effective – Proven to significantly relieve BPH symptoms.
✔ Minimally Invasive – No external incisions, leading to a faster recovery.
✔ Long-Lasting Results – Many men experience relief for years after the procedure.
✔ Quick Recovery – Most patients return to normal activities within a few weeks.

Is TURP Right for You?

If BPH symptoms are disrupting your daily life and medications haven’t provided relief, TURP may be the best option. Consulting a urologist can help determine if this procedure is suitable for your condition.

With modern advancements and a high success rate, TURP remains a leading option for treating an enlarged prostate. If BPH is affecting your quality of life, it’s time to take action and explore your treatment options.

https://seriousmd.com/doc/urologistinthephilippines

13/04/2025

How to Keep Your Prostate Healthy: Doctor-Approved Tips for Every Age

Your prostate plays a crucial role in urinary and reproductive health, yet many men overlook its care until problems arise. Prostate issues such as benign prostatic hyperplasia (BPH), prostatitis, and prostate cancer become more common with age, but proactive steps can help maintain prostate health. Here are doctor-approved strategies to keep your prostate in top shape at every stage of life.

In Your 20s & 30s: Build a Strong Foundation

Eat a Prostate-Friendly Diet: Focus on whole foods rich in antioxidants. Tomatoes (lycopene), green tea, and cruciferous vegetables (like broccoli and cauliflower) may help reduce prostate inflammation.
Stay Active: Regular exercise, particularly aerobic and resistance training, lowers the risk of obesity, which is linked to prostate issues (Harvard Medical School, 2021).
Practice Safe S*x: Prostatitis, an infection or inflammation of the prostate, can sometimes be linked to s*xually transmitted infections (STIs). Safe s*x practices help reduce risks.
Limit Alcohol & Smoking: Studies suggest that excessive alcohol consumption and smoking may increase prostate inflammation and long-term cancer risk (American Cancer Society, 2022).

In Your 40s & 50s: Prevent & Monitor Changes

Get Regular Screenings: The American Urological Association recommends discussing prostate-specific antigen (PSA) testing with your doctor around age 50—or earlier if you have a family history of prostate cancer.
Manage Stress Levels: Chronic stress increases inflammation and hormonal imbalances, which may impact prostate function (Journal of Urology, 2020).
Optimize Your Diet: Reduce red and processed meats while increasing healthy fats like omega-3s from fish. Studies show a Mediterranean-style diet may help lower prostate cancer risk (British Journal of Nutrition, 2021).
Stay Hydrated: Drinking adequate water helps flush toxins and supports urinary tract health.

In Your 60s & Beyond: Prioritize Prevention & Early Detection

Continue Regular Check-Ups: Annual prostate exams and PSA tests can detect abnormalities early.
Control Chronic Conditions: High blood pressure, diabetes, and obesity are risk factors for prostate disease. Maintaining overall health helps protect prostate function.
Stay Physically Active: Low-impact exercises like walking, swimming, and yoga can support circulation and prostate health.
Watch for Symptoms: Frequent urination, weak urine flow, or pelvic discomfort may indicate prostate enlargement or other concerns. Early intervention improves outcomes (National Cancer Institute, 2022).

Key Takeaways for Prostate Health at Any Age

Maintain a nutrient-rich diet with prostate-supporting foods.
Stay physically active and manage stress effectively.
Get regular prostate screenings as recommended by your doctor.
Be aware of family history and discuss personalized risk factors with a healthcare provider.
Final Thoughts

Taking proactive steps to support prostate health can significantly reduce the risk of common prostate issues. By maintaining a healthy lifestyle, scheduling regular screenings, and staying informed, men can enjoy better prostate health at every stage of life.

References

Harvard Medical School. (2021). Exercise and prostate health: Benefits beyond the gym. Harvard Health Publishing.
American Cancer Society. (2022). Prostate cancer prevention and risk factors. ACS Health Reports, 14(3), 112-118.
Journal of Urology. (2020). The impact of stress on prostate inflammation. J Urol, 193(2), 287-295.
British Journal of Nutrition. (2021). The Mediterranean diet and prostate health: A meta-analysis. BJN, 126(4), 567-578.
National Cancer Institute. (2022). Prostate health and aging: Guidelines for early detection. NCI Reports, 17(5), 221-230.

https://seriousmd.com/doc/urologistinthephilippines

12/04/2025

Top 5 Foods That Are Secretly Harming Your Kidneys

Kidney disease is a global health issue, and diet plays a significant role in kidney function and overall health. Research from international studies has shown that certain dietary choices increase the risk of kidney damage. Many of these findings are relevant to the Filipino diet, where commonly consumed foods may contribute to kidney stress over time. Here are five foods that could be secretly harming your kidneys, backed by international research.

1. Processed and Canned Foods (Corned Beef, Sardines, Meat Loaf)

A study by He & MacGregor (2010) found that high sodium intake is linked to increased blood pressure and kidney damage. Processed and canned foods, staples in many Filipino households, are often packed with excessive sodium and preservatives. Regular consumption forces the kidneys to work harder, increasing the risk of hypertension and chronic kidney disease (CKD).

2. Instant Noodles and Seasoning Cubes

A systematic review by Strippoli et al. (2006) established that excessive sodium intake accelerates CKD progression. Instant noodles and popular Filipino flavor enhancers like Magic Sarap and Knorr cubes are rich in sodium and artificial additives, contributing to kidney strain and long-term health risks.

3. Dried and Salted Fish (Tuyo, Daing, Danggit)

According to a study by Appel et al. (1997), dietary patterns high in sodium are a major risk factor for kidney dysfunction. Dried fish, a Filipino staple, is extremely high in salt content. Frequent consumption can lead to fluid retention, high blood pressure, and increased kidney burden, exacerbating kidney-related issues.

4. Sugar-Sweetened Beverages (Sago’t Gulaman, Milk Tea, Iced Tea, Soft Drinks)

Research by Hu (2013) concluded that high sugar intake, particularly from sugary beverages, is strongly linked to obesity, diabetes, and kidney disease. Many Filipino beverages, including sago’t gulaman, milk tea, and iced tea, are loaded with refined sugars, which contribute to insulin resistance and kidney strain.

5. Purine-Rich Organ Meats (Isaw, Liver, Dinuguan)

A study by Choi & Curhan (2005) found that high-purine diets increase uric acid levels, which can lead to kidney stones and gout, both of which impair kidney function. Popular Filipino street foods like isaw (grilled intestines), atay (liver), and dinuguan (blood stew) are high in purines, making them potential contributors to kidney problems.

How to Protect Your Kidneys

Limit processed and high-sodium foods – Choose fresh, whole foods whenever possible.
Stay hydrated – Water is the best choice over sugary or artificially flavored drinks.
Opt for lean proteins – Instead of organ meats, choose fish, chicken, or plant-based proteins.
Be mindful of sugar intake – Reduce consumption of sweetened beverages to lower kidney stress.
References

He, F. J., & MacGregor, G. A. (2010). Reducing population salt intake worldwide: From evidence to implementation. Progress in Cardiovascular Diseases, 52(5), 363-382.
Strippoli, G. F. M., et al. (2006). Sodium intake and chronic kidney disease progression. Kidney International, 70(5), 829-835.
Appel, L. J., et al. (1997). A clinical trial of the effects of dietary patterns on blood pressure. New England Journal of Medicine, 336(16), 1117-1124.
Hu, F. B. (2013). Resolved: There is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obesity Reviews, 14(8), 606-619.
Choi, H. K., & Curhan, G. (2005). Gout epidemiology and dietary risk factors. Current Opinion in Rheumatology, 17(3), 312-316.

https://seriousmd.com/doc/urologistinthephilippines