Midwest Pain Clinics
Improve Your Quality of Life
By Jackie Byers
Urologists aren’t just for men—just ask Bruce Lundak, MD. This board-certified urologist will good-naturedly explain that women and children may also need help with issues like urinary incontinence, overactive bladder, or other urological disorders.
“We can provide immediate relief from kidney stones or for someone unable to urinate,” Dr. Lundak explains. “For men and women, we treat urinary symptoms like overactive bladder, frequency of urination, urgency, incontinence, and urinary tract infections.” He’s passionate about helping all of his patients reach better health. Part of that process includes listening carefully to his patients to find out what their health goals truly are.
Dr. Lundak has practiced medicine for 26 years, and his bedside manner is an appreciable part of his success. After graduating from the University of Kansas School of Medicine in 1993, he wanted more interaction with his patients. In 1999, his diverse experience pushed him toward the field of urology, which includes both medical and surgical treatments for men and women who have issues with their urinary systems. It also includes treatment of problems with the male reproductive system. Dr. Lundak is currently a member of the talented team at Adult Pediatric Urology & Urogynecology.
Many of Dr. Lundak’s patients need treatment for urinary tract infections, which often bring symptoms of pain or burning during urination, difficulty urinating, or even blood in the urine. Dr. Lundak diagnoses, treats, and helps patients manage urinary tract infections and urinary incontinence, but that’s not all. He dives deep into issues of male infertility and sexual dysfunction, and he can diagnose and treat bladder, kidney, or prostate cancers.
As a seasoned urologist, Dr. Lundak knows the secrets to keeping a man’s prostate healthy. Enlargement of the prostate gland, also called benign prostate hyperplasia or BPH, becomes more common as men grow older. Dr. Lundak asserts that treatment for BPH may be as simple as eating a healthy diet that is rich in fruits, vegetables, and healthy fats. Treatment might also include physical therapy, medication like alpha blockers, or minimally invasive surgery. Though BPH doesn’t raise the risk of prostate cancer, its symptoms can be similar. That’s why Dr. Lundak is diligent about motivating men to get screened for prostate cancer.
“Prostate cancer screening may be a simple blood test and a digital rectal exam,” says Dr. Lundak. He’s well aware of many patients’ discomfort with the rectal exam, and he acknowledges that a sense of humor about it can help both patient and doctor get through the tough stuff. The blood test measures the level of prostate-specific antigen (PSA), a protein that is produced by tissue in the gland.
Dr. Lundak is serious about prostate cancer screenings. “There has been some controversy on when men should be tested, but that’s now resolved,” he remarks. About five years ago, the United States Preventive Services Task Force (USPSTF) recommended against PSA screening for men aged 55 to 69 years. The task force warned that such screenings may not save lives.
Dr. Lundak notes with concern that screenings slowed down after that recommendation. The American Urological Association (AUA) responded to the task force by setting screening guidelines in 2018. The association stated that “the final recommendations released support screening in this age group (55–69) and are in direct alignment with the AUA’s clinical practice guidelines and with guidelines from most major physicians’ groups, including the American Cancer Society, the American College of Physicians, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network.”
“Not long after those guidelines came out, men started showing up again.” Dr. Lundak smiles in appreciation. “With screening, we diagnose at an earlier and more curable stage.”
Dr. Lundak stresses that the earlier a man is screened, the sooner he can be treated, if cancer is found. Prostate cancer has four stages, and it’s best to diagnose it in the first or second stage. “Past stage two,” he notes, “we have great hormone therapy and medications to slow down the cancer.” He advises patients to check their family history—a man with a family history of prostate cancer should start screening earlier, in his 40s. “Healthy men aged 55–70 years should always consider screening,” he says, even if they have no family history of the disease.
With a genial pragmatism and a warm smile that accompanies his great sense of humor, Dr. Lundak encourages questions from his patients. “I want my patients to know I’m listening,” he says, pronouncing each word clearly for effect. “I’m listening, and I care.”
To book an appointment with Dr. Lundak for adult or pediatric urological conditions, you can schedule online at adultpediatricuro.com or call 402-397-7989. Adult Pediatric Urology & Urogynecology has two clinics: in Omaha, at 10707 Pacific Street, and at 3434 West Broadway, in Council Bluffs.
Dr. Rafal Krejza