Our team of obstetricians, midwives and maternal-fetal medicine specialists provide compassionate care before and after your baby arrives.

Obstetrics and maternity care should blend exceptional medical care with a comforting and memorable experience. And in Cleveland Clinic Florida’s maternity care hospitals, that’s what you receive. Our team of obstetricians, midwives and maternal-fetal medicine specialists provide compassionate care before and after your baby arrives.

Petar Bajic, MD

“Some of the most common health problems men face relate to sexual function and urination,” says Cleveland Clinic urologist and men’s health specialist Petar Bajic, MD, at Cleveland Clinic’s Center for Men’s Health. “These problems may be early warning signs of something more serious. For example, trouble getting or keeping an erection can be a sign of heart disease, and waking up at night to urinate can be a sign of obstructive sleep apnea.”

When to see a doctor

Men’s health conditions often share the same signs and symptoms. Although there may be a simple explanation and an easy fix, there’s a chance that you could need treatment before something gets worse.

See your doctor whenever you have:

Blood in your urine or semen.
Urination problems, including pain or burning, needing to go all the time, difficulty getting started or a weak flow.
New or worsening erectile dysfunction.
Painful ejaculation.
Changes or pain in your testicles or penis, including swelling, hardness, a lump or feeling of heaviness.
Ongoing pain or stiffness in your lower back, hips or legs.

Your body’s maintenance schedule

Every body needs routine maintenance to ensure it’s working right. For men, that includes:

Prostate-specific antigen (PSA) testing. The PSA or more comprehensive IsoPSA® (available exclusively at Cleveland Clinic Ohio locations) can detect prostate cancer even before you have symptoms. Men should have regular PSA tests beginning at age 50 – or at age 40 if you are African American or if prostate cancer runs in your family.
Self-exam of testicles. Men ages 15-35 should do self-exams once a month. Do it in the shower or in bed, when your scrotum skin is warm and relaxed. Roll each testicle between your thumb and fingers, feeling for any hard lumps that feel like rocks.
Vaccinations. Protect yourself from the flu, meningitis, pneumonia, shingles, sexually transmitted disease and more. Your doctor can advise you on the vaccinations you need.
Annual physical exam. Make sure to tell your doctor how you are feeling, what is bothering you and what symptoms you are having.

Make healthy lifestyle choices now to help prevent disease later:

Eat a diet rich in fish, poultry, fruits, vegetables, grains, olive oil and nuts. Eliminate or reduce processed foods.
Engage in exercise/physical activity at least 30 minutes every day.
Monitor and manage your blood pressure, cholesterol and blood sugar.
Get restful sleep. Establish a routine; go to bed and wake up at the same time every day.
Quit smoking.

Obstetrics
Obstetricians offer specialized care for women, including comprehensive prenatal care, and labor and delivery for high and low risk pregnancies.
When it's time to bring your baby into the world, we’re with you every step of the way. That includes providing comfortable rooms with state-of-the-art technology to monitor and treat any problems that might arise during labor.

Midwifery Care
A midwife is a trained healthcare professional who assists healthy women in healthy pregnancies with labor, delivery and postpartum life. Midwives are usually chosen by expectant mothers who do not want to have a lot of medical intervention during childbirth but would like the emotional and practical support midwives offer. Midwives work in practice with an obstetrician, with whom they can consult as needed.

Maternal-fetal Medicine
Our maternal-fetal medicine specialists or perinatologists primarily provide consultative services to obstetricians throughout the Treasure Coast to manage a wide variety of problems that can arise during pregnancy.

Understanding the importance of the bond between patients and their physicians, our perinatal team strives to keep in close contact with the referring physician by communicating regularly over the course of the pregnancy. In certain situations, depending on the severity of the underlying condition, a patient’s care may need to be transferred so that mother and / or baby can receive the appropriate level of care and have the necessary resources available at the time of delivery.

Our unique team-based approach gives women who seek care for pregnancy-related complications many advantages. Patients will have immediate access to experts in the care of high risk pregnancy.

Our team in maternal-fetal medicine consists of:

Maternal-Fetal Medicine Subspecialists (Perinatologists)
Genetic counselors and medical geneticists
Ob Gyn Hospitalists
Neonatologists (experts in the care of newborns)
Licensed sonographers
Perinatal nurses

Locations:
Partners in Women's Health
1050 37th Place
Suite 103-GYN
Vero Beach, Florida 32960

Martin Health at Tiffany
1651 SE Tiffany Ave.
Port St. Lucie, Florida 34952

Martin Health at Tradition HealthPark Two
10080 SW Innovation Way
Port St. Lucie, Florida 34987

Cleveland Clinic Family Health Center, Stuart
3801 S Kanner Highway
Stuart, Florida 34994

New technology

There have been many advancements in joint replacement procedures since they were first performed in the 1960s. Recent advances include:

Computer “navigation” during surgery allows surgeons to be more precise in placing implants. The more precisely placed an implant is, the better it fits and works.
Patient-specific instrumentation uses CT or MRI scans of the joint to get 3-D images, aiding the surgeon in knowing exactly where to make a cut.
Robotic-assisted surgery uses pre-operative imaging and intra-operative navigation with robotic assistance to help preserve joint tissue and enhance the accuracy of implant placement.

Improvements in the use of pain medication

“While it’s unrealistic to expect no pain after surgery, the use of spinal anesthetics, long-acting local anesthetics and regional pain blocks help pinpoint and control pain, keeping postoperative pain on the low end of the scale,” says Dr. Sziraky. “This approach, called multimodal anesthesia, helps hit the pain from different angles, and helps avoid the use of narcotics, which have more side effects.”

Most patients receive a spinal injection that numbs them from the waist down for a couple of hours, along with a long-lasting local anesthetic that helps control pain for up to two days afterward. There is no need for a pain pump for self-administered medications or IV pain killers.

Shorter hospital stays

Typically, joint replacement patients are out of bed and walking the afternoon after surgery, followed by another physical therapy session the next morning. Most go home the day after surgery, with follow-up care at home by a visiting nurse, virtual visits, and occupational and physical therapy.

“Leaving the hospital means you get to recuperate in the comfort of your own home. You’ll progress better in a familiar environment where you’re more likely to get a good night’s sleep,” says Dr. Sziraky.

Durability

Replacement joints today allow for improved motion, and they are lighter and stronger. Hip replacements last on average about 15 years, and approximately 85% of knee implants will last 20 years. Improvements in surgical techniques, prosthetic designs, bearing surfaces, and fixation methods may allow these implants to last even longer.

“With improved implant technology, younger patients have less risk of needing repeat surgeries due to parts wearing out,” Dr. Sziraky adds.