Kent DeLay, Urologist

08/19/2026

08/19/2026

Should a urologist talk about a pe**le implant on your very first appointment? 🩺
It might sound extreme, but according to American Urological Association (AUA) guidelines, patients should be educated on all treatment options—including surgical solutions—from day one.
While oral medications like Vi**ra or Cialis are usually where most men begin due to ease of use, the old “treatment ladder” is officially out. Some men can’t take pills due to nitrate interactions, while others simply dislike intermediate options like injections or vacuum devices.
The worst-case scenario is a man trying a pill, feeling like it failed, and walking away thinking he’s completely out of options. Good education at the first visit ensures you always know what’s possible.
💬 Have questions about ED treatment pathways? Drop them below!
(Disclaimer: This video is for educational purposes only and does not constitute formal medical advice.)
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08/17/2026

Advanced prostate cancer has been transformed since I started med school in 06

08/16/2026

20 years ago, options for advanced prostate cancer were extremely limited. Once a patient stopped responding to standard androgen deprivation, survival windows were narrow.
Fast forward to today, and the shift in how we manage metastatic disease is one of the most transformative success stories in modern urology.
By understanding how prostate cancer utilizes residual hormones, shifting treatments like Enzalutamide and Abiraterone earlier into the castration-sensitive setting, and introducing triplet therapies alongside targeted PARP inhibitors, we’ve significantly extended both survival and quality of life.
Here is a quick look back at how far clinical evidence has brought us—and why the future of personalized urologic oncology continues to advance.

08/15/2026

Huge changes in how we treat BPH! 🚨 The updated AUA guidelines reflect a major shift in clinical practice—moving away from mandatory lifelong medications and taking a much more personalized approach.
Here are the 4 big takeaways every clinician and patient should know:
1️⃣ No medication failure required before considering a procedure.
2️⃣ Not all urinary symptoms stem from obstruction—always screen for OAB.
3️⃣ Anatomy dictates the approach—cystoscopy & volume metrics matter.
4️⃣ Patient goals come first—balancing efficacy, durability, and sexual function.
Watch the full breakdown to see how these updates impact patient care! 🩺💡

08/12/2026

What actually happens when a kidney suffers blunt trauma? 🩸 In this breakdown, we cover:
• Common mechanisms of injury (car accidents, falls, direct force)
• Physical signs like flank hematomas and hematuria
• When imaging (CT with contrast) is necessary
• How renal injuries are graded based on depth and vascular involvement
• Why conservative (non-surgical) management is often the first choice
Drop any questions below! 👇

08/11/2026

Can a testicle actually fracture? 😳”
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It’s not a bone, but it CAN rupture. 💥
When severe blunt force hits the scrotum—from a baseball, bicycle handlebars, or a direct blow—it can tear the tunica albuginea (the tough outer shell holding the testicle together).
Key clinical takeaways for scrotal trauma:
Massive Swelling & Pain: Severe inflammation often hides normal anatomical structures on physical exam.
Ultrasound Limits: Imaging isn’t 100% foolproof. Look for tunica disruption or hematoceles, but high clinical suspicion always trumps an inconclusive scan.
The Golden Window: Surgical exploration within 48 to 72 hours yields an 80–90% salvage rate. Delaying increases the risk of chronic pain and testicular loss.
When mechanism and symptoms line up, trust the clinical picture and consult urology early. 🩺
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08/10/2026

What does modern psychiatric care look like in America? 🧠 In this video, a doctor shares his thoughts on how system shortages affect patient stabilization and long-term care. 👇

08/10/2026

What actually defines an enlarged prostate? 🤔 It’s not as straightforward as you think. Here are 3 common myths about prostate size, symptoms, and PSA levels debunked! 👨‍⚕️👇

08/09/2026

Med school started 20 years ago today, and looking back at that picture from 2010 brings up a lot of real reflection.
If you told that guy on graduation day what the next two decades in medicine would actually look like, I don’t think his brain could have fully processed it.
American healthcare has become infinitely more complex—for physicians, APPs, nurses, and especially for patients. The system looks nothing like what most of us envisioned when we first put on a white coat.
So, would I do it all over again?
Yes. Not because it played out the way I expected, but because of what it allows you to be: a steady presence. Whether it’s giving reassurance to someone who just needs clarity, being there for a patient who is suffering, or mentoring the next generation—that purpose is the real glue holding this profession together.
Call to Action (CTA)
For those in healthcare (or any demanding path): Looking back at when you first started, what’s the biggest difference between what you expected and the reality? Drop your thoughts below. 👇
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