Tobacco Cessation Talk

​The patient and I spoke at length (3-10 minutes) regarding their tobacco use and the risk factors of many diseases as well as cancers.  This is also true of urologic cancers and other genitourinary disease/disorders.  It has been explained that virtually every part of the body, including the genitourinary system is adversely affected by smoking. Smoking is the most important known preventable cause of urinary bladder cancer and is also associated with the risk of prostate and kidney cancer. Smoking has been associated with renal cell carcinoma, the most common type of kidney cancer. Additionally, the amount of exposure to cigarette smoking is proportional to the risk of developing kidney cancer such that individuals who smoke for many years and are heavy smokers have a greater risk of developing kidney cancer. Furthermore the increased use of cigarettes the risk of developing more advanced disease is greater. This results in lower cure rates for patients with kidney cancer who are smokers. Smoking is a powerful predictor of erectile dysfunction, cessation may restore normal function Cigarette smoke also exerts adverse effects on sperm motility and count. Benefits to quitting tobacco use were briefly outlines, such as longer life expectancy, decreased risk of cancers and other disease, financial gains from not purchasing tobacco, decreased medical cost due to tobacco related issues, increased social acceptance, whiter teeth and fresher breath and so on. I have advised against tobacco usage today and the need to quit all forms of tobacco use to promote health and wellness and advised support by arranging for services and follow up as requested by my patient​. Discussed medication and nicotine tapering strategies. Patient acknowledged these things and communicated his understanding.