Dr. Tobias Kohler Archives - Mayo Clinic News Network https://newsnetwork.mayoclinic.org/ News Resources Fri, 18 Aug 2023 10:01:18 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.1 6-14-2022 Media Only News Briefing: Men’s health https://newsnetwork.mayoclinic.org/discussion/6-14-2022-media-only-news-briefing-mens-health/ Tue, 14 Jun 2022 17:31:29 +0000 https://newsnetwork.mayoclinic.org/?p=342073 Men are twice as likely to wait more than two years between doctor visits.  Almost 20% of men admit to going to the doctor just so a loved one will stop bothering them about it.  Waiting can also cause medical issues that could have been avoided if caught early, avoiding any last second emergency situations.  With this being Men's […]

The post 6-14-2022 Media Only News Briefing: Men’s health appeared first on Mayo Clinic News Network.

]]>
a group of men friends laughing and smiling, enjoying a nice time outside

Men are twice as likely to wait more than two years between doctor visits.  Almost 20% of men admit to going to the doctor just so a loved one will stop bothering them about it.  Waiting can also cause medical issues that could have been avoided if caught early, avoiding any last second emergency situations.  With this being Men's Health Awareness Week, and Father’s Day around the corner, Mayo Clinic urologists Tobias Kohler, M.D., and Jeffrey Karnes, M.D., discussed some of men’s most common health conditions like low testosterone, prostate and colon, anxiety or other medical issues. 

Journalists who have already registered on the News Network can log into their accounts to download a recording of the Zoom briefing found at the end of this post. The briefing starts at about 8:30 of the recording.

Journalists who would like to access the media briefing video can register with the News Network here.

_______________________________

For the safety of its patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was recorded prior to COVID-19 or recorded in an area not designated for patient care, where social distancing and other safety protocols were followed.

The post 6-14-2022 Media Only News Briefing: Men’s health appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/06/shutterstock_583329760_Fotor-1x1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/06/shutterstock_583329649_Fotor-16x9.jpg
Mayo Clinic Minute: Using steam to treat an enlarged prostate https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-steam-treatment-used-for-enlarged-prostate/ Fri, 03 Jun 2022 14:00:00 +0000 https://newsnetwork.mayoclinic.org/?p=238621 Prostate gland enlargement can cause uncomfortable urinary symptoms for men. And, as they age, their risk increases. Approximately 30% of men experience symptoms by age 60 and 50% of men by the time they are 80. There are several effective treatments for an enlarged prostate, including using steam to reduce the size of the prostate […]

The post Mayo Clinic Minute: Using steam to treat an enlarged prostate appeared first on Mayo Clinic News Network.

]]>
Prostate gland enlargement can cause uncomfortable urinary symptoms for men. And, as they age, their risk increases. Approximately 30% of men experience symptoms by age 60 and 50% of men by the time they are 80.

There are several effective treatments for an enlarged prostate, including using steam to reduce the size of the prostate and alleviate symptoms.

Watch: The Mayo Clinic Minute

Journalists: Broadcast-quality video (1:00) is in the downloads at the end of this post. Please courtesy: "Mayo Clinic News Network." Read the script.

It's a common problem for older men — benign prostatic hyperplasia, or BPH.

"BPH is a fancy way of saying the prostate is getting larger, and we don't want it to," says Dr. Tobias Kohler, a Mayo Clinic urologist.

Dr. Kohler says the enlarged prostate forces the urethra to narrow, causing a variety of urination problems. And, as men age, the symptoms occur more frequently. Treatment for BPH has long been medications and procedures, such as lasers or an electric loop, which burn the prostate from the inside out. But now a relatively new convective water therapy treatment uses steam to make the prostate smaller.

"For nine seconds, a steam ball is produced, and that kills all that prostate tissue that we don't want or that has grown out of control," says Dr. Kohler.

He says the procedure, performed right in the doctor's office, has a low risk for complications or sexual side effects.

"It does not carry heat outside the prostate, and it does not carry heat to areas we don't want it," says Dr. Kohler.

He says this next generation of BPH treatment may soon replace the need for costly medications.

Learn more about BPH services.


For the safety of its patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a nonpatient care area where social distancing and other safety protocols were followed.

The post Mayo Clinic Minute: Using steam to treat an enlarged prostate appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2018/11/a-medical-illustration-of-benign-prostatic-hyperplasia-BPH-1X1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2018/11/a-medical-illustration-of-a-normal-prostate-and-one-with-benign-prostatic-hyperplasia-BPH-original.jpg
Why online treatments for erectile dysfunction could be harmful: Mayo Clinic Radio Health Minute https://newsnetwork.mayoclinic.org/discussion/why-online-treatments-for-erectile-dysfunction-could-be-harmful-mayo-clinic-radio-health-minute-2/ Thu, 26 Nov 2020 21:02:00 +0000 https://newsnetwork.mayoclinic.org/?p=285251 Erectile dysfunction affects millions of men, but embarrassment and an unwillingness to talk to their health care providers about it has led many men to seek treatment from questionable sources. In this Mayo Clinic Radio Health Minute, Dr. Tobias Kohler, a Mayo Clinic urologist and sexual health expert, says online sources for treatment and so-called "natural […]

The post Why online treatments for erectile dysfunction could be harmful: Mayo Clinic Radio Health Minute appeared first on Mayo Clinic News Network.

]]>
Erectile dysfunction affects millions of men, but embarrassment and an unwillingness to talk to their health care providers about it has led many men to seek treatment from questionable sources. In this Mayo Clinic Radio Health Minute, Dr. Tobias Kohler, a Mayo Clinic urologist and sexual health expert, says online sources for treatment and so-called "natural supplements" could cause more harm to the health of these men.

To listen, click the link below.

Why online treatments for erectile dysfunction could be harmful

The post Why online treatments for erectile dysfunction could be harmful: Mayo Clinic Radio Health Minute appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/10/Radio-illustration-1400-pixel.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/10/Radio-microphone-V4-1920x1080.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2020/10/2020nov26.mp3
Mayo Clinic Minute: Why vasectomy is a great option for birth control https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-why-a-vasectomy-is-a-great-option-for-birth-control/ Tue, 19 Mar 2019 06:00:23 +0000 https://newsnetwork.mayoclinic.org/?p=231283 As the NCAA March Madness basketball tournament begins, having a vasectomy might be insanely perfect timing for many American men who want to prevent future pregnancies. A 2017 study found that 30 percent more vasectomies were performed during the first week of the NCAA Men's Basketball Tournament compared with an average week during the year. […]

The post Mayo Clinic Minute: Why vasectomy is a great option for birth control appeared first on Mayo Clinic News Network.

]]>
As the NCAA March Madness basketball tournament begins, having a vasectomy might be insanely perfect timing for many American men who want to prevent future pregnancies. A 2017 study found that 30 percent more vasectomies were performed during the first week of the NCAA Men's Basketball Tournament compared with an average week during the year. Why so? Recovery time is only a few days and requires most men to rest at home on the couch.

Watch: The Mayo Clinic Minute

Journalists: Broadcast-quality video (1:00) is in the downloads at the end of this post. Please 'Courtesy: Mayo Clinic News Network.' Read the script.

"It's the most reliable form of birth control, other than abstinence, that we have," says Dr. Tobias Kohler, a Mayo Clinic urologist and men's health expert.

He says roughly 15 to 20 percent of American men have vasectomies.

"Vasectomy is a procedure we do in the clinic where we take the vas deferens, which is the tube that connects the testicle to plumbing downstream, and we cut it in the clinic so that sperm can't travel downstream and cause a pregnancy," says Dr. Kohler.

The procedure takes about 10 minutes, and the recovery time is quick.

"If you have the procedure done on a Friday, you'd be back to work Monday for certain," says Dr. Kohler.

You might have some slight swelling or pain initially, so Dr. Kohler advises to take it easy.

"Use ice to the area. Avoid any kind of [vigorous] activity. And watch some TV."

And what about fears that vasectomies might cause problems with a man's sexual performance or testosterone levels?

"They do not," says Dr. Kohler.

Even though 6 percent of men eventually will have their vasectomy reversed, the procedure should be considered permanent.

"This is not one of those things where you want to do spur of the moment," says Dr. Kohler. "You want to make sure that this is absolutely what you want to do."

Learn more about vasectomy services.

The post Mayo Clinic Minute: Why vasectomy is a great option for birth control appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/03/loving-female-and-male-couple-1-x-1-square.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/03/loving-female-and-male-couple-16-x-9.jpg
#MayoClinicRadio podcast: 2/16/19 https://newsnetwork.mayoclinic.org/discussion/mayoclinicradio-podcast-2-16-19/ Mon, 18 Feb 2019 17:00:56 +0000 https://newsnetwork.mayoclinic.org/?p=229370 Listen: Mayo Clinic Radio 2/16/19 On the Mayo Clinic Radio podcast, Katherine Zeratsky, a Mayo Clinic registered dietician nutritionist, discusses the keto diet and compares it with other popular diet plans, including the Mediterranean diet; Dietary Approaches to Stop Hypertension, also known as the "DASH diet"; and the Mayo Clinic diet. Also on the podcast, Dr. Tobias Kohler, a […]

The post #MayoClinicRadio podcast: 2/16/19 appeared first on Mayo Clinic News Network.

]]>
Kate Zeratsky being interviewed on Mayo Clinic RadioListen: Mayo Clinic Radio 2/16/19

On the Mayo Clinic Radio podcast, Katherine Zeratsky, a Mayo Clinic registered dietician nutritionist, discusses the keto diet and compares it with other popular diet plans, including the Mediterranean dietDietary Approaches to Stop Hypertension, also known as the "DASH diet"; and the Mayo Clinic diet. Also on the podcast, Dr. Tobias Kohler, a Mayo Clinic urologist, explains why vasectomy rates rise in March. And Dr. Jan Buckner, chair of Oncology at Mayo Clinic's Rochester, Minnesota, campus, discusses why deaths from cancer in the U.S. continue a 25-year decline.

The post #MayoClinicRadio podcast: 2/16/19 appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/02/Kate-Zeratsky-being-interviewed-on-Mayo-Clinic-Radio-1-x-1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/02/Kate-Zeratsky-being-interviewed-on-Mayo-Clinic-Radio-16-x-9.jpg
Keto and other diets / vasectomy / U.S. cancer deaths declining: Mayo Clinic Radio https://newsnetwork.mayoclinic.org/discussion/keto-and-other-diets-vasectomy-u-s-cancer-deaths-declining-mayo-clinic-radio/ Mon, 18 Feb 2019 02:16:30 +0000 https://newsnetwork.mayoclinic.org/?p=229261 In 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state […]

The post Keto and other diets / vasectomy / U.S. cancer deaths declining: Mayo Clinic Radio appeared first on Mayo Clinic News Network.

]]>
In 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state called "ketosis." While the ketogenic diet may be recommended for some people with uncontrolled epilepsy to help control seizures, for most people the high fat content combined with limits on nutrient-rich fruits, vegetables and grains is a concern for long-term heart health.

On the next Mayo Clinic Radio program, Katherine Zeratsky, a Mayo Clinic registered dietician nutritionist, will discuss the keto diet and compare it with other popular diet plans, including the Mediterranean dietDietary Approaches to Stop Hypertension, also known as the "DASH diet"; and the Mayo Clinic diet. Also on the program, Dr. Tobias Kohler, a Mayo Clinic urologist, will explain why vasectomy rates rise in March. And Dr. Jan Buckner, chair of Oncology at Mayo Clinic's Rochester, Minnesota, campus, will discuss why deaths from cancer in the U.S. continue a 25-year decline.

Here's your Mayo Clinic Radio podcast.

The post Keto and other diets / vasectomy / U.S. cancer deaths declining: Mayo Clinic Radio appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/Mayo-Clinic-Radio-logo-identifier-with-three-shields-1x1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/Mayo-Clinic-Radio-logo-identifier-with-three-shields-16x9.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/02/MayoClinicRadio02-16-19podcast.mp3
Mayo Clinic Radio: Popular diet trends https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-radio-popular-diet-trends/ Thu, 14 Feb 2019 15:00:43 +0000 https://newsnetwork.mayoclinic.org/?p=229058 In 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state […]

The post Mayo Clinic Radio: Popular diet trends appeared first on Mayo Clinic News Network.

]]>
wooden tray of protein foods, fish, nutsIn 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state called "ketosis." While the ketogenic diet may be recommended for some people with uncontrolled epilepsy to help control seizures, for most people the high fat content combined with limits on nutrient-rich fruits, vegetables and grains is a concern for long-term heart health.

On the next Mayo Clinic Radio program, Katherine Zeratsky, a Mayo Clinic registered dietician nutritionist, will discuss the keto diet and compare it with other popular diet plans, including the Mediterranean dietDietary Approaches to Stop Hypertension, also known as the "DASH diet"; and the Mayo Clinic diet. Also on the program, Dr. Tobias Kohler, a Mayo Clinic urologist, will explain why vasectomy rates rise in March. And Dr. Jan Buckner, chair of Oncology at Mayo Clinic's Rochester, Minnesota, campus, will discuss why deaths from cancer in the U.S. continue a 25-year decline.

To hear the program, find an affiliate in your area.

Miss the show? Here's your Mayo Clinic Radio podcast.

Use the hashtag #MayoClinicRadio, and tweet your questions.

Mayo Clinic Radio is on iHeartRadio.

Access archived shows or subscribe to the podcast.

Mayo Clinic Radio produces a weekly one-hour radio program highlighting health and medical information from Mayo Clinic.

The post Mayo Clinic Radio: Popular diet trends appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2017/02/wooden-tray-of-protein-foods-fish-nuts-1x1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2017/02/wooden-tray-of-protein-foods-fish-nuts-16x9.jpg
Mayo Clinic Radio: Keto and other diets / vasectomy / U.S. cancer deaths declining https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-radio-keto-and-other-diets-vasectomy-u-s-cancer-deaths-declining/ Mon, 11 Feb 2019 19:10:22 +0000 https://newsnetwork.mayoclinic.org/?p=228738 In 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state […]

The post Mayo Clinic Radio: Keto and other diets / vasectomy / U.S. cancer deaths declining appeared first on Mayo Clinic News Network.

]]>

In 2018, the ketogenic or "keto" diet topped the list of trending health-related questions searched on Google. The keto diet is a high-fat, low-carbohydrate diet. The idea is that getting most of your calories from fat forces your body to use different energy pathways. Instead of carbs for energy, the body burns fat, entering a state called "ketosis." While the ketogenic diet may be recommended for some people with uncontrolled epilepsy to help control seizures, for most people the high fat content combined with limits on nutrient-rich fruits, vegetables and grains is a concern for long-term heart health.

On the next Mayo Clinic Radio program, Katherine Zeratsky, a Mayo Clinic registered dietician nutritionist, will discuss the keto diet and compare it with other popular diet plans, including the Mediterranean dietDietary Approaches to Stop Hypertension, also known as the "DASH diet"; and the Mayo Clinic diet. Also on the program, Dr. Tobias Kohler, a Mayo Clinic urologist, will explain why vasectomy rates rise in March. And Dr. Jan Buckner, chair of Oncology at Mayo Clinic's Rochester, Minnesota, campus, will discuss why deaths from cancer in the U.S. continue a 25-year decline.

To hear the program, find an affiliate in your area.

Miss the show? Here's your Mayo Clinic Radio podcast.

Use the hashtag #MayoClinicRadio, and tweet your questions.

Mayo Clinic Radio is on iHeartRadio.

Access archived shows or subscribe to the podcast.

Mayo Clinic Radio produces a weekly one-hour radio program highlighting health and medical information from Mayo Clinic.

The post Mayo Clinic Radio: Keto and other diets / vasectomy / U.S. cancer deaths declining appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/Mayo-Clinic-Radio-logo-identifier-with-three-shields-1x1.jpg
American Heart Month / birth control app / bogus treatments for erectile dysfunction: Mayo Clinic Radio https://newsnetwork.mayoclinic.org/discussion/american-heart-month-birth-control-app-bogus-treatments-for-erectile-dysfunction-mayo-clinic-radio/ Mon, 04 Feb 2019 02:48:10 +0000 https://newsnetwork.mayoclinic.org/?p=228020 According to the American Heart Association, heart disease is the No. 1 killer in America,  causing 1 in every 4 deaths each year. Heart disease includes a wide range of conditions that affect your heart, including blood vessel diseases, such as coronary artery disease; heart rhythm problems; and problems with the heart valves or heart […]

The post American Heart Month / birth control app / bogus treatments for erectile dysfunction: Mayo Clinic Radio appeared first on Mayo Clinic News Network.

]]>
According to the American Heart Association, heart disease is the No. 1 killer in America,  causing 1 in every 4 deaths each year. Heart disease includes a wide range of conditions that affect your heart, including blood vessel diseases, such as coronary artery disease; heart rhythm problems; and problems with the heart valves or heart muscle itself. Heart disease can be improved — or prevented — by making certain lifestyle changes, including quitting smoking, controlling your blood pressure and cholesterol, and staying at a healthy weight and getting regular exercise. In an ongoing effort to raise awareness and promote prevention of heart disease, each February is recognized as American Heart Month.

On this week's Mayo Clinic Radio program, Dr. Stephen Kopecky, a Mayo Clinic cardiologist, will discuss heart disease and the cholesterol lowering medications known as statins. Also on the program, Dr. Margaret Long, a Mayo Clinic gynecologist, will explain birth control options, including a mobile medical app that's been approved by the Food and Drug Administration as a form of birth control. And Dr. Tobias Kohler, a Mayo Clinic urologist, will share a warning: Beware of bogus treatments for erectile dysfunction.

Here's your Mayo Clinic Radio podcast.

The post American Heart Month / birth control app / bogus treatments for erectile dysfunction: Mayo Clinic Radio appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/Mayo-Clinic-Radio-logo-identifier-with-three-shields-1x1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/Mayo-Clinic-Radio-logo-identifier-with-three-shields-16x9.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2019/01/MayoClinicRadio02-02-19Podcast.mp3
Mayo Clinic Radio: February is American Heart Month https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-radio-february-is-american-heart-month/ Thu, 31 Jan 2019 15:00:58 +0000 https://newsnetwork.mayoclinic.org/?p=227965 According to the American Heart Association, heart disease is the No. 1 killer in America,  causing 1 in every 4 deaths each year. Heart disease includes a wide range of conditions that affect your heart, including blood vessel diseases, such as coronary artery disease; heart rhythm problems; and problems with the heart valves or heart […]

The post Mayo Clinic Radio: February is American Heart Month appeared first on Mayo Clinic News Network.

]]>
stethoscope and heartbeat graphicAccording to the American Heart Association, heart disease is the No. 1 killer in America,  causing 1 in every 4 deaths each year. Heart disease includes a wide range of conditions that affect your heart, including blood vessel diseases, such as coronary artery disease; heart rhythm problems; and problems with the heart valves or heart muscle itself. Heart disease can be improved — or prevented — by making certain lifestyle changes, including quitting smoking, controlling your blood pressure and cholesterol, and staying at a healthy weight and getting regular exercise. In an ongoing effort to raise awareness and promote prevention of heart disease, each February is recognized as American Heart Month.

On the next Mayo Clinic Radio program, Dr. Stephen Kopecky, a Mayo Clinic cardiologist, will discuss heart disease and the cholesterol lowering medications known as statins. Also on the program, Dr. Margaret Long, a Mayo Clinic gynecologist, will explain birth control options, including a mobile medical app that's been approved by the Food and Drug Administration as a form of birth control. And Dr. Tobias Kohler, a Mayo Clinic urologist, will share a warning: Beware of bogus treatments for erectile dysfunction.

To hear the program, find an affiliate in your area.

Miss the show? Here's your Mayo Clinic Radio podcast.

Use the hashtag #MayoClinicRadio, and tweet your questions.

Mayo Clinic Radio is on iHeartRadio.

Access archived shows or subscribe to the podcast.

Mayo Clinic Radio produces a weekly one-hour radio program highlighting health and medical information from Mayo Clinic.

The post Mayo Clinic Radio: February is American Heart Month appeared first on Mayo Clinic News Network.

]]>
https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/stethoscope-and-heartbeat-graphic-1-x-1.jpg https://newsnetwork.mayoclinic.org/n7-mcnn/7bcc9724adf7b803/uploads/2016/06/stethoscope-and-heartbeat-graphic-16-x-9.jpg