In general, it is similar to recovery after circumcision. In our practice, most men are able to resume work within 1-3 days after circumcision revision. Many men do not require pain medications beyond over-the-counter anti-inflammatory pain relievers.

Circumcision revision is a surgical procedure performed to correct or improve the appearance of the penis and penile skin after a prior circumcision.  The most commonly performed revision is straightening of the circumcision scar or removing the excessive or uneven foreskin.rnrnA more complex surgical procedure may be required in some men to correct the appearance of the penis after prior circumcision.  This may require using advanced plastic surgery techniques such as flap rotation or grafting skin from other areas.

Revision of circumcision is a sometimes necessary procedure for those who developed issues and complications from the original neonatal or adult circumcision. This can be done when the doctor or urologist failed to remove enough foreskin leaving too much of it left, if the penis drops back to the fatty area around it (buried penis), or if adhesions or penile skin bridge develop.rnrnIt’s never late to repair or correct incomplete circumcisions in older boys and even circumcised adult men. No matter how long has passed since the original circumcision, problems like these won’t fix themselves and could even worsen over time. So if you suspect that something might be wrong, absolutely contact your doctor or urologist, or visit a hospital or your local male health clinic.rnrnIf you’re looking into getting a circumcision revision, contact or book an appointment with Golden State Urology.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

Vasectomy is a form of male sterilization, or “permanent contraception”. In this procedure, the vas deferens (sperm duct) is either blocked or partially removed on both sides. Thus, sperm from the testes no longer reaches the ejaculate, and no longer enters the female reproductive tract to cause pregnancy.

The patient is positioned on an exam table, and the scrotal skin is cleaned. On each side of the scrotum, the site of interest is numbed with local anesthetic, and a small (3-5mm) opening is made in the skin (by incision or puncture). Here at Hopkins, we perform the “no-scalpel” puncture technique, as this heals well without stitches and may be associated with less bleeding.

The vas deferens is gently separated from surrounding tissues, then cut and sealed. A small segment of the vas deferens is often removed as well. All structures are then returned to their normal position within the scrotum. The skin incisions are so small that stitches may not be used. If used, the stitches will dissolve on their own. Some ointment and/or gauze may be placed on the wounds.

Typically, the procedure itself takes around 15-30 minutes. However, the office visit will be longer due to the time necessary to get positioned and cleaned for the procedure. If general anesthesia is administered in the operating room, this can add a few hours of recovery time as well.

It is greater than 99%. In rare instances, the sperm can reform a path between the ends of the vas deferens. This is called recanalization, and leads to pregnancy in 1 out of every 2000-3000 patients that get a vasectomy. Vasectomy is still considered among the most effective and safe forms of permanent contraception.

Patients should consider vasectomy permanent.

If your objective is merely to space out pregnancies, or if you have even the slightest reason to believe that you might want to have children in the future, then a vasectomy will not suit your purpose and should not be considered.

Cryopreservation (sperm banking or freezing) before vasectomy is available as an option for those men considering vasectomy, though they should understand that use of the sperm requires professional assistance. Although we do not recommend sperm banking for all couples, some couples may elect to pursue this. Vasectomy reversal is also an option, but should not be taken lightly, as this can be costly and is not 100% effective.

You probably won’t need to wait long before you can return to normal activities after vasectomy.

A vasectomy is an outpatient procedure in which your surgeon cuts and closes off the tubes that deliver sperm from your testicles into your semen. Most vasectomies can be done in a urologist’s office. The procedure itself is quick, taking about 30 minutes or less.

Full recovery time is about eight to nine days for many people. Keep in mind this may vary depending on your individual perception of pain and ability for tissue healing.

It will take longer until you can ejaculate without sperm in your semen.

There are risks for every surgery. A sperm granuloma occurs in 15 to 40 percent of men who undergo vasectomy. A sperm granuloma is a mass that develops over time as a result of the body’s immune reaction to sperm leaking from the cut end of the vas. It is typically treated with an anti-inflammatory medication, such as ibuprofen. Post-vasectomy pain syndrome – This condition is thought to result from a buildup of fluid in the epididymis leading to a chronic dull ache in the testes.

Apply ice packs intermittently to the scrotum the night of your vasectomy and as much as possible the following day. Do not apply for more than 20 minutes at a time. Remove all dressings–except one or two clean gauze pads–from inside the athletic supporter after 24 hours.

As partners, you may need to support your partner after the surgery.

The MonaLisa Touch is a laser therapy procedure designed to address vaginal dryness, discomfort, and other symptoms associated with menopause or hormonal changes. It involves the use of a fractional CO2 laser to gently stimulate the vaginal tissue, promoting collagen production and rejuvenating the area.

The MonaLisa surgery can help treat a variety of vaginal health issues, particularly those associated with menopause, hormonal changes, or aging. It’s used to address vaginal irritation, dryness, discomfort, and pain during intercourse (dyspareunia), which often result from decreased estrogen levels. The procedure can also help reduce vaginal itching, burning, and urinary incontinence symptoms. By promoting collagen production and rejuvenating the vaginal tissue, the MonaLisa Touch can restore elasticity and improve overall vaginal health.

The best candidates for the MonaLisa Touch therapy are typically women experiencing vaginal discomfort, dryness, or painful intercourse, often due to menopause or hormonal changes. MonaLisa Touch is also suitable for women who wish to improve vaginal health without hormone-based treatments. Ideal candidates are those seeking a minimally invasive procedure to address these symptoms and restore comfort and elasticity to the vaginal tissue.

The MonaLisa Touch laser treatment works by using a CO2 fractional laser to gently stimulate and heat the vaginal tissue and blood vessels, promoting collagen production and tissue regeneration. This process helps restore elasticity, vaginal moisture, and overall health to help alleviate symptoms like dryness and discomfort. The treatment typically involves minimal downtime.

The MonaLisa Touch® is an in-office procedure performed by an experienced physician. The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort the first time the probe is inserted, but the actual treatment is not painful. A consultation with a MonaLisa Touch laser treatment doctor can answer any questions about the discomforts involved and how to manage them.

The procedure is similar to almost any other vaginal rejuvenation procedure and is not as invasive as plastic surgery. A strong lidocaine-based numbing cream will be applied prior to the procedure. This will ensure that this is a painless process. Before the laser is activated, everyone in the room must wear special eye protection which will be provided. The metal wand used will feel cool initially inserted. You will feel a vibrating sensation. You may experience a tingling sensation and or air puffs during the treatment. These may get stronger near the vaginal opening. There might be a slight sizzle sound during the laser pulse. There might be a slight odor from the vaginal tissue being warmed up. The procedure lasts about 5-10 minutes. An occlusive ointment will be applied after the completion of the procedure. A pad will be provided to protect your clothing. There will be no dermal fillers or chemical peels involved in this.

Some women experience a watery discharge or light spotting for a day or two after the cosmetic surgery. The vaginal area may feel swollen or full. Do not put anything inside your vagina for 48 hours such as tampons or sexual intercourse. After 48 hours, the area should feel normal with no discomfort. You will be scheduled for 2 additional treatments 6-weeks apart to complete the recommended protocol to achieve the maximum benefits from the MonaLisa Touch® procedure.

• Your skin may feel sensitive and may be red and swollen. The treated area may be itchy.
• Use cold compresses or cold gel packs (20 minutes on, 20 minutes off) as needed for swelling and discomfort.
• Gently cleanse the area, including the labia minora and labia majora, 2-3 times a day with mild soap.
• Dry the area with a hair-dryer on low heat instead of wiping with a towel. This is much less abrasive to the tissues. And a better way to improve the results.
• Reapply a skincare occlusive ointment (Aquaphor) after each washing and continue to use until your skin is healed.
• You use Motrin or Advil as needed.
• Avoid lifting heavy weights or intense physical exercise for 72 hours following the treatment.
• Wear loose, cotton underwear.
• Avoid wearing pantyhose and tight-fitting pants.

The FDA-cleared UroLift System is a relatively new treatment for BPH, and it’s the only treatment that uses the Prostatic Urethral Lift (PUL) procedure. The UroLift System treatment is a proven, minimally invasive approach for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) that can get men off BPH medications and avoid major surgery. The UroLift System’s permanent implants, delivered during a minimally invasive outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue.

As with any medical procedure, individual results may vary. Speak with your urologist to see if the UroLift System treatment is right for you. Most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge. Most symptoms resolve within two to four weeks after the procedure.

The FDA-cleared UroLift System is the only treatment that uses the Prostatic Urethral Lift (PUL) procedure. UroLift for prostate issues is a proven, minimally invasive approach for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) that can get men off BPH medications and avoid major surgery. The UroLift System’s permanent implants, delivered during a minimally invasive procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue.

As with any medical procedure, individual results may vary. Speak with your urologist to see if the UroLift System treatment is right for you. Most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge. Most symptoms resolve within two to four weeks after the procedure.

The UroLift System consists of a delivery device and tiny permanent implants.

• The UroLift Delivery Device is placed through the obstructed urethra.
• Small UroLift Implants are placed to lift or hold the enlarged prostate tissue out of the way. The Implants are delivered through a small needle that comes out of the delivery device and into the prostate.
• The UroLift Device is removed, leaving an open urethra that provides symptom relief.

One unique aspect of the UroLift System is that it does not preclude retreatment or BPH treatments such as TURP or laser, should they be required in the future.

The UroLift System is a proven treatment option for BPH patients who are looking for an alternative to drugs or major surgery. You may be considering or scheduled for a TURP/Laser treatment, or are unhappy with or have stopped taking medications. The UroLift System is appropriate for patients seeking a minimally invasive treatment and are concerned about preserving their sexual function and their quality of life.

If you and your doctor decide that the UroLift System treatment is right for you, your doctor will provide the specific, detailed information relating to your condition. In general, the UroLift System is a minimally invasive treatment that entails minimal downtime. Your doctor will use the UroLift delivery device to deploy permanent implants to relieve obstruction caused by the enlarged prostate that is pressing on your urethra. The procedure may be performed under local or general anesthesia and you may be given medication to feel comfortable during the treatment. Typically, no catheter and no overnight stay is required post-treatment.

After the treatment, almost all patients go home the same day without a catheter. There is minimal downtime post-treatment and many patients experience symptom relief in as early as 2 weeks. Patients may experience some urinary discomfort during the recovery period. The most common side effects may include light blood in the urine, some pain or discomfort when urinating, some increased urge to go and discomfort in the pelvis that typically resolve within two to four weeks after the procedure.

Sexual function has been preserved among the hundreds of patients treated in our clinical studies.1,2,3,4 This is a unique benefit of the UroLift System treatment compared with other BPH therapies such as TURP, laser, and even medication.

The primary contraindications are an obstructive or protruding median lobe of the prostate and a prostate with a volume of >80cc.

Non-clinical testing has demonstrated that the UroLift Implant is MR Conditional. That means that you can be safely scanned in an MR system meeting the following conditions:

• Static magnetic field of 3 Tesla or less
• Maximum spatial gradient magnetic field of 1500 Gauss/cm (15 T/m) or less
• Maximum MR system reported, whole body averaged specific absorption rate (SAR) of 4 W/kg (First Level Controlled Mode)

Under the scan conditions defined above, the UroLift implant is expected to produce a maximum temperature rise of 2.4°C after 15 minutes of continuous scanning.

In non-clinical testing, the image artifact caused by the device extends approximately 15 mm from the UroLift Implant when imaged with a gradient echo pulse sequence and a 3 Tesla MRI system.

Patient implant cards are provided to inform the patient that the UroLift implant is MR Conditional and can safely be scanned only under specific MR conditions.

If you have any questions about MRI safety, please consult your doctor.

Over 950 patient-years of clinical data has been presented in peer-reviewed publications to date demonstrating that the UroLift System is safe and effective. Clinical studies have been conducted in the United States, Canada, Europe and Australia.

No. The implants are placed on the anterior (front) side of the prostate, and a DRE is conducted on the posterior (back) side of the prostate. The implants are not expected to interfere in a DRE.

The first step is to make an appointment with your urologist to determine if you are an appropriate candidate for the treatment. Your physician’s office staff can work with you and your health plan to learn more about your healthcare benefits specific to the UroLift implant procedure.

Yes, all Medicare carriers provide benefits for the UroLift System when medically necessary. Discuss the UroLift System with your physician to determine if the UroLift treatment is an option for you.

UroLift is a safe, minimally invasive solution for treating BPH. By helping reduce obstructive prostate tissue, UroLift can help relieve symptoms of BPH without interfering with sexual function. Side effects are minimal and the procedure is quick to complete.

The Implants are intended to be permanent. The implant is made up of standard surgical implantable materials: a nitinol capsular tab, a stainless steel urethral tab, and polyethylene suture that holds the two tabs together. Your doctor can remove the urethral implant, if needed. The suture can be cut and the urethral endpiece can be retrieved with a standard grasper. The capsular tab will remain in place inside the body.

A urologist, a doctor who specializes in the treatment of diseases of the urinary system and sex organs, uses the UroLift System to treat urinary symptoms due to BPH. Comprehensive training is provided to the urologist prior to using the UroLift System.

NeoTract, Inc. manufactures the UroLift System. The company is based in Pleasanton, California.

Source: ​https://www.urolift.com/patients/getting-started/patient-resources/faqs.html

The UroLift System is available for sale in the United States, Europe, Canada and Australia.

Typically performed under general or local anesthesia for an outpatient procedure, UroLift recovery is a relatively fast process. You’ll need to stay home and rest for two to three days after the procedure. During this time, you may experience a burning sensation or blood in your urine, but this will subside as you heal. You’ll also need to avoid intense exercise, sexual intercourse, and other strenuous activities for two to three days after the procedure.

–This may include reduced sexual desire, fewer spontaneous erections — such as during sleep — and infertility.

Sometimes low testosterone causes insomnia or other sleep disturbances.

Various physical changes are possible, including increased body fat, reduced muscle bulk and strength, and decreased bone density. Swollen or tender breasts (gynecomastia) and body hair loss are possible. You may have less energy than you used to.

Low testosterone may contribute to a decrease in motivation or self-confidence. You may feel sad or depressed, or have trouble concentrating or remembering things.