Taking a history and performing a physical examination are used to diagnose patients with urinary incontinence.rnrnUsually a urinalysis is performed and, depending on the findings of the history and physical, further testing with either x-ray studies or a urodynamics study may be appropriate.rnrnGet a full evaluation prior to any treatment because the treatments are different due to the cause of the incontinence.

Yes, incontinence can come and go depending on its cause. For instance, some patients will complain of stress incontinence only when they have a severe cold with coughing or during periods of excessive activity.rnrnPatients with urge incontinence frequently report increased leakage during cold weather and sometimes related to dietary factors such as excessive fluid intake, particularly with products containing caffeine such as coffee.

In women, pregnancy and vaginal delivery is probably the most common cause of urinary incontinence. And in some cases, general aging may be the cause.

You might be a candidate for GAINSWave treatment if you’re experiencing erectile dysfunction (ED), Peyronie’s disease, or decreased sexual performance. GAINSWave can be particularly helpful for patients who have tried other treatments and haven’t seen results. Ideal candidates are those seeking an alternative to medication or surgery for ED, and who are in generally good health without severe underlying conditions.

No, GAINSWave shock wave technology for Erectile Dysfunction does not hurt. The treatment feels like a very small vibration in the penis, and there’s no pain afterward. GAINSWave treatment typically feels like a series of mild taps or pulses on the skin as acoustic waves are applied to the penis. Some people describe the sensation as similar to a gentle tapping or vibration, with very few reporting mild discomfort.

Yes, GAINSWave treatment is generally considered safe when performed by a trained professional. Because the process doesn’t involve surgery or medication, the risks and side effects are minimal. Most patients experience no significant adverse effects, though some may have mild redness or tenderness afterward.

GAINSWave sessions typically last for just 15 to 30 minutes, so it’s easy to fit into your routine. Most patients need between 6 and 12 sessions to see results and improve sexual function.

Patients don’t need to take any downtime after a GAINSWave treatment — you can go right back to work and resume your daily activities. You can even engage in sexual activity on the same day as a GAINSWave therapy session.

GAINSWave treatment has minimal side effects and risks, as it is a non-invasive procedure. Common side effects include mild redness, tenderness, or bruising at the treatment site, which usually resolves within a day or two. Those with certain medical conditions or on specific medications may have increased risk, which is why it’s important to discuss your medical history before treatment. Overall, GAINSWave is considered a safe option for Erectile Dysfunction and other sexual health conditions.

The persistent or recurrent inability to achieve or maintain an erection good enough to complete your chosen sexual activity satisfactorily, whether that’s masturbation, oral sex or vaginal or anal intercourse. The occasional inability to achieve a satisfactory erection doesn’t normally constitute a problem.

To diagnose erectile dysfunction, our doctors use a verbal questionnaire and a physical exam. However, if you have underlying health conditions, you might need a blood test or urine test to get an official diagnosis. Further testing, like a penile doppler ultrasound, might be performed to assess blood flow in the penis, providing critical information on vascular health. Additionally, reviewing your medical history can highlight potential contributing factors, such as medications or psychological conditions, essential for developing an effective treatment for erectile dysfunction at our ED clinic.

To diagnose erectile dysfunction, our doctors use a verbal questionnaire and a physical exam. However, if you have underlying health conditions, you might need a blood test or urine test to get an official diagnosis. Further testing, like a penile doppler ultrasound, might be performed to assess blood flow in the penis, providing critical information on vascular health. Additionally, reviewing your medical history can highlight potential contributing factors, such as medications or psychological conditions, essential for developing an effective treatment for erectile dysfunction at our ED clinic.

Erectile dysfunction affects men from various backgrounds and for a multitude of reasons. While age itself isn’t a cause of erectile dysfunction (ED), the risk nevertheless increases as you get older: 18% of 50-59-year-olds have trouble with their erections compared with 7% of 18-29-year-olds. However, it’s also possible for symptoms to start earlier. If you’re worried you’re starting to experience symptoms, reach out to a professional at our men’s erectile dysfunction clinic.

u003culu003ern tu003cli aria-level=u00221u0022u003eThere are two main causes of ED: physical and psychological. Most doctors agree that the majority of cases are physical but it’s also clear that many men with ED also quickly start to feel anxious, stressed or depressed. These feelings can easily make the symptoms of ED worse.u003c/liu003ernu003c/ulu003ernThe main physical causes are:rnu003culu003ern tu003cliu003eDiabetes. Up to 25% of all diabetic men aged 30-34 are affected by ED, as are 75% of diabetic men aged 60-64.u003c/liu003ern tu003cliu003eInadequate blood flow to the penis because arteries have got furred-up (a condition called atherosclerosis) or damaged. This causes about 40% of ED cases in men aged over 50. Smoking cigarettes, which is implicated in up to 80% of ED cases, constricts the blood vessels and is a major cause of damage to the arteries leading to the penis. One little-known cause of damage to key blood vessels is cycling.u003c/liu003ern tu003cliu003eRegular heavy drinking. Alcohol can damage the nerves leading to the penis, reduce testosterone levels and increase levels of the female hormone estrogen.u003c/liu003ern tu003cliu003eThe side-effects of prescribed drugs, particularly those used to treat high blood pressure, heart disease, depression, peptic ulcers, and cancer. As many as 25% of ED cases may be caused by drugs taken to treat other conditions.u003c/liu003ern tu003cliu003eSpinal cord injury. Almost a quarter of men with spinal injury are affected by ED.u003c/liu003ern tu003cliu003eProstate gland surgery (or other surgery around the pelvis). The risk of ED depends on the type of surgery, but up to 30% of men who have a radical prostatectomy (the complete removal of the gland affected by cancer) will experience ED.u003c/liu003ernu003c/ulu003ernThe main psychological causes of ED are:rnu003culu003ern tu003cliu003eRelationship conflictsu003c/liu003ern tu003cliu003eStress and anxietyu003c/liu003ern tu003cliu003eDepression (90% of men affected by depression also have complete or moderate ED)u003c/liu003ern tu003cliu003eUnresolved sexual orientationu003c/liu003ern tu003cliu003eSexual boredomu003c/liu003ernu003c/ulu003ernOne way of working out whether your ED has a physical cause is to see whether there are any circumstances in which you get an erection. If you can produce one when masturbating but not with a partner, wake up with an erection, or have erections during the night, then there’s a good chance that your ED has psychological causes.

Erectile dysfunction doesn’t last for a specific period of time and its duration often depends on the cause. Some men experience temporary ED due to stress, anxiety, or certain medications, which may be resolved with lifestyle changes or addressing the underlying cause. Chronic or long-term ED might continue due to health conditions like diabetes, cardiovascular disease, or hormonal imbalances. Some ED clinic patients may experience symptoms for years, while others find that their symptoms subside after a few weeks or months with the right ED solutions..

Erectile dysfunction isn’t necessarily permanent because it can be the result of various factors such as stress, medication side effects, health conditions, or lifestyle choices. Most cases of ED are treatable with lifestyle changes, medication, therapy, or medical procedures. ED treatments will depend on the underlying cause, so it’s important to consult a professional for help. With proper intervention, the right ED solutions, and the guidance of our erectile dysfunction clinic, many men experience improvement in their symptoms.

Improving overall health can help prevent erectile dysfunction. Quitting smoking and drinking alcohol in moderation will help. Regular aerobic exercise and a low-fat diet will also reduce the risks of atherosclerosis. If you have diabetes, ensure it’s properly controlled.

– Yes. Get help and advice as soon as you notice a problem. This isn’t only important in terms of getting treatment for your ED: your struggle could also be a symptom of other potentially serious conditions (such as diabetes or heart disease).rnrnu0026nbsp;rnrnOne study of 50 men with ED who had sought prescriptions for Viagra found that although none of them had any symptoms of heart disease, six were found to have blockages in all three major heart arteries, seven had two arteries that showed narrowing and one artery was blocked in another seven. Overall, 40% of the men were at significant risk of angina or a heart attack.rnrnIf you are on treatment for a medical or psychiatric problem and you think that this treatment is affecting your sex life, tell your doctor. Alternative treatments that may have less likelihood of affecting sexual function are often available.rnrnIf your doctor doesn’t take your problem seriously, ask to be referred to a specialist. Don’t let yourself be fobbed off with comments like, “What do you expect at your age?”rnrnAt Golden State Urology, we offer personalized solutions that go beyond prescription drugs. Our erectile dysfunction treatment clinic ensures that your erectile dysfunction care is tailored to you.

Yes, seeing a urologist for ED can help you diagnose and treat the problem. Urologists specialize in male reproductive and urinary health, offering expertise in addressing ED through medication, lifestyle changes, or procedures.

There are ED surgery options available for patients with severe cases. One option is a penile prosthesis, which is a small device that is inserted into the penis and can help it create an erection. Patients who have experienced ED as a result of traumatic injury can also undergo microsurgical penile revascularization as an ED solution. This procedure connects the blood vessels in the penis and lower abdomen, increasing blood flow to the reproductive system.

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.rnrnThe 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.rnrnIf 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.rnrnCryopreservation (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.rnrnA 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.rnrnFull 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.rnrnIt will take longer until you can ejaculate without sperm in your semen.rnrnThere 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.rnrnApply 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.rnrnAs partners, you may need to support your partner after the surgery.