UROLOGY & MEN HEALTH
Diagnostics and Treatment of medical conditions related to urinary tract, sexual and reproductive health
Sexually transmitted diseases – diagnosis, treatment
UTI (urinary tract infections), cystitis, urination problems
Chronic prostatitis, pelvic inflammation
Enlargement of prostate, prostate cancer
Bladder pain, burning urination
Pain in groin, pelvic, perineal area, male genitalia
Testicular pain, discomfort, orchialgia
STD, Chlamydiosis, Gonorrhea
Ureaplasma, Mycoplasma, Herpes, Trichomoniasis
Male impotence treatment, erectile dysfunction
Men sexual enhancement
Testosteron replacement therapy
Male infertility, varicocele, hydrocele
- Kidney stones, low back pain
Rapid diagnosis and proper treatment are provided by our specialists, having huge experience in Urology, Andrology, Ultrasound diagnostics and Pain medicine.
Male impotence treatment
Erectile dysfunction (male impotence) is the inability to get and keep an erection strong enough for sexual intercourse. Any man may have trouble from time to time to get erection and this is not a cause for concern. But if this happens many times, it can cause problems in relationship with sexual partner, low self-confidence and stress.
Patients with sexual inability should be evaluated for medical conditions by:
- Physical exam – general and more specific for genitals.
- Hormone levels in the blood – Testosterone, LH, FSH, TSH, Prolactin, CBC and biochemistry for lipids, hepatic and renal functional tests.
- Ultrasound examination of penis and testes, checking testicular volume and their blood supply by Doppler exam. Color Doppler sonography of penile and cavernous arteries to determine peak systolic velocity (PSV) and venous outflow abnormality.
Standard treatment options for impotence are:
- ED pills such as Viagra, Cialis
- Penile self-injections
- Penile pump (Vacuum Erection Device)
- Testosterone Replacement Therapy (TRT) if hormone levels are low.
A NEW proven treatment for erectile dysfunction (male impotence), which is also effective for Prostatitis/Chronic Pelvic Pain Syndrome and Peyronie’s disease is called Low intensity Shock Wave Therapy (LiSWT).
Recent clinical studies have demonstrated the efficacy of LiSWT as a safe clinical modality for treatment of patients with mild to moderate vasculogenic ED.
The Shock Wave Therapy will stimulate regeneration of penile tissue by increasing blood flow velocities, creating new arteries and nerves in penile corporeal bodies.
The piezo or electromagnetic shockwave therapy source creates a linear-focused shockwave, which can be used to treat the entire length of the penile cavernous body on both sides and across the perineum (the crura penis).
Usually, 4-6 sessions of shock wave therapy over period of 3-6 weeks are needed to achieve stable results.
The European Urological Guidelines now consider LiSWT to be a first-line therapy for impotence treatment. The application of linear-focused shockwaves to treat vascular erectile dysfunction (ED) has already been achieving good results.
Treatment of Peyronie’s disease
The piezo LiSWT is successfully used in treatment of Induratio Penis Plastica (Peyronie’s disease). This is chronic medical condition leading to penile deformation, pain and discomfort during intercourse. The disease characterized by fibrosis and calcified plaque formation in the tunica albuginea of the corpora cavernosa. A significant decrease in pain can be achieved after just a few treatment sessions of SWT.
Treatment can lead to straightening of the curvature by a few degrees and also prevent disease progression.
Chronic Pelvic Pain Syndrome
Chronic pelvic pain syndrome (CPPS) affects both men and women. The pain may last for months or even years. Usually, pelvic pain is felt in the perineal region or in the coccyx (tailbone) and also in the genitals. Sometimes bladder and bowel dysfunction and pain during sexual intercourse become accompanying symptoms. It presents with chronic bacterial prostatitis, inflammatory and non-inflammatory chronic pelvic pain syndrome, asymptomatic prostatitis, penis pain syndrome, scrotum pain syndrome in men. In the women chronic pelvic pain syndrome manifestations are vaginal, vulvar, ovarian pain syndromes, interstitial cystitis, pudendal neuralgia and others. Increased pelvic floor muscle tone is an additional causative factor for the chronic pain.
Pelvic floor muscles become tense and shortened in CPPS. Trigger points in these muscles of the pelvic floor occur at varying depths of between 30-100 mm and can be easily reached by the therapy focus of shock wave therapy source. Shockwaves in the normal tissue are not felt. But when they engage a trigger point it is painful and is like the pain the patient is suffering from. After completion of the treatment course of shock wave therapy (6-8 sessions) the trigger points are less painful, and the symptoms of disease disappear.
Call us at (747) 229-9000 or schedule an appointment online.