At some, most men will experience problems getting or keeping an erection for a variety of reasons, which are not always due to an actual physical issue. Stress or anxiety can cause erection issues; however, some men do develop a medical condition called erectile dysfunction, or ED. Erectile dysfunction is a condition that occurs when the penis does not receive enough blood to produce an erection adequate for sexual intercourse. ED is diagnosed when this happens repeatedly and affects a man’s ability to sustain an active sex life. While erectile problems are commonly thought to be an issue for older men, ED can, and does, affect younger men too. If you suffer from ED, the good news is that there are many treatment options available. Counseling Life-impacting issues or even everyday stress can trigger erectile dysfunction. Talking about them with a licensed therapist can ease sexual anxiety and help you feel more confident. Medication ED medicines, generally pills (e.g. Levitra, Cialis, Viagra) are usually the first thing prescribed to men with erectile dysfunction. Taken anywhere from 15 minutes to 36 hours before sex, depending on the product, they work well for about 80% of men experiencing ED. If the pills don’t work, or aren’t safe for you to take, your doctor may prescribe a drug (alprostadil) that helps boost blood flow to the penis, triggering an erection within minutes. It is administered by injection or suppository pellets placed inside the penis. Penile Pump/Vacuum A penile pump/vacuum device improves firmness by boosting blood flow to the penis. About 80% of men who use the device correctly get an erection hard enough for sex. Often used for penis rehabilitation, usually after prostate surgery, your doctor will design a regimen aimed at restoring normal blood flow to the penis, thereby allowing for a spontaneous erection. It may, however, take several months to see results. Surgery If all other ED treatments have failed, your doctor may recommend surgery; i.e. an implant (prosthesis) in the penis or vascular reconstruction surgery. The causes of ED vary widely; they can be caused by psychological, neurological, or lifestyle […]
Maintaining good health includes making efforts to keep your kidneys healthy and avoid kidney stones. Why? Because the kidneys are one of the most hard-working organ systems in your body. Their main role is to act as a purification system for the blood; filtering out and excreting waste products, such as urea and excess sodium, and maintaining healthy fluid and electrolyte balances. In addition, your kidneys have other important functions in the body; they produce hormones that regulate red blood cell production and blood pressure, and activate vitamin D which plays a key role in bone health. On average, your kidneys will filter about 120 to 150 quarts of blood a day and produce about 1 to 2 quarts of urine, composed of wastes and extra fluid. You can assist this process, and greatly reduce the risk of developing painful kidney stones, by drinking plenty of fluids. Dehydration can result in the production of urine with a higher concentration of minerals and waste products. This, in turn, can lead to the formation of crystals which can affect kidney function and contribute to certain kidney diseases, including kidney stones. While there are several factors that can contribute to kidney stone formation, dehydration is definitely one of them. Keeping adequately hydrated can help keep urine diluted, making the risk of kidney stone formation less likely. Please keep in mind, every individual is different and the right level of fluid intake depends on a range of factors such as gender, level of exercise, climate and health conditions, such as pregnancy and breast feeding. And please do not aggressively fluid load; rather, sip water a little and often, with a goal equivalent to about 7-8 8oz glasses per day. Simple lifestyle changes, such as drinking the recommended amounts of fluid (ideally water), will go a long way towards maintaining healthy kidneys in the New Year and beyond. If you have questions or concerns about your kidneys or kidney stones, call the Urology Group of Princeton at 609.924.6487 or schedule an appointment online. The board certified physician/surgeons at the Urology Group are experts trained to […]
Trained, experienced, and highly-skilled in robotic, minimally-invasive, urological surgery using the da Vinci surgical system, the surgeons at the Urology Group of Princeton are pleased to share the following from the most recent issue of Popular Science (Nov/Dec 2017)… “FDA approval of the da Vinci surgical robot sparked a revolution in laparoscopic surgery. A doctor controls four robotic arms carrying tiny tools inside the body, witnessing their handiwork on a high-def screen fed by a 3D camera. The setup is more dexterous and sees better than a human, and decreases the chance of error caused by natural hand tremors. Other bots have followed, but the da Vinci is still the only one approved in the U.S., and completes an estimated 200,000 operations each year.” For more information about robot-assisted surgery for urological issues and to find out if it’s right for you, please call the office (609.924.6487) to schedule a consultation with one of our board certified physicians.