Our clinic specializes in comprehensive male urology, including sexual health, erectile dysfunction, low testosterone, Peyronie's disease, stone disease, vasectomy, and vasectomy reversal. We work with patients and their primary care physicians to help evaluate, recommend and treat medical conditions related to the urinary tract and male reproductive system. Our goal is to provide you with the highest quality of patient medical care available with a commitment to your satisfaction.
Another urologic problem that often coexists with ED is Peyronie's disease. Peyronie's is an acquired curvature of the penis that can lead to pain with erection, diminished firmness of erection, and, when severe, can interfere with satisfactory sexual intercourse. Once thought to affect only about 1% of men, it is now believed to occur in up to 10% of men. In a small percentage of men, this condition can improve or resolve spontaneously. In severe cases requiring treatment, it can be very frustrating for patients and treating physicians alike. Most physicians will prescribe medications or recommend over the counter supplements that may theoretically improve blood flow or promote healing of the scarred tissue. In reality, little evidence exists that oral medications successfully treat Peyronie's disease. Urologic Specialists offers in-office treatments that can improve pain and curvature. When conservative treatments are not adequate, we can perform outpatient surgeries which can correct the curvature.
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Hypogonadism, more commonly known as low testosterone (low T) can coexist with erectile dysfunction or on it's own. In addition to worsening erectile dysfunction, low T can lead to lack of energy, irritability, lack of interest in usual activities, and loss of sexual desire.
A simple blood test allows us to evaluate your testosterone level. Once we receive the results, we can determine if treatment is needed and which one will offer the greatest benefit. There are a number of tools available for treating low testosterone, ranging from injections to gels applied to the skin to small pellets inserted under the skin. Your urologist will prescribe the best course of treatment for you and then follow your progress.
While it has been the subject of some debate recently, testosterone therapies are considered safe, as long as they are appropriately administered and monitored. The benefits of a normal testosterone level include increased energy, increased libido, better sleep, better mood, and possibly improvements in erectile function. There is considerable evidence that those with normalized testosterone levels will see improvement in blood pressure, cholesterol, and diabetes control, when compared to men with untreated low testosterone.
Low T is a condition covered by Medicare and nearly all commercial insurance carriers meaning there should be little or no reason to pay out-of-pocket for diagnosis or treatment.
