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Supporting Nursing Mothers at Work: Employer Solutions

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Men's Health

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TESTICULAR SPERM EXTRACTION (TESE)

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MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION (MESA)

TESTICULAR SPERM EXTRACTION (MICROTESE)

Ejaculatory duct obstruction surgery

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Transurethral Resection of Bladder Tumor

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Urology

Cystoscopy

Prostate (TURP)

Hydrocele Repair

Bladder Stone Removal

Kidney Stone Removal

Lithotripsy (ESWL)

Ureteroscopy with Laser Lithotripsy

Varicocele Repair (Varicocelectomy)

Repair of Vaginal Prolapse

Interstim Sacral Nerve Stimulation

Cystoscopy with BoTox injection

Artificial Urinary Sphincter Placement

Transrectal Ultrasound

Prostate Biopsy

Pubo-Vaginal Sling

Tension-Free Vaginal Tape

Total Urology Care

Elizabeth Kavaler, MD Urology New York

Urology is a medical specialty that focuses on the diagnosis and treatment of conditions related to the urinary tract system in both males and females, as well as the male reproductive system.

What is urology?

A urology doctor, or urologist, is a medical specialist who diagnoses and treats diseases and conditions related to the urinary tract system and the male reproductive system. They have extensive knowledge and training in the medical and surgical management of conditions affecting the kidneys, bladder, ureters, urethra, prostate gland, and male reproductive organs.&nbsp;

Urology doctors play a crucial role in the prevention, diagnosis, and treatment of urological conditions, helping patients maintain their urinary and reproductive health throughout their lives. Urologists are qualified to provide both non-surgical and surgical treatments for various urological conditions.

What is a urology doctor?

Consider seeing a urologist if you experience any issues related to the urinary tract (such as frequent urination, urinary incontinence, blood in urine) or problems with the male reproductive system (erectile dysfunction, infertility, prostate issues).&nbsp;

When should I see a urologist?

The organs and structures involved in urology include kidneys, ureters, bladder, urethra, prostate gland, testicles, penis, and the female reproductive system.

What organs are involved in urology?

Urologists diagnose and treat a wide range of conditions related to the urinary tract system and the male reproductive system. Some common conditions that urologists treat include:

<ul>
	<li>Urinary Tract Infections (UTIs): Infections affecting the urinary tract, including the bladder (cystitis) and kidneys (pyelonephritis).</li>
	<li>Kidney Stones: Solid crystalline deposits that form in the kidneys and can cause severe pain when they pass through the urinary tract.</li>
	<li>Bladder Problems: Various conditions such as bladder infections, interstitial cystitis (chronic bladder inflammation), bladder prolapse, and overactive bladder causing frequent or urgent urination.</li>
	<li>Prostate Problems: Including benign prostatic hyperplasia (BPH), prostate infections (prostatitis), and prostate cancer.</li>
	<li>Erectile Dysfunction (ED): The inability to achieve or maintain an erection sufficient for sexual intercourse.</li>
	<li>Male Infertility: Issues affecting male reproductive health, such as low sperm count, abnormal sperm morphology, or blockages in the reproductive system.</li>
	<li>Urinary Incontinence: Involuntary loss of urine, which can occur due to various factors such as weak pelvic muscles, nerve damage, or bladder abnormalities.</li>
	<li>Urologic Cancers: Including bladder cancer, kidney cancer, prostate cancer, testicular cancer, and penile cancer.</li>
	<li>Testicular pain, epididymitis, varicoceles, and sexual dysfunction.</li>
	<li>Urinary Tract Trauma: Injuries to the urinary tract due to accidents or other traumatic events.</li>
	<li>Voiding Dysfunction: Disorders affecting the normal process of urination, including urinary retention or urinary hesitancy.</li>
	<li>Urologists also specialize in diagnosing and treating urological issues in children, such as congenital abnormalities of the urinary tract, bed wetting, undescended testicles, and hypospadias.</li>
</ul>

What conditions do urologists treat?

Common symptoms of UTIs include a frequent urge to urinate, a burning sensation during urination, cloudy or bloody urine, strong-smelling urine, and pelvic pain or discomfort.

What are the symptoms of urinary tract infections (UTIs)?

Prostate issues can manifest with a variety of signs and symptoms. Here are some common ones associated with prostate problems:

<ul>
	<li>Needing to urinate more often, especially at night (nocturia).</li>
	<li>A sudden and compelling need to urinate.</li>
	<li>A decreased force or difficulty in initiating and maintaining a steady urine stream.</li>
	<li>A sensation that the bladder is not completely emptied after urination.</li>
	<li>Difficulty initiating urination or difficulty stopping the flow of urine once it has started.</li>
	<li>The presence of blood in the urine or semen.</li>
	<li>Discomfort or pain in the pelvic area, lower back, or genital region.</li>
	<li>Difficulty achieving or maintaining an erection.</li>
	<li>Decreased libido</li>
	<li>Recurrent UTIs, which may be a sign of an underlying prostate issue.</li>
	<li>Elevated levels of prostate-specific antigen, a blood marker typically used as a screening tool for prostate conditions, including prostate cancer.</li>
</ul>

These symptoms can be indicative of various prostate issues, including benign prostatic hyperplasia, inflammation of the prostate, and prostate cancer. If you experience any of these symptoms or have concerns about your prostate health, consult with a urologist for proper evaluation, diagnosis, and treatment.

What are the signs and symptoms of prostate problems?

Erectile dysfunction (ED) refers to the consistent inability to achieve or maintain an erection firm enough for sexual intercourse. It can have different underlying causes, both physical and psychological. ED can significantly impact a person&#39;s quality of life and may stem from factors such as:

<ul>
	<li>Conditions that affect blood flow to the penis, damage nerves, or impact hormone levels. Examples include cardiovascular disease, diabetes, high blood pressure, obesity, hormonal imbalances, and certain medications.</li>
	<li>Mental health issues like stress, anxiety, depression, relationship problems, or performance anxiety can contribute to ED or exacerbate existing physical causes.</li>
</ul>

Treatment options for erectile dysfunction aim to address the underlying causes and improve sexual function.&nbsp;

<ul>
	<li>Making lifestyle changes can have a positive impact on ED. This includes regular exercise, maintaining a healthy weight, managing stress, quitting smoking, limiting alcohol consumption, and improving sleep patterns.</li>
	<li>Medications like Viagra, Cialis, Levitra, and Stendra are known as phosphodiesterase type 5 (PDE5) inhibitors. They increase blood flow to the penis, helping to achieve and maintain an erection. These drugs require a prescription and should be taken under medical supervision.</li>
	<li>A vacuum erection device is a non-invasive device that creates a vacuum around the penis, drawing blood into the organ, and helping to achieve an erection. A constriction ring is then placed at the base of the penis to maintain the erection.</li>
	<li>Penile injections and urethral suppositories can be administered directly into the penis or inserted as a suppository into the urethra to increase blood flow and promote an erection.</li>
	<li>In cases where other treatments have been unsuccessful, a penile implant may be considered. This involves surgically implanting a device that allows the person to manually achieve an erection when desired.</li>
	<li>Psychological counseling or sex therapy can help address the psychological factors contributing to ED and provide techniques for improving sexual function and intimacy.</li>
</ul>

The choice of treatment depends on the underlying cause of erectile dysfunction, as well as your preferences, and overall health. It&#39;s necessary to discuss treatment options with your doctor to determine the most suitable approach for each individual.

What is erectile dysfunction, and what are the treatment options?

Kidney stones are typically caused by a buildup of substances (such as calcium, oxalate, or uric acid) in the urine, which crystallize and form hard masses in the kidneys. Dehydration, certain dietary factors, and family history can contribute to the formation of kidney stones.

What causes kidney stones?

The recovery process after urological surgery will vary depending on the type of procedure you had and individual factors. However, some general aspects to consider include:

<ul>
	<li>The length of hospital stay will depend on the specific surgery and individual circumstances. Some procedures may require an overnight stay, while others may involve a longer hospital stay for monitoring and post-operative care.</li>
	<li>Pain management is an essential aspect of the recovery process. Your healthcare team will provide appropriate pain medications to manage discomfort during the recovery period.</li>
	<li>If your surgery involved incisions, proper wound care is crucial. You may need to keep the incision area clean and dry, change dressings as instructed, and follow other specific wound care instructions provided by your surgeon.</li>
	<li>After surgery, you&#39;ll need to balance rest and activity based on your surgeon&#39;s advice. Initially, you may need to limit physical activity and avoid heavy lifting. Gradually, you will be able to increase activity levels as tolerated.</li>
	<li>Your healthcare team will provide guidance on dietary restrictions, if any, following surgery. Adequate hydration is crucial to promote healing and prevent complications.</li>
	<li>You may also be prescribed antibiotics, pain relievers, or medications specific to your condition. It&#39;s crucial to follow the prescribed medication schedule and ask any questions you may have about your medications.</li>
	<li>Your surgeon will schedule follow-up appointments to monitor your progress, remove any stitches or drainage tubes if necessary, and assess your overall recovery. These appointments are vital for evaluating your healing process and addressing any concerns or questions you may have.</li>
	<li>Your surgeon will provide guidelines regarding when you can resume normal activities, such as work, exercise, and sexual activity. It&#39;s essential to follow these instructions and gradually increase your activity levels as advised.</li>
	<li>Surgery can be physically and emotionally challenging. Having a support system in place, including friends, family, or counseling services, can provide emotional support during the recovery process.</li>
</ul>

What is the recovery process like after urological surgery?

Elizabeth Kavaler, MD

Urology

Women's Health

New York

Total Urology Care

Conditions treated

Procedures modalities

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