Erectile Dysfunction - Dealing with Erectile Dysfunction

There are many changes that happen to the body as you age. Although all of us would love to age gracefully, it simply cannot be for all of us. Lifestyle, diet and genetic predispositions can play a huge role in determining what types of changes you can expect to see once you age. Thankfully we live in a day and age where medicine can help remedy many of the involuntary changes our bodies may go through. Incontinence can be one of the hardest things to deal with at an advanced age. For women who suffer from this, it is quite embarrassing to feel that you don’t have control over such a normal process of the body.

No one is genetically predisposed to developing incontinence per se, this can develop for a number of reasons and there is no one Cause of Urinary Incontinence. Women who have had multiple pregnancies can be more predisposed to developing urinary incontinence, due to the constant weakening of the pelvic muscles after recovering from pregnancy repeatedly. This is hard to deal with especially when you feel that you are out of options for helping to improve your urinary incontinence. If you or someone you love is dealing with urinary incontinence. You may want to think about seeking medical advice from a trained professional.

If you are a male who is suffering from erectile dysfunction, it may be a good idea for you to look into being seen by one of the Best Urologist in Los Angeles. It is very important that you get the help that you need. If you notice that you feel younger than the age your body is willing to perform at it may be very hard for you to deal with this issue on your own without seeing a trained specialist. Erectile dysfunction can be crippling, especially for someone who has never experienced the symptoms associated with the problem.

If you are a woman or male suffering from urinary incontinence and/or Erectile Dysfunction, you may want to speak with a trained specialist to see if you have any other options. There are numerous ways you can deal with ED and urinary incontinence; you just need to find a great Urologist in Beverly Hills illsHlkhngf who can help you cope with these kinds of disorders. You are not alone in your effort to deal with erectile dysfunction or your incontinence and there are specialists everywhere who are more than willing to help you get to the heart of the matter and get treatment for your condition.

To know more about urology click here: http://www.drsafir.com

Gentle and Effective Specialized Surgeries for Men and Woman

Plastic surgery: best known for its transformation and enhancement of the nose, lips, chin, breast, stomach, and buttocks.  However, there is also a lesser known, much less talked about, body area that has the ability to be cosmetically augmented too.  VaginoplastyLos Angeles is a reconstructive surgery that has been performed for millions of women who desire a more aesthetically pleasing appearance for their vagina.  Years of damage from childbirth, difficulty in intercourse, physical trauma, or even cancer, can cause the tissue opening and muscles to stretch and widen so that it becomes loose, but this surgery willfirm up and reshape the tissues, so you can achieve a more youthful appearance, rejuvenated muscle tone, and restored elasticity to the vagina that improves sensation during sexual intercourse.

During an initial, in-office consultation, your surgeon will perform a physical examination to determine how much tightening and tissue removal is needed, and to ensure what are the specific requests you have for your body part.  Even the most minor details must be discussed for this procedure is highly delicate and requires close and exact actions. 

On the day of the vaginoplastyprocedure in los angeles, you will first be administered general anesthesia and sedation.  You doctor will then perform the surgery by trimming the excess vaginal lining and reinforcing the tissues, as well as any other detailing that you have requested at your consultation.  Then after about six weeks, you may achieve a complete recovery and may proceed with sexual activity.

Additionally, there is a sensitive genital procedure for males that is rarely discussed yet successfully performed millions of times.  Vasectomy Los Angeles is a highly effective and permanent male birth control thatprevents live, active sperm from entering the seminal fluids by blocking the vas deferens.  The vas deferens are thin channels that carry the sperm through the scrotum and out during ejaculation, but a vasectomy done in los angeles can block the tubes so sperm cannot reach and fertilize the woman’s egg.  The surgery itself is simple and safe; typically performed in less than 30 minutes in the doctor’s office.  It will begin with a local anesthesia to ease discomfort, and then you doctor will create a tiny incision in the scrotum.  He will gently pull out either the left or right vas deferens, snip and remove a small portion, heat seal the two ends of the tube (cauterized) and then place it back in the scrotum.  The tiny, external incision can be closed with stitches, or heal naturally on its own.

After the surgery, you will be instructed to stay off your feet and avoid any strenuous activity   for a couple of days, as well as wear snug cotton briefs to help apply pressure against your groin for support.  After a full six week recovery, your sperm will be collected and examined under a microscope to ensure that there are no more traces of sperm remaining. 

All About Vasectomies

There is a good chance that if you are a female, you won’t need to visit a urologist if you’ve been keeping up a good hygiene routine, barring an unforeseeable health issue development. But if you are a male, there is quite a good chance that at some point in your life, most likely during your middle-age years, that you will have to go see a urologist- not because you are ill or haven’t been taking good hygienic care of yourself, but because you will most likely need or want a vasectomy.

            A vasectomy is a procedure in which the vasa deferential of the male are severed and then tied or sealed such that sperm is prevented from entering into the seminal stream and therefore preventing ejaculation. Being a minimally invasive procedure taking only about ten to thirty minutes to complete, patients remain in minimal discomfort for a few days, with complete recovery occurring about a week after the procedure.

            Although a modern urologist is competent at performing a wide variety of procedures, such as treating benign prostatic hyperplasia (enlarged prostates) or performing Labiaplasty Los Angeles surgeries, more often than not, the majority of his dealings will be with vasectomy-related matters; each year, between 175,000 to 354,000 vasectomies are performed. The vasectomy procedure itself involves making a small incision in the scrotum after the application of local anesthetic and cauterizing each end of a cut vas deferens. After getting stitched up, antibiotic ointment and a gauze pad are applied to the area with the incision.

            You may have heard some horror stories about the pain that comes with vasectomies; these horror stories have been greatly exaggerated. Yes, there will be some swelling and discomfort after the procedure, but the discomfort and swelling will be relatively mild, and if you are too uncomfortable and in pain, the doctor may prescribe some pain relievers. For about a week or so after the surgery, you will need to wear a scrotal support garment or jockey shorts to encourage a rapid and successful recovery.

The most prominent reason men decide to get a Vasectomy Los Angeles is its effectiveness as birth control. According to the Royal College of Obstetricians and Gynecologists, however, there is a 1 in 2000 chance that a vasectomy will fail (a failed vasectomy is one in which a pregnancy occurs despite the vasectomy procedure), but those are much better statistics than those of tubal ligations (getting your tubes tied) by females: in every 200 to 300 cases of tubal ligations, there is at least one failure. Also, vasectomies as a form of birth control, when compared to tubal ligation, are more advantageous in that they are less invasive, less risky, and more cost effective. A post-op return visit to the urologist is necessary in order to ensure that a successful vasectomy has taken place.

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Preputioplasty and Labiaplasty – Reconstructive Surgery for the Genitals

Men often suffer from a condition called phimosis where it is difficult for the foreskin to retract fully from the penis. This is not only a cosmetic problem but also functional, as it causes difficulty while urinating or intercourse. Similarly, women may face problems of damaged vagina because of childbirth or an enlarged labia causing discomfort. For these conditions, a person consults an urologist who usually recommends preutioplasty and labiaplasty as a correctional surgery. 

Phimosis in men is said to occur during developing years that gets resolved on its own. However, at times, trauma or diseases like developing tissues of white ring on foreskin stops the skin to retract. Though it is not clear what causes it, some believe that is brought on by bacterial or viral infection, or auto-immune disease. In another condition, there is redness and rashes on penis and foreskin along with pain and discharge.

Earlier, phimosis was treated using either steroid creams or circumcision. As circumcision used to cause much pain after the surgery, people started to look for minimal invasive procedure. That’s when they came across preputioplasty, which preserved the foreskin by making small Y-shaped incisions to widen the ring at the end of the foreskin. The whole procedure can be completed in an hour and bring down the recovery time to few days to few weeks.

On the other hand, women wanting to restore their vagina would like to undergo labiaplasty. A labiaplasty tries to improve the appearance of vagina by reducing the labia. They may however be asked to make a choice between labia minora reduction and labia majora reduction. Labia minora reduction reduces the large labia minora that are visible while wearing swimsuits, leotards or any revealing clothes. Moreover, it may cause pain and discomfort during sex, wetness and irritation and discomfort during exercise. Labia majora though common, gets aggravated by estrogen stimulation, childbirth and extreme weight loss. It becomes noticeable while wearing tight-fitting clothes and may get embarrassing. Both labia minora reduction and labia majora reduction are often performed in conjunction with each other for better results.

Labiaplasty is performed sedatives and anesthesia and may take about an hour. After making an outline, excess tissue is removed and sutured allowing the area to heal properly. The scars formed are made to hide between the crease of labia minora and labia majora. The recovery time is of few weeks and requires the patient to stay away from strenuous activity, keep the area clean and take the medicines as prescribed.  

Urologist Los Angeles Can Help with your Erectile Dysfunction

As people age there are problems they have to worry about that may not have been as apparent in their youth.  Many of us feel younger than we are, physically, and it can be quite problematic when there are too many things we are no longer in control of. There may be a number of things we are finding we have problems with as we grow older. Some of these things may be less mobility, more soreness after moderate physical exercises and some of these problems may be more embarrassing like erectile dysfunction, for men and incontinence, for women.

If you are one of these people who feel that you should not have to worry about these types of physical issues because you are just too young or may be experiencing these aging problems prematurely, you may need to speak to a specialist regarding your concerns. There are hundreds of physicians who may have an idea of what kinds of symptoms to look for; however they will not be able to treat any of these conditions like an Urologist Los Angeles. This type of specialist focuses primarily on the urinary tract of males and females. If you are experiencing problems that are related to the urinary tract and you are not sure why, you may want to speak to a Urologist Los Angeles about your Urinary Incontinence.

Urinary Incontinence can be very embarrassing and affects your everyday life. You may avoid certain social settings all because you may have an accident and do not have anything to prevent yourself from having an embarrassing accident. This problem can be very frustrating. This is just one problem that can develop with age although this may develop due other factors. Older women and men may experience Urinary Incontinence and Erectile dysfunction, which are both embarrassing and can dramatically affect the day to day activities you may choose to engage in just because you feel that there is simply no way to deal with these issues.

For men Erectile Dysfunction can be particularly embarrassing when you feel there is just no solution out there that can possibly help you in your particular situation. Erectile dysfunction is actually more common than people think and does not just happen to older men. This can develop in younger men as well and in most cases the reason is purely physical. There is no exact reason for this occurrence and there is no definitive cure; although with the advent of new ED drugs, men have more alternatives for fixing this issue. If you are a man seeking advance or help with you erectile dysfunction and don’t know where you turn you may want to speak to a Urologist Beverly Hills.

Enlarged Prostate and Labiaplasty

A male reproductive system contains a gland called prostate that produces the fluid carrying sperm during ejaculation. When the gland becomes bigger it comes to be known as enlarged prostate. It is a common in men as they grow older. The growing gland presses the urethra causing bladder and urination problems. 

Though the cause of enlarged prostate is not known, it has been linked to aging and the testicles. However, men who have had their testicles removed may not develop enlarged prostate. The symptoms may include

·         Dribbling after urination.

·         Urinary retention.

·         Incomplete emptying of bladder.

·         Incontinence.

·         Urge to urinate frequently at night.

·         Urination followed by pain or bloody urine.

·         Slow or delay the urinary system.

·         Straining while urinating.

·         Weak urinary system.

At Dr. Safir’s, the treatment for enlarged prostate may be based on the severity of the symptoms. The treatment may start with some self-care measures such as the patient being asked to

·         Urinate at the firs urge.

·         Avoid alcoholic beverages after dinner.

·         Avoid drinking fluids 2 hours within bedtime.

·         Avoid medications containing decongestants or antihistamines as they may increase the symptoms.

The patient may be prescribed medications such as 

·         Alpha-1 blockers to relax muscles of bladder neck and prostate. It may help to urinate easily.

·         Finasteride and dutasteride to reduce size of prostate increasing the urine rate. 

Additionally, surgical procedures may also be performed. The two most common surgical procedures are

1.      TURP (transurethral resection of the prostate). The patient is administered a general anesthesia or spinal anesthesia. The surgeon may insert a cystoscope or endoscope through urethra. A special cutting tool may then be inserted that removes prostate n pieces with an electric current.

2.      TUIP (transurethral incision of the prostate). It may be performed on men having smaller prostate. A cystoscope or endoscope is inserted and incisions may be made in the prostate enlarging the urethra opening and bladder outlet.  

Labiaplasty is a cosmetic procedure performed in women to improve the vagina’s external appearance by reducing labia. In some women, the labia may be asymmetrical or big on one or both sides while in others it occurs after childbirth or aging. Labiaplasty may be either labia minora or labia majora.

At Dr. Safir’s, Labiaplasty is performed under local anesthesia and may be performed in 1-2 hours. It is done on an outpatient basis without requiring any need for hospitalization. The after surgery precautions may include avoiding sexual activities and heavy strenuous activities for 6 weeks. It may also be recommended to maintain local hygiene. 

Erectile Dysfunction and Urinary Incontinence

Among the various specializations of medical science is urology that studies urinary tracts of males and females and male reproductive system. The surgeons specializing in the fields of urology are called urologist who may diagnose, treat and manage disorders such as erectile dysfunction in men and urinary incontinence in women.

An erectile dysfunction is a sexual dysfunction where a man is unable to develop or maintain an erection of the penis during sexual activity. Usually, to achieve a normal erection may require coordination between vascular, neurologic, hormonal and psychological factors. Any condition or factor that may interfere with the coordination may cause erectile dysfunction. The causes of erectile dysfunction are generally grouped into either endogenous factors or exogenous factors. The endogenous factors include endocrine imbalances, cardiovascular, other medical conditions and emotional causes. On the other hand, exogenous factors may include medications, surgery, trauma, irradiation, smoking, alcohol and substance abuse.

Similarly, in women, urinary incontinence is the inability of the urine to keep leaking from urethra. Urethra is the tube carrying urine out of body from bladder. Urinary incontinence may be classified as 

·         Stress incontinence. It may occur during coughing, sneezing, laughing or exercise.

·         Urge incontinence. It may create a strong and sudden need to urinate followed by bladder contraction and loss of urine.

·        Overflow incontinence. It may occur because of the bladder not able to empty completely resulting in dribbling.

Urinary incontinence may be caused by neuromuscular disorders, dementia, medications such as diuretics, antidepressants, tranquilizers, antihistamines, etc., pregnancy, infection or inflammation of urinary tract, weight gain, Alzheimer’s disease, bladder cancer and spasms, pelvic prolapse and spinal injuries.

During an initial treatment at Dr. Safir’s the patient may be asked to alter their lifestyle by avoid smoking, reduce obesity and control alcohol and substance abuse. The patient may be prescribed medications such as Viagra that has a longer effect, increases penile blood flow and produces erection. Also, penile prostheses may be used that are semi-rigid or inflatable devices. During the procedure, the patient may be administered general anesthesia and incisions are made in the abdomen and perineum. The device is inserted through these incisions along with fluid reservoir and pump that are placed in groin and scrotum respectively. The devices are connected by tubes and may be tested before closing the incisions.

The treatment for urinary incontinence at Dr. Safir’s follows many approaches. It may involve methods such as bladder retraining and kegel exercises. Both these methods may help to strengthen the muscles of pelvic floor. In some cases, surgeries such as anterior vaginal repair and vaginal sling procedures may be performed. An anterior vaginal wall repair may tighten the front wall of the vagina. It either sinks the bladder into the vagina or sinks urethra into the vagina. On the other hand, in a vaginal sling procedure,  a sling made of mesh tape or tissue graft is used that supports urethra.