Plano Urology Blog

Kegel Exercises Can Benefit Men, Too!

Posted in Bladder Control, Erectile Dysfunction | December 30, 2018

Kegel exercise benefits for men Plano, TXThroughout history, men have had a widespread reputation of being muscular – and being intentional about their muscle-building. Men of all ages can be seen working their quads, triceps, and abs in gyms across the globe. While the overwhelming reason for building muscle strength may be that men want to feel good about how they look, there are numerous benefits to strength training, including better erections, more stamina, and better bladder control.

The sexual and urologic benefits of strength training pertain to exercise that focuses on the pelvic floor, otherwise known as Kegel exercises. Typically, the perception is that Kegels are for women. This is not the case, because women aren’t the only ones who have pelvic floor muscles. Men also rely on muscle strength in this area to support bladder control and for adequate penile function.

Benefits of Kegel Exercises for Men

One of the advantages of Kegel exercises is that they can be done anywhere and anytime and no one will know. Men can practice the controlled squeeze-and-release of the pelvic floor muscles at their desk, on their drive to work, or while winding down in their recliner at the end of the day. The functional reasons for doing these discreet exercises include a desire to increase ejaculatory control and sexual arousal, to support prostate health and to minimize the accidental urine leakage that often occurs with age.

The value of Kegel exercises for men has been confirmed in numerous research studies. In one research project including 55 middle-aged men with erectile dysfunction, researchers found that participants achieved varying degrees of improvement with consistent Kegel performance for 3 to 6 months. In a follow-up questionnaire, 40 percent of study participants stated a return of normal erectile function. Just over 35 percent indicated improvement in penile rigidity. Approximately 25 percent said they did not feel Kegels made a difference in erectile function. In another study, medical school researchers at Ohio State University concluded that pelvic floor exercises increased erectile responsiveness.

Should All Men Do Kegel Exercises?

Studies suggest that most men can benefit from the daily performance of several sets of Kegel exercises. The practice is easy to develop by paying attention to which muscle contracts to stop the flow of urine. This is the muscle to contract during Kegels. As important as the contraction is the full release of the squeeze. Some researchers have suggested that Kegels are especially useful for men who are scheduled to have radical prostatectomy as a way to promote recovery ahead of surgery.

For some men, pelvic floor exercises can worsen chronic pelvic pain symptoms or chronic prostatitis. Therefore, it is recommended that any man with pelvic symptoms speak with his doctor before beginning a pelvic floor routine.

We proudly serve men in the Plano area with personalized care and state-of-the-art modalities. For more information on treatment for erectile dysfunction and other urologic conditions, call (972) 403-5425.


Peyronie’s Disease: Don’t Go it Alone

Posted in Peyronie’s Disease | December 15, 2018

Peyronie’s Disease Plano, TXMen may notice various parts of their body, but none tend to be scrutinized as much as the penis. For years, men whose penis is not perfectly straight when erect have wondered what is wrong with their anatomy. Ultimately, it is normal for the erect penis to curve slightly or lean subtly to the right or left. When we start to take notice is when the curvature is apparent or uncomfortable. This could indicate a condition referred to as Peyronie’s Disease.

What Exactly is Peyronie’s Disease?

Peyronie’s disease is more than a penile curvature; it is a condition that results from plaque or scar tissue that has formed in the soft tissue of the penile shaft. The problem is more often diagnosed in men aged 40 to 70 but can occur in younger men, as well. At this time, it is also suspected that many cases of Peyronie’s disease go unreported.

The plaque accumulation that causes penile curvature differs from the plaque buildup that affects a person’s heart health. This plaque is not indicative of cancer or sexually transmitted disease. In the instance of Peyronie’s disease, plaque develops in the tunica albuginea, the thick, elastic membrane that facilitates erection.

While Peyronie’s disease is often diagnosed in older men, the initial cause of plaque or scar tissue formation may occur long before symptoms appear. Most research suggests that penile curvature originates with an injury to the penis. The penis does not have to be erect at the time of injury; many cases relate to physical trauma during sports.

How to Identify Peyronie’s Disease

A prominent curve in the erect penis may be a telltale sign of Peyronie’s disease, but there are other clues men shouldn’t ignore. These include:

  • A hard lump or area of thick tissue on the penile shaft
  • An hourglass penis shape
  • Erectile dysfunction
  • Pain during erection or sexual intercourse
  • Loss of penile length or girth

Treating Peyronie’s Disease

If symptoms of Peyronie’s disease occur, a consultation and examination with a board-certified urologist should be scheduled. The sooner that an accurate diagnosis is made, the better a patient may respond to non-surgical treatments. One method of treating this condition is to anesthetize the penis and then inject the area where plaque has formed with a pharmaceutical drug that dissolves accumulation. In more severe cases, a prosthesis or surgical procedure may be recommended.

Peyronie’s disease is not something to tackle on your own. For more information on treatment options, call our Plano office at (972) 403-5425.


How Diabetes can Affect Urinary Health

Posted in Bladder Control, Overactive Bladder | November 30, 2018

Bladder Control Treatments Plano, TXDiabetes is the common health condition in which a person has too much sugar in their blood. In some, blood sugar levels may rise and fall dramatically throughout the day, creating frustrating symptoms. In many cases of diabetes, doctors note coinciding problems with urinary health. Degraded bladder control and a tendency toward infection can affect daily living and overall quality of life. Here, we discuss some of the ways that diabetes can affect urinary health and what might be done to manage these problems.

Common Diabetes-Related Urinary Problems

Overactive Bladder

An overactive bladder may lead to a sudden and strong urge to urinate. This urge stems from contractions or spasms within the bladder. People with overactive bladder may have to urinate as often as every hour throughout the day and at least a few times at night. It is also possible that urinary incontinence and leakage may coincide with other symptoms of overactive bladder. This condition may improve with Kegel exercises and bladder training or may need medical therapy such as prescription medication or electrical stimulation.

Urine Retention

Urine retention is characterized by an inability to fully empty the bladder during urination. When urine remains in the bladder, the risk of a bladder infection, kidney infection and damage, and urine leakage develops. Bladder training, medication, lower abdominal massage to assist bladder emptying, and Kegel exercises may help offset urine retention. In some cases, urine may need to be drained with a catheter. A urologist may also suggest installing a urethral stent to support appropriate bladder drainage.

Frequent Urination

Diabetics may need to urinate much more frequently compared to individuals with normal blood sugar levels. The fact that diabetes can also cause dry mouth and a need to drink water often throughout the day doesn’t help. Furthermore, diabetes naturally increases thirst. This begins in the kidneys, which increase function to filter excess sugar from the blood. With too much sugar to remove via kidney function alone, the brain draws water from bodily tissues to dilute the blood and circulate sugar into the urine. Depleted hydration from tissues creates thirst and, naturally drinking more, a person will have a greater need to urinate.  While staying hydrated is vital to maintaining kidney health, the best way to decrease frequent urination is to maintain normal blood sugar levels.

Patients with diabetes have a need for collaboration among their healthcare providers. Our experienced team can provide personal care to improve and support ongoing urologic health. To schedule a visit at Collin County Urology, call (972) 403-5425.


Diabetes as a Risk Factor for Erectile Dysfunction

Posted in Erectile Dysfunction | November 15, 2018

Erectile Dysfunction Plano, TXNovember is Diabetes Awareness Month, a time of year when healthcare professionals seek to increase patient awareness about this chronic and prevalent health condition. According to statistics from 2017, more than 30 million Americans have been diagnosed with diabetes. It is estimated that another 8 million have diabetes that has not yet been diagnosed, and millions more have pre-diabetes.

Diabetes is the medical condition in which there is consistently too much glucose, or sugar, in the blood. The chronic elevation in blood glucose affects every part of the body, from the skin to the eyes to the reproductive system. In men, there is a possibility that diabetes could be a contributing factor for erectile dysfunction.

Erectile dysfunction may be classified as the condition in which a man cannot obtain an erection or, if he can become erect, cannot stay that way throughout sexual intercourse. The link between diabetes and erectile dysfunction lies in the blood vessels. In order for the penis to become erect, nerves from the penis stimulate the brain to circulate more blood into the area. It is the filled blood vessels that make the penis rigid. If diabetes compromises nerve stimulation and transmission or the strength of blood vessels, erectile dysfunction may occur. In fact, some men experience erectile dysfunction first, before being diagnosed with diabetes.

Preserving Sexual Function with Diabetes

Erectile dysfunction is not a small matter. Clearly, the ability to get an erection could indicate an underlying health issue. For this reason, any man who is consistently affected by abnormal erections should consult with a urologist to explore reasons for erectile dysfunction as well as treatment options.

There are several approaches that may be taken to preserve sexual function. These include prescription medications formulated to increase blood flow to the penis and hormone therapy. If medication does not improve sexual performance, penile injections or implant may be discussed. Lifestyle modifications are also a valuable approach to sexual function and general health and wellness.

The team at Collin County Urology offers personal care in a friendly and professional environment. Contact our Plano office at (972) 403-5425 to schedule a consultation to discuss erectile dysfunction.


Vasectomy Reversal Shouldn’t be Counted Out as a Viable Option for Future Pregnancy

Posted in Vasectomy | October 30, 2018

Vasectomy Plano, TXMany couples experience a deep sense of satisfaction when they have completed their family unit. When this decision is made, whether after extensive discussions or that inner knowing that the time is right, couples who decide to manage family planning with permanent birth control such as vasectomy typically don’t reopen that door in the future. However, life is unpredictable. Should a couple decide that they would like more children, the idea of a vasectomy reversal shouldn’t be overlooked. This procedure provides hope for couples who may otherwise count themselves out of the future parenting game.

Vasectomy Reversal Success

Historically, vasectomy has been commonly thought of as permanent. However, many men now seek to have their initial procedure reversed in a follow-up surgery that reconnects the reproductive tract. Vasectomy reversal can be successful, but it is important to know what this means.

Technically, a vasectomy reversal is successful when sperm can be measured in the semen following surgery. Using this measurement, the technical success rate of vasectomy reversal lies in the 90th percentile. What couples are more interested in is the real-life success of vasectomy reversal – the ability that the male partner can father children naturally. In this instance, the success rate is almost always lower.

Studies indicate that the sooner a man undergoes vasectomy reversal (within a few years after vasectomy), the higher the couple’s chances of successful pregnancy. Seventy-six percent of men treated within three years of vasectomy father children. When the time between vasectomy and vasectomy reversal extends beyond a decade, the likelihood of future pregnancy sits around 30%.

Time isn’t the Only Factor

The fact that conception success rates appear relatively low for men whose vasectomy reversal is postponed for many years doesn’t mean the procedure itself is unsuccessful. Even when sperm can be found in the ejaculate, couples may struggle to conceive. This could relate to the age and general health of either partner and may also be attributed to a blockage in the epididymis, the ductwork that directs semen to the vas deferens.

Is IVF a Better Option?

The obvious goal of couples who want to have children is to accomplish a successful pregnancy. Both vasectomy reversal and IVF offer hope when fertility has been an issue. In instances of a previous vasectomy, what IVF does for the couple is extract sperm and eggs so they can be joined in a lab setting. The embryo is then implanted into the woman’s womb. The success rate of this process is approximately 40%, and multiple procedures are necessary, which translates into a bigger investment. Vasectomy reversal is similarly successful, takes less time, and incurs fewer medical costs.

Learn more about vasectomy reversal. Call our Plano office at (972) 403-5425.


Kidney Stones are Not Created Equal

Posted in Kidney Stone | October 30, 2018

Kidney Stone Treatment Plano TX People who have had kidney stones tend to have one thing to say about them: they hurt! One experience with kidney stones is enough to know you don’t want to relive this problem. The fact is, kidney stones are a relatively common problem among men and women. What’s more, the term “kidney stones” isn’t the most accurate description of the debris that can cause so much disruption to daily living. Here, we discuss the different types of kidney stones that may develop and the reason for each.

Calcium Stones

Most of the kidney stones that develop are calcium stones. They result from elevated levels of calcium oxalate in the body. Oxalate is present in a variety of foods, including many fruits and vegetables, nuts, chocolate, and protein. This type of kidney stone may also develop more easily when health conditions such as Hyperparathyroidism or ulcerative colitis are present.

Uric Acid Stones

This type of kidney stone can result from a high-protein diet. Some people can process the uric acid in red meats without incident. Others cannot, and uric acid builds up in the kidneys, turning to stones.

Cystine Stones

These stones develop when the common amino acid, cystine, is overproduced by the body.

Struvite Stones

Struvite is a mineral found in the urinary tract. If infection occurs in the tract or in the bladder, the urea can be hydrolyzed to ammonium. This increased the pH of the urine to a neutral or alkaline state, resulting in struvite stones.

Other types of kidney stones do exist, but they are very rare.

Symptoms of Kidney Stones

The type and severity of symptoms may vary from person to person and also from one type of kidney stone to another. Some people develop frequent urination and blood in the urine while others experience difficulty urinating. Across the board, people who have kidney stones almost always report the telltale pain the accompanies this condition.

Kidney stones are diagnosed via blood tests and imaging such as x-ray or ultrasound. Treatment may involve one of a few proven techniques, such as shock wave lithotripsy or Ureteroscopy.

Don’t wait to have symptoms of kidney stones evaluated. Contact our Plano office at (972) 403-5425 for a thorough consultation and medical exam.


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