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Men’s Health and Male Urological Issues

Common problems that all men may experience at some time in their lives:

  • Bladder control problems:
    • Frequent urination? How much is too much? If you are urinating more often than your normal, it may be time to consult a urologist at Pinehurst Surgical in North Carolina. It may be an indication of a medical condition or it may simply be impacting your quality of life. Quality of life issues can be effectively treated with physical retraining of the pelvic floor muscles. When control issues are combined with pain or there is blood in your urine, it may be a urinary tract infection (UTI). It is important to see a urologist to rule out serious conditions like bladder cancer, which presents similar symptoms
    • Frequent urination may also be a sign of diabetes, an enlarged prostate, weak bladder muscles, weak sphincter muscles, an overactive bladder or a urinary tract infection
    • Incontinence affects more than 15 million people. There are two types: stress or urge incontinence. Stress incontinence is caused by coughing, sneezing, etc. Urge incontinence is caused by the inability to hold urine until you can get to the bathroom
    • Lower Urinary Tract symptoms called LUTS include a slow urine stream or dribbling of urine, hesitancy, and intermittent flow; or increased frequency, urgency, urge incontinence and passing urine at night. These symptoms are commonly related to either scar tissue in the urethra, or a sexually transmitted disease
  • Kidney stones affect 1 in 10 men. When you get one, you are likely to get more. They may cause no pain when they remain in the kidneys but when they travel from the kidneys to the bladder, the pain can be severe. The most common cause is not drinking enough water. Lifestyle changes can improve the condition. A treatment is available when the stone is painful and cannot pass on its own.
  • Vasectomy and/or vasectomy reversal

Diseases of the Prostate:

The prostate gland produces semen that nourishes and transports sperm, and plays a significant role in ejaculation, and sperm function.

  • Benign Prostatic Hyperplasia (BPH) is an enlarged prostate that creates pressure on the urethra causing urgency to urinate, weak stream, and feeling the bladder is full after urination. If symptoms are mild, there may be no need for treatment. But, when symptoms affect your quality of life, talk to our urologists to determine treatment options
  • Prostatitis is inflammation and swelling of the prostate and is a common cause of pain. It is caused by a bacterial infection. Symptoms: difficulty urinating, frequent urination, night time urination, pain in the lower back, difficult ejaculation, fever, chills, and burning. In older men it may become chronic even without the presence of bacteria
  • Prostate cancer is the most common cancer in men, affecting 1 out of 6 men. It is common in older men, and can be confused with an enlarged prostate because the symptoms are similar to BPH. The most common causes are age, race, genetics, and diet. It generally affects men over age 50 

Male Infertility and Sexual Dysfunction:

A man’s sperm count and quality diminish with age. Diet and general health also play a role.

  • Male Factor Infertility is failure to conceive due to semen abnormalities or sexual dysfunction. It may be due to obstructions that can be surgically repaired. Non-obstructive male factor infertility includes impairment of sperm production and defective sperm function. It can be caused by STDs, physical damage, birth defects, and some diseases
  • Erectile Dysfunction (ED) affects almost 30 million men in the US. 90% of cases are organic due to a physical issue, not psychological issues. It is commonly a result of medication side effects from drugs for depression and cardiac problems, or blood pressure. Untreated high blood pressure, heart disease, vascular disease and diabetes also cause ED
  • Retrograde ejaculation occurs when ejaculate goes into the bladder, instead of out the penis. It may be due to diabetes, or previous surgery to the urethra or prostate
  • Low Testosterone (Low T) is a hormone problem that causes a low sex drive, low energy, mood changes, infertility and erectile dysfunction. It is common in men with diabetes and obesity, and can cause decreased muscle mass and osteoporosis. Treatment is determined based on how low T affects on your health
  • Premature ejaculation is one of most common forms of male sex dysfunction affecting 1 in 3 men between the ages of 18 and 59. The cause is not known but can be related to anxiety, depression, medication side effects and hormone problems
  • Varicoceles are varicose veins on the testicles that cause sperm to be too warm and can lead to infertility. 60% of men with infertility have a bulging or varicose vein. It can be easily fixed with outpatient surgery

Urological Cancers

  • Kidney cancer
  • Bladder cancer
  • Testicular cancer is painless lump in the testicle, feeling of heaviness in scrotum, and swelling of the testicle with or without pain. Timely diagnosis is the key to survival.

At Pinehurst Surgical Associates in Pinehurst and Sanford North Carolina, you will receive the respect and compassion you deserve. You can feel confident that you will receive the help you need from our expert specialists. We are here to diagnose, treat and support your needs. Don’t suffer, call us.

At Pinehurst Surgical, each of our surgeons in Pinehurst, Sanford, Troy, Rockingham, Laurinburg and Raeford, NC is truly a specialist in his or her field. So whether you’re coming in for a routine checkup or a major surgery, you can feel confident knowing that your problem will be treated in the most thoughtful, dedicated manner possible.