A number of issues may affect a man's sexual health and wellness, as well as his ability to excrete urine. Urology procedures involving the male genitalia focus on problems such as erectile dysfunction, aesthetics, impotence, and infertility as well as ejaculatory disorders. Penile implants and procedures to improve male aesthetics are also included in this category of care.
Some of the most common urology problems that affect men include but are not limited to enlarged prostates, dysfunctional bladders, retrograde ejaculation, and male sexual dysfunction. A number of types of male dysfunction are generally treated by urologists, including low libido, erectile problems, orgasm disorders, and so forth. Difficulty with urinary flow is another important issue, most commonly associated with benign prostatic hyperplasia or BPH.
Prostate conditions such as benign prostatic hyperplasia,known as BPH, defines enlargement of the prostate gland. It's fairly common in older men, especially those over 50 years of age. It's not known at this time what causes it, but it is believed that hormone changes and hormone levels, most specifically testosterone, are to blame. However, when it comes to prostatitis, or swelling of the prostate gland, it is believed the condition is caused by bacterial infection that spreads from the bloodstream or urinary tract to the prostate.
When the prostate gland enlarges, it compresses against the urethra and blocks urine flow. The most common treatments for prostate conditions include medications, or TURP surgery, or transurethral resection of the prostate. In this procedure, a portion of the prostate is removed. Removal of any part of the prostate may result in permanent erectile dysfunction for approximate 10% of men who undergo the procedure.
Retrograde ejaculation is a condition where ejaculate flows backward, resulting in infertility for the male because the semen is ejected into the bladder from the prostate, rather than into the penis. Treatment for retrograde ejaculation depend on whether the condition is caused by surgery that changes physical anatomy, or by nerve damage caused by surgeries, conditions like diabetes and multiple sclerosis, or trauma. In some cases, medications may help keep the neck of the bladder muscle closed during ejaculation, but if that doesn't work, infertility procedures, or assisted reproductive technology (ART) may be utilized to impregnate a partner.
Erectile dysfunction afflicts large numbers of men, and can be caused by a number of issues. Erectile dysfunction surgery can be performed to improve blood flow to the penis, thereby improving erections, as can lifestyle changes. Treatments also depend on the age, health, and underlying cause of erectile dysfunction. In most cases, medication side effects, surgical complications, lifestyle factors, disease, or psychological issues cause erectile dysfunction. Some of the most common treatments for erectile dysfunction include counseling, drug therapy, vacuum devices or pumps, or surgery.
Penile surgery is used as a last resort, where an implant or prosthesis is inserted into the penis. In other situations, vascular reconstruction surgery may improve blood flow to the penis and surrounding structures.
Any man who has difficulty with sexual function or urination will benefit from urology treatments and procedures that focus on health and wellness of male genitalia and the bladder and the prostate. Individuals diagnosed with pre-cancerous or cancerous prostate or bladder issues will benefit from early diagnosis, treatment and surgical procedures. Those with male erectile or fertility issues seeking treatment may benefit from drugs or surgical methodologies that improve function.
Costs for treatment and/or surgeries for a variety of male erectile and/or urology procedures vary. For example, the average cost of a TURP procedure in the United States is roughly between $5,000 and $6,000, and doesn't include the fees of the urologist or anesthesiologist. Individuals traveling to India can obtain the TURP procedure for around $3,000, while trained and certified urologists in destinations such as Costa Rica or Croatia charge an average of around $3,500. Removal of the prostate or portions of the prostate depend on approach. A radical prostatectomy may cost as much as $10,000 in the U.S. Robotic technologies such as da Vinci may cost up to $24,000. However, medical travelers to India may save up to 50% of costs, paying an average of $4,000 for non- robotic prostate removal, while patients in Turkey may pay approximately $6,000 for the same procedure.
Who Performs Male Erectile Urology Procedures?
The Male Erectile Urology Procedures are usually performed by an urologist, also trained in surgery of the male reproductive organs, kidneys, urethra and bladder, or pelvic surgery. Make sure that the surgeon you will choose is trained in general surgery and also in urology, and that he/she has the approval to practice in accredited clinics and hospitals.
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