Entries by drjo

Paraphimosis: When the Foreskin Gets Stuck

Paraphimosis is one of those urological problems where the phrase “I’ll see how it goes overnight” is not a particularly good plan. It occurs when the foreskin of an uncircumcised penis is pulled back behind the head of the penis (glans) and becomes trapped there. The tight band of foreskin can interfere with normal drainage […]

Does Size Matter?

The long and the short of it Penile size is one of those subjects that generates enormous interest, considerable anxiety and, unfortunately, a remarkable amount of questionable information on the internet. Men may quietly compare themselves with partners, friends’ exaggerated stories, pornography, locker-room mythology or, apparently, the occasional cucumber. So, does penile size actually matter? […]

Vasectomy: A Guide to Permanent Male Contraception

Vasectomy is a safe, effective and permanent method of male contraception. It is a relatively minor surgical procedure that prevents sperm from entering the semen by interrupting the vas deferens, the tubes that carry sperm from the testicles. For men and couples who are confident that their family is complete, vasectomy provides highly reliable contraception […]

Phimosis: When the Foreskin Refuses to Cooperate

The foreskin is normally a fairly cooperative piece of anatomy. It moves forward, it moves backward, and for the most part it quietly gets on with its job. Phimosis occurs when the foreskin becomes too tight to comfortably pull back, or retract, over the head of the penis (glans). Think of it as a turtleneck […]

Overactive Bladder and Intravesical Botulinum Toxin Injections: A Patient Guide

Overactive bladder can have a significant impact on everyday life. The sudden need to find a toilet, frequent trips to the bathroom, waking repeatedly at night and episodes of urinary leakage can interfere with work, travel, exercise, sleep and social activities. When bladder training, pelvic floor therapy or prescription medicines have not provided adequate relief—or […]

Sacral Neuromodulation for Urinary Incontinence and Bladder Dysfunction

Urinary incontinence and bladder control problems can have a significant effect on everyday life. Frequent trips to the toilet, sudden urgency, leakage, waking repeatedly at night or being unable to empty the bladder properly can interfere with work, exercise, travel, sleep and social activities. For men and women whose symptoms have not responded adequately to […]

Medical Therapy for Benign Prostate Enlargement: What Are the Options?

Benign prostate enlargement, also called benign prostatic hyperplasia (BPH), is extremely common as men get older. An enlarged prostate can narrow the urinary channel and affect the way the bladder empties, producing what doctors call lower urinary tract symptoms (LUTS). Typical symptoms include: A slow or weak urinary stream Difficulty starting urination Stopping and starting […]