Entries by drjo

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 […]

Minimally Invasive Prostate Biopsy

A prostate biopsy is the definitive test used to determine whether abnormal prostate cells are cancerous. Modern biopsy techniques have changed significantly. Rather than routinely passing biopsy needles through the rectum, prostate tissue can now be sampled through the skin of the perineum, the small area between the scrotum and anus. The TP Pivot Pro™ […]

Pelvic Floor Rehabilitation Before and After Prostate Surgery

Preparing the Pelvic Floor for Recovery Urinary leakage is one of the most common concerns men have when preparing for prostate surgery, particularly radical prostatectomy for prostate cancer. Fortunately, urinary control usually improves progressively after surgery, and pelvic floor rehabilitation can play an important role in helping men regain continence. Pelvic floor rehabilitation is more […]

Active Surveillance for Prostate Cancer

Being diagnosed with prostate cancer does not always mean that treatment needs to start immediately. Many prostate cancers grow very slowly and may never cause symptoms or threaten a man’s life. For carefully selected men, active surveillance allows the cancer to be closely monitored while avoiding, or at least delaying, treatments such as surgery or […]

Robotic-Assisted Radical Prostatectomy for Prostate Cancer

Understanding Robotic Prostate Cancer Surgery A diagnosis of prostate cancer brings with it several important decisions. For men with cancer that is confined to the prostate, or selected cancers that have extended just beyond it, radical prostatectomy remains an established curative treatment option. Robotic-assisted radical prostatectomy (RARP) is a minimally invasive approach in which the […]