Delayed ejaculation is a male sexual difficulty in which it takes an unusually long time to reach orgasm and ejaculate, or ejaculation does not occur at all, despite adequate sexual stimulation and the desire to climax. There is no stopwatch that defines what is “normal”. Some men naturally take longer than others. Delayed ejaculation becomes […]
Is there hope? Absolutely. Anorgasmia is the inability, or persistent difficulty, to reach orgasm despite sexual stimulation and arousal that would normally be expected to produce one. For some people, orgasm has never occurred. For others, it was previously normal but has gradually or suddenly become difficult or impossible. Although anorgasmia can be frustrating, confusing […]
Premature ejaculation (PE) is one of the most common sexual concerns affecting men. Yet it is also one of the least discussed. Many men worry that they are the only person experiencing it, or that it means there is something fundamentally wrong with their sexual function or relationship. Neither is necessarily true. Premature ejaculation is […]
Removing the prostate while putting cancer control first Robotic-assisted radical prostatectomy is a well-established surgical treatment for localised and selected locally advanced prostate cancer. During the operation, the prostate gland and seminal vesicles are removed, and the bladder is reconnected to the urethra. In selected patients, pelvic lymph nodes may also be removed. One of […]
OAB – Flyer – Joseph Schoeman
Overactive bladder (OAB) can make life feel as though the bladder has taken control of the daily timetable. A trip to the shops becomes a mental map of toilets, a long car journey requires strategic planning, and the sound of running water can suddenly become surprisingly persuasive. Fortunately, several medications are available in Australia that […]
For patients living with interstitial cystitis/bladder pain syndrome (IC/BPS) or a persistently small functional bladder capacity, the bladder can become an unforgiving little alarm clock: filling produces pain or pressure, urinary frequency increases, and sleep may be repeatedly interrupted by trips to the bathroom. One procedure sometimes considered in carefully selected patients is regulated bladder […]
Cancer of the Renal Pelvis and Ureter Urothelial carcinoma is most commonly associated with the bladder, but the same specialised lining extends all the way from the bladder up the ureters and into the collecting system of each kidney. When a urothelial cancer develops in the renal pelvis or ureter, it is called upper tract […]
Kidney stones, medically known as renal calculi or nephrolithiasis, are solid crystalline deposits that develop within the kidneys. Although we tend to talk about “a kidney stone” as if all stones are the same, there are several distinctly different types. Knowing the composition of a kidney stone matters. Different stones have different causes, appearances, recurrence […]
Calcium oxalate stones are the most common type of urinary tract stone. Although the name may suggest that eating too much calcium is the problem, the biology is considerably more complicated. Stone formation reflects the interaction between urine volume, calcium, oxalate, citrate, sodium, dietary factors, genetics and, in some patients, underlying metabolic or gastrointestinal conditions. […]