Delayed Ejaculation

/0 Comments/in /by
This can be a huge issue for those guys that suffer with this. It leads to psychological issues and even breakdown of relationships. Treatment for delayed ejaculation depends on its cause and may involve a combination of approaches like adjusting medications, counseling and other therapies. Options include psychological therapy, adjusting or switching medications (such as SSRIs), and addressing lifestyle factors like alcohol or drug use. Some men may also benefit from physical therapies or specific drugs like testosterone replacement, bupropion, or cabergoline, depending on the underlying cause and a doctor’s recommendation. 
Delayed ejaculation affects an estimated 1% to 4% of sexually active men, though a recent study suggests the prevalence may be higher, possibly between 5% and 10%.

Diagnosis:

Some studies use a specific timeframe to define delayed ejaculation, such as a man taking 30 minutes or longer to ejaculate, which may lead to higher reported numbers. 

Medical and pharmaceutical treatments

  • Medication adjustment: If a medication like an SSRI is the cause, a doctor may recommend switching to a different antidepressant or adjusting the dose.
  • Testosterone replacement: If low testosterone is a contributing factor, testosterone replacement therapy can be used.
  • Other drugs: Other medications that may be used include bupropion, cabergoline, yohimbine, and cyproheptadine, which may be prescribed to counteract the effects of other drugs or address the issue directly.
  • Topical anesthetics: Products containing lignocaine or prilocaine can be applied to the penis to reduce sensation and delay ejaculation. 

Psychological and behavioral treatments

  • Psychotherapy: Counseling with a psychologist, psychotherapist, or sex therapist can help address psychological issues like anxiety, stress, or relationship problems that may contribute to delayed ejaculation.
  • Couples counseling: If the issue affects the couple’s dynamic, counseling together can be very beneficial.
  • Behavioral techniques: A therapist may suggest techniques like using sexual aids, exploring erotic fantasies, or trying different sexual positions and techniques to increase stimulation. 

Lifestyle and other considerations

  • Reduce or eliminate alcohol and drugs: Limiting or stopping the use of alcohol and non-prescription drugs can help resolve delayed ejaculation if they are a contributing factor.
  • Manage underlying medical conditions: Treating any underlying medical issues, such as neurological problems, can also help.
  • Penile vibratory stimulation (PVS): This may be an option for men with decreased penile sensitivity. 

When to see your GP

  • It is best to consult a healthcare professional to determine the cause and appropriate treatment.
  • See a doctor if delayed ejaculation is an ongoing issue, if you have other health problems, or if you take medications that could be the cause.
  • Do not stop taking any prescribed medication without first speaking to your doctor. 
Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Dr Richard Marsden – Urologist

/0 Comments/in /by

Richard Marsden

Many of my older patients in Bundaberg will remember Richard. Richard was a well-known and respected Urologist in Bundaberg for many years. He was the only Urologist in Bundy and very committed to regional QLD. This legend passed away on the 5th of November.

I owe my big move from South Africa to Australia to him. I met him at the bi-annual UROSA (Urology Society of South Africa) conference at Sun City in 2005. We struck up a conversation and by the end of this I was given a business card and told to contact him if I was keen to take over his practice in Bundaberg. He was in the process of retiring. It took me a few weeks to realize what an opportunity he had given me.

My wife and I flew out to Bundaberg a couple of months later to do our LSD-trip (look, see and decide). A trip most South Africans do before we make the huge decision to uproot our families for the unknown. Australia held a huge promise of safety, freedom and a future for our daughters. We flew into Bundaberg and fell in-love with the town. It reminded us of the East Coast of South Africa (the then Natal province) with its ocean, sugarcane and humidity.

Richard and Carol welcomed us. Richard showed me his routine and introduced me to the operating room and ward staff. We learnt that Richard was also an immigrant, from the UK. He spent his childhood years during WW2 in Johannesburg, South Africa. He joined his parents in Melbourne after the war after which they returned to the UK. He embarked on his medical career in London. He too made the decision to re-locate to Australia with his 2 daughters. Natasha and I made the heavy decision that this was where we wanted to raise our girls.

Thank you, Richard!

Pelvic floor rehabilitation post prostatectomy

/0 Comments/in /by
Pelvic floor physiotherapy after a prostatectomy helps regain bladder control and addresses erectile dysfunction through exercises and other therapies. A physiotherapist can create a personalized plan, which may include pre- and post-operative pelvic floor muscle training (Kegels), bladder retraining, and, in some cases, treatments like focused shockwave therapy for erectile dysfunction. 

What pelvic floor physiotherapy involves

  • Pelvic floor muscle training: A physiotherapist will guide you on how to perform exercises (like Kegels) to strengthen the pelvic floor muscles. This can significantly improve urinary incontinence and support bladder control.
  • Bladder retraining: This involves a combination of exercises, tracking bladder use, and scheduling toilet breaks to improve bladder control and reduce urgency or leakage.
  • Individualized assessment: Each person’s recovery is unique, so a physiotherapist will conduct a comprehensive assessment to create a treatment plan tailored to your specific symptoms and needs.

When to start

  • Pelvic floor exercises can be started before surgery or soon after the catheter is removed.
  • Starting pelvic floor rehabilitation before surgery is recommended by some organizations, as it can help with recovery. 

Why it’s important

  • The prostate gland sits below the bladder, and its removal can weaken the surrounding pelvic floor muscles and surrounding structures.
  • This can lead to issues like urinary incontinence (leaking), urgency, and erectile dysfunction.
  • Pelvic floor physiotherapy helps by strengthening the muscles that support bladder and sexual function. 

Getting started

  • It is highly beneficial to see a physiotherapist, as they can provide guidance and ensure you are performing exercises correctly.
  • You can start with basic exercises on your own, but a physiotherapist can help you get more benefit from your training. 

 

I use 3 groups of physiotherapy practices depending on your location:

1. Wesley Hospital Physiotherapy

Women and men’s physiotherapy | Allied health | The Wesley Hospital

2. Bodyworks Physiotherapy in Kallangur – Rashiq Patel

BODYWORKS PHYSIOTHERAPY

3. Coral Coast Physiotherapy in Bargara, Bundaberg – Reuben Wharerau

Bargara Physiotherapy | Coral Coast Physiotherapy Bargara

 

Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Men’s Health Doctor – help recover erectile function

/0 Comments/in /by

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual intercourse. It’s common, affecting more than 1 in 10 men, and can be caused by both physical and psychological factors. It becomes a reality for those guys embarking on surgery for their prostate cancers.

What is Erectile Dysfunction?

  • : Difficulty achieving or maintaining an erection sufficient for sex.
  • : More common with age; affects up to 10% of men under 40, and nearly all men over 85.
  • : Temporary ED can result from stress, fatigue, or alcohol, while persistent ED may signal underlying health issues

Causes

  • : heart disease, diabetes, high blood pressure, obesity, smoking, and certain medications.
  • : Stress, anxiety, depression, or relationship problems.
  • : Lack of exercise, poor diet, and excessive alcohol use

Treatment Options

  • : Exercise, healthy diet, quitting smoking, reducing alcohol.
  • : Oral drugs like sildenafil (Viagra), tadalafil (Cialis), or vardenafil.
  • : Counselling for psychological causes, sex therapy.
  • : Vacuum erection devices, penile injections, or implants

Erectile Function recovery after prostate cancer surgery

I have just the man to help you. Dr Michael Gillman has over 25 years’ experience as a medical practitioner.

Dr Gillman has specific expertise in male sexual health and male sexual dysfunction. He is a Fellow of the Royal Australian College of General Practitioners and a professional affiliate member of Australasian Chapter of Sexual Health Medicine (AChSHM) which has been established within the Adult Medicine Division of the Royal Australian College of Physicians.
Above all this he is a GOOD man with a good sense of humor! He has been known to resurrect many ‘old-fellows’. See what he can do for you. Follow the link below
Click to see his website for more information
Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Bribie Island Consulting

/0 Comments/in /by

Ramsay rooms on Bribie Island

  • as part of my service to my Caboolture area patients, I also drive out to my Bribie Island patients
  • Once a month for a full day
  • Cozy rooms
  • Good service provided by Caboolture private hospital for the community of Bribie
  • Convenient for my Bundaberg patients to be seen 100 km before Brisbane
  • Phone my rooms for an appointment there: 07) 3371-7288
Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Centre for Men and Families Australia

/0 Comments/in /by

Movember focusses on MEN and their mental health, not just Prostate Cancer!

Here is a safe place to go if you don’t have support you need.

Why CFMA Exists

Men in Australia are in crisis, killing themselves and others at fair higher rates than what is acceptable, and experiencing a wide range of challenges mostly stemming from a lack of emotional literacy. This crisis is costing our nation in many measurable and immeasurable ways, personally, socially and financially.

Therefore, The Centre for Men and Families exists to create a safe community for men to connect, learn, be loved and belong, so that they can journey deeper and experience transformation of the heart and bring the gift of who they truly are into the world, moving from being a source of dysfunction to a source of life and fulfilment for themselves, their families and our society.

“Our Dream”

Our dream is that every man in this country would have access to a group of mates that they can walk with shoulder to shoulder through life’s best and life’s worst. Our dream is that every man in this country would have a safe place where they can really talk about what’s going on, where they can share their story without the fear of judgment and find themselves heard and unconditionally loved. Our dream is that every man could experience the extraordinary strength that comes through being authentic about their weaknesses. Our dream is that every man in this country could be supported to recognise and embrace their hurts, disappointments, and limitations and find healing and wholeness. And our dream is that every man who finds healing and wholeness would pass on that generative wisdom to their families, society, and the next generation of males.

That’s our dream.

Over the next five years, The Centre for Men and Families will create a safe space for every single man in this country to have their experiences heard and honoured; a space where they can talk – really talk – and their story is welcomed without judgment; a space where they are free to recognise and embrace their hurts, disappointments, and limitations; a space where they are supported to transform their woundedness and pain by drawing on the very best of contemporary knowledge and ancient wisdom; a space where they are shown how to handle both their power and pain so as to be safe; and, above all, a space where they can find a group of mates to belong to and be real with.

Every. Single. Man.

 

Centre for Men & Families Australia | CFMF

 

Movember

/1 Comment/in /by

MOVEMBER

It’s that time of the year where we support the people in our lives that suffer with conditions that are treatable and early intervention can make a huge difference:

  • Prostate cancer
  • Testis cancer
  • Penile cancer
  • Depression and suicidal thoughts

What can we do?

  • Awareness is key
  • Regular GP visits with
    • regular PSA testing for guys older than 50
    • any urinating symptoms that bother
  • Regular self-examination of testes
  • Depression that you cannot beat
    • Seek support, friends and family
      • break the barriers and TALK
    • Men’s groups, see link below – Centre for Men and Families
    • Psychology
    • GP

So, get involved! If you spot a loved one suffering, speak up!

For more information:

Centre for Men & Families Australia | CFMF

Movember – About Us – The Movember Foundation

Why Self-Care Is Not Selfish: It’s Your Healing Tool

/in /by

In a world that praises busyness, it’s easy to forget the importance of taking care of ourselves. But the truth is, self-care isn’t selfish—it’s necessary. Especially when you’re dealing with anxiety, stress, or emotional exhaustion, caring for yourself becomes part of your healing.

And even in the Bible, we’re reminded of this:

“Come to me, all you who are weary and burdened, and I will give you rest.”
— Matthew 11:28

God invites us to rest—not just physically, but emotionally and spiritually, too.

1. Self-Care Helps You Recharge

You can’t help others if you’re running on empty. A few quiet minutes to breathe, pray, or enjoy something you love can make a big difference.

2. It Prevents Burnout

Self-care helps manage stress before it becomes too much. Whether it’s a short walk, listening to worship music, or unplugging from social media, these small choices matter.

3. It Builds Self-Worth

Taking care of yourself is a way of saying, “I matter.” You were created with value—and choosing rest and peace is one way to honor that.

4. It Helps You Be There for Others

You’re better for your family, friends, and responsibilities when you’re mentally and emotionally well. Taking time for yourself helps you show up with patience and love.

Book Your Appointment Today

If you’re in need of a urologist in Brisbane, Dr. Jo Schoeman is here to help. With a commitment to patient-centered care and advanced treatment options, Dr. Schoeman is dedicated to improving the lives of her patients. Contact our office today to schedule a consultation and take the first step toward better urological health.

How to Manage Anxiety and Stress in Your Daily Life

/in /by

In today’s world, stress and anxiety can feel like constant companions. From work and finances to personal relationships and daily responsibilities, it’s easy to feel overwhelmed. But the good news is—you can take control.

Here are practical, everyday ways to manage anxiety and reduce stress naturally:

1. Start Your Day Calmly

Instead of grabbing your phone the moment you wake up, take 5 minutes to breathe, stretch, or set a positive intention. This simple habit sets the tone for a more focused and peaceful day.

2. Move Your Body

You don’t need a gym membership. A short walk, a few minutes of stretching, or dancing to your favorite song at home can improve your mood and release tension. Movement helps reduce stress hormones and increases happy chemicals in the brain.

3. Watch What You Consume

Too much caffeine, sugar, or scrolling on social media can fuel anxiety. Try to stay hydrated, eat nutritious meals, and limit screen time—especially before bed.

4. Write It Out

 

Journaling is a powerful tool. Write about what you’re feeling, what’s stressing you, or simply list things you’re grateful for. Releasing your thoughts on paper clears space in your mind.

5. Talk to Someone

Whether it’s a friend, family member, or therapist, don’t bottle things up. Sharing your feelings helps lighten emotional weight and gives you perspective.

Final Thought

You don’t need to do everything perfectly. Small changes add up. Be kind to yourself, take breaks when you need them, and remember—you’re doing the best you can. One breath, one step, one day at a time. 🌿

Book Your Appointment Today

If you’re in need of a urologist in Brisbane, Dr. Jo Scheoman is here to help. With a commitment to patient-centered care and advanced treatment options, Dr. Scheoman is dedicated to improving the lives of her patients. Contact our office today to schedule a consultation and take the first step toward better urological health.

Expert Urology Care: What You Need to Know About Your Urinary Health

/in /by

🔹 1. Prostate Health: What Every Man Over 40 Should Know

Summary:
This post will focus on why prostate screening is important, what symptoms to watch out for (like difficulty urinating or pelvic pain), and how a urologist can help detect and treat conditions like BPH (enlarged prostate) or prostate cancer early.

Perfect for: Men’s health awareness campaigns, especially during Movember or Men’s Health Month.

🔹 2. Kidney Stones: Causes, Symptoms, and How a Urologist Can Help

Summary:
Educate readers on how kidney stones form, what the pain feels like, and why it’s important to seek a urologist’s care for proper diagnosis, pain relief, and prevention. Include tips on hydration, diet, and available treatments like shock wave therapy or laser removal.

Perfect for: General public, men and women of all ages, and lifestyle-focused clinics.

🔹 3. Male Infertility: How a Urologist Can Help You Become a Dad

Summary:
Break the stigma around male fertility by explaining how urologists evaluate and treat issues like low sperm count, varicocele, or hormonal imbalances. Reassure couples that male fertility problems are common and treatable with the right medical support.

Perfect for: Fertility clinics, men’s health, or couples trying to conceive.

🔹 4. Women and Urology: Common Urological Issues Women Shouldn’t Ignore

Summary:
Many women don’t realize they can benefit from seeing a urologist. Cover common female urological conditions like incontinence, overactive bladder, UTIs, and pelvic organ prolapse — and how a urologist can help manage or treat them discreetly and effectively.

Perfect for: Women-focused clinics, OB-GYN partnerships, general wellness blogs.

🔹 5. Overactive Bladder: When to See a Urologist for Frequent Urination

Summary:
Discuss symptoms of overactive bladder (OAB), its impact on quality of life, and how a urologist can diagnose and treat it using medications, bladder training, or minimally invasive procedures. Highlight the emotional toll and normalize seeking help.

Perfect for: Seniors, women’s health, and quality-of-life discussions.

 

Why Choose Dr. Jo Schoeman as Your Urologist in Brisbane?

Dr. Jo Schoeman is a highly experienced urologist in Brisbane, committed to providing personalised and compassionate care. With a deep understanding of prostate health and a patient-centered approach, Dr. Schoeman ensures that each patient receives the best possible treatment tailored to their specific needs.

If you have concerns about your prostate health or are due for a screening, don’t hesitate to schedule an appointment with Dr. Jo Schoeman, your trusted urologist in Brisbane. Early detection and proactive management are key to maintaining a healthy prostate and overall well-being.

 

For appointments and more information, contact Dr. Jo Schoeman’s clinic today and take the first step towards optimal prostate health.

dr jo schoeman logo,

Dr. Jo Schoeman 

Phone : (07) 3371 7288

Location :

WESLEY HOSPITAL

Suite 10, Level 9
Evan Thomson Building
24 Chasely Street
Auchenflower, 4066