Tag Archive for: urology brisbane

What to Expect on Your First Visit to Dr. Jo Schoeman

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When you schedule your first visit with Dr. Jo Schoeman, a premier urologist in Brisbane, you’re taking an essential step toward addressing your urological health. Understanding what to expect during this initial consultation can help ease any anxieties and ensure you come fully prepared. Here’s a comprehensive guide to help you navigate your first visit.

 

Preparation for Your Appointment

Before heading to your appointment, gather all relevant radiology and pathology results ordered by your referring physician. These documents are crucial for Dr. Jo to review your medical history thoroughly and provide an accurate diagnosis.

Additionally, ensure you attend with a semi-full bladder, as an ultrasound may be part of your evaluation. This preparation helps facilitate a more comprehensive examination.

 

Thorough Physical Investigation

Your first visit will involve a thorough physical examination tailored to your specific needs. For male patients, this includes an internal investigation of the prostate. Female patients experiencing incontinence or pelvic organ prolapse will also undergo an internal investigation. These assessments are essential for identifying any underlying issues and forming a basis for your treatment plan.

 

Discussing Your Diagnosis

Dr. Jo will discuss your differential diagnosis with you, explaining the potential causes of your symptoms. This open dialogue ensures you are fully informed about your condition and the steps needed for further evaluation.

 

Additional Testing

In some cases, Dr. Jo may recommend additional tests to gain a deeper understanding of your condition. These tests are vital for creating a detailed and accurate treatment plan.

 

Conservative Management

Dr. Jo prioritises conservative management as the first line of therapy. This approach includes lifestyle changes, medications, or other non-invasive treatments to address your condition effectively. Surgery is considered only when absolutely necessary.

 

Surgical Consultation

If surgery is indicated, Dr. Jo will discuss the procedure in detail, covering all possible side effects and complications. You will receive a comprehensive information brochure detailing the discussed points, a copy of your consent form, and an estimate of Dr. Jo’s fees for the procedure. This information is vital for providing fully informed consent.

 

Consent and Follow-Up

Should you proceed with surgery, it’s essential to read the provided brochure and bring it on the day of your surgical appointment. This ensures you are fully informed and comfortable with the proposed surgical procedure.

 

Building a Professional Relationship

Your first visit forms the foundation of your professional relationship with Dr. Jo. Open communication and thorough preparation ensure you receive the best possible care tailored to your specific needs.

 

Visiting Dr. Jo Schoeman, a leading urologist in Brisbane, for the first time might feel daunting, but knowing what to expect can help put you at ease. From thorough examinations to detailed discussions about your diagnosis and treatment options, Dr. Jo is dedicated to providing exceptional care and ensuring you feel informed and supported throughout your journey to better health.

For more information or to schedule your first visit, contact us today. Take the first step towards optimal urological health with Dr. Jo Schoeman.

 

Dr. Jo Schoeman

Phone : (07) 3371 7288

Location :

WESLEY HOSPITAL

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

Common Urological Issues and When to See a Urologist in Brisbane

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As a leading urologist in Brisbane, Dr. Jo Schoeman is dedicated to providing exceptional care for patients experiencing a wide range of urological issues. Understanding common urological conditions and knowing when to seek professional help is crucial for maintaining good health.

Common Urological Issues

Urological problems can affect anyone, regardless of age or gender. Here are some of the most common conditions treated by Dr. Jo Schoeman:

 

  1. Urinary Tract Infections (UTIs) UTIs are infections that occur in the urinary system, including the bladder, kidneys, and urethra. Symptoms often include a burning sensation during urination, frequent urination, and cloudy urine.
  2. Kidney Stones Kidney stones are hard deposits that form in the kidneys and can cause severe pain, nausea, and difficulty urinating. Treatment options vary depending on the size and type of stone.
  3. Prostate Issues Conditions such as benign prostatic hyperplasia (BPH) and prostate cancer are common in men, particularly as they age. Symptoms may include difficulty urinating, frequent urination, and pelvic pain.
  4. Urinary Incontinence Incontinence is the loss of bladder control and can affect both men and women. It ranges from occasional leaks to sudden, intense urges to urinate that are difficult to control.
  5. Interstitial Cystitis Also known as painful bladder syndrome, interstitial cystitis causes chronic bladder pain and discomfort. Treatment often involves a combination of medication, lifestyle changes, and physical therapy.urologist brisbane, best urologist brisbane, wesley urologist brisbane ,

When to See a Urologist

If you experience any of the following symptoms, it’s important to schedule an appointment with Dr. Jo Schoeman, your trusted urologist in Brisbane:

  • Persistent pain in the urinary tract or lower abdomen
  • Blood in the urine
  • Difficulty or pain during urination
  • Frequent urinary tract infections
  • Changes in urinary habits

Early detection and treatment of urological conditions can significantly improve outcomes and quality of life. If you’re experiencing any urological symptoms or have concerns about your urinary health, don’t hesitate to contact Dr. Jo Schoeman’s Brisbane clinic for expert care and advice.

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Dr. Jo Schoeman

Phone : (07) 3371 7288

WESLEY HOSPITAL

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

 

 

Prostate Health and Urology

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When it comes to men’s health, one topic that often takes center stage is prostate health. As a vital part of the male reproductive system, the prostate plays a crucial role in urinary function and overall well-being. We sit down with Dr. Jo Scheoman, a renowned urologist based in Brisbane, to discuss the importance of prostate health and its connection to urology.

 

Meet Dr. Jo Scheoman
Dr. Jo Scheoman is a highly respected urologist with years of experience in diagnosing and treating a wide range of urological conditions. Specialising in prostate health, Dr. Scheoman is dedicated to providing compassionate care and innovative treatments to patients in Brisbane and beyond. With a focus on patient education and empowerment, Dr. Scheoman strives to raise awareness about the importance of proactive prostate health management.

 

Understanding Prostate Health:
The prostate is a small gland located below the bladder and in front of the rectum. Its primary function is to produce fluid that nourishes and protects sperm. As men age, the prostate can undergo changes that may affect urinary function and overall health. Common prostate conditions include:

– Benign Prostatic Hyperplasia (BPH): Enlargement of the prostate gland, which can lead to urinary symptoms such as frequent urination, urgency, and incomplete emptying of the bladder.
– Prostatitis: Inflammation or infection of the prostate gland, often causing pain or discomfort in the pelvic area and changes in urinary habits.
– Prostate Cancer: The most common cancer in men, prostate cancer occurs when abnormal cells develop in the prostate gland. Early detection and treatment are critical for favorable outcomes.

 

The Role of Urology in Prostate Health:
As a specialised field of medicine, urology focuses on the diagnosis and treatment of conditions affecting the urinary tract and male reproductive system, including the prostate. Urologists like Dr. Scheoman play a vital role in assessing prostate health, diagnosing conditions, and recommending appropriate treatment options. From routine screenings and diagnostic tests to advanced surgical procedures, urologists are equipped to address a wide range of prostate-related concerns.

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Maintaining Prostate Health:
While certain risk factors for prostate conditions, such as age and family history, are beyond our control, there are steps men can take to promote prostate health and reduce the risk of developing prostate-related issues. These include:

– Healthy Lifestyle: Adopting a balanced diet rich in fruits, vegetables, and lean proteins, along with regular exercise, can support overall health and reduce the risk of obesity, which is linked to prostate issues.
–  Regular Check-ups: Scheduling routine check-ups with a urologist for prostate screenings and evaluations is essential for early detection and intervention.
– Awareness and Education: Staying informed about prostate health and understanding the signs and symptoms of prostate conditions can empower men to take proactive steps towards their well-being.

 

Prostate health is a critical aspect of men’s overall well-being, and proactive management is key to maintaining optimal health and quality of life. With the expertise and guidance of urologists like Dr. Jo Scheoman, men can take control of their prostate health and enjoy a fulfilling, healthy life. Whether it’s preventive screenings, diagnostic evaluations, or personalized treatment plans, urologists play a crucial role in supporting men’s health every step of the way. If you’re in Brisbane and seeking expert urological care, Dr. Jo Scheoman is here to provide compassionate, comprehensive services tailored to your unique needs.

Phone : (07) 3371 7288

Website : https://www.drjoschoeman.com.au/

WESLEY HOSPITAL

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

Guide to Navigating Alcohol During the New Year Holidays

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As we raise our glasses to welcome the New Year, it’s essential to consider the impact of alcohol on our urological health. Dr. Jo Scheoman, a distinguished expert in urology based in Brisbane, sheds light on the significance of monitoring alcohol intake during the festive season.

Discover the impact of alcohol on the body, the importance of moderation, and effective steps to uphold optimal urological health with Dr. Jo Scheoman, your premier urologist in Brisbane

  1. Understanding the Impact of Alcohol on Urological Health: Excessive alcohol consumption can have detrimental effects on the urinary system. Alcohol is a diuretic, meaning it increases urine production, leading to dehydration. This can strain the kidneys and contribute to bladder irritation. Moreover, alcohol can interfere with the signals between the brain and the bladder, potentially leading to incontinence issues.
  2. Why Moderation Matters: Dr. Jo Scheoman emphasises the importance of moderation when it comes to alcohol. Chronic heavy drinking is associated with an increased risk of urinary tract infections, kidney stones, and other urological complications. By being mindful of your alcohol intake, you can mitigate these risks and promote a healthier urinary system.
  3. Impact on Dehydration and Kidney Function: Alcohol’s diuretic effect can deplete the body’s essential fluids, impacting kidney function. Dehydration makes it harder for the kidneys to filter toxins and can contribute to the formation of kidney stones. Dr. Jo Scheoman recommends alternating alcoholic beverages with water to stay hydrated and lessen the strain on the kidneys.
  4. Steps to Take if You’ve Consumed Excessive Alcohol: If you find yourself having overindulged in alcohol, Dr. Jo Scheoman advises taking proactive steps. Rehydrate by drinking plenty of water, and consider incorporating electrolyte-rich beverages to restore the balance of essential minerals in your body. Rest and allow your body time to recover, and if symptoms persist, seek medical attention promptly.
  5. Types of Alcohol and Their Impact: Different alcoholic beverages can have varying effects on urological health. Certain drinks, particularly those high in caffeine or carbonation, can exacerbate bladder irritation. Dr. Jo Scheoman suggests opting for lighter, less acidic options and being mindful of mixers that may contribute to bladder discomfort.
  6. Preventing Urological Issues: To prevent urological issues related to alcohol, moderation is key. Set limits on your alcohol consumption, pace yourself and choose beverages wisely. Dr. Jo Scheoman encourages incorporating non-alcoholic alternatives and staying aware of your body’s signals to ensure a healthy and enjoyable celebration.

As you celebrate the New Year in Brisbane, Dr. Jo Scheoman’s insights into alcohol and urological health provide valuable guidance. By understanding the impact of alcohol, embracing moderation, and taking proactive steps if needed, you can raise your glass to a healthier, happier, and more vibrant year ahead.

If you find yourself uncertain about your urological health or if you simply want to address any lingering questions face to face, consider scheduling your next appointment with Dr. Jo Scheoman (07) 3371 7288 . As a prominent expert in urology, these check-ups not only offer reassurance but also serve as a platform for preventive care, early detection, and personalised guidance tailored to ensure your ongoing well-being.
Cheers to urological wellness!

Top 6 Foods for Urological and Renal Health

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When it comes to looking after your urological health, many folks might not be aware that what’s on their plate plays a pivotal role. Dr. Joe Schoeman, a respected urologist, underscores the importance of adopting a well-balanced, nutrient-rich diet to support urinary system function and overall well-being.

1. Berries:
Berries, like blueberries, strawberries, and raspberries, are rich in antioxidants and vitamins. These fruits contain compounds linked to a reduced risk of urinary tract infections (UTIs) and may contribute to a healthier bladder. The antioxidants in berries help combat oxidative stress and inflammation, promoting a more robust urological system.

 

2. Watermelon:
Known for its high water content, watermelon is not only refreshing but also beneficial for urological health. The hydration provided by watermelon supports proper kidney function and helps flush out toxins from the urinary system. Additionally, watermelon contains lycopene, a powerful antioxidant associated with a lower risk of certain urological conditions.

 

3. Leafy Greens:
Leafy greens like spinach, kale, and Swiss chard are excellent sources of vitamins, minerals, and fibre. These vegetables contribute to overall health by reducing inflammation and promoting optimal kidney function. The fibre content aids in digestion and can help prevent constipation, indirectly benefiting the urinary system.

 

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4. Fatty Fish:
Omega-3 fatty acids found in fatty fish like salmon, mackerel, and trout have anti-inflammatory properties. Chronic inflammation may contribute to various urological issues, and including fatty fish in the diet can help manage inflammation and support a healthy urinary tract.

 

 

 

5. Pumpkin Seeds:
Pumpkin seeds are rich in zinc, essential for prostate health. Maintaining a healthy prostate is crucial for preventing conditions like benign prostatic hyperplasia (BPH) or prostate cancer. Incorporating pumpkin seeds into your diet can provide the necessary nutrients to support prostate function.

 

 

 

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6. Turmeric:
Curcumin, the active compound in turmeric, has powerful anti-inflammatory and antioxidant properties. Including turmeric in your diet may help alleviate inflammation in the urinary system and reduce the risk of certain urological issues. Consider adding turmeric to dishes or enjoying turmeric tea for its potential health benefits.

 

Dr. Joe Schoeman’s insights into urology extend beyond traditional medical practices, encompassing the significance of a well-rounded and nutritious diet. By incorporating these urology-friendly foods into your meals, you can take proactive steps toward maintaining a healthy urinary system. Remember, always consult with your healthcare provider for personalised advice, especially if you have existing urological conditions. Embrace the power of nutrition, and let your journey to urological well-being begin with the food on your plate.

 

Phone : (07) 3371 7288

The Steam, Laser-Beam, dream-stream Uro-Team

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Building Team Spirit

A healthy cohesive work environment is generally what we all want. Nobody likes to experience those really awful days at work, especially with high stress levels and underlying friction being part of a complex surgery environment.

I am fortunate to have the privilege to work with genuinely nice people every day across all 4 hospitals I work at. I was recently inspired to create a team identity at St Andrew War Memorial Hospital. Maybe the fact that the other urology practice at the hospital had designed their own cap…  I thought I would try it out as this is a hospital where I do my niche surgeries: Rezum therapy and Greenlight laser vaporization of the prostate. Therefore, a catchy slogan would go well.

                     

Cool Hey! Keep an eye out for us at St Andrews War Memorial hospital.

Test the strength of your urine flow

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Do I have the toy for you guys! Ever wondered how fast you urinate? When seeing foam in the bowl is not enough… Remember those days when we could see who urinated the furthest… I am obviously referring to your childhood, out in the bush or garden with your mates, and on the odd occasion of taking a leak at the same time, it would always end in a competition (boys will be boys). Hopefully you have outgrown this as it is probably not socially acceptable to do this anymore. We do experience a bit of this in public toilets occasionally with younger blokes urinating next to you, taking you back down memory-lane to the good-old days.

I generally ask the guys how fast their flow is. I occasionally get a puzzled look… My response would be: “Can you still wee over the fence, or do you wet your shoes? Can you still put foam in the bowl?” There is purpose in the question: A flow rate reveals a lot about a man’s lower urinary tract health. This forms part of the assessment your LUTS (lower urinary tract symptoms). LUTS consist of voiding symptoms and storage symptoms. A slow flow, interrupted flow, stop-start and inability to empty completely are your voiding symptoms. The storage symptoms are urgency, frequency, urge incontinence and urinating more than once a night. These are more prevalent with a bladder issue (overactive bladder) or significant outflow obstruction irritating your bladder. You could also have an overflow incontinence caused by the longstanding obstruction, whether it’s your prostate or a neurological (nerve) issue.

Pre-requirements for a Flowrate is a full bladder with a minimum of 150 cc present in the bladder. For this test, you will urinate into a special funnel that is connected to a measuring device. The device calculates the amount of urine, rate of flow in seconds, and the length of time until all urine has been passed. This information helps evaluate how well the lower urinary tract is working. It also helps figure out if there is a blockage of normal urine outflow. I look at the shape of the curve created on a graph. There a many tell-tale signs in this one examination. Once the flow rate is completed, I do an ultrasound to check how much urine remains in your bladder. I then have a wealth of information regarding the function of your bladder. This assists in decision making in the management of your urological issue.   

A Normal flow rate averages between 11-20ml/s. As you age over 50 your flow rate deteriorates. The flow rate should have a nice bell-curve. Usually, you would empty your bladder in less than 60 seconds. The average bladder volume is 600cc. Residual urine volumes vary with age and gender and should be as low as possible. A value between 100-150 cc is acceptable over the age of 60.

Results from a study published in the Indian Journal of Urology. Flow rates (Qmax values) in adult males were significantly higher than in the elderly and Qmax values in young females were significantly higher than in young males. Qmax values in males increased with age until 15 years old; followed by a slow decline until reaching 50 years old followed by a rapid decline after 50 years old even after correcting voided volume. Qmax values in females increased with age until they reached age 15 followed by decline in flow rate until a pre-menopausal age followed by no significant decline in post-menopausal females. Qmax values increased with voided volume until 700 cc followed by a plateau and decline.  (Age, gender, and voided volume dependency of peak urinary flow rate and uroflowmetry nomogram in the Indian population – PMC (nih.gov)

 

Mean maximum and average flow rate parameters in different age group.

Male population Maximum flow rate Average flow rate
16-50 years old 22.8 ml/sec 13.22ml/sec
>50 year 17.04 ml/sec 8.9ml/sec
Female population Maximum flow rate Average flow rate
Pre-menopausal 21.8 ml/sec 12 ml/sec
Post-menopausal 17.59 ml/sec 10.2 ml/sec
Pediatric population Maximum flow rate Average flow rate
Girls 19.33 ml/sec 11.25 ml/sec
Boys 16.9 ml/sec 9.6 ml/sec

 

Factors influencing your flow rate:

  • Benign prostatic hypertrophy (BPH). This is enlargement of the prostate gland. It is not caused by cancer and often happens in men over age 50. The prostate wraps around the urethra. When it is enlarged, it can narrow the urethra and interfere with normal passage of urine from the bladder. If left untreated, the enlarged prostate can block the urethra completely.
  • Cancer of the prostate or bladder
  • Urinary blockage. A urinary tract blockage can happen for many reasons along any part of the urinary tract, from the kidneys to the urethra. It can lead to a urine backup. This can cause infection, scarring, or even kidney failure if untreated.
  • Neurogenic bladder dysfunction. This is trouble with bladder function due to a nervous system problem, such as a spinal cord tumor or injury.
  • Frequent urinary tract infections. These can cause scarring and damage in the urinary tract.
  • Urine Flow Test | Johns Hopkins Medicine

 

What do I use it for:

  • Diagnosis of an outflow obstruction.
  • Assess the outcome of interventions: medical or surgical.
  • With addition of Urodynamic studies, functional and neurogenic bladder issues can be managed appropriately.

 

So, guys come see me with your full bladders at the Wesley Hospital in Brisbane. Let’s see how well and effective you urinate, and then discuss how we can get you back to care-free urinating. The good old days.

16 DOT ‘Nesbitt’ Plication

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Correction of penile chordee / curvature.

Why is it done?

  • To treat an acquired deviation of an erect penis.
  • Usually occurs in males 55-65 years of age.
  • Can be associated with previous penile trauma, usually no associated history.
  • A dorsal (up) curvature is more common than a ventral (down) one. Can also deviate to the side.
  • Pain is usually the presenting symptom with a gradually worsening curvature.
  • The curvature may be so bad that penetration becomes impossible.
  • Associated with the connective tissue disorder: Dupuytren’s Contracture, which is an auto-immune disease.
  • Worse cases may require a penile prosthesis.

Pre-requirements

  • An informed consent is required from the patient/ parents.
  • Patients are informed that this may shorten the penis to the length of the shorter side of the penis, usually 2-3 cm.
  • In patients who wish to preserve penile length, a lengthening technique using buccal mucosa may be indicated and will be referred to a colleague.
  • Patients may not eat or drink from 6-8 hours prior to surgery according to age.
  • Any anti-coagulants such as Warfarin or Aspirin must be stopped 7 days prior to surgery. Clexane injections may be substituted.
  • Be prepared for an overnight stay.

How is it done?

  • This procedure is done under general anesthetic.
  • Supine position.
  • The foreskin is loosened proximal to the glans with a circumferential incision and the whole penile skin is retracted to the base of the penis.
  • An artificial erection will be induced by injecting a sterile saline solution into the penile corpora cavernosa with a tourniquet around the base.
  • Non-dissolvable sutures will be placed on the sides opposite to the diseased areas in an attempt to pull the erect penis into a straight alignment.
  • Occasionally a circumcision may result due to complications with this technique, yet foreskin preservation is attempted.
  • If there is a dorsal curvature, ventral sutures are laced and the penis pulled in upright position, therefore sutures are always placed on the opposite site avoiding vital structures such as.
  • An indwelling catheter will be inserted until you are awake.
  • A dressing is then applied, which should be removed after 72 hours.
  • A local anesthetic is injected at the base of the penis as a penile block thus giving post-operative pain relief for the next 4-6 hours.

What to expect after the procedure?

  • Any anesthetic has its risks, and the anesthetist will explain such risks.
  • Bleeding is a common complication.
  • A hematoma (blood collection under the skin) may form and needs to be reviewed by Dr Schoeman as soon as possible. Bruising is normal.
  • Sutures may tear loose with vigorous use of erect penis, and the procedure may then require revision.
  • An infection of the wound may occur and requires immediate attention.
  • Necrosis of the foreskin and some penile skin can occur in rare circumstances. This may require skin-grafting.
  • DANGER SIGNS: A wound that swells immediately, fever, and puss. Contact Dr Schoeman or the hospital immediately as this occurs in up to 15–20% of all cases.

What next?

  • Dressings should be kept dry for the initial 72 hours after surgery and soaked off in a bath thereafter.
  • The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
  • The catheter will be removed as soon as you are awake, or if there are concerns, the following morning.
  • On discharge, a prescription may be issued for patients to collect.
  • Patients should schedule a follow-up appointment with Dr Schoeman 2 weeks after the procedure.
  • There will be signs of bruising for at least 10 days.
  • Refrain from using your erect penis for 6 weeks.
  • The suture-line will be hard and indurated for at least 8-10 weeks.
  • Sick leave will be granted for 10 days.
  • Please direct all further queries to Dr Schoeman’s rooms.
  • PLEASE CONTACT THE HOSPITAL DIRECTLY WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.

Download Information Sheet

Wes 16 Dot Nesbitt Plication

Artificial Urinary Male Sphincter – AUS

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Why is it done?

  • Male Stress incontinence/ Incontinence
  • Usually after a TURP/TUVP, Radical Prostatectomy in 2% of cases as pre-described complication of surgery

How is it done?

  • ·This procedure is done under a spinal /general anesthetic, as decided by the anesthetist.
  • The legs will be elevated into the lithotomy position.
  • A 7cm incision is made on the perineum space between scrotum and anus).  Or penoscrotal junction. You will also have a small suprapubic incision.
  • The silicone inflatable cuff is placed around the upper end of the corpora cavernosa of the penis under the muscle.
  • The reservoir is placed behind the pubic bone
  • The access port is placed in the scrotum; make sure it is on the side of your dominant hand.
  • The cuff will only be activated 6 weeks after the surgery
  • The wounds are closed with dissolvable sutures and/or skin glue.
  • A local anesthetic is given for pain relief.
  • A urinary catheter is placed for 24hrs.
  • The catheter will be removed early the next morning.
  • Prophylactic antibiotics will be given to prevent infection.

 

Complications

  • Any anesthetic has its risks, and the anesthetist will explain all such risks.
  • Complications: hemorrhaging, requiring blood transfusion <1%.
  • Patients will wake up with a catheter in the urethra and bladder. This will remain in the bladder for 24 hrs.
  • Pelvic pain for 10-14 days may occur, making it difficult to sit.
  • You will be incontinent until the cuff is activated
  • This may be less effective in irradiated patients

NB! Each person is unique and for this reason, symptoms may vary

 

What next?

  • Patients will have a trial of void without catheter the next day. You will be incontinent until the device is activated in 6 weeks
  • Patients will be discharged as soon as they can completely empty the bladder.
  • Patients may initially suffer from urge incontinence, but this will improve within the next 6 weeks.
  • Allow 6 weeks for symptoms to stabilize.
  • Initial period of pelvic pain is expected.

 

Download Information Sheet

Wes AUS Male Sphincter

Copyright 2019 Dr Jo Schoeman