Urethral Stricture

Peyronie’s Disease

Enlarged Prostate

Male Infertility

“I was fortunate to meet Jake and be able to participate in his care.  Success stories like these make us appreciate our profession and it was extremely rewarding to see Jake holding his new baby boy,” says Dr. Mechlin. Click here to read the story!


Testosterone Deficiency

Erectile Dysfunction

What Causes E.D.?
As a result of recent medical research, it is now known that more than 80% of men suffering from E.D. can trace its origin to a physical problem or disorder. For most men, the cause of E.D. can now be fairly easily identified. Once identified, proper treatment can be recommended to help return them to a satisfying sex life.


E.D. can be caused by physical disorders such as:

  • An injury (i.e. brain or spinal cord)
  • A disease (i.e. diabetes, high blood pressure, or high cholesterol)
  • Various studies have estimated that between 20% – 71% of individuals with diabetes suffer from erectile dysfunction 3 .
  • An operation (i.e. prostate gland removal)
  • Substance use (i.e. tobacco, drugs, alcohol or medications)


Other facts about Erectile Dysfunction (Impotence):

  • Approximately 30 million American men suffer from erectile dysfunction.
  • Most men with erectile dysfunction still have the ability to have an orgasm and father a child, but often have difficulty doing these things because they can’t get or sustain an erection.
  • Erectile dysfunction is not normal, and is by no means an inevitable consequence of aging.
  • Most men at one time or another during their sexual lives are unable to get or keep an erection. This is normal and does not indicate a problem. However, millions of men of all ages experience this inability as a continuing problem.
  • In most cases, erectile dysfunction can be overcome.

Blood in Urine


What a Vasectomy Does and Does Not Do

In a vasectomy, the surgeon cuts and ties off the ends of the vas deferens. This prevents sperm from mixing with the seminal fluid. Although the testes will continue to produce sperm, they can no longer pass through the vas deferens. Instead, they die and are absorbed into the body.

Because semen consists of about 95% seminal fluid, there is virtually no discernible difference in the ejaculate. Similarly, because the testes continue to produce the male hormone testosterone, which is absorbed into the bloodstream, the procedure also has no effect on a man’s sex drive.

The urologist first numbs the scrotum and vas deferens with a local anesthetic. Then, one or two incisions about half a centimeter long are made on each side of the scrotum. The vas deferens are located, a one-centimeter section is removed and the upper and lower ends are tied with suture or a clip is placed. Sometimes stitches are used to close the incision in the scrotum. If ties are used around the vas deferens, they usually dissolve over a period of 4 to 6 weeks.