Urethral Stricture

A urethral stricture involves scar tissue that causes a narrowing of the urethra — the tube that passes urine from the bladder out through the penis. Strictures can be mild or severe and affect the tissue surrounding the lining of the tube. Scar tissue causing the stricture can be the result of infections (inflammatory), prior instrumentation (iatrogenic), trauma, or sometimes the cause is unknown (idiopathic).

Peyronie’s Disease

Peyronie’s disease is a condition associated with scarring of the elastic covering around the erectile tissue in the penis. This can cause penile curvature, pain to both the male patient and his partner, sexual dysfunction and sometimes erectile dysfunction. Peyronie’s disease can decrease quality of life, causing stress and depression. Unfortunately, many men with Peyronie’s disease are embarrassed and choose to suffer in silence rather than get help.

Enlarged Prostate

Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate that blocks the flow of urine through the urethra. As men age, the prostate cells gradually multiply, creating an enlargement that puts pressure on the urethra — the “chute” through which urine and semen exit the body. Symptoms can include trouble with urinary retention, bladder stones and urinary and kidney infections. Treatment options include lifestyle changes, medicine and surgery.

Male Infertility

Male infertility is any health issue in a man that lowers the chances of his female partner getting pregnant. A male factor is solely responsible in about 20 percent of infertile couples and contributory in another 30-40 percent. An initial screening evaluation of the male partner of an infertile couple should be done if pregnancy has not occurred within one year of unprotected intercourse. If pregnancy has not occurred in six months and the female partner is greater than 35 years of age, a workup is also warranted. An earlier evaluation may be warranted if a known male or female infertility risk factor exists or if a man questions his fertility potential.

Testosterone Deficiency

Testosterone is a hormone produced by the body and contributes to the development of the sexual organs as well as muscle development and body hair. Normal levels of testosterone contribute to energy, sexual function, mood and libido (the sexual drive). However, in some men, this system fails due to a number of reasons. This condition is called hypogonadism and can result from a variety of causes, including side effects from certain medications and testicular injury. Whatever the cause, low testosterone levels can result in decreased sexual desire, diminished energy and depressed mood.

Erectile Dysfunction

Erectile dysfunction (ED) is the consistent inability to sustain an erection sufficient for sexual intercourse. As a result of recent medical research, it is now known that more than 80 percent of men suffering from ED can trace its origin to a physical problem or disorder. For most men, the cause of ED can now be fairly easily identified. Once identified, proper treatment can be recommended to help return them to a satisfying sex life.

Blood in Urine

Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract. Causes of this condition range from non-life threatening (e.g., urinary tract infection) to profoundly serious (e.g., cancer, kidney disease). Therefore, a health care provider should be consulted as soon as possible.