For Men

Getty Rm Photo Of Doctor And Patient

Our physicians at West Georgia Urology provide our male patients with comprehensive urological care throughout their lifespans.

We use up-to-date technology in diagnosing and treating our patients. Based on our experience and education we involve our patients in an individualized treatment plan to meet their lifestyle.

West Georgia Urology provides treatment to male patients for the following conditions:

Conditions

Benign Prostatic Hyperplasia (BPH)

Prostate issues are common in men and West Georgia Urology specializes in diagnosing and treating these conditions. BPH is a benign (non-cancerous) enlargement of the prostate. This condition can cause problems with urination by blocking the flow from the bladder. West Georgia Urology provides its patients with thorough evaluations and treatment for BPH that combine clinical experience, use of effective medication and state-of-the-art technology.

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Bladder Cancer

Bladder Cancer is the growth of abnormal cells in the bladder. The most common type of bladder cancer is transitional cell carcinoma. This cancer affects the inner lining of the bladder. We do not know the cause of bladder cancer but we do know smoking is the greatest risk factor for bladder cancer. Smokers get bladder cancer twice as often as people who don’t smoke. Bladder cancer is also much more common in men than women and Whites are twice as likely as African Americans and Hispanics to develop bladder cancer. Often the first symptom of bladder cancer is hematuria (blood in the urine).

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Bladder Control

In people with an overactive bladder (OAB), the layered, smooth muscle that surrounds the bladder (detrusor muscle) contracts spastically, sometimes without a known cause, which results in sustained, high bladder pressure and the urgent need to urinate (called urgency). Normally, the detrusor muscle contracts and relaxes in response to the volume of urine in the bladder and the initiation of urination.

People with OAB often experience urgency at inconvenient and unpredictable times and sometimes lose control before reaching a toilet. Thus, overactive bladder interferes with work, daily routine, intimacy and sexual function; causes embarrassment; and can diminish self-esteem and quality of life.

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Elevated PSA

Prostate specific antigen (PSA) is a protein made only by the prostate. Through a simple blood test the level can be measured and used as a screening test for prostate cancer. Your level will be compared to normal levels which have been established for different ages. However, a level above the normal range can be caused by conditions other than prostate cancer. And likewise, a low PSA does not totally rule out prostate cancer.

Elevated PSA discovered during routine checkups are a common reason patients are referred to West Georgia Urology. We seek to find the underlying cause of the elevated PSA and develop an individual medical plan for each patient.

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Erectile Dysfunction

Erectile dysfunction (ED) is the inability to attain or maintain a penile erection sufficient for satisfactory sexual intercourse. Statistics show that 1 in 10 men suffer from this condition. The staff at West Georgia Urology recognize this is a very sensitive issue and can provide patients with a comprehensive evaluation and treatment for erectile dysfunction.

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Blood in the 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: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra).

Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non-life threatening (e.g., urinary tract infection) to serious (e.g., cancer, kidney disease). Therefore, a physician should be consulted as soon as possible.

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Kidney Mass or Cancer

West Georgia Urology often sees patients for an evaluation of a mass in the kidney. The mass is often discovered after an x-ray, CT scan or ultrasound has been performed for another condition or due to abnormal lab results.

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Kidney Stones

Kidney stones affect more than 10 percent of the American population and are becoming more common.

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Low Testosterone

Testosterone production declines naturally with age. Low testosterone, or testosterone deficiency (TD), may result from disease or damage to the hypothalamus, pituitary gland or testicles that inhibits hormone secretion and testosterone production, and is also known as hypogonadism. Depending on age, insufficient testosterone production can lead to abnormalities in muscle and bone development, underdeveloped genitalia and diminished virility.

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Male Infertility

Infertility is the inability to conceive after at least one year of unprotected intercourse. Since most people are able to conceive within this time, physicians recommend that couples unable to do so be assessed for fertility problems.

In men, hormone disorders, illness, reproductive anatomy trauma and obstruction, and sexual dysfunction can temporarily or permanently affect sperm and prevent conception. Some disorders become more difficult to treat the longer they persist without treatment.

Sperm development (spermatogenesis) takes place in the ducts (seminiferous tubules) of the testes. Cell division produces mature sperm cells (spermatozoa) that contain one-half of a man’s genetic code. Each spermatogenesis cycle consists of six stages and takes about 16 days to complete. Approximately five cycles are needed to produce one mature sperm. Energy-generating organelles (mitochondria) inside each sperm power its tail (flagellum) so that it can swim to the female egg once inside the vagina. Sperm development is ultimately controlled by the endocrine (hormonal) system that comprises the hypothalamic-pituitary-gonadal axis.

Because sperm development takes over 2 months, illness that was present during the first cycle may affect mature sperm, regardless of a man’s health at the time of examination.

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Neurogenic Bladder

Neurogenic bladder is a condition in which the nerves of the urinary system don’t work properly. It can lead to different kinds of problems, including urine leakage if the muscles holding urine do not get the right message. For some, the muscles don’t get the message the bladder is full and it’s time to let go. If the bladder becomes too full, urine may back up into the kidneys, and the extra pressure causes damage to the tiny blood vessels in the kidney. Urine that stays too long may also cause an infection of the bladder and/or kidneys.

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Frequent Urination

Overactive bladder is a problem with bladder storage function that causes a sudden urge to urinate. The urge may be difficult to suppress, and overactive bladder can lead to the involuntary loss of urine (incontinence) and frequent urination day and/or night.

People with this condition can feel embarrassed and change their daily activity to try and avoid uncomfortable situations. The good news is there are many effective treatments for overactive bladder. West Georgia Urology provides the latest in treatments for this condition.

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Prostate Cancer

Prostate Cancer is the most common cancer in American men. An elevated PSA, abnormal examination or strong family history of prostate cancer can be the first indicators of possible prostate cancer. But the only means to diagnosis prostate cancer is by a prostate biopsy.

We here at West Georgia Urology use state-of-the-art equipment when a biopsy is required along with ultrasound guided nerve blocks to minimize discomfort. Our staff recognizes that this diagnosis can be life-changing and takes special care to provide the patient and those close to the patient with support and counseling to help eliminate as many concerns as possible. We treat each patient with an individualized plan to provide the best possible outcome.

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Prostate Infections or Pain

Prostatitis is an inflammation or infection of the prostate that can cause pelvic pain; difficulty with urination; pain and/or burning with urination or increase in frequency; and sometimes fever and chills. This condition occurs in men and is sometimes caused by a bacterial infection but in many cases the cause remains unknown. West Georgia Urology understands the frustration that can be associated with this condition and can provide evaluation and treatment for Prostatitis.

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Swelling or Pain in the Testicles

Epididymitis is inflammation of the epididymis, which is a structure located on top of each testicle (testis). The epididymes are an important part of the sperm development process and are more prone to infection than the testicles.

Orchitis, inflammation of the testicles, usually results from the spread of infection from the epididymis. Most cases of isolated orchitis (i.e., orchitis that develops without epididymitis) are a symptom of the mumps (a viral infection that usually begins in the salivary glands). When epididymitis and orchitis occur together, it is called epididymo-orchitis.

These conditions cause inflammation and pain that is often limited to one, but can involve both sides of the scrotum.

Acute epididymitis, orchitis, and epididymo-orchitis cause sudden pain that usually responds well to treatment. Chronic conditions cause pain that develops gradually and can be more difficult to treat. Acute and chronic cases may result in male fertility problems or testosterone deficiency.

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Testicular Cancer

Testicular cancer is a disease in which cells become malignant (cancerous) in one or both testicles. (rare to be in both testicles)

Testicular cancer accounts for only 1 percent of all cancers in men in the United States. About 8,000 men are diagnosed with testicular cancer, and about 390 men die of this disease each year. Testicular cancer occurs most often in men between the ages of 20 and 39, and is the most common form of cancer in men between the ages of 15 and 34.

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Urinary Incontinence of Men

Difficulty with bladder control and urinary leakage is an issue that affects millions of men. However, there have been major advances in the treatment options available for these conditions. West Georgia Urology uses the most advanced techniques available to diagnose and treat this condition for each patient.

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Urinary Retention

Urinary retention is a lack of ability to urinate. It is a common complication of benign prostatic hyperplasia (BPH), although it can also be caused by nerve dysfunction, infection, prostate cancer, or medications. Diagnosis and/or treatment may require use of a catheter. With acute retention you can’t urinate at all. It is a medical emergency, as the bladder may distend (stretch) to enormous sizes. If the bladder distends enough it will cause severe pain.

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Urinary Tract Infection

Urinary tract infection (UTI) is a common infection that usually occurs when bacteria enter the opening of the urethra and multiply in the urinary tract. The urinary tract includes the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the bladder, and the tube that carries urine from the bladder (urethra).

The special connection of the ureters at the bladder help prevent urine from backing up into the kidneys, and the flow of urine through the urethra helps to eliminate bacteria. Men, women, and children develop UTIs.

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Bladder Stones

Bladder stones form when substances (such as calcium oxalate) in the urine concentrate and coalesce into hard, solid lumps that lodge in the bladder. Often, several stones form at once. Normally, they are fairly small and are excreted in the urine without complications, but sometimes stones become trapped in the neck of the bladder and—as residues in the urine continue to accumulate—grow large enough to cause pain, urinary blockage, or infections, thus requiring surgical intervention. Bladder stones almost exclusively affect middle-aged and older men, but, for unknown reasons, are becoming increasingly rare.

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Procedures

Circumcision

A circumcision is the removal of the excess skin at the end of the penis (foreskin). In the United States, many newborn circumcisions are performed as an elective procedure before the baby leaves the hospital.

The AAP does note some health benefits related to circumcisions, but these reasons are not sufficient to mandate circumcision nationwide. The AAP denotes that the physician should give the parents the risks and benefits of the circumcision and allow the parent to make the decision.

Most boys will do fine with or without a circumcision as long as they practice good personal hygiene. Occasionally, a circumcision will become medically necessary to treat or avoid problems in the future.

Most families choose to circumcise their child for cultural, religious or personal reasons. This type of circumcision is defined as an elective circumcision.

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Inflatable Artificial Sphincter

Sphincters are muscles that allow your body to hold in urine. An inflatable artificial (human-made) sphincter is a medical device that keeps urine from leaking when your urinary sphincter no longer works well. When you need to urinate, the cuff of the artificial sphincter can be relaxed so urine can flow out.

You will have either general anesthesia or spinal anesthesia before the procedure. With general anesthesia, you will be asleep and will not feel pain. With spinal anesthesia, you will be awake but numb from the waist down, and you will not feel pain.

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Penile Implants

A penile implant is a surgically placed prosthetic device, used for the permanent correction of male erectile dysfunction (ED). West Georgia Urology uses the American Medical Systems devices. This particular procedure is not indicated for all patients; there are many other treatment options for men with ED. However, for the men where less invasive treatments have failed, the penile implant is a satisfying and highly effective option.

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Prostate Biopsy

A Prostate Biopsy is a procedure that is performed to rule out cancer of the prostate. A biopsy of the prostate is the only means of diagnosing prostate cancer. However, since only a portion of the prostate is sampled, it is possible that a biopsy can miss a cancer.

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Prostate Ultrasound

Prostate Ultrasound is a diagnostic study. The prostate is imaged and measured by placing an ultrasound probe into the rectum. This is an important study when planning certain types of treatment for the prostate.

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PVP (Photoselective Vaporization of the Prostate)

An exciting advance in the treatment of Benign Prostastic Hyperplasia (BPH) and Enlarged Prostate  is photoselective vaporization of the prostate (PVP). PVP is a minimally invasive procedure that uses a special high-energy laser to vaporize excess prostate tissue. The procedure can often be performed in our office under local anesthesia and takes between 10 and 30 minutes to perform, depending on the size of the prostate. Patients are then ready to go home within a few hours.

The procedure can also be performed as an outpatient at the hospital where both local and general anesthesia are available. Again the procedure is very short and the patient is usually ready to be discharged within a few hours.

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Prostate Laser Surgery

Prostate laser surgery is a minimally invasive therapy for an enlarged prostate that is obstructing the bladder. A portion of the prostate is removed with the use of a specialized laser.

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Vasectomy

Vasectomy is the most common procedure that is used for male sterilization. A vasectomy is a minor surgical procedure where the vas deferens are isolated, cut, and ligated, thereby disrupting the flow of sperm into the ejaculate. After follow-up semen analyses demonstrate no persistent sperm after the vasectomy, a man should no longer be able to father children.

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Vasectomy Reversal

Vasectomy reversal (vasovasostomy) is a surgical procedure for men with prior vasectomy that reconstructs the vas deferens to allow the sperm to travel from the testicals to the seminal fluid. Vasectomy is a procedure to achieve permanent male sterility, but occasionally a man’s life situation changes, and he desires to have children. Vasectomy reversal is a more cost-effective means to achieve the goal of pregnancy than the various reproductive medicine techniques used to implant sperm into a female egg.

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Shockwave Lithotripsy (for kidney stones)

Shockwave Lithotripsy is one of the most popular treatment options for kidney stones today. Though it ultimately depends on the size and shapes of the patient’s stones, this treatment involves the use of pressure waves to break kidney stones apart into equal pieces so that they may be easier to pass.

Robotic Radical Prostatectomy

Robotic radical prostatectomy is a minimally invasive surgery that uses robotic equipment to remove the entire prostate. This option is often necessary for patients with prostate cancer.

Transurethral Resection of Bladder Tumor

A transurethral resection of bladder tumor is a procedure that is most often used to determine whether somebody has bladder cancer. The treatment also allows the care provider to determine the severity of the cancer. It is a common treatment for early-stage or superficial bladder cancers.

Interstim

InterStim® therapy is a reversible treatment for people with urge incontinence caused by overactive bladder who do not respond to behavioral treatments or medication. InterStim is an implanted neurostimulation system that sends mild electrical pulses to the sacral nerve, the nerve near the tailbone that influences bladder control muscles. Stimulation of this nerve may relieve the symptoms related to urge incontinence.

Prior to implantation, the effectiveness of the therapy is tested on a outpatient basis with an external InterStim device. For a period of 3 to 5 days, the patient records voiding patterns that occur with stimulation. The record is compared to recorded voiding patterns without stimulation. The comparison demonstrates whether the device effectively reduces symptoms. If the test is successful, the patient may choose to have the device implanted.

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UroLift

UroLift is a new treatment option for benign prostatic hyperplasia (BPH). The system utilizes small implants to hold the prostate in place in such a way that it no longer blocks the urinary tract. This option could be preferable for patients who may not want to have any part of their prostates actually removed.

Rezum

Rezum is another treatment option for benign prostatic hyperplasia (BPH) that involves the use of radiofrequency energy to create water vapor, which is injected into prostate tissue to reverse its growth by causing gentle damage to its cells.

Xiaflex (for Peyronie’s)

Xiaflex is a prescription medicine that is used to treat Peyronie’s disease, which is a condition that caused the penis to curve upward when erect. The medication works in conjunction with gentle stretching and straightening of the penis to break down the “plaque” that causes the lumps and curves in the first place.

Space-Oar

Space-Oar is a prostate cancer treatment measure that has been clinically proven to protect patients’ quality of life during prostate cancer radiation treatment. The treatment involves using a hydrogel to provide about a half-inch of extra space between the prostate and the rectum, significantly reducing the amount of radiation that reaches the rectum.

Blue Light Cystoscopy

Blue Light Cystoscopy represents an alternative to transurethral resection of bladder tumor in determining the presence of cancer. It involves installing a photosensitizer into the bladder and running light tests that allow the doctor to ascertain whether a tumor is present and how severe it is.