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Erectile Dysfunction in Men – Causes, Diagnosis & Treatment

Advanced Urology

Erectile Dysfunction in Men – Causes, Diagnosis & Treatment

Erectile Dysfunction is a medical condition in which the male fails to maintain an erection firm enough to do sexual intercourse successfully. Erectile Dysfunction, also known as ED is a common problem and can happen due to several factors. While occasional ED is often encountered by men of all ages and is not of great concern, frequent ED must be reported to an expert and treatment should be sought. There can be underlying health problems that can cause erectile dysfunction. A person dealing with ED has to undergo a lot of emotional and mental trauma and hence medically should be sought as soon as possible.

Common causes of erectile dysfunction

Erection is a complete process and any problem with one of its states can cause erectile dysfunction. The penis erects when the blood flow increases in its vein. The reasons behind the increased blood flow can be physical touch, sensual touts, or participation in any other sensual activity.

A sexually aroused man’s penis muscles start relaxing which gives way to the blood to enter the artilleries which further fill the two chambers of the penis. These two chambers, when fully filled, cause the complete erection. Upon ejaculation, the muscles start contracting again and the blood starts flowing backward leaving the penis in a normal state.

A number of reasons can hamper this process, including:

  • cardiovascular disease
  • diabetes
  • hypertension
  • high cholesterol level
  • obesity
  • low testosterone levels
  • hormone imbalances
  • kidney disease
  • aging
  • stress
  • anxiety
  • depression
  • relationship problems
  • prescription medications
  • sleep disorders
  • drugs
  • alcohol
  • tobacco products
  • health conditions like Parkinson’s disease or multiple sclerosis (MS)
  • injury to the pelvic area
  • Previous surgery
  • Peyronie’s disease

One or a combination of many above stated reasons can be the cause of erectile dysfunction in a man.

Diagnosis of erectile dysfunction

Diagnosing ED involves a lot of steps and methods depending upon your sexual history and health condition. Some of the common methods used are:

Physical examination

The doctor would perform a physical examination to identify the problem. The doctor would check the heartbeat, lungs movement, as well as check your testicles and penis. A thorough prostate test would also be performed to check the internal functions.

Psychosocial history

The doctor would also ask you several personal questions revolving around your sexual history. The doctor would ask your frequency of sexual intercourse as well as how long have you been experiencing such a problem.

Misc. tests

In addition to the above, the doctor would also recommend you to undergo a few tests including ultrasound, Nocturnal penile tumescence (NPT) test, Injection test, Urine tests, and Blood tests.

Treatment for Erectile Dysfunction

At RG Stone Urology and Laparoscopy Hospital, we offer you a range of treatment options for Erectile Dysfunction. Depending upon the cause behind ED, the experts would offer you the right treatments including:


The doctor would suggest medicines to control the symptoms of ED. Some of the common medicines prescribed by the experts include:

  • avanafil (Stendra)
  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra, Staxyn)

Talk Therapy

Many times, the reasons behind the ED can be psychological and can be treated effectively by talking to a specialist. These reasons include stress, anxiety, post-traumatic stress disorder (PTSD), and depression.

Vacuum pumps

At RG hospital, we offer you complete assistance and a reliable solution for your ED problem. You can confide in our expert doctors and let them diagnose the reasons for ED and offer you the best treatment.

Minimal Invasive Surgery Urinary Problems

Stages of uterine prolapse

What is uterine prolapsed?

This is a condition that occurs in women; it occurs when the connective or muscles like ligament are weakened or damaged, allowing the uterus to fall into the vagina. A lot of women experience this as a result of childbirth, severe coughing, obesity, hormones changes after menopause, etc.

The womb is the female reproductive system. This reproductive system is located inside the pelvis, the muscles that support the bladder, bowel, and the uterus is called the pelvic floor, these muscles also keep the pelvic organ and the uterus in place. If these connective tissues or muscles are weakened or damaged, it gives room for the uterus to fall into the vagina; this condition is known as prolapse. When these structures, the bladder, urethra, bowel, rectum, uterus, and even the vagina falls out of position, without urgent treatment or surgery can lead to them prolapsing further into the vagina and as well as into the vagina opening.


The symptoms that come with this condition depends on the type of uterine prolapsed. But the most common symptom that is applied to every woman is the sensation that the structures or the tissues are out of place. A lot of women describe this sensation as something descending downward; the more severe the prolapse, the more symptoms are experienced. Specific symptoms to vaginal prolapsed include the following:

  • Constipation: This is one of the most common symptoms of the rectocele
  • Enlarged vagina: This is the finding physically seen mostly by women.
  • Bowel emptying difficulty: This symptom is also known as splinting. A woman will find it very difficult to empty her bowel.
  • Bladder emptying difficulty: This is one symptom of prolapse, where the woman finds it difficult to empty her bladder.
  • Pains: A lot of pains are felt during long-standing periods. If you experience severe pains during this period, you need to visit a medical professional to examine you.
  • Stress in urination: This is one common symptom of prolapse, there are severe stress and difficulty during urinating.

Stages of uterine prolapsed

There are 4 stages of uterine prolapse; these are as follows:

  • 1st-degree prolapse: At this stage, the uterus falls in the lower part of the
  • 2nd-degree prolapse: At the second stage, the uterus drops to the vagina opening
  • 3rd-degree prolapse: At this stage, it is called the complete prolapse, where the cervix is positioned at the uterus bottom sags into the opening of the vagina.
  • 4th-degree prolapse: At this stage, the entire uterus projects outside the vagina.

Diagnosis and treatment

When you experience the common symptoms that are listed above, you don’t have to panic, you have to visit a professional healthcare center so that you can be properly diagnosed and treated because there are reliable treatment methods that are used in treating this conditions and many women have been healed from it. Some of the treatment for uterus prolapse is listed below:

  • Vagina surgery
  • Pelvic floor exercise
  • Vaginal pessary.

The condition of uterine prolapse in women is nothing to fear about as the result of childbirth, obesity and some other factors have made a lot of ladies to have this condition, there are many ways that have been discovered to be able to solve this condition.

Advanced Urology Infertility Minimal Invasive Surgery

Symptoms of infertility in men and women

What is infertility?

This is a condition whereby someone is not being able to get pregnant, despite the fact that you try to get pregnant by having unprotected sex for about a year or above. In the United States alone, there is about 10 to 15 percent of infertile couples. The case of infertility may arise from your partner, yourself, or both parties involved. There is absolutely nothing to worry about as there are proven therapies that can improve your chances of getting pregnant, all you have to do is to get a reliable and professional healthcare provider and get your problem solved.


The only symptom of infertility is not able to get pregnant. Some obvious symptoms may not occur. Most times, in women, they will experience menstrual pains and irregular monthly periods. A man with infertility condition will experience hormonal problems like sexual function, change in the growth of hair.

When is the right time to see a doctor?

In most cases, you don’t have to see a doctor for not being able to give birth, until you have tried to for at least a year and see no positive result. Women should see a doctor when they are:

  • At the age of 35 and have tried to get pregnant for at least 6 months or more.
  • At the age of 40 and above.
  • Have a painful periods
  • Irregular/ absent periods
  • Have infertility problem
  • Have done cancer treatment before
  • If you had some miscarriages before
  • Diagnosed with pelvic inflammation.

Causes of infertility in men

Some major causes of infertility in men today are:

  • Low sperm production: For a woman to be able to get pregnant, the man must be able to produce quality sperm, the inability of the man to do so will result in infertility. Health problems can affect the quality of sperm that is needed to get a woman pregnant, such as gonorrhea, diabetes, varicocele, etc.
  • A problem in sperm delivery: This can cause infertility when there is a problem delivering the sperm, like early ejaculation, a blockage in the testicles, reproductive organ injury.
  • Certain environmental problems: The kind of environment that men expose themselves to can affect fertility, such as frequent heat exposure can affect sperm production, smoking, marijuana, drinking of alcohol, etc.
  • The danger caused by cancer: Some damages that are incurred in the treatment of cancer such as chemotherapy and radiation can lead to low sperm production.

Causes of infertility in women

Some things that can affect fertility in women are as follows:

  • Disorder in ovulation: This can affect the release of an egg from the ovary.
  • Blockage of the fallopian tube: This is caused by a medical condition known as salpingitis, which is the inflammation of the fallopian tube.
  • Uterine abnormality: This arises from abnormalities with the shape of the uterus, cervix, or polyps.
  • Cancer and treatment: The treatment from cancer can affect fertility in women.
  • Ovarian insufficiency: This is when a woman experiences early menopause before getting to the age of 40.

Diagnosis and treatment
When you are facing this condition just to visit a doctor and make them understand your problem, they will recommend ways to improve your chance of getting pregnant. Treatment of infertility in men and women includes:

  • Medications
  • Surgery
  • Lifestyle changes
  • Retrieval of sperm
  • Ovulation stimulation with fertility drugs
  • Insemination

There are methods that are used medically to treat this condition, make sure you find a trusted and professional doctor to examine you when you have tried to get pregnant in six months and above.

Advanced Urology Prostate Diseases

Enlarged Prostate – Causes, Symptoms & Treatment Options

Enlarged Prostate

An enlarged prostate is a condition that affects men where the prostate gland has increased in size. Clinically defined as benign prostatic hyperplasia (BPH), this condition is not cancer; neither does it increase the patient’s chances of developing cancer. While the prostate increases in size as a male grows, it is imperative to note that an older man will have a bigger prostate than that of a younger man. This condition is dangerous for when it comes to urination and the fact that in treating the condition, the man is susceptible to developing problems in their sexual ability. The effects due to this condition are dependent on age, genetics, and the level of anxiety as displayed by the patient.


Multiple factors lead to the development of an enlarged prostate. First is an alteration in the balance of sex hormones. This happens as the man grows older. Thus

  • Aging: Chances of developing an enlarged prostate increases as the man grows older
  • Family history: In case your father had an enlarged prostate the there is a high probability of you also developing the condition
  • Diabetes and heart conditions: These conditions influence the formation of an enlarged prostate owing to the fact that they involve the beta-blockers, thereby increasing the chances of developing an enlarged prostate.
  • Lifestyle: Lifestyle conditions like obesity have the potential to increase the risk of an enlarged prostate. On the other hand, exercise lowers the risk.


There are certain symptoms associated with an enlarged prostate including:

  • A frequent need to urinate
  • The feeling that your bladder is not completely emptied after urination
  • A weak urine stream
  • Problems starting or stopping urination
  • Presence of blood in the urine
  • Erectile dysfunction
  • Reduced libido
  • Problems maintaining an erection

Treatment Options

Multiple approaches are used in treating an enlarged prostate. Men must have their prostates screened regularly particularly the ones over 40, 45, and 50 years because these ages are the prime time for an enlarged prostate. In treating, multiple options are applicable in efforts to reduce the acuteness of this condition.

Surgical options

This is in the event that medication fails to eliminate the symptoms. These surgical approaches include:

  • The transurethral resection of the prostate (TURP): This involves the cutting out of the prostate tissue.
  • There is also the transurethral incision (TUIP) of the prostate: Here, grooves are made or created on the prostate
  • The third is the transurethral microwave thermotherapy (TUMT): this involves the use of microwaves in destroying the excess prostate tissue.
  • The prostatic urethral lift: this involves the movement of the prostate tissue away from the urethra.

Research has revealed that changes in the victim’s lifestyle can influence and get rid of the symptoms that are associated with an enlarged prostate. These include the reduction of the consumption of alcohol, sweeteners, and soda.

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