Can You Get a Vasectomy Undone?

If for some reason, such as a remarriage or loss of a child after a vasectomy, you choose to have children, can you get a vasectomy undone? Certainly yes! In fact, you can have a vasectomy undone even after a period of time as long as 25 years. However, at St Pete Urology, we are aware that some people may misuse this procedure. For this reason, we are committed to open and informative discussions with our patients before they have a vasectomy, ensuring they know that vasectomy is a permanent birth control method which they should undergo only when certain that they no longer want to have children. We also inform them of the option of vasectomy reversal but only as an ideal option when there is a drastic change of circumstances and a pressing need to have children after a vasectomy.

Outpatient procedure

Vasectomy reversal is often done as an outpatient surgery performed under localized, regional or general anesthesia. Executed with the help of an operating microscope and taking 3-4 hours, vasectomy reversal involves reconnecting the two severed ends of the vas deferens to allow sperm to be transported out of the body. Most men are eligible for a vasectomy reversal, but we usually go through the procedure in detail with our patients to ensure it is right for them.

Techniques for reversing a vasectomy

Before embarking on a reverse vasectomy, the urologist checks for sperm within the vas deferens. The presence or absence of sperm determines the type of surgery performed by the doctor. For instance, if sperm is found within the vas, the urologist will simply need to put the two ends of the vas deferens back together in order to restore male fertility. This procedure is called vasovasostomy, a sewing back together of the severed ends of each tube that carries sperm. In other cases, a blockage closer to the testicle may prevent sperm from reaching the vas. This calls for a more complicated surgery called vasoepididymostomy, which bypasses the blockage. Vasoepididymostomy involves connecting the vas deferens directly to the epididymis (a small organ located at the back of every testicle and which holds sperm).

High success rate

A vasectomy reversal is a more complex procedure that requires more expertise and experience than the original vasectomy. Therefore, it is important that you work with a surgeon who performs vasectomy reversals on a regular basis and who has a track record of success with both types of reversals. When properly performed, vasectomy reversal has a high success rate of 80-95 percent. In fact, the return of sperm (potency rate) is as high as 95 percent, while pregnancy rates vary from 50-70 percent. However, the likelihood to achieve pregnancy after a reversal depends on various factors, including experience of the surgeon, length of time since the vasectomy was done, tissue or tube damage that occurred during original vasectomy, and fertility status and age of your female partner.

Recovery after a reversal

After reversal surgery, it takes 5-14 days to recover. Vasectomy reversal is a minimally-invasive procedure that will not have a heavy toll on your body so you may only expect some soreness in the scrotal area, but this can be relieved with pain medication. However, sexual intercourse and heavy lifting should be avoided during the first 4 weeks after surgery. Your doctor will assess the success of reverse vasectomy by examining your semen 6-8 weeks after the operation. Sperm quality will return to normal 3-6 months after reversal surgery.
At St Pete Urology, we have state-of-the-art facilities, experienced urologists and a patient-centered multidisciplinary approach to ensure your vasectomy reversal is an absolute success. For more information, visit the “St Pete Urology” site.

How do you know if you have a kidney stone?

A kidney stone is a solid piece of mineral substance formed in the kidney or urinary tract when normal substances found in urine become too concentrated. Once formed, a stone may remain in the kidney or pass through the urinary tract and eventually move out of the body. Kidney stones are a very common urinary tract disorder that can affect almost anyone. In America, one in every ten people has a kidney stone.

How do you know if you have a kidney stone?

It is almost impossible to know that you have kidney stones until symptoms appear. In fact, most kidney stones are difficult to detect until they begin to move from the kidney through the ureter (the tube that connects the kidney to the bladder) and down the urinary tract. It is this movement that tends to cause irritation and blockage in the urinary tract and result in the severe pain and discomfort that is associated with kidney stones. Nevertheless, some kidney stones may lodge in an area of the kidney or urinary tract and cause noticeable symptoms.

To know if you have a kidney stone, you should first acquaint yourself with the symptoms. Knowing the symptoms of kidney stones will then allow you to suspect the condition as soon as you experience any symptoms and to seek immediate medical attention. A prompt visit to a urologist will ensure that your condition is accurately diagnosed and treated effectively.

Here are various ways of knowing if you have a kidney stone.

1.Sharp, excruciating pain

The presence of a kidney stone is often marked by a sharp, excruciating pain on one side of the lower abdomen or upper back. The pain typically starts suddenly and then lingers for a long period, becoming more intense with time. The pain also may spread and affect a larger area, including the groin area, area below the ribs and genitals. The pain can be constant or it can come and go in waves, lasting for a few minutes and then disappearing before starting again in about 10 minutes. The pain also may last for a longer period, but with fluctuating intensity as the stone moves and changes its position in the urinary tract. The nature and intensity of pain caused by kidney stones depends on the size of the stone, its location in the urinary tract and whether or not it has caused damage, blockage or irritation in the delicate structures of the urinary tract.

2. Urination problems

Apart from causing severe pain, kidney stones also result in a variety of urinary problems. The following urinary issues will help you to know that you have a kidney stone:

  • (a) Pain during urination.
  • (b) Red, brown or pink colored urine.
  • (c) Cloudy or foul-smelling urine.
  • (d) Urge to urinate, which is stronger and more frequent than usual.
  • (e) Dribbling urine in small quantities.

3. Gastric distress

You can know that you have a kidney stone if you have pain and any of the following symptoms:

  • (a) Nausea
  • (b) Vomiting
  • (c) Chills
  • (d) Fever

One or more of these symptoms may indicate that you have a urinary tract infection and therefore need antibiotics. Make sure to visit a doctor as soon as possible if you have these symptoms.

4. Clock clues

Linking your symptoms to the time of the day also may help you to know that you have a kidney stone. Typically, the pain caused by kidney stones usually begins either early in the morning or late at night. This is due to the fact that people urinate less frequently in the early morning or late at night and the ureter remains highly constricted, allowing the stones to irritate the delicate structures of the ureter and cause pain. Therefore, monitoring the time pain occurs will enable you to tell whether or not it is caused by kidney stones.

Diagnosis of kidney stones

While the clues you get from the symptoms may be sufficient to help you suspect that you have a kidney stone, the only definitive way of knowing you have a stone is to visit a doctor for diagnosis and treatment. Generally, it is recommended that you see a doctor if you:

  1. Experience pain so severe that you are unable to stand, sit or lie down comfortably.
  2. Have serious pain in your belly.
  3. Have nausea or vomiting.
  4. See blood in your urine.
  5. Find it difficult to urinate.

When you visit a urologist, be ready to describe your symptoms clearly, including when and how they started. If possible, write them down, together with a list of the medication, vitamins and supplements you are taking. For instance, some medications such as diuretics, calcium-based antacids, topiramate (Topamax) and Indinavir (Crixivan) may cause kidney stones. You also should keep track of the amount of fluid you drink and the quantity of urine you pass in a 24-hour period.

The doctor will confirm that you have kidney stones by requesting various tests. These may include blood tests for the presence of calcium or uric acid in blood, since a buildup of these minerals may precipitate kidney stones. The doctor also may request urine tests, often on a urine sample collected in a 24-48 hour period. Apart from lab tests, the doctor may request imaging studies. For example, X-rays may be used to accurately show that you have kidney stones, particularly larger stones; computed tomography (CT) scans can be used to take in-depth images of the urinary tract from several angles, helping to identify smaller stones that X-rays can’t recognize; while ultrasound can be used to create clear images of the urinary tract in order to spot various sizes of kidney stones.

Treating kidney stones

Once the doctor confirms that you have kidney stones, you may be given a special strainer which you use every time you pass urine. The strainer will help you to collect any stones or pieces of stones you may pass. If you succeed in collecting a kidney stone, the doctor will send it to the laboratory for analysis. Knowing the type of kidney stone you have will help your doctor to recommend effective ways of minimizing the risk of such a stone in the future.

Most stones, though quite uncomfortable, will not cause serious damage to your body. So your doctor most likely will recommend that you wait for the stones to pass on their own. It may take a few days to several weeks for a stone to move from the kidney to the ureter and through the bladder to the outside of the body. Your doctor will prescribe pain medications and anti-nausea drugs and then recommend that you go home and wait for the stones to pass. Drinking 2-3 quarts of water every day also is recommended as a way of flushing out your urinary system.
But if through imaging studies the doctor finds that your kidneys stones are too big to be passed at home or notices that you have serious signs of infection, the doctor will use a medical procedure to remove the stones while you are at the clinic or hospital. For instance, lithotripsy is an effective procedure that relies on shock waves to break down larger stones into smaller pieces for easy removal. In cases where lithotripsy is either ineffective or inappropriate, the urologist will use a more invasive method such as inserting a ureteroscope (a special scope) into your urethra or reaching the stone via an incision, a technique called percutaneous nephrolithotomy.

Make sure to seek emergency treatment of kidney stones if you:

  1. Have fever and chills, which are indicators of an infection.
  2. Experience a total failure to pass urine.
  3. Have a history of kidney removal and only have one kidney.
  4. Develop severe fatigue or confusion.
  5. Have severe nausea or vomiting.

Emergency treatment should be sought even if the symptoms are mild. For more information and help with kidney stones, visit the “St Pete Urology” site.

How is a Vasectomy Done?

Vasectomy is one of the most effective and safest methods of birth control. It is also a quick, easy and office-based procedure that patients can walk in and out of without assistance. During a vasectomy, the small tubes in the scrotum called vas deferens are either cut or blocked off to prevent sperm from leaving the body to cause pregnancy. The surgical procedure takes 10-30 minutes and you can return home on the same day.

Specialized attention

At St Pete Urology, we ensure that patients get the best and safest operation possible. Our vasectomy procedures are typically performed in the office of a urologist, a doctor specialized in treating conditions of the urinary tract and reproductive system. Prior to the procedure, the urologist discusses all aspects of vasectomy with the patients and their partners as openly and candidly as possible. This ensures that the procedure is performed only on the right patients. We also give all our patients close and confidential attention and help them through the decision-making process.

Types of vasectomy

There are two types of vasectomies: the conventional (incision) method and the non-scalpel [no-cut) method. With the incision method, the urologist makes 1 or 2 small cuts in the scrotum in order to access the vas deferens. A tiny section of the vas deferens is cut and removed, then the ends are cauterized (sealed with heat) and tied with stitches. The urologist completes the operation by performing the same procedure on the other testicle, either via the same opening or a second scrotal incision. After the vas deferens is tied off, the doctor applies skin “glue” or a few stitches to close the opening(s) in the scrotum.

With the non-scalpel method, the urologist makes a tiny puncture hole on one side of the scrotum. Using the hole, the doctor finds and pulls out the vas deferens from under the skin. After cutting and removing a small section of the vas deferens, the doctor ties off or cauterizes its ends before putting it back in place. The procedure then is repeated on the other testicle. No stitches are necessary because the puncture holes are quite small. Since you will be awake throughout the procedure, the doctor gives you a localized anesthetic to numb the scrotum and minimize pain and discomfort. However, you will still feel some pulling and tugging during the procedure.

Recovery

Whether performed through the incision or the non-scalpel method, vasectomy is typically a minimally invasive procedure that you will recover from quickly. After the procedure, you will experience mild to moderate pain and soreness in the scrotal area, but this can be managed easily with pain medication. It will take you about 5-7 days to return to full activity and 1-2 weeks to resume sexual intercourse. Be sure to contact your doctor as soon as you experience any complications.

Ignore the myths

Vasectomy will not change your sexual desire or performance. It does not affect your levels of testosterone, erections and volume of ejaculate. In fact, based on available clinical data, vasectomy does not have any long-term effects on sex drive in men. On the contrary, many men have reported a remarkable improvement in their sexual vigor and enthusiasm after the procedure because they have been relieved of the fear of unwanted pregnancy. Vasectomy also will not increase your risk of prostate enlargement or prostate cancer. So if you are thinking of having a vasectomy, ignore the myths and speak with your doctor for help.

At St Pete Urology, we have offered non-scalpel vasectomies for many years and incision vasectomies for much longer. We provide comprehensive vasectomy services that include pre-procedure consultations, a safe and effective office-based procedure, and all the requisite follow-up testing. If you are thinking about having a vasectomy, call or visit us for help. For more information, visit the “St Pete Urology” site.

5 Essential Reasons Why Women Should See A Urologist

Urologists are not only specialists for men but also providers of essential medical services for women. Trained to treat urinary tract problems both medically and surgically, urologists offer the best treatment for bladder control issues and other disorders of the female urinary tract and reproductive system. So when faced with urological issues at any stage of life, women may need to see these doctors for quick resolution of the problems. In fact, women should consider seeing urologists when having frequent urges to urinate, leaking urine, pain in the sides or back, bloody urine, and burning or pain during urination. The 5 essential reasons why women should see a urologist are:

1. Overactive bladder

Characterized by a sudden, uncontrollable urge to urinate, waking more than once at night to urinate and urinating 8 or more times in 24 hours, overactive bladder affects many women of all ages and has several potential causes. Since treatment for the condition is dependent on the identified cause, it is important to see a urologist to carry out tests in order to determine the cause and recommend the best treatment. At St. Pete Urology in St. Petersburg, doctors use specialized testing and recommend personalized treatment for women with overactive bladder.

2. Urinary incontinence

Bladder control problems can affect women of all ages and are a very common issue. By definition, urinary incontinence is the loss of bladder control which can lead to accidental leakage of urine. For example, women with urinary incontinence (UI) have trouble holding urine, particularly when they cough, sneeze or exercise. Caused by obesity, pregnancy later in life, childbirth and even menopause, UI affects roughly 57 percent of women between the age of 40 and 60. Treatments for the condition include exercises for strengthening pelvic muscles, medication, implanted devices, injections and surgery.

3. Recurrent urinary tract infections (UTIs)

Even though urinary tract infections commonly occur in women and can be quickly treated with antibiotics and other measures, recurrent infections may be a sign of a larger issue requiring the attention of a urologist. Women experiencing two or more urinary tract infections in 6 months, or even three or more UTIs in one year should see a urologist to explore the possibility of having a recurrent problem. The urologist will diagnose the issue using kidney scans, culture test and other tests, identify the actual cause of the recurrent infection, and recommend effective treatment for breaking the series of recurrent infections.

4. Kidney stones

While kidney stones are a more common problem in men than women, about 7 percent of women will have kidney stones at some stage of their life. There is a higher risk for a woman to develop kidney stones if she does not drink enough water, frequently eats meals high in protein, takes medicines that can cause kidney stones as a side effect, has had a stone before, has certain diseases, or is over 50. The stones can form in the bladder, ureters or kidneys and may be passed out on their own with high fluid intake or removed through different treatment options. If you are a woman experiencing extreme pain on your back, side, lower abdomen, groin, or pain during urination, vomiting, nausea or blood in urine, please visit St. Pete Urology in St Petersburg for immediate help.

5. Fallen bladder and bladder cancer

The bladder is usually held in position by the pelvic floor. But when the pelvic floor is stretched or weakened, particularly due to aging, menopause, obesity or prior pelvic surgery, the bladder may drop into the vagina, resulting in complications such as overactive bladder, urinary tract infections and urinary incontinence. Pelvic floor prolapse (also called fallen bladder or cystocele) can be corrected either surgically or nonsurgically by placing a pessary in the vagina to hold up the organs. Apart from fallen bladder, urologists are also recommended to treat bladder and kidney cancer.

Conclusion

If you are experiencing symptoms such as blood in urine, frequent urination, burning or pain when urinating, or pelvic pain, call or visit St. Peter Urology for help. Our urologists offer top-of-the-line comprehensive urological services to women and are committed to patient satisfaction. Evaluation of urological conditions includes a complete patient history, medical exam, urodynamics (bladder EKG), imaging, cytoscopy and all necessary lab tests. For more information on the treatment of urological conditions in women, visit the site, St Pete Urology.

Why Interstim Therapy is For Both Men and Women

For men who suffer from embarrassing and frustrating bladder control problems like retention and overactive bladder, it is typically difficult to control when and how much you urinate. As a result, you may be compelled to cut back on your everyday activities, feeling trapped by the fear of accidental leaks and being unduly preoccupied with your bladder. Unfortunately, you also may find out that common treatments such as behavior modification, drugs, dietary changes, use of catheters to empty your bladder or pelvic floor exercises do not effectively treat your symptoms. What can you do when traditional treatments for bladder problems fail or are intolerable? Never despair. Instead, just visit a competent urologist to administer InterStim therapy.

What is InterStim Therapy?

Also called Sacral Nerve Stimulation (SNS), InterStim is a reversible therapy for treatment of urinary incontinence, urgency (frequency), urinary retention and overactive bladder. It involves implanting an InterStim device (neurostimulator) into the skin in order to send mild electrical pulses to the sacral nerves (nerves located above the tailbone) which control the bladder and muscles associated with urinary function. As a result, the electrical stimulation of the sacral nerves promotes communication between the brain and bladder, improves bladder control functions and eliminates symptoms of overactive bladder and urinary incontinence.

Effective for Both Men and Women

Many people tend to consider InterStim therapy as an exclusive treatment for women with bladder control problems. In truth, however, the therapy is also ideal for men who have failed medications, experience serious adverse effects with bladder medications or do not like using catheters to empty their bladder. Incontinence is a common problem affecting both men and women and any person experiencing the problem can explore InterStim therapy as an effective and convenient option regardless of their sex.

How is the Procedure Performed?

InterStim therapy is a two-stage process involving minimally invasive testing (test stimulation) and the eventual placement of the InterStim device. The urologist conducts the non-invasive test to determine the possible response to the actual device while allowing patients to see if InterStim would be appropriate for them. After successful testing, the InterStim device is placed using a minimally invasive technique in which small and inconspicuous incisions are made on the skin.

InterStim improves the quality of life and will help you to return to your normal life quickly with no more worries of accidental urine leaks. Doctors at St Pete Urology have conducted hundreds of InterStim therapy since the device was approved by the FDA. We help both men and women regain their confidence and dignity. For more information on treatment of bladder control problems, visit the site, St Pete Urology.

Top 3 Questions Frequently Asked by Women about Vasectomy

For couples who have made the decision not to have any more children, vasectomy is a trustworthy and effective birth control method. Though performed on a man, vasectomy is a permanent birth control method with 99.85 percent efficacy and a guarantee that the woman will not have unwanted pregnancies in the future. It does not interfere with a man’s sex drive, erections, orgasm and ejaculation and is only accompanied by temporary discomfort in men. But as with men, many women have worries about the procedure and are concerned whether it can hurt their relationships, sexually and emotionally. Here are the top 3 FAQs women ask about vasectomy.

1. Is vasectomy a perfect form of contraception?

As a permanent means of preventing pregnancy that works through the cutting of the vas deferens, tubes carrying sperm from the testes to the penis, vasectomy ensures sperm does not exit the penis during ejaculation. After the procedure, a man’s body continues to produce sperm, but the secreted sperm die and get reabsorbed by the body. A man cannot make a woman pregnant after vasectomy as long as the couple has used an alternative birth control method for the first 8-12 weeks after the procedure to allow the sperm count in the semen to drop to zero. Once the man has had a follow up test of the semen to confirm there is a zero sperm count, the couple can enjoy sexual activity without any more worries of pregnancy or need for other birth control methods.

2. Is vasectomy easier and more effective than tubal ligation?

Women can have their “tubes tied” surgically by a gynecologist. Tubal ligation is the closing of the fallopian tubes to prevent sperm from reaching an egg (ovum). When not undertaken during a caesarian section (C-section), tubal ligation is a complex procedure requiring a hospital setting, abdominal incisions and general anesthesia, posing a greater risk of complications such as scar tissue, bleeding and longer recovery. On the other hand, vasectomy is a less complex 15-20-minute procedure often performed by a urologist in an ambulatory surgery center (or rarely in the doctor’s office or hospital setting) using local anesthesia and accompanied with minimal to mild discomfort. Vasectomy also can be performed using the no-scalpel technique that requires no incisions, ensuring recovery occurs within a few days. In a sense, vasectomy is easier to perform and more effective in preventing pregnancies than tubal ligation.

3. Can vasectomy be reversed?

For women exploring vasectomy as a permanent birth control method, there is usually the question of what happens when life’s circumstances change after having the procedure and there is a need to conceive naturally. What if we lose all our children or find ourselves in a situation where we need a child after years of having a vasectomy? Well, for such couples, the option of vasectomy reversal can be explored. St. Pete Urology Center has a team of skilled and experienced vasectomy reversal urologists offering reversal services with over 90 percent success rate to couples who wish to have the procedure reversed in order to conceive naturally.

Our team of urologists understands that a vasectomy is a major life decision for couples and provides answers to a broad range of questions on the issue. For more information on vasectomy, visit the site, St Pete Urology.

2 Effective Screening Tests for Prostate Cancer

Prostate cancer is the most frequently diagnosed non-skin cancer in men in the United States, currently carrying a lifetime risk for diagnosis of around 15.9 percent. In most cases, prostate cancer shows a good prognosis even when not treated, though some may be quite aggressive. Presently, the lifetime risk of death due to prostate cancer is 2.8 percent, and the condition is quite rare in men younger than 50. In fact, very few men die of the cancer before age 60, and more than 70 percent of the deaths due to the cancer occur after age 75.

Even though prostate cancer typically grows very slowly or not at all, it is still advisable to start screening early before the symptoms appear. Early prostate cancer screening may help to discover any aggressive type of the cancer and ensure prompt treatment. Today, there two most effective and recommended tests for screening are prostate specific antigen (PSA) test and digital rectal exam (DRE).

PSA

All contemporary recommendations for prostate cancer screening incorporate the prostate specific antigen (PSA) levels in serum because there is convincing evidence that PSA-based screening detects many cases of asymptomatic prostate cancer. Studies also have shown that a vast majority of men who have asymptomatic cancer detected through the PSA test have tumors that either will fail to progress or will grow so slowly that they would have shown no symptoms for the patient’s lifetime. If your PSA level is high, your urologist will recommend either waiting for a period and then repeating the test or doing a prostate biopsy to confirm if you have the cancer. When interpreting your PSA results, your urologist will consider many factors, such as race, age and family history.

Digital Rectal Exam (DRE)

During DRE, the urologist inserts a gloved, lubricated finger into the rectum to feel for any hard areas or bumps on the prostate, which might indicate cancer. The exam may be slightly uncomfortable, but is never painful and just takes a short time. While the digital rectal exam may be less effective than the PSA in detecting prostate cancer, it sometimes can detect cancer in men with normal PSA levels. For this reason it is a critical component of prostate cancer screening.

What next after screening?

PSA and DRE tests are simply used to detect the warning signs of prostate cancer, but in reality they do not actually confirm if you have cancer. If the test results are abnormal, your urologist will use a prostate biopsy for confirmation. If there is cancer, a prostate biopsy also will help determine the aggressiveness and influence the urologist’s decision as to whether or not you need treatment. Not every patient must be treated and those with non-aggressive cancer will just be actively monitored. The decision on whether you get treated is very important and is usually based on results of these tests. For more information on early prostate cancer diagnosis and treatment, visit the site, St Pete urology.

Infographic: Everything You Need to Know About Kidney Stones

Everything You Need to Know About Kidney Stones

People sometimes may have kidney stones for several years without experiencing severe symptoms. The stones may pass out in urine with little pain and just a few mild-to-moderate symptoms. However, whether you have not had a kidney stone or only experienced a little pain when passing a stone, it is advisable to take precautionary steps to avoid more serious problems. For example, eating certain types of foods such as large amounts of lemons and oranges may cause kidney stones. But before eliminating various food items from your diet, you should consult a urologist. The urologist will conduct a proper evaluation of your current health status and provide clear guidance on which foods may cause kidney stones.

Common symptoms

A kidney stone often shows no symptoms until it has moved into the ureter. And when symptoms finally show, they commonly include:

  • Sudden, severe pain in the groin or in the side of your abdomen
  • A burning sensation during urination
  • Pain and difficulty during urination
  • A persistent urge to urinate
  • Reduced quantity of urine excreted
  • Nausea and vomiting
  • Blood in urine
  • Pus/white blood cells in urine
  • Chills and fever (if there is an infection)
  • Causes of Kidney Stones

Kidney stones typically vary in size, with some capable of growing as large as golf balls. The most common cause of the stones is lack of water in the body. The condition is often found in people who drink less than the recommended 8-10 glasses of water per day. When there is inadequate water in the body to dilute uric acid (a core component of urine), the urine will become more acidic and create a perfect environment for formation of the stones. Medical conditions like renal tubular acidosis, Dent’s disease, medullary sponge kidney, hyperparathyroidism, urinary tract infections and Crohn’s disease also increase the risk of kidney stones.

For prevention of kidney stones, you should:

  • Drink 2.5-3 liters of water every day
  • Reduce sodium or salt intake in your diet
  • Follow a healthy diet and avoid red meat. Daily or frequent consumption of red meat may cause kidney stones.
  • Exercise regularly and make sure to get enough sleep
  • Quit smoking and avoid alcohol
  • Treatment for kidney stones

The treatment is usually focused on managing the symptoms since passing a stone may be really painful. In the hospital, a urologist may choose:

  • Rehydration via an intravenous tube, accompanied with anti-inflammatory medication. Narcotics may be used to reduce the pain of passing the stones while antiemetic medication may be given to stop nausea and vomiting.
  • Extracorporeal shock wave lithotripsy (ESWL) may be performed by a urologist to break a kidney stone into small pieces to enable it to pass.
  • Laser surgery with ureteroscopy may be performed for large stones located in areas that do not allow for lithotripsy.
  • PNL/PCNL, flexible ureteroscopy, also may be considered by a urologist.

At St. Pete Urology, we offer many options and state-of-the-art facilities for successful treatment of kidney stones. For more information, visit the site, St Pete Urology.

What is The Prostate and Prostate Enlargement?

The prostate gland (commonly called prostate) is a small, chestnut-sized organ in men located beneath the bladder and in front of the rectum (back passage). The urethra, the tube that passes urine from the bladder to the penis, runs through the prostate. By producing a fluid called prostatic fluid that makes up around 15-30 percent of the total volume of semen, the prostate plays a significant role in the function and viability of sperm cells and is critical for a man’s fertility.

Prostatic fluid contains citric acid, zinc, spermine and prostate-specific antigen (PSA), which protect and enrich sperm and reduces acidity of the vaginal canal. Muscles of the prostate usually press into the urethra during ejaculation, helping sperm to move through the urethra.

What is prostate enlargement?

While the prostate is usually a small gland, it typically grows bigger with age. In fact, from birth to early 20s, the prostate grows by around 8 times its initial size. Then from around the age of 25 to early 50s the prostate doubles in size and continues to grow gradually. It is this second phase of growth of the gland which, in later years, results in a non-cancerous condition called benign prostatic enlargement (BPE) or benign prostatic hyperplasia (BPH).

As the prostate grows larger, it causes the muscles at the base of the bladder to become thicker and pressures the urethra to become narrower. By squeezing the urethra more tightly, the enlarged prostate makes it difficult to urinate. The bladder also may become more sensitive, causing a need to pass urine more frequently and suddenly. In some cases, prostate enlargement may cause a blockage that triggers repeated urinary tract infections, bladder or kidney damage, and acute urinary retention (sudden inability to pass urine).

How common is prostate enlargement?

Although prostate growth continues almost throughout a man’s life, the resulting enlargement does not usually cause serious problems until late in life. An enlarged prostate hardly causes symptoms before the age of 40, but some symptoms occur in half of men in their 60s and in up to 90 percent of men in their 70s and 80s. In the United States, as many as 14 million men experience lower urinary tract problems related to benign prostatic hyperplasia while at least 400,000 annual hospital stays involve a diagnosis of prostate enlargement.

You are more likely to have BPH if:

  • You are 40 or older.
  • You have a family history of BPH.
  • You lack physical exercise.
  • You have erectile dysfunction.
  • You have medical conditions like type-II diabetes, obesity, circulatory and heart disease.


Common symptoms of prostate enlargement include:

  • Urinating 8 or more times a day (urine frequency).
  • Inability to delay urination (urine urgency).
  • Trouble starting to urinate.
  • A weak or interrupted urine stream.
  • Inability to empty your bladder completely (urine retention).
  • Dribbling at the end of urination.
  • Accidental leakage of urine (urinary incontinence).
  • Pain during urination or after ejaculation.
  • Unusual color or smell of urine.
  • Blood in urine.

Most of these symptoms are not specific to benign prostatic enlargement and may be caused by bladder problems, prostatitis, urinary tract infections (UTIs), or a more serious problem such as prostate cancer. Therefore, men with such symptoms should seek immediate medical attention.

Diagnosis and treatment of prostate enlargement

When you visit a GP or a specialist such as urologist, various steps will be taken to determine the cause of your symptoms. The doctor will take your medical, personal and family history, ask questions about the symptoms and their effect on your life and conduct a physical examination to check the size, feel and shape of your prostate. The urologist also may request tests such as prostate-specific antigen (PSA) and ultrasound scan to rule out any serious complications.

There are many treatment options for BPH. For instance, the doctor may recommend lifestyle changes, bladder training exercises or medications (such as muscle relaxants and hormone blockers). The doctor also may perform surgery to correct the problem.

At St. Pete Urology, we have a highly skilled team of urologists with a great deal of experience diagnosing and treating BPH and other urinary problems. We fix these issues quickly, safely and effectively, helping you to resume your normal life and activities. For more information on treatment of benign prostatic hyperplasia, visit the site, St Pete Urology.

Are vasectomies permanent?

You may have made the permanent decision to go for a vasectomy so you do not father any more children. But now, the circumstances of your life have changed and you and your partner want a baby. Can you reverse your condition? Well, yes.

Vasectomy reversal surgery can allow you to father a child again. In the U.S. about 600,000 vasectomies are performed each year, but 5 percent of men also seek a vasectomy reversal surgery annually. While there is no guarantee that your fertility will be restored after reversing a vasectomy, the American Urology Association has confirmed that 75-99 percent of men will have sperm return to their semen after the reversal and 30-75 percent of female partners become pregnant following the reversal.

Vasectomy Reversal Procedure

Surgery to reverse a vasectomy is a risk and takes longer to complete than the initial vasectomy procedure, usually 2-4 hours when performed by an experienced urologist. The urologist will apply a local anesthesia or just use general anesthesia. With the help of a powerful surgical microscope, the urologist will reattach the previously severed sperm ducts or vas deferens, with various incisions made on the scrotum to expose the ends of the vas deferens that were severed. The task takes a patient and skilled surgeon to reattach the ends successfully. After reversal surgery, a jockstrap and dressing is applied to create pressure on the incisions. Intermittent ice packs and pain medication are prescribed to reduce swelling and discomfort. The stitches will dissolve in ten days.

What Results Should You Expect?

A critical factor that determines the success of a vasectomy reversal is how long ago the original vasectomy procedure was performed. For instance, if you opted for vasectomy reversal 3-10 years after the original vasectomy, you have up to 97 percent chance of success in rebuilding your vas deferens and at least 50 percent chance of impregnating your partner. Waiting for more than 15 years reduces pregnancy rates to 30 percent. Secondly, one of the effects of a vasectomy is that your body may actually stop recognizing its own sperm, developing antibodies against them. If this occurs, there is a very low chance that vasectomy reversal will restore your ability to impregnate your partner. The urologist will help you determine if this has occurred.

Even though vasectomy reversal is a tempting option, a vasectomy should always be considered permanent. Remember, pregnancy success rates after a vasectomy reversal are very low, influenced by length of time since the original vasectomy, your general health and age, your partner’s fertility, presence of sperm antibodies, and the technique used for reversal. Therefore, you must never take a vasectomy as a sort of experiment that you will reverse in the future. Similarly, results for a vasectomy reversal are not immediate, often taking up to 15 months for sperm to reappear.

Talk to your urologist to determine if you can reverse your vasectomy. For more information on reversing vasectomies, visit the site, St Pete Urology.