Exploring Prostatic Artery Embolization (PAE) 11 Mar 2025, 3:55 pm

What is Prostatic Artery Embolization?

Prostatic Artery Embolization (PAE) is a minimally invasive procedure that has emerged as a viable alternative for treating an enlarged prostate. During PAE, a doctor uses imaging guidance to insert small particles into the arteries that supply blood to the prostate. These particles reduce blood flow, causing the prostate to shrink over time and relieving benign prostatic hyperplasia (BPH) symptoms.

Understanding BPH and Its Impact

BPH is a common condition that affects the prostate gland. As men age, the prostate can enlarge, leading to uncomfortable symptoms like frequent urination, difficulty starting and stopping urination, and a weak urinary stream. While BPH isn’t cancerous, it can significantly affect a man’s quality of life.

Traditional BPH Treatment Options

Historically, treatment options for BPH have ranged from medication to more invasive surgical procedures. Medications can help relax the muscles in the prostate and bladder, while surgeries like Transurethral Resection of the Prostate (TURP) physically remove part of the prostate tissue. However, these treatments aren’t without side effects and may not be suitable for everyone. 

PAE is an excellent alternative to traditional BPH treatment options and offers patients a quick and efficient cure for their symptoms.

How PAE is Performed

The PAE procedure is typically performed by an interventional radiologist (IR). Here’s a step-by-step breakdown of what you can expect:

• Preparation: Before the procedure, you’ll have a consultation with one of our IRs to discuss your medical history and undergo some imaging tests, which help the doctor plan the procedure.
• Procedure: You’ll receive local anesthesia to numb the area, and then a small incision is made in the groin or wrist, and a catheter is inserted into the artery leading to the prostate.
• Embolization: The doctor guides the catheter to the prostatic arteries using imaging technology. Then, tiny particles are injected to block the blood flow to the prostate.
• Completion: Once the embolization is complete, the catheter is removed, and the incision is bandaged.

The entire procedure typically takes a few hours, and most patients can go home the same day.

Benefits of Prostatic Artery Embolization

PAE offers several advantages over traditional BPH treatments:

• Minimally Invasive: PAE does not require open surgery, reducing the risk of complications and shortening recovery time.
• Symptom Relief: Many patients experience significant relief from BPH symptoms within weeks of the procedure.
• Preservation of Sexual Function: Unlike some surgical options, PAE is less likely to affect sexual function.
• Outpatient Procedure: Patients typically return home the same day, making it a convenient option for many.

Who is a Good Candidate for PAE?

PAE is generally suitable for men who have moderate to severe BPH symptoms and for those who wish to avoid surgery or have not found relief from medication. However, not everyone is a candidate for PAE, and a thorough evaluation by a specialist is necessary to determine if it’s the right choice.

Schedule a consultation with our PAE experts here!

Potential Side Effects and Risks

While PAE is generally safe, like all medical procedures, it comes with potential side effects and risks. Some patients may experience:

• Mild Pain or Discomfort: Some discomfort in the groin or pelvic area is common after the procedure.
• Temporary Urinary Symptoms: There might be an increase in urinary symptoms before they improve.
• Infection or Bleeding: As with any invasive procedure, there’s a risk of infection or bleeding at the incision site.

Comparing PAE with Other Enlarged Prostate Treatment Options

When considering PAE, it’s helpful to compare it with other treatment options to make an informed decision. Here’s how PAE stacks up against some common BPH treatments:

Medications 

Drugs like alpha-blockers and 5-alpha-reductase inhibitors can relieve symptoms but may not be effective for everyone and can have side effects like dizziness or sexual dysfunction.

Surgical Options 

Surgery can provide significant symptom relief but comes with a longer recovery period and a higher risk of complications.

Laser Therapy

This minimally invasive option uses lasers to remove prostate tissue, offering quick recovery but may require a hospital stay.

Treat Your BPH with Urology Specialists of the Carolinas

Prostatic Artery Embolization is an exciting option in the realm of BPH treatment, offering a minimally invasive alternative with promising results. If you’re dealing with an enlarged prostate and exploring your treatment options, PAE might be worth considering. As with any medical decision, it’s essential to consult with your healthcare provider to determine the best course of action tailored to your needs.

By understanding the procedure, its benefits, and its potential side effects, you can actively manage your health and improve your quality of life. Schedule a consultation with Urology Specialists of the Carolinas below.

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A Guide to Understanding Insurance Coverage for ED Medication 22 Mar 2024, 1:15 pm

Is ED Medication Covered By Insurance?

Erectile dysfunction isn’t pleasant, but there are medications that can help! Approximately 52% of men experience some form of erectile dysfunction (ED) in their lifetime. Described as difficulty getting and maintaining a proper erection, ED can stem from several different reasons, whether they be stress, aging, or low testosterone. 

ED can be quite bothersome for men but is usually not too serious. Knowing what medications are available will help you decide what kind will be most effective for your symptoms.

But how do you know which medication is covered by insurance? Fortunately, we’ll be breaking down and discussing which ED medications are covered by insurance at Urology Specialists of the Carolinas. Keep reading to learn more! 

What is ED?

Erectile dysfunction is a prevalent condition affecting men worldwide, characterized by the consistent inability to achieve or maintain an erection sufficient for sexual activity. This condition can profoundly impact a man’s self-esteem, relationships, and overall well-being. The good news is that effective treatments, including medications, exist to address ED and restore a fulfilling and satisfying intimate life.

Symptoms of ED

You may have ED if you have experienced the following symptoms on more than one occasion. 

• Difficulty getting an erection
• Difficulty maintaining an erection
• Lower sex drive
• Peyronie’s disease, or the curvature of the penis during erection
• Premature and/or delayed ejaculation

Is ED Medication Covered By Insurance?

At Urology Specialists of the Carolinas, individuals seeking treatment for ED can benefit from the convenience of insurance coverage for medications. We understand the sensitive nature of ED and aim to provide comprehensive care, including coverage for prescription medications through various insurance plans.

Patients can schedule an in-person consultation with an experienced urologist who can assess their specific needs and recommend suitable treatment options. This approach ensures personalized care and allows patients to address any concerns or questions about their condition.

Commonly Used ED Medications

1. Sildenafil (Viagra)

Sildenafil, more commonly known as Viagra, is a pill male patients can take to improve their ability to get and maintain an erection. The medication works by preventing the action of the chemical phosphodiesterase type-5 and allows increased blood flow to the penis. Sildenafil can be an extremely effective and relatively easy way to treat ED and can also treat other conditions, such as pulmonary hypertension.

2. Vardenafil (Levitra, Staxyn)

Vardenafil is similar to Sildenafil but has some notable duration and side effects differences. Similarly, it works to allow for more blood flow to the penis during sexual stimulation, resulting in an erection. Vardenafil can be taken orally one hour before sex and can start working as quickly as 14 minutes, continuing up to four or five hours. Keep in mind that this medication does not cure erectile dysfunction or increase sexual desire. 

3. Tadalafil (Cialis)

Tadalafil is similar to the ED medication discussed above. It works in combination with sexual arousal to create more blood flow to the penis to cause an erection. Tadalafil can be taken two different ways, as needed or daily. 

4. Avanafil (Stendra)

Avanafil is a similar drug for treating ED as the medications mentioned above. It works quickly to supply blood flow to the penis, resulting in an erection. The correct dosage for Avanafil will be prescribed by your doctor based on your medical conditions, other medications needed daily, and response to treatment. 

Schedule an Appointment with Urology Specialists of the Carolinas

Here at Urology Specialists of the Carolinas, treating erectile dysfunction is one of our many areas of expertise. We can help you implement a healthy diet and exercise regimen into your daily routine, all while fighting erectile dysfunction with a treatment that works best for you.

Our board-certified urologists are ready to educate, listen, and guide you through the effects of erectile dysfunction. You don’t have to endure a life of suffering—let our team of urologists help you conquer erectile dysfunction once and for all! Schedule an appointment at your local Urology Specialists of the Carolinas today! 

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Debunking The Top Most Common Vasectomy Myths 10 Feb 2024, 3:24 pm

7 Misconceptions About Vasectomies 

A vasectomy is a safe and effective form of permanent contraception chosen by many individuals and couples worldwide. Despite its widespread acceptance, numerous myths and misconceptions surround this medical procedure. In this blog, we aim to debunk the top seven common vasectomy myths, providing accurate information to help individuals make informed decisions about their reproductive health.

Myth 1: The Procedure is Painful

One of the most common vasectomy myths is that it is a painful procedure. In truth, vasectomy is a relatively quick and minimally invasive surgery. Local anesthesia is administered to ensure that patients experience minimal discomfort. Most individuals report only mild discomfort, which is manageable with over-the-counter pain relievers.

Learn More: 8 Vasectomy Recovery Tips

Myth 2: Vasectomy Affects Sexual Performance

Another vasectomy myth is that the procedure negatively impacts sexual performance. The truth is that vasectomy does not affect libido, erection, or the ability to enjoy a satisfying sex life. It only prevents the release of sperm during ejaculation, making the procedure a safe and effective method of contraception without affecting sexual function.

Myth 3: A Vasectomy is Irreversible

While vasectomy is considered a permanent form of contraception, it is not entirely irreversible. Advances in medical technology have made vasectomy reversal procedures more accessible and successful. However, individuals considering a vasectomy should still approach it with the understanding that it is intended to be a permanent decision.

Related: 5 Things to Know Before Getting a Vasectomy

Myth 4: It Increases the Risk of Prostate Cancer

Some individuals believe that vasectomy is linked to an increased risk of prostate cancer. Extensive research has debunked this myth, showing no conclusive evidence of a connection between vasectomy and prostate cancer. The American Urological Association and other medical organizations have stated that there is no established link between the two.

Learn More: 7 Things Every Man Should Know About Prostate Cancer

Myth 5: Vasectomies Lead to Hormonal Imbalances

Unlike female sterilization methods, vasectomy does not affect hormonal balance. The procedure solely involves the cutting or blocking of the vas deferens, the tubes that carry sperm. Hormones like testosterone continue to be produced at normal levels, ensuring that individuals do not experience hormonal imbalances after vasectomy.

Learn More: How To Support Your Partner Through a Vasectomy Surgery

Myth 6: It Causes Chronic Pain

Persistent pain after vasectomy is rare. While some individuals may experience temporary discomfort or mild pain, chronic pain is not an expected outcome of vasectomy. It is essential for individuals to communicate any concerns or unusual symptoms with their healthcare providers, who can provide appropriate guidance and interventions if needed.

Myth 7: It’s an Expensive Procedure

A vasectomy is often more cost-effective than alternative contraceptive methods over the long term. While initial costs may seem intimidating, it’s essential to consider the overall expenses associated with other contraceptive options, such as birth control pills, condoms, or other forms of temporary contraception. Vasectomy is a one-time investment that eliminates ongoing expenses related to contraceptives, making it a financially prudent choice for many individuals and couples.

Questions About Vasectomy Myths? Contact Urology Specialists Of The Carolinas

Ready to take the first step towards a hassle-free and effective form of contraception? Contact Urology Specialists of the Carolinas today to schedule your vasectomy appointment. Our experienced urology professionals are dedicated to providing personalized care and ensuring your comfort throughout the process.

Our team of skilled urologists has been performing vasectomy procedures for over 30 years, and we can help guide you through the recovery process, monitor your progress, and help prevent complications after the procedure. To learn more, schedule an appointment with us.

The post Debunking The Top Most Common Vasectomy Myths appeared first on Urology Specialists.

5 Reasons To Break Up With Urinary Incontinence This Valentine’s Day  2 Feb 2024, 3:34 pm

Don’t Let Urinary Incontinence Interfere with Your Valentine’s Day

Valentine’s Day is right around the corner, and we hope you’re making big plans! Whether it’s dinner and a movie or just a relaxing night at home, celebrating the day of love with the people you love is important. However, if you are experiencing urinary incontinence or UI, the idea of sitting through dinner or a movie might sound scary to you. Frequent trips to the bathroom or leaking urine when you laugh or cough can make it difficult for anyone to enjoy a romantic evening. 

No one loves UI, and you are by no means alone in having one. Luckily, there are steps you can take to combat UI symptoms and claim your life back. It’s time to break up with urinary incontinence and get your real relationships back on track. 

You Hate Your Urinary Incontinence —Can Anyone Blame You? 

Urinary incontinence is the involuntary leakage of urine, making a person urinate when they don’t want to. UI is the result of a person losing control over their urinary sphincter due to it being lost or weakened. 

Urinary incontinence is more common in women than men, but it’s something that anyone can experience, especially as you age. 

There are five different types of urinary incontinence:

• Stress incontinence is when leaks are caused by pressure on the bladder due to coughing, sneezing, laughing, or exercising.
• Urge incontinence is having sudden, intense urges to urinate followed by the involuntary loss of urine.
• Overflow incontinence is the frequent and constant dribble of urine when the bladder isn’t entirely empty.
• Functional incontinence occurs due to physical or mental impairment.
• Mixed incontinence happens when you experience multiple types of urinary incontinence.

The most common symptoms of UI (in both men and women) include:

• Leaking urine during everyday activities, such as lifting, bending, coughing, or exercising.
• Feeling a sudden, strong urge to urinate right away.
• Leaking urine without any warning or urge.
• Being unable to reach a toilet in time.
• Wetting your bed during sleep.

It’s easy to see why living with urinary incontinence is next to impossible. But who says it has to be this way?  One thing is for certain: when you end this relationship, you won’t be saying, “It’s not you; it’s me.”

Five Reasons Life Without Urinary Incontinence Will Be Better  

Urinary incontinence can cause trouble in your life in multiple ways. If you are living with UI, you may experience deprivation in the following areas:

Get Your Social Life Back

UI can affect your quality of life in more ways than one. Many people who experience urinary incontinence may find themselves opting towards staying inside or canceling plans with friends. You may be embarrassed to go in social situations, or uncertain what to tell people if they ask where you keep going. UI can also cause social anxiety, making you fear being out in public for extended periods of time or shy away from traveling to new places.  

Quick fix: There are plenty of products online that cater to women and men who experience UI. Leak-absorbing pads and underwear might provide more confidence and security in social atmospheres, allowing you to enjoy life again.

Sleep Better At Night

Frequent trips to the bathroom are enough of an inconvenience during the day and even more so at night. If you visit the bathroom multiple times at night, you will probably notice you’re more tired during the day due to lack of sleep. Not getting a full night’s sleep can affect your concentration and immune system, leaving you more vulnerable to sickness. 

Quick fix: Watch your fluid intake and empty your bladder twice before going to bed. We suggest emptying your bladder once before getting ready for bed and once before getting in bed. For extra peace of mind, consider investing in water-proof bedding. 

Experience The Sexual Drive You’ve Been Missing

Since UI can make you leak urine unexpectedly, some might feel too embarrassed to be physically intimate or close to their partner. 

Quick fix: Monitor your fluid intake before partaking in sexual activities. For women, strengthening your pelvic muscles through kegel exercises could result in more control over your UI and a more pleasurable sexual experience. 

Return To Your Exercise Routine

When a person is living with UI, they know daily activities like exercising can result in unexpected leaks. Because of this, you might try to live a less active lifestyle or avoid the gym and sport-like activities altogether. 

Quick fix: If you’re planning to visit the gym, consider wearing darker clothing in case of leaks. Attempting to schedule your bathroom visits every two to four hours could also help you make it through your exercises. 

Regain Success At Work  

Employment and education might be two of the most important things urinary incontinence impacts. If you sit at a desk throughout the day, frequent trips to the bathroom may affect your concentration and, ultimately, your job performance. You might also worry about what your co-workers or boss think about your time spent in the bathroom, causing you anxiety. If your job requires you to be present for extended periods of time (for example, a teacher or production worker), you might find it difficult to leave when you have the sudden urge to go to the bathroom. 

Quick fix: The best option is to disclose your urinary incontinence with a trusted co-worker or your Human Resources department.  However, if that makes you uncomfortable, try timing your bathroom breaks around classes or meetings. Drinking less coffee (caffeine) can help reduce the effects of incontinence, too.

Post UI Break-Up Treatment Options

While these quick fixes may offer temporary relief, your best option is to talk to your urologist about treatment options. Just because you may experience urinary incontinence doesn’t mean you have to live the rest of your life with it. 

Treatment For UI In Women

Treatment types will depend entirely on what kind of incontinence you experience, and some treatments may need to be combined to treat it properly. Here are some of the most common treatments:

• Macroplastique
• Urethral sling surgery
• Pelvic physical therapy
• Medication
• Botox
• Posterior tibial nerve stimulation
• Interstim

For more in-depth details about these minimally invasive treatment options, please take a look at our treatments for female urinary incontinence.

Treatment For UI In Men

Just like women, treatment options will vary from man to man. Here is a list of the most common procedures:

• Minimally invasive sling procedure
• Bladder neck bulking
• Artificial urinary sphincter 

To learn more detailed information about male urinary incontinence treatments, click here.

Treat Your UI at Urology Specialist of the Carolinas

People can experience UI for multiple reasons, and symptoms and treatments will vary from person to person. If you’re ready to get back to life before UI, reach out to us. Our board-certified urologists are ready to help diagnose and treat your urinary incontinence. 

If you would like to learn more about the nutrition you should incorporate into your lifestyle for a healthy bladder, be sure to download your free copy of the Nutrition and Lifestyle Guide.

Content was originally published in February 2019 and rewritten in February 2024.

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6 Tips for Maintaining a Healthy Sex Life with Erectile Dysfunction 20 Jan 2024, 4:07 pm

How to Have a Healthy Sex Life with ED

Living with erectile dysfunction (ED) can pose challenges to one’s intimate life, but it doesn’t have to be a barrier to a fulfilling and satisfying sexual relationship. With the right mindset, communication, and a few practical tips, individuals and couples can navigate these challenges and foster a healthy sex life. 

In this blog, we’ll explore six tips for maintaining intimacy and connection despite the presence of erectile dysfunction. Continue reading to learn more!

What Causes Erectile Dysfunction?

While erectile dysfunction is most common in older men with low activity levels, men of all ages can experience the effects. Here are some of the causes and risk factors to be aware of:

• Obesity
• Alcohol use
• Cardiovascular disease
• Diabetes
• Stroke
• Low or decreased levels of activity
• Smoking

6 Tips For a Healthy Sex Life with ED

Discover six valuable tips that can contribute to fostering a vibrant and healthy sex life despite the challenges posed by ED.

1. Open Communication

Communication is the cornerstone of any successful relationship, and it becomes even more crucial when dealing with sexual health issues. Discussing ED openly with your partner can alleviate anxiety and foster a deeper understanding. Share your feelings, concerns, and desires, and encourage your partner to do the same. This transparency can strengthen your emotional connection, resulting in improved sexual well-being.

Learn More: Causes of Erectile Dysfunction

2. Explore Other Forms of Intimacy

Sexuality is not limited to penetrative intercourse. Embrace a broader definition of intimacy, including various forms of physical closeness, such as kissing, cuddling, and sensual massages. This allows you to maintain a strong connection with your partner, even if traditional sexual activities are temporarily challenging.

3. Prioritize Overall Health

A healthy lifestyle contributes significantly to sexual well-being. Focus on maintaining a balanced diet, exercising regularly, and managing stress.  These lifestyle choices can improve blood flow, boost confidence, and positively impact your overall sexual health. Consult with a healthcare professional to explore options tailored to your specific needs.

Learn More: 4 Exercises to Fight the Effects of Erectile Dysfunction

4. Utilize Supportive Aids

Several medical aids can assist individuals with ED in achieving and maintaining an erection. Consult with a healthcare professional to explore options like vacuum erection devices, penile injections, or medications such as Viagra, Cialis, or Levitra. These aids can be effective in enhancing sexual function and confidence.

5. Seek Professional Guidance

As urology specialists, we aim to ensure that patients are well-informed about available treatment options. This involves thoroughly discussing the potential benefits and risks associated with medications, lifestyle modifications, and various therapeutic approaches. By providing individuals with this essential information, we aim to boost your confidence and motivation in addressing erectile dysfunction (ED). 

Related: 4 Ways to Naturally Treat Erectile Dysfunction

6. Embrace a Positive Mindset

Maintaining a healthy sex life with ED requires a positive mindset. Focus on the aspects of intimacy that you can enjoy and appreciate. Celebrate the emotional connection with your partner, and remember that sexual satisfaction extends beyond physical performance. A positive attitude can be empowering and contribute to a more satisfying sexual relationship.

Schedule an Appointment at Urology Specialists of the Carolinas

If you’re ready to take proactive steps toward overcoming erectile dysfunction and reclaiming a fulfilling and satisfying sex life, it’s time to book an appointment with our experts at Urology Specialists of the Carolinas. Our dedicated team of urologists understands the sensitive nature of these concerns and is committed to providing personalized care tailored to your needs.

Don’t let ED stand in the way of your intimacy—schedule your appointment today and embark on a journey towards improved sexual health and overall well-being. Take the first step by visiting our website to find your closest USOC location today!

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5 Types of Incontinence: Determine What’s Causing Your Urinary Leakage 10 Jan 2024, 11:01 pm

What There is to Know About the 5 Types of Urinary Incontinence

If you suffer from urinary incontinence, you’re not alone. Millions of Americans, both men and women, suffer from this problem. 

For the most part, anyone (at any age) can experience urinary incontinence. However, the problem is significantly more common in women. This is due to the urethra being shorter, in addition to the likelihood of childbirth weakening the muscular support of the bladder and urethra. On top of that, 50 percent of people suffering with the condition do not seek help. 

There are five types of incontinence categorized by the cause and severity of symptoms within the urinary tract. Continue reading to learn more about the different types of urinary incontinence, along with the causes, symptoms, and treatment options of each. 

Urge Incontinence

Urge incontinence is defined as the sudden need to urinate. 

This is the type of incontinence that makes you feel as if you have to go right this second, even if you felt fine just moments before. With urge incontinence, the feeling of needing to urinate is impossible to ignore. Unfortunately, many people don’t always make it to the bathroom in time. Because of this, urge incontinence can make daily life difficult. Having to constantly go at a moment’s notice can be stressful and limiting, sometimes leading to embarrassing leaks and accidents. 

A common cause of urge incontinence is due to a miscommunication between your bladder and your brain. The bladder incorrectly tells the brain that it’s full and needs to be emptied. Pregnancy and childbirth are common causes of urge incontinence. Menopause, pelvic trauma, and neurological diseases (such as Parkinson’s and Multiple Sclerosis) can also be the culprit behind urge incontinence. 

Treatment options include biofeedback therapy, which is the process of gaining awareness of your body’s physiological responses. The goal is to be able to control the bladder muscles and decrease the sense of urgency to urinate. Various muscle exercises, such as kegels, can also build strength of the urinary muscles to improve urges. Additionally, medications such as alpha blockers, anticholinergics, Mirabegron, and topical estrogen can be used to treat this specific type of incontinence.

Did you know: Kegel exercises can help fight the effects of erectile dysfunction as well as symptoms of overactive bladder in women.

Stress Incontinence

If you experience urinary leakage when you laugh, cough, or sneeze, you most likely suffer from stress incontinence. Luckily, stress incontinence doesn’t always lead to an accident.

Women who have given birth or are pregnant also get this type of incontinence due to pressure or damage to the urinary system. Pelvic trauma is another common cause that can make it difficult for you to hold your urine. 

This form of incontinence typically involves weakened muscles around the bladder and urethra. Because these muscles are so compromised, forceful physical stress on the body can cause urinary leakage. 

Perform kegel exercises or pelvic muscle exercises on a routine basis to help avoid this issue. Watching your fluid intake is also important, especially if you know you will be exercising or performing some type of physical activity. 

Mixed Incontinence

Those who suffer from mixed incontinence are dealing with both urge and stress incontinence. So they have urgency and some leakage happening when physically forced. 

Dealing with both types is actually quite common, and not usually a cause for concern. If you are experiencing both, you are likely dealing with a weak pelvic floor along with other health concerns. Working with a urologist to determine the cause of this issue can help you regain control of your bladder. 

Botox injections can actually help patients with mixed incontinence find relief from symptoms. On the other hand, medications such as oxybutynin, tolterodine, and darifenacin may also be recommended. 

Functional Incontinence

Functional incontinence is urine leakage not associated with any health concerns occuring with the urinary system.

Most commonly seen in those with a physical or cognitive impairment, this type can range from small leaks to a full emptying of the bladder. Mental health issues and disabilities are some of the most documented causes. This type of incontinence is generally associated with the elderly.

Treatment includes improving your overall physical and mental function so you can independently go to the bathroom. This may be best achieved by a nursing aid or other types of assistance that can help with bathroom reminders.

Overflow Incontinence

A frequent and unsteady stream of urine usually points to overflow incontinence. 

If you have difficulty urinating, or cannot urinate fully, your bladder will likely be full most of the time. As the kidneys continuously produce urine, the excess liquid literally overflows and exits your body through the urethra. 

Unlike stress incontinence, overflow incontinence can happen without warning. All too often, patients with this type also suffer from frequent urinary tract infections. Urine that remains in the bladder for long periods of time creates the ideal environment for bacteria to grow. 

This type of incontinence is more likely in men, especially those with an enlarged prostate. If this is the cause, treatment for an enlarged prostate will be required first and foremost. Options for improving overflow include blockage removal, catheter placement, and certain medications. 

Along with these treatments, kegels and pelvic muscle exercises can potentially make a difference, too.

Overcoming All Types of Urinary Incontinence

Don’t live with incontinence because you think nothing can be done! 

While not all types of incontinence can be reversed, closely working with a urologist can help you manage your symptoms. The main goal of helping patients with urinary leakage is to help them find comfort and relief from urinary leakage. Since these conditions can be stressful to deal with, scheduling an appointment with a specialist will provide you with expert care.

Although your risk for incontinence increases as you age, it is not a direct result of aging. You should explore different treatment options for your type of incontinence with your urologist. 

To give you an idea of what to expect from a Urology Specialist appointment, check out our guide, Steps to Prepare for Your Upcoming Urology Specialists Appointment. This comprehensive guide breaks down how to prepare for your upcoming appointment. You will also learn what questions you should be asking your urologist so you can be confident and prepare for the next steps. Access your guide by clicking the button below. 

Access The Guide

This post was originally published in 2020 and was refreshed in 2024.

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A Guide to Understanding the Different Types of Circumcision 5 Dec 2023, 7:54 pm

Discover the Different Types of Circumcision

Circumcision is a practice that has been carried out for centuries, with cultural, religious, and medical motivations driving this procedure. 

In this blog, we delve into the intricate landscape of circumcision, exploring the different types and shedding light on the reasons behind this age-old practice. Whether you’re an individual seeking information about adult circumcision or someone interested in the historical and cultural aspects of the procedure, our aim is to provide clarity and insight into this often-discussed but not always fully understood aspect of human health.

A Brief Overview of Circumcision

Circumcision, whether in early adolescence or adulthood, is a surgical procedure involving the removal of the foreskin—the protective skin covering the tip of the penis. A qualified healthcare professional performs this elective or medically driven intervention, and various factors, such as cultural or religious beliefs, medical considerations, or personal preferences, can influence the decision to undergo it.

Considerations for Circumcision

• Medical Reasons: Some adults opt for circumcision to address medical conditions such as phimosis, recurrent infections, or issues with the foreskin that impact their overall health.
• Cultural and Religious Influences: Cultural or religious beliefs may play a significant role in the decision to undergo adult circumcision. For some individuals, it may be a rite of passage or a way to align with their cultural or religious practices.
• Personal Preferences: Personal choices and preferences, whether aesthetic or related to sexual health, can also guide the decision-making process for adult circumcision. 

Medical Circumcision Methods

Understanding the various medical methods is key to making informed decisions. Below are three common types of circumcision you may encounter: 

Plastibell Method

Plastibell circumcision is another simple, quick, and effective circumcision technique. The Plastibell can be described as a small plastic ring with a handle placed between the prepuce and the glans penis. 

Gomco Clamp Method

 The Gomco clamp is a metal device used to secure the foreskin before its removal. This method is commonly employed in medical settings for circumcision procedures. The clamp is composed of a round metal cap, metal plate, and screw device. 

The Gomco circumcision method is simple, fast, and effective. In addition, the procedure only produces minimal to moderate bleeding that can be managed using pain medications. However, some medical professionals have raised concerns regarding the procedure, such as poor usage of aseptic techniques and poor cosmetic quality. Despite these concerns, Gomco circumcision is still widely performed worldwide. 

Mogen Clamp Method

Similar to the Gomco clamp, the Mogen clamp is another tool used in circumcision procedures. Many U.S. doctors are using this method due to its simplicity and effectiveness. The entire procedure is bloodless and straightforward. In addition, postoperative infection is less likely to happen since the instrument is not left on the patient’s penis. 

Navigating Medical Decisions

When circumcision is considered for medical reasons, addressing certain medical conditions, or preventing potential health issues, the choice of method may be influenced by the healthcare provider’s expertise and the specific needs of the patient. Engaging in open and informed discussions with healthcare professionals is crucial to making well-informed decisions and addressing concerns and misconceptions.

Regardless of the chosen circumcision type, seeking professional guidance is paramount. Medical professionals, like urologists, can offer valuable insights, assess individual health factors, and provide personalized recommendations. 

Schedule an Appointment at Urology Specialists of the Carolinas

Circumcision encompasses a range of cultural, religious, and medical practices, each with its unique considerations. As individuals and families navigate this decision, it is crucial to approach it with sensitivity, respect for diverse beliefs, and a commitment to informed choices. Seeking guidance from healthcare professionals ensures a comprehensive understanding of the available options and promotes the well-being of those undergoing the procedure.

If you are considering circumcision or have questions about urological health, consider scheduling a consultation with Urology Specialists of the Carolinas. Our experienced team of healthcare professionals is dedicated to providing personalized care and guidance tailored to your unique needs. Your health and well-being are our priority. Contact us today to schedule an appointment and take proactive steps toward optimal urological health.

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How To Support Your Partner Through A Vasectomy Surgery 5 Dec 2023, 5:33 pm

Having a Supportive Partner Before, During, and After Vasectomy Surgery Makes a Difference!

A vasectomy is a simple surgery during which the small tubes in a man’s scrotum that carry sperm are cut or blocked off so that sperm cannot leave the body. It is a simple, safe, and effective surgical procedure but nonetheless, a life-changing and permanent surgery that should be carefully considered by couples.

Since the male partner is the one who undergoes the actual procedure, there are a few ways the female partner can assist their loved one and support them before, during, and after the surgery.  

Before:

• Make a mutual decision to go through with the procedure. Consider heavily the permanence of the procedure and the future of your family.
• Help your partner choose a good date to schedule the appointment. Note: he’ll need a few post-op recovery days. This means you’ll likely need to be available to help before, during, and after.
• Completely understand how the procedure works, the associated risks, and what you can expect from your partner post-surgery.
• Consult with your partner’s doctor about any concerns you or he might have, like how it will affect your sex life, and what to do if you change your mind.
• Because the procedure doesn’t require general anesthesia (only a local anesthesia), you can prepare your man a delicious meal prior to surgery.
• Encourage them to shower and clean the area thoroughly on the day of the procedure.

During:

• A vasectomy is a quick and easy outpatient surgery meaning the patient will get to go home the same day. Give your partner a ride to the doctor’s office, clinic or hospital, and be there when they finish to take them home. This is especially important if they are in pain or have a history of fainting or anxiety. Although not all men will need someone to drive them home after, each case is different and it’s a good way to be supportive.
• As far as pain goes, give your partner comfort in knowing they won’t feel much at all during the procedure. To make the procedure as comfortable as possible, the doctor will use a local anesthesia to numb the testicles. The numbing shot or when the vas deferens tubes may cause slight discomfort. Otherwise, the procedure is relatively painless.

After:

• Let your partner lay down as much as possible for two to three days after the procedure.
• Help with tasks that involve heavy lifting or strenuous movement for about a week after the procedure.
• Provide your partner with lots of ice or bags of frozen peas to ease the post-surgery pain.
• Encourage your partner take it easy. They just had surgery. It will take some time before they are fully recovered and ready to resume full activities.
• Vasectomies are the most effective type of birth control (almost 100 percent effective at preventing pregnancies) but don’t expect it to work right away. It takes about three months for semen to be free of sperm. Other forms of birth control are advised during this period to prevent unintended pregnancies.
• A few months after the procedure, the patient will be tested by their doctor for sperm, and if their semen is sperm-free, no other form of birth control will be needed.

Do whatever you can to help your partner through the procedure and recover from the vasectomy smoothly. (Even if it means letting them have control over the TV remote for an entire weekend.) He is sure to appreciate all of your love and support!

Schedule Your Vasectomy Surgery at Urology Specialists of the Carolinas 

Ready to take control of your reproductive health? Schedule your vasectomy surgery today at Urology Specialists of the Carolinas and experience expert care in a comfortable and professional environment. Our team of skilled urologists is dedicated to providing personalized, confidential, and efficient services to ensure your peace of mind throughout the process. 

To schedule an appointment with one of our experienced urologists, find the Urology Specialists location closest to you!

The post How To Support Your Partner Through A Vasectomy Surgery appeared first on Urology Specialists.

A Comprehensive Comparison of Orgovyx vs. Its Competitors 10 Nov 2023, 3:17 pm

Exploring Orgovyx Competitors: Alternative Options to Consider  

In recent years, the field of prostate cancer has witnessed remarkable medical advancements, offering access to a broader spectrum of treatment options for patients. Understanding the differences between the various medications on the market can help both patients and healthcare professionals make informed decisions about available treatment options. 

As we explore prostate cancer treatment options, we will examine Orgovyx, one of the newest medications to enter the market and compare it to its key competitors.

Orgovyx: A Brief Overview

Before we delve into the alternatives, let’s grasp the fundamentals of Orgovyx. Orgovyx, also known by its generic name Relugolix, is a relatively new medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of advanced prostate cancer, specifically hormone-sensitive prostate cancer. 

Orgovyx belongs to a class of drugs called gonadotropin-releasing hormone (GnRH) antagonists. GnRH antagonists work by blocking the signal that tells the body to produce testosterone, a hormone that fuels the growth of prostate cancer. Orgovyx is available in oral form, making it more convenient than some competitors that require injections.

Learn More: A Comprehensive Guide to Orgovyx

However, like any treatment option, it’s crucial to explore alternatives to determine the best fit for individual needs. Let’s take a closer look at four of the most common prostate treatment options available today. 

4 Orgovyx Competitors to Consider

1. Lupron

Lupron, also known as leuprolide acetate, is one of the oldest and most widely used GnRH agonist medications for treating prostate cancer. Lupron works by initially increasing the release of GnRH, which subsequently desensitizes the body’s receptors to the hormone, ultimately lowering testosterone levels.

Administration: Lupron is typically administered via injection. These injections are effective, but some patients may find them less convenient compared to Orgovyx’s oral formulation.

2. Eligard

Eligard, also known as leuprolide acetate, is another respected GnRH agonist similar to Lupron. Like Lupron, Eligard functions by suppressing testosterone production. It achieves this by desensitizing the GnRH receptors, leading to reduced testosterone levels.

Administration: Eligard is administered as a subcutaneous injection and offers flexibility in dosing duration. Patients can either have a one-, three-, four- or six-month treatment period.

Choice Factors: The decision between Lupron and Eligard often comes down to patient preferences regarding dosing schedules and the method of administration. The variations in dosing duration can make Eligard an attractive option for those seeking a more tailored approach to their treatment plan.

Learn More: 7 Things Every Man Should Know About Prostate Cancer

3. Trelstar

Trelstar, or triptorelin, is another GnRH agonist used to treat prostate cancer. It is unique among its competitors because it is available in both short- and long-acting formulations. 

Special Feature: Trelstar’s standout feature lies in its ability to cater to diverse patient needs. It provides both short-acting and long-acting options, allowing for flexibility in treatment.

Administration: The shorter version, short-acting Trelstar, requires monthly injections. In contrast, long-acting Trelstar can continuously suppress testosterone for up to six months. This adaptability can be advantageous for patients who prefer fewer injections, but still desire the benefits of a GnRH agonist.

4. Camcevi

Camcevi, also known as leuprolide, is a medication similar to Orgovyx in that it is a GnRH antagonist. It was developed as an alternative to the traditional GnRH agonists like Lupron and Eligard. 

Administration: Like Orgovyx, it provides the convenience of an oral formulation, which can be preferable for patients averse to injections.

Consideration: While both Camcevi and Orgovyx offer the ease of oral administration, it’s important to note that Orgovyx has been available for a longer period and has accumulated more clinical data to support its use. Healthcare professionals should consider this evidence when making decisions about these two GnRH antagonists.

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Your Guide to Living with Prostate Cancer

We understand that facing a prostate cancer diagnosis can be overwhelming––often leaving you with more questions than answers. That’s why our team has created a resource that will assist you in learning more about life with prostate cancer. In this guide, we share:

• Prostate Cancer 101: Essential knowledge that everyone should have about prostate cancer, helping you understand the condition and its nuances.
• Symptoms and Risk Factors: Learn about the signs to watch for and the factors that can increase your risk of prostate cancer.
• How Prostate Cancer Impacts Daily Life: Explore the practical and emotional aspects of living with prostate cancer.
• 5 Prostate Cancer Treatment Options: Gain insights into available treatment approaches, enabling you to make informed decisions about your health.
• Our Advanced Prostate Cancer Clinic: Discover the specialized care and expertise we offer to support you on your journey toward better urological health.

We hope that it serves as a valuable and informative resource. 

Get Your Free Copy Here

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Factors to Consider

Making the choice between Orgovyx and its competitors depends on various factors. Here are three of the main considerations to keep in mind when choosing what medication is best for you. 

Patient Preference

• Some patients may prefer the ease of oral medications like Orgovyx or Camcevi, while others may find injectable options more appealing.

Dosing Schedule

• The frequency of medication administration can vary among these medications, with some offering extended-release options for added convenience.

Individual Treatment Goals

• Your specific treatment objectives and the stage of your prostate cancer should guide your choice. Discuss your goals with your healthcare provider for personalized recommendations.

Choosing the Right Medication

Ultimately, the choice of medication should be made in consultation with a healthcare professional. They will help you navigate this complex choice, ensuring that all relevant factors are taken into account to optimize your treatment plan and overall health. 

Schedule a Consultation at Urology Specialists of the Carolinas

When it comes to your health, knowledge is power––and having a thorough understanding of your options can help make treating your prostate cancer less stressful.

At the Urology Specialists of the Carolinas, our commitment is to provide you with exceptional care and support throughout your prostate cancer journey. Our team of experienced urologists and healthcare professionals is dedicated to providing you with the personalized attention and expert guidance you need.

Take the first step toward taking control of your health and making informed decisions about your treatment options by scheduling a consultation at one of our locations.

The post A Comprehensive Comparison of Orgovyx vs. Its Competitors appeared first on Urology Specialists.

8 Vasectomy Recovery Tips 27 Oct 2023, 6:24 pm

The post 8 Vasectomy Recovery Tips appeared first on Urology Specialists.