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Male Urology

Male Infertility

Infertility is a common yet complex problem affecting approximately 15 percent of couples attempting to conceive a baby. In up to 50 percent of couples having difficulty getting pregnant, the problem is at least in part related to male reproductive issues. It is essential that men be assessed in order to pinpoint the treatable or untreatable causes of this heartbreaking health issue. Fortunately, with today's high-tech procedures and powerful drugs, a diagnosis of infertility may simply mean the road to parenthood may be challenging, but not impossible. Read below to learn more about the available treatment options so you are better prepared when talking with your urologist and/or fertility specialist.

Male infertility is any condition in which the man adversely affects the chances of initiating a pregnancy with his female partner. Most commonly, those problems arise when the man is unable to produce or deliver fully-functioning sperm.

Your doctor will be interested in any factor, including possible structural and other defects in the reproductive system, hormonal deficiencies, illness or even trauma that might be impairing your fertility. Their investigation will center on many possible combinations of factors.

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Peyronie's Disease

One particular problem that has received increasing attention in recent years is Peyronie's disease, a condition in which painful, hard plaques form underneath the skin of the penis leading to penile curvature.

Peyronie's disease (also known as induratio plastica penis) is an acquired inflammatory condition of the penis. The principle manifestation of Peyronie's disease is the formation of a plaque (a segment of flat scar tissue) within the tunica albuginea of the penis. This plaque can usually be felt through the penile skin. This plaque is not a tumor but it may lead to serious problems such as curved and/or painful erections.

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Premature Ejaculation (PE)

Premature ejaculation (PE) is a common condition, also known as rapid ejaculation, premature climax, or early ejaculation. In the United States, PE affects about one in five men between the ages of 18 and 59. Although the problem is often assumed to be psychological, biology may also play a role.

Premature ejaculation is characterized by a lack of voluntary control over ejaculation. Many men occasionally ejaculate sooner than they or their partner would like during sexual activities. PE is a frustrating problem that can reduce the enjoyment of sex, harm relationships and affect a patient's quality of life. Occasional instances of PE might not be cause for concern. However, when the problem occurs frequently and causes distress to the man or his partner, treatment may be of benefit.

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Prostatitis

Acute bacterial prostatitis is the least common type of prostatitis and is always caused by bacterial infection. It is usually easy to diagnose because of the typical symptoms and signs. It is a severe urinary tract infection often associated with fevers and chills, requiring a visit to a doctor or hospital. Acute bacterial prostatitis can affect any age group, but most commonly occurs in older and middle-aged men. Another type that is caused by bacterial infection is chronic bacterial prostatitis, which is characterized by recurrent urinary tract infections in men. When symptoms do appear, they are generally less severe than acute bacterial prostatitis and rarely cause fevers, but often recur. This condition can also affect any age group but is most common in young and middle-aged men.

Nonbacterial prostatitis and prostatodynia, now properly referred to as chronic pelvic pain syndrome, are the most common types of prostatitis. The exact cause of these non-bacterial prostatitis conditions is not known, but they may be due to persistent infection, inflammation and/or pelvic muscle spasm. Inflammation in the prostate can also occur without symptoms.

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