ED Treatment Options? We Offer Them All!

image_0_img_AMS700_product_940x940

Men

Treatment options for ED-EDCure.org

The successful treatment of ED is best achieved by a step by step process in which the all of the options are delineated and then starting with one that is most cost effective, safest, easy to administer and one that works satisfactorily with out side effects. It is a process and it is not advisable to skip steps and jump immediately to a surgical solution.

The surgical solution, a penile implant, is a good solution but should be the last resort after having tried all of the non-surgical options. 

The EDCure.org website  is an excellent resource in all things ED and worth visiting before an office visit for this problem.

Northeast Georgia Urological Associates’ Page on ED.

Northeast Georgia Urological Associates’ Page on Penile Implants

Kidney Stone Treatment with ESWL.

Spero072215-400x250

The urologists of Northeast Georgia Urological perform ESWL (Shockwave Lithotripsy of Kidney Stones) every day of the week and at three locations: Our own Ambulatory Surgery Center, Northeast Georgia Medical Center and The Gainesville Surgery Center. If you have a stone and are having symptoms, we have the experience and the resources to help you safely and quickly.

How does the Medtronic InterStim for urgency incontinence work?

It is believed that one possible cause of overactive bladder is miscommunication between the brain and the sacral nerves; when the brain and sacral nerves don’t communicate correctly, the nerves will not tell the bladder to function correctly, which can cause bladder control problems.

The theory behind Medtronic Bladder Control Therapy is that gentle electrical stimulation of the sacral nerves reduces the signals to the nervous system which may be causing bladder control symptoms such as leaks, the sudden urge to go, or going too often.

The physicians at Northeast Georgia Urological Associates are experienced in the Medtronic InterStim implantation process and follow-up. Contact us if you feel your degree of bladder frequency or urgency warrants an evaluation.

 

Cialis-the new male wonder drug?

Sildenafil.svg

  • Cialis is a PDE-5 drug that is approved for the use of both erectile dysfunction and BPH (prostate enlargement).
  • PDE-5’s dilate the smooth muscle in blood vessels which causes  increased blood flow.
  • Because there is smooth muscle in the corpora of the penis, dilation of the blood vessels aids in erections.
  • Because there is smooth muscle in the area of the bladder neck and prostate, this also improves the flow of urine in the male with an enlarged prostate.
  • Because there is smooth muscle in the ureters, durgs like Cialis improve the chances of passing a ureteral stone (now referred to as expulsion therapy).
  • Other drugs in this class have been approved for pulmonary hypertension due to the smooth muscle effect.
  • Because nitroglycerin is a blood vessel dilator, it is contraindicated to use drugs like Cialis in a patient with heart disease and may need to take nitroglycerine.

If you add in the fact the drug only acts when it is needed by the male and that it has an effect for 36 hrs…you might agree that Cialis is indeed the new…Vitamin C.

The difference between bladder and kidney infections?

urinary system

  • A urinary tract infection is a broad term and can mean a bladder (lower urinary tract infection) or a kidney infection (pyelonephritis).
  • A bladder infection is the most common type of urinary tract infection (UTI).
  • UTIs are more common in females because they have a shorter urethra and it is easier for bacteria to reach the bladder from the outside world.
  • Ecoli is the most common bacteria for a UTI because this is the most common bacteria of the GI tract.
  • When the bacteria causing a bladder infection ascends (travels up the ureter to the kidney) this is called pyelonephritis.
  • Pyelonephritis is much more serious than a bladder infection and is associated with fever, flank pain and can require hospitalization.
  • When a patient tells the urologist that he or she has a “kidney” infection and the symptoms are that of the bladder ( burning, pressure, frequency and urgency)…it’s okay…we know what they are talking about.

Kidney stones often mimic a bladder infection.

image

The stone seen above is half in the ureter and half in the bladder. Much like a baby crowning before being delivered. Just before the ureter enters the bladder it travels about an inch between the layers of the bladder muscle. When a stone, such as you see above, is in this area of the ureter the patient will experience symptoms very similar to a bladder infection. Because the stone irritates the bladder the urine will have the look of a bladder infection as well, which further confuses the diagnosis.

Urologists often see females in consultation because of what is felt to be a recurrent or difficult to manage bladder infection when in fact on CT scan there is a stone in the intramural portion of the ureter. With treatment of the stone the symptoms very quickly go away.

A simple way to prevent stones is to always be well hydrated, limit salt and add lemon to the water you drink.