Men's Health Center
The Men’s Health Center is a division of The Urology Center established by Dr Pryor to specifically address 3 increasingly prevalent health issues unique to men: worsening erectile dysfunction, Peyronie’s disease, and male stress urinary incontinence. These problems are not only unique to men, but some men find these issues difficult to discuss with any health care provider. The goal of the Men’s Health Center is to provide each man with understanding what these conditions are, that these are treatable conditions, and to provide an individualized treatment plan for each man to improve their quality of life.
WHAT CONDITIONS ARE TREATED AT THE MEN’S HEALTH CENTER?
Worsening erectile dysfunction: This is for men who have tried oral medications for erectile dysfunction (Viagra, Levitra, Cialis, Stendra) and have not had success using those meds.
Peyronie’s Disease: This is for men who have developed curvature of their penis.
Male stress urinary incontinence: This is for men who leak urine when they are active (such as exercising, walking, lifting) or bear down or exert abdominal stress (coughing, laughing, sneezing). The majority of men who have this type of leakage of urine have had a radical prostatectomy done for prostate cancer, or have had a procedure to reduce the size of their prostate gland (TURP, laser prostatectomy)
WHAT ARE THE TREATMENT OPTIONS FOR THESE CONDITIONS?
Erectile dysfunction: Beyond pills or oral therapy, several options exist. Vacuum erectile device: an external pump applied over the penis just prior to intercourse to create an erection. A constriction band around the penis helps you maintain the erection.
Penile injection therapy: this involves using a tiny needle injected into the side of your penis to deliver a medication that increases blood flow to your penis to give you an erection. A test dose is given to the patient in the office and Dr Pryor will teach you how to administer that dose yourself.
MUSE therapy: this involves inserting a tiny pellet into your urethra just before intercourse to provide you with an erection.
Penile implant: this is a procedure in which a device is placed in your genitalia through a small skin incision. The device is completely concealed within your body so no one will know that you have an implant. The implant procedure is done on an outpatient basis, usually takes less than one hour, and is very reliable with a high patient and partner satisfaction rate. Most implants are ones that are inflated with saline fluid (like an internal pump) to provide you with rigid erection in less than a minute, and can be quickly deflated once finished.
Peyronie’s Disease: curvature of the penis that affects a substantial number of men. The decision to treat Peyronie’s disease depends on how bothered a man or his partner is by the penile curvature, how curved the penis is, and the quality or firmness of the erections.
Xiaflex injections: this is the only FDA-approved medication for Peyronie’s disease. It is delivered by injecting directly into the plaque that is causing the curvature. Only certain urologists with specialized training can provide this treatment, and indications for treatment with Xiaflex include documented curvature >30 degrees and a palpable plaque in the dorsal (or upper) location of the penis in men whose erections are firm enough for intercourse.
Intralesional Verapamil: this is an off-label use of a medication directed into the plaque to help improve the curvature.
Surgery: different types of surgeries can be performed in to straighten the penis. This includes in penile plication surgery and penile implant surgery.
Male stress urinary incontinence surgery: for men who leak urine with activity such as exercise, standing, bending or picking up objects; and/or with exertion like coughing, laughing, and sneezing. Most men who have this have had a radical prostatectomy or some type of pelvic surgery. When pelvic physical therapy and noninvasive treatment options are not working, there surgical options that help correct urinary incontinence.
Male Urethral Sling: this is a minimally invasive procedure in which a synthetic “tape” or band is placed under the urethra to help stop leakage of urine. The male sling is best suited for men who have mild to moderate stress urinary incontinence and have not had radiation therapy.
Artificial Urinary Sphincter: this is the “gold standard” for treating male urinary incontinence that has been an option for men for over 40 years. This is a system completely concealed within the body that keeps man dry in between voiding. The artificial sphincter mimics the body’s own natural sphincter and is can be placed for mild, moderate, and the most severe types of male stress incontinence.