Author: Akash Kapadia, MD

Warning Signs That You May Be Suffering From BPH

Row of urinals represents frustrating symptoms of BPH like urinary hesitancy and inability to fully empty the bladder

As a man ages, the risk of developing Benign Prostatic Hyperplasia (BPH) increases dramatically. By our advanced years, most men will experience BPH. For some, this can be a minor nuisance, while for others, BPH may represent an impediment to living a normal lifestyle. Treating BPH at its earlier stages allows for better outcomes and reduces the amount of time a patient lives with potentially severe symptoms.

Unfortunately, many men decide that they would sooner modify their lifestyle to minimize the disruption than visit a qualified urologist. They don’t realize that there are incredible advances in urology and BPH treatments that allow for in-office therapies that require only about 10 to 15 minutes of procedural time and may last for five or more years.

In this article, we look forward to giving our patients the top warning signs to look out for and offering some guidance on when to see their urologist for BPH treatment.

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Will I Maintain Length & Girth After a Penile Implant?

Tape measure around a banana represents changes in girth and length a man might experiences after penile implant

The primary goal of a penile implant procedure is to restore sexual function in the form of a solid and lasting erection. For many patients, the ability to have a normal sex life is all they want and expect after surgery. However, some patients, rightly, worry about the size and girth of their penis after a penile prosthesis. While this does not change the outcome of the surgery, nor is it a medical consideration, Dr. Kapadia and our entire team are very aware of the psychological impact these changes can have. And as such, we go to great lengths to explain to our patients that they should expect penile length and girth to be very similar to what they had before the procedure.

To make our patients feel more comfortable, we often measure the length and girth of the penis both before and after surgery, so there is an objective measurement to put the mind at ease. You can also rest assured that we select the size of our implant based upon the patient’s anatomy both for this reason and to ensure comfort and compatibility with its natural size.

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Three of Our Patients’ Most Pressing Questions on Penile Implants

Men's health urologist discusses the questions his patient has about a penile implant

The thought of surgery may be concerning and scary. And this fear can be heightened when you haven’t been armed with the right information. Thousands of men have understood and realized the benefits of a highly successful implantable penile device in treating severe erectile dysfunction, allowing patients to continue an enjoyable sexual life well into their later years. Penile implants offer some of the highest satisfaction rates of any procedure our practice provides. This article will discuss some of the most common questions patients and their partners ask us.

1.     How Successful Is a Penile Implant?

The short answer is that a penile implant is very successful in qualified patients who have severe erectile dysfunction and have not received, or no longer receive, a benefit from erectile dysfunction pills or injections. The procedure is also very safe, especially in the hands of a very experienced urologic surgeon like Dr. Kapadia. In fact, Dr. Kapadia is one of the leading providers of penile implants in Atlanta and the southeast United States, considering this procedure one of the core specialties of his practice. Whether due to aging, penile conditions such as Peyronie’s disease, or post-prostatectomy impotence, penile implants are truly a life-changing procedure. Within just a few weeks after surgery, patients can return to normal sexual function and all of the psychological and emotional benefits that go along with it.

2.     Will I Be Able to Enjoy Sex?

The answer to this is a resounding – yes. Maintaining the ability to enjoy sex is one of the key benefits of these advanced penile implants. During the procedure, the nerves that control the pleasure senses in the penis are not affected whatsoever. Instead, we only replace the mechanism for achieving an erection with the prosthesis. Further, patients do not need to worry about timing their medication or whether the erectile process is obvious. The penile implant allows for discreet erection on demand.

3.     Will the Recovery Process Be Difficult?

To be sure, there is some sacrifice for such a transformative procedure, which comes in the form of some pain and soreness for a couple of weeks after surgery. However, the recovery is by no means brutal. First, the procedure is performed as minimally invasively as possible, meaning that pain, blood loss, and recovery time, in general, are minimized. Second, you will not be kept in discomfort and will be prescribed appropriate pain medication to stay comfortable after surgery. It is important to mention that your recovery can be sped up by following post-op instructions closely. You will be required to perform simple activities after surgery to ensure that healing and implant function continues appropriately.

We encourage any patients considering a penile implant to schedule a consultation with Dr. Kapadia to learn more about the pros and cons of surgery and if they are a candidate for the procedure. Dr. Kapadia offers similar procedures from two different medical device manufacturers, and during a consultation, we will discuss which is best for you. In the meantime, you can watch the webinar on each of these devices by clicking on the links below.

New Study Shows the Effects of a High Protein Diet on Fertility and Erectile Function

Man eats a steak as part of a high protein diet that could impact his fertility and erectile function

Male fertility and erectile function are two essential parts of a man’s physical and psychological health. As we age, these functions begin to wane. While we can’t help but think about these issues, many modifiable lifestyle considerations can negatively affect a man’s fertility and even cause ED.

Recent UK research evaluated more than two dozen other studies that included a diet very high in lean proteins. The findings were striking in that these high-protein diets increased cortisol production and lowered testosterone, contributing to erectile dysfunction and even less fertility in men. The average man should consume about 17% of their calories as protein each day as a point of reference—the men who had the worst effects consumed over 35% of their calories as protein. As a result, the study authors suggest that men consume no more than 25 g of lean protein each day even.

Unfortunately, this study suggests that departing from a balanced nutritionally balanced diet can have significant detrimental effects, even on our sexual function.

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Do BPH Supplements Work for Treating Enlarged Prostate?

Man takes a supplement in hopes it will help with his Benign prostatic hyperplasia, or BPH, but men's health specialists Dr. Akash Kapadia cautions that supplements are not FDA approved or regulated

Benign prostatic hyperplasia or BPH is a prevalent condition that affects about 50% of men over 50 and 80% of men over 80. As we get older, there is a tendency for the prostate to grow. This, in turn, puts pressure on the urethra and can cause Lower Urinary Tract Symptoms or LUTS. Many men spend years living with the consequences of BPH, which can include frequent trips to the bathroom, urgency, and even embarrassing leaks. However, this does not have to be the norm. Today, we have more BPH treatments than ever before, including minimally invasive in-office BPH procedures and effective BPH surgeries.

While we look to treat BPH in a stepwise manner, patients will often have tried several potential therapies before visiting their urologist. One such therapy is supplementation; you may have seen Saw Palmetto, for example, marketed as an effective BPH treatment option.

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What if I Made a Mistake

Man stands guarding his groin as he contemplates if a vasectomy is the right decision before he moves forward with treatment

Many men choose to undergo a vasectomy for several reasons, not least of which is that tubal ligation in women is more complex and permanent; however, surgery on such a delicate part of the body can be fear-provoking and make even the strongest of men second guess their decision. It’s also crucial that men understand they may have very strong emotions, both before and after the procedure, including mild depression or anxiety. These are perfectly normal and should not be hidden or suppressed. Speaking to your men’s health specialist or even a counselor can be very beneficial in working through these feelings.

However, to put your mind at ease, know that vasectomies have become routine, and men who believe it is their best option for the future should not be overly concerned.

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Improving Blood Flow for ED

Erectile dysfunction or ED is a widespread and disruptive concern for men and revolves around blood flow to the penis. After all, it is the blood that is necessary to fill the Corporal bodies of the penis to create and maintain an erection.

Improved blood flow can reduce symptoms of erectile dysfunction according to men's sexual health expert Dr. Akash Kapadia

Unfortunately, many of us follow lifestyles that aren’t conducive to efficient blood flow around the body, which can significantly increase the risk of ED. In this blog, we will discuss several ways to improve blood flow. While this may not prevent or reverse erectile dysfunction, it does give you the best chance to maintain sexual function for as long as possible.

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Rezum BPH Treatment After a TURP

Medical illustration of Benign Prostatic Hyperplasia (BPH) which has many treatments to help you reduce symptoms including TURP and Rezum with Dr. Akash Kapadia

Minimally invasive benign prostatic hyperplasia or BPH therapy has made tremendous leaps in technology and effectiveness over the past several decades. Today, prostatic enlargement can be managed in several ways, none of which is more exciting than in-office therapies, which combine similar effectiveness of more invasive treatments with greater safety and generally fewer side effects.

Dr. Kapadia often uses Rezum BPH therapy, which employs steam to ablate or destroy excess prostatic tissue. However, many men have undergone a Transurethral Resection of the Prostate or TURP and now are experiencing renewed urinary symptoms. These men can take comfort in knowing that minimally invasive in-office Rezum therapy may still be available to them.

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Spotlight On Male Fertility When Couples Are Trying to Conceive

About 12-15% of all couples are not able to conceive after 1 year of trying. For about 10%, that lasts past 2 years. Traditionally, and mistakenly, women have been seen as the primary cause of infertility in couples that are unable to conceive. Our research and understanding about couples’ fertility has yielded that men and women each account for about 1/3 of the cause while the last third cannot be attributed or is attributable to both partners. This paradigm shift has allowed us to improve cost and quality of care to couples who are unable to conceive.

Trying to conceive is easier when you consider both the male and female perspectives of fertility according to Atlanta men's health expert Dr. Akash Kapadia

Before we delve into the potential diagnostic tools and treatments that a male fertility specialist like Dr. Kapadia has to offer, it is important to understand a few key points about male and female fertility.

1.     There are a host of hormonal issues that may affect fertility. For example, obesity can reduce fertility in both men and women. Therefore, those suffering from excess weight, should take steps to lose some of that weight and improve obesity related conditions, if any, when trying to conceive.

2.     Second, conceiving a child can take some time. Most couples will conceive within a year with regular sex, but it may not happen in the first few months. As couples age, this may take longer. Of course, there are times where this happens sooner or later, but if you have tried for a few months with no success, this is not necessarily an indication of infertility.

3.     Stress, alcohol intake, drug use, and smoking can all reduce the likelihood of getting pregnant. Addressing these is also important for the patient’s general health beyond their fertility and that of their unborn child.

4.     Discuss any medications you are taking with your primary care physician or Dr. Kapadia. It is always a good idea to let your medical team know that you are trying to conceive. He or she will be able to look over your medical chart and see if there are any impediments to conception.

If all the modifiable causes of infertility have been addressed, it is important that each partner see their respective fertility specialist. It should not be assumed that infertility is more common or exclusive to female patients. Men need to see a fertility specialist as well. After an initial consultation with Dr. Kapadia, which both partners should attend, we can move on to the diagnostic process that may include testing to understand whether there may be a concern with the man’s reproductive system. Most commonly we find:

–       Abnormalities in sperm production
–       Issues with sperm function or quality (often due to varicocele)
–       Trouble with sperm delivery
–       Damage because of cancer or the treatment thereof
–       Vasectomy

These concerns can be addressed with treatments such as:

–       Medication for hormonal imbalance (low testosterone)
–       Testicular mapping (for no sperm in the ejaculate)
–       Varicocele treatment
–       Sperm retrieval
–       Vasectomy Reversal

The next step is to visit a urologist specializing in male fertility to understand more about the potential issues you may be experiencing. Conceiving may be as simple as minimally invasive or medical therapy or could require a more involved process. Either way, Dr. Kapadia has the resources and knowledge to increase the chances of successfully conceiving.

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