Common Conditions and Treatment

Benign Prostatic Hyperplasia (BPH)
BPH refers to a condition where the prostate gland grows and leads to obstruction of the bladder leading to difficulty voiding. Symptoms can include inability to initiate voiding, a weak urinary stream, increased frequency of urination during the day and at night, a feeling of incomplete emptying, or inability to void.  Depending on the severity of your condition treatment includes lifestyle modifications, medications, or surgery. At USC, we encourage patients to take an active role in the decision making process after having learned the facts about their condition. 

Incontinence
Incontinence in men can be caused from a number of conditions including after a prostatectomy for prostate cancer, neurologic conditions, or from an enlarged prostate causing over flow incontinence.  At USC we not only treat the symptom, but more importantly discover the underlying cause and address that issue.  At USC we employ the latest in diagnostics and treatments to help our patients. We offer one of the largest series of surgical treatments for male urinary incontinence, including placement of over 1000 artificial urinary sphincters over the past 3 decades. 

Urethreal Stricture Disease
Urethral stricture disease is a condition which leads to narrowing of the lumen of the urethra. Though uncommon in women due to the relatively shorter uerthral length, men are subject to the condition because of their longer urethra. Strictures are caused from previous trauma, from sexually transmitted infections, or sometimes from previous surgeries. At USC, our team of surgeons specialize in urethral reconstruction which addresses urethral strictures, often with unique repairs developed or refined by our surgeons. 

Prostatitis and Pelvic Pain
Prostatitis, or inflammation of the prostate, affects men of all ages. Our physicians tailor treatment to each individual patient’s needs, depending on the type of prostatitis presented. These treatments include anti-inflammatory medications, antibiotics and surgical options. 

Erectile Dysfunction (ED)
Erectile Dysfunction or impotence can not only affect a patient’s quality of life, but can be one of the first signs of systemic disease including atherosclerosis or vascular disease. Sometimes it can be a result of medications the patient is on and other times it may be a result of previous trauma or surgery. At USC, we will work with the patient to determine the underlying cause of the problem. In addition to conventional medical treatment either through oral medications or injections, at USC we offer one of the largest series of surgical treatments for ED as well as Peyronie’s Disease (dictionary addition—abnormal curvature of the penis due to abnormal penile scaring). Under the direction of Dr. Stuart Boyd, we are a recognized world leader in placement of penile prosthesis by both our patients and colleagues.

Laser Prostatectomy
USC urologists employ the latest techniques in laser prostatectomy to help treat BPH and relieve obstructive symptoms. With the use of this procedure, patients have a short recovery time and see rapid symptom relief.

Bladder
Bladder symptoms are not just confined to female patients. In fact, men are just as likely as women to be bothered by certain types of bladder dysfunction. Symptoms may be related to the bladder, the prostate or both. USC urologists are highly skilled in diagnosing the cause of symptoms and offer a full array of possible treatment options.

Neuro-Urology
Patients with neurological diseases such as multiple sclerosis, Parkinson’s, spinal cord injury and spina bifida can experience problems with the lower urinary tract, leading to a condition called neurogenic bladder. Treatment options for this condition include medications, botulinum toxin and sacral nerve stimulation, as well as minimally invasive and surgical options.

Medical Therapy
USC urologists provide various medical therapies related to BPH. These treatments tend to be in the form of pills, Botox injections and other therapies. Clinical trials in this area are also available for patients who meet proper criteria.

Biofeedback
Biofeedback is a form of physical therapy in which the patient is taught how to relax the pelvic floor muscle to facilitate voiding and to improve control. It usually requires regular treatments and has been shown to be effective in certain types of voiding dysfunction.

 
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