Urology & Sexual Health

The Gateway to a Man’s Overall Health

In many ways, urology can be viewed as a gateway to a man’s total health. MarinHealth Medical Network Urologists are the primary physicians seeing patients in the Men’s Care Program, offering a particularly robust urology and sexual health program, and highly specialized care for urologic cancers. They act as the hub to direct any other care that might be needed from our network of partners in other key specialties.

Conditions

• Androgen deficiency (“Low T”)

• Sexual issues such as erectile dysfunction and premature ejaculation

• Peyronie’s Disease
• Genital pain
• Cardiovascular and endocrine disorders that impact sexual function
• Voiding dysfunction
• Prostate cancer screening, staging, and treatment

Services

• Erectile dysfunction treatments including oral medication, injection therapy, vacuum device therapy, and penile surgery (implants, prostheses, and shock-wave therapy)
• Peyronie’s disease treatment such as Xiaflex® injection therapy
• Testosterone replacement therapy with topical, injectable, and implantable agents
• Diagnostic genital ultrasound
• Minimally invasive prostate surgeries
• Vasectomy and vasectomy reversal

Treatment for Infertility

According to the National Institutes of Health, one third of infertility cases are due to female reproductive issues, one third stem from male reproductive issues, and one third are caused by problems with both the man and the woman. Because so many different medical or physiological conditions can lead to fertility problems, both partners must be carefully evaluated.

We perform a thorough evaluation of a man’s fertility, including:

• Looking for signs of hormone deficiency
• Compiling a thorough health history, including childhood diseases such as mumps, injuries to the testicles or penis, and recent high fevers
• A physical exam to look for an infection, hernia, or varicocele – enlarged, twisted veins in the scrotum that can impact fertility
• A semen analysis to assess the quality and amount of sperm

Treatment for male infertility depends on the diagnosis. Surgery may be required to repair varicoceles, abnormalities or damage to the reproductive organs. In Vitro Fertilization (IVF) or the use of a sperm donor may be considered. Medication can be prescribed to treat hormone imbalances and erectile dysfunction.

Expert Robotic Surgery

MarinHealth Medical Center is one of the few Bay Area hospitals offering minimally invasive robotic surgery for prostatectomy and cancers of the bladder, kidneys and adrenal glands. Hundreds of complex robotic surgeries are performed at the hospital each year using the hospital’s two advanced da Vinci® Xi surgical robots. Robotic procedures offer significant advantages over conventional surgery, including less pain, reduced blood loss, fewer complications, and a significantly faster recovery.