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News & Events

What Are Treatment Options for Erectile Dysfunction When Pills Don’t Work? 

Erectile dysfunction is defined as the inability to get or maintain an erection firm enough for sexual intercourse. With regard to sexual health, erectile dysfunction is the most reported problem by men to their doctor. It is estimated that as many as 100 million men worldwide have ED, however as many as 85% do not report it. Many men believe aging is the only cause, but that’s not exactly true. In most cases, men are prescribed the “little blue pill,” but what are treatment options for erectile dysfunction when pills don’t work?

Diagnosis of Erectile Dysfunction

If you are wondering about ED, see an experienced urologist who diagnoses and treats ED like Men’s health specialist Dr. Robert Waguespack.

One test is a Penile Doppler Ultrasound which will diagnose the root cause of erectile dysfunction: blood flow in the penis. This is done accompanied by a physical exam, urine and blood tests, and maybe an overnight test.

Once other medical issues are eliminated, Board-certified urologist Dr. Robert Waguespack can make a definitive diagnosis.

Pill Problems

Sometimes the pills for ED don’t work. In addition, certain men cannot take this prescription due to side effects and other health issues including: severe heart disease or heart failure, low blood pressure, and those who take nitrate meds for chest pains. There must be some other alternatives.

You can try lifestyle changes like stopping smoking, exercise, pelvic floor exercises, stress management, and diet.

If you are among the men who do not respond to pills for ED, cannot take them due to other health problems, and if lifestyle changes don’t help, there are other options.

What Are Treatment Options For ED Aside From Medication?

Medical science and technology always have an answer. If you have ED, maybe one or more of these alternatives will help.

  • A vacuum erection device, or VED, is sometimes known as a penile pump. Using suction it manually pulls blood into the penis. A tension ring is slipped onto the base of the penis to maintain the erection. Side effects include some restriction of the ejaculation, a cold penis to the touch, and mild bruising.
  • Drug pellets inserted into the tip of the penis are like suppositories. They take about 10 minutes to work, and can last 30 to 60 minutes. Side effects include a burning sensation and minor bleeding from the penis.
  • Penile injections are another option. These meds improve blood flow even better than pills. Side effects can include some bleeding and minor pain at the site of the injection, longer erections than you desire, and scar tissue within the penis.
  • Penile implants involve a 30 to 45 minute procedure to place a device inside the penis which you control. You then have the ability to create erections and decide how long they last. This option has high satisfaction results.
  • Another option is a high frequency and low intensity shock wave treatment directed at the penis with a handheld device. It works to increase blood flow by eliminating plaque in existing blood vessels and increases the growth of new blood vessels. It is painless and after a series of treatments, it can last up to 3 years with some minimal maintenance.

Erectile Dysfunction Specialist in Bakersfield, CA

Contact Dr. Robert Waguespack at (661) 321-3303 if you would like to discuss any of these treatment options for erectile dysfunction and find out if they could be right for you.

The Benefits of Aquablation for Treating Benign Prostatic Hyperplasia (BPH)

It seems every type of treatment for every kind of medical issue comes with side effects. Simple things like taking aspirin have side effects with some being positive and others negative. Certain treatments and procedures have their own set of side effects. Typically your doctor will help you weigh the risks vs the benefits of your decision. Any type of prostate procedure can cause side effects, most of which are not desirable. Maybe things are changing. Let’s learn about the benefits of Aquablation for treating benign prostatic hyperplasia (BPH).

What Is an Enlarged Prostate?

Known as benign prostatic hyperplasia, it is the term reserved for an enlarged prostate. Benign signifies it is not cancerous, but it creates many issues mostly for men over the age of 50.

They are frequently called lower urinary tract symptoms (LUTS) including:

  • Frequent urination
  • Difficulty starting to urinate
  • Weak stream
  • Feeling of an incomplete bladder emptying

Dr. Robert L. Waguespack may suggest a PSA blood test which tells what level of a protein antigen is in your bloodstream.

Some physicians take a watch and wait approach with meds to reduce the symptoms.

Exploring Treatment Options and Potential Side Effects

How long you watch and wait and continue to take medications is not set in stone.

There are several treatments and surgeries to relieve the symptoms of BPH as described above. Unfortunately, they can end up causing another set of symptoms including erectile dysfunction, bleeding, incontinence, frequent urinary tract infections, and semen flowing backwards into the bladder.

What Are the Benefits of Aquablation Therapy for BPH?

Aquablation therapy is a newer treatment for the symptoms of BPH. It answers the dilemma of waiting too long vs dealing with the symptoms.

If you are living with the LUTS of BPH, Aquablation therapy may be the answer for you. It is a one of a kind treatment using high definition imaging in real time, ultrasound guided and a robotic assisted waterjet without heat. It is non invasive since no incision is necessary as the water moves through the urethra.

The water ablates the problematic tissue in the prostate and protects other tissue in order to preserve your sexual functionality and continence.

Many clinical publications and studies have shown that:

  • 100% of patients had no effect on their sexual functionality, satisfaction, sexual desire or orgasms
  • Over 99% of men did not have incontinence after the therapy
  • 89% of men retained their ability to ejaculate normally
  • 94% did not need any further treatments or surgeries 5 years after Aquablation

There is no need to compromise sexual performance for reduced symptoms. Aquablation has fewer side effects than all the other surgical procedures.

Aquablation Therapy in Bakersfield, CA

If you are living with the symptoms of BPH, but want to sleep through the night again, take less breaks during your workday, and sit through an entire show or movie without having to hit the head, maybe Aquablation is your answer.

Contact Dr. Waguespack at (661) 321 3303 to schedule an evaluation and discussion of whether Aquablation is right for you.

How Low Testosterone Affects Your Health and Quality of Life

Testosterone plays a vital role in the body, impacting everything from bone density and muscle mass to mood and energy levels. While it’s commonly associated with men’s health, testosterone is essential for both males and females.

When testosterone levels drop—a condition often referred to as Low T—it can have significant physical, emotional, and social impacts, affecting overall life quality. Let’s explore how low testosterone affects your health, the symptoms to watch for, and available treatment options.

The Role of Testosterone in the Body

Testosterone is a hormone produced primarily in the testes in men and the ovaries and adrenal glands in women. It regulates key functions, including:

  • Development of muscle mass and strength
  • Maintenance of bone density
  • Red blood cell production
  • Fat distribution
  • Libido and sexual function
  • Mood and cognitive performance

Optimal testosterone levels help maintain a healthy, active lifestyle. When levels decline, either due to aging or medical conditions, the effects can be profound.

Common Symptoms of Low Testosterone

Low testosterone can manifest in various ways, including:

Physical Symptoms:

Fatigue, reduced muscle mass, increased body fat, and decreased bone density.

Emotional Symptoms:

Irritability, depression, anxiety, and difficulty concentrating.

Sexual Symptoms:

Reduced libido, erectile dysfunction, and decreased sexual satisfaction.

These symptoms can lead to a diminished sense of well-being, affecting confidence, motivation, and social relationships.

How Low Testosterone Impacts Health

Low-T affects many aspects of health, including:

Muscle Mass and Strength

Testosterone plays a key role in maintaining muscle mass. Low T can lead to muscle loss and reduced strength, making physical activity and daily tasks more challenging.

Bone Density

Low testosterone contributes to reduced bone density, increasing the risk of osteoporosis and fractures, particularly in older adults.

Cardiovascular Health

Studies suggest that low testosterone levels may be linked to an increased risk of cardiovascular disease. Maintaining healthy testosterone levels can support heart health and circulation.

Mood and Cognitive Function

Low T can lead to feelings of depression, anxiety, and brain fog, significantly impacting mental health and daily functioning.

Treatment Options for Low Testosterone

Fortunately, Low T can be managed effectively with the right treatment plan. Options include:

Testosterone Replacement Therapy (TRT)

TRT involves administering testosterone via injections, gels, patches, or pellets to restore hormone levels. This treatment can improve energy, mood, libido, and muscle mass while reducing symptoms like fatigue and depression.

Lifestyle Changes

Adopting a healthy lifestyle can naturally boost testosterone levels. Key strategies include:

  • Regular exercise, particularly strength training
  • A balanced diet rich in healthy fats, protein, and essential nutrients
  • Stress management and adequate sleep

Regular Monitoring

It’s important to monitor testosterone levels regularly, especially if you experience symptoms of Low T. Regular check-ups can help tailor treatments to your individual needs and ensure long-term health.

Low Testosterone Treatment in Bakersfield, CA

Low testosterone can significantly impact your health and quality of life, but with early detection and proper management, you can regain vitality and well-being.

If you suspect you may have Low T, contact Dr. Waguespack at (661) 321-3303 to explore treatment options and take steps toward a healthier, more fulfilling life.

The Relationship Between Peyronie’s, Low T, and Erectile Dysfunction

There seems to be a link between Peyronie’s disease, low T, and erectile dysfunction, but it’s not entirely clear which comes first. The decreased rigidity, which naturally comes with ED, may be a risk factor for penile fractures, trauma, and Peyronie’s disease. Let’s learn more about the relationship between Peyronie’s, low T, and erectile dysfunction.

Some Definitions

Urologists report that Peyronie’s disease, low T, and erectile dysfunction are three of the most common issues that they treat.

Low T refers to low testosterone. This sexual hormone deficiency is a condition which affects many men. There are ways to treat it, and Board-Certified Urologist in Bakersfield, CA can help.

Erectile dysfunction, or ED, is the inability for a man to get and maintain an erection strong enough and long enough to have sexual intercourse. Many men report they have ED prior to Peyronie’s disease. Millions of men suffer from this, and it usually is associated with age, although young men can have it as well.

Peyronie’s disease is a condition where fibrous scar tissue and plaque develops on the penis leading to a curved painful erection possibly from an injury. In many cases you can feel it under the skin as flat lumps or a band of hard tissue. Peyronie’s disease symptoms may appear suddenly or develop gradually. The penis may become shorter or bend to the right, left, downward, or upward.

Causal Relationships

Can any one of these conditions lead to one or the other two? In some cases, yes.

Erectile dysfunction and/or low T can result in Peyronie’s disease. When you have ED and it is difficult to maintain a rigid penis during sexual intercourse, it is possible to injure the penis leading to Peyronie’s. In addition, low T can contribute to difficulty maintaining an erect penis.

ED and low T can exacerbate Peyronie’s disease if someone already has it.

Low testosterone and Peyronie’s disease can eventually lead to erectile dysfunction. When a man does not have sufficient testosterone, it lowers his sex drive. Peyronie’s disease makes sexual intercourse painful, so the combination may cause a man to find sex less desirable.

There are multiple physical, psychological and emotional issues at play here. It takes an expert to sift through the causes of each, diagnose the condition(s), and decide upon a successful treatment plan.

Visit Dr. Robert Waguespack to determine the cause or causes of ED, low T, or Peyronie’s disease and develop a plan to improve the quality of your sexual life. Call (661) 321-3303 to schedule an appointment at our office in our urology clinic in Bakersfield, CA.

What Could Be Causing Recurring Kidney Stones?

There are few things in life as painful as passing a kidney stone. If you have had one, you know. The problem is that once you have a kidney stone, you are likely to get another one. In fact, you have a 35 to 50% chance of having another within 5 years. Nature can be cruel. Why is this the case, and what could be causing recurring kidney stones?

Continue reading “What Could Be Causing Recurring Kidney Stones?”

When Do Men Need Low Testosterone Treatment?

You have probably seen any number of ads on the television and online about low T. They seem to indicate that this is a growing national problem and all men should begin taking medication to correct their testosterone deficiency and become more “manly men.” It might be time to slow down this growing snowball down the mountain, and look carefully to evaluate when do men need testosterone treatment?

Continue reading “When Do Men Need Low Testosterone Treatment?”

How Your Lifestyle Could Be Impacting Your Fertility

The frustrating and sad effects of a couple who has been attempting to start a family is hard to describe. One moment they want to give up, and the next minute they cheer each other on to try again. Discovering the root cause of infertility is exhausting. Maybe it’s time to look at how your lifestyle could be impacting your fertility.

Continue reading “How Your Lifestyle Could Be Impacting Your Fertility”

Is There A Connection Between BPH And Prostate Cancer?

Benign prostatic hyperplasia, or BPH, is an enlargement of the prostate gland in men. The prostate gland enlarges as a man ages causing inconvenient symptoms in the urinary tract. It is not really a dangerous condition, but it should be monitored to prevent complications in the bladder, kidneys, and urinary tract. Many men wonder if is there a connection between BPH and prostate cancer. Let’s find out.

Continue reading “Is There A Connection Between BPH And Prostate Cancer?”

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