61. Vasectomy Fisch of the Department of urology, ColumbiaPresbyterian interactive tutorial on the vasectomy surgical procedure possible risks and complications, and post http://omni.ac.uk/browse/mesh/C0042387L0042387.html

low graphics Vasectomy broader: Sterilization, Sexual other: Circumcision Prostatectomy Sterilization Reversal Patient's guide to vasectomy reversal This guide, written by Harry Fisch of the Department of Urology, Columbia-Presbyterian Medical Center, New York, is intended to assist men who want to restore their fertility through vasectomy reversal surgery. Designed in a question and answer format, the guide familiarises men with the procedures involved from the initial examination through surgery and the postoperative period. Vasectomy Sterilization Reversal Patient Education Handout [Publication Type] British Pregnancy Advisory Service (BPAS) The BPAS is a non-profit making, charitable organisation which offers advice and treatment on a range of services linked with pregnancy and fertility control. The site focuses mainly on abortion, with information about vasectomies. Information is included on topics such as how to arrange a termination, the procedures involved and relevant statistics. Abortion legislation in Ireland is also outlined. BPAS locations and useful web resources are also provided. This site is aimed at patients and has a separate section directed at the media. Vasectomy Pregnancy Great Britain Abortion, Legal

62. Vasectomy Illinois Oak Brook urology No scalpel vasectomy and clinic - Medicine4Men.com Information on vasectomy risks and complications, male menopause and our http://www.health-x.com/health-x/vasectomy.html

health-x.com vasectomy No-Scalpel Vasectomy.ca Dr. Weiss provides information for patients and supplies for physicians. Includes online form to request information. Vasectomy Reversal: Physician Listing A map by region of microsurgeons with expertise in microsurgery and vasectomy reversal No-Scalpel Vasectomy Frequently asked questions for prospective patients. All About Vasectomy Information about vasectomy: Reasons for choosing, other options and questions and answers. My Vasectomy on Pictures A personal description in word and pictures about a vasectomy . Not for the squeamish. Urology Journal Article on Vasectomy A short but informative article on no-scalpel vasectomy from the Digital Urology Vasectomy Information Covering vasectomy and vasectomy reversal , VasectomyMedical.com walks the reader through the decision-making process, using simple, understandable language. Also find providers in your area using the search directory service. About Vasectomy.Com - The Source of Information Information from specialist doctors about vasectomy and vasectomy reversal No Scalpel Vasectomy This day surgery unit in Sutton, Surrey, UK is offering the

63. Urology Consultants - Urology - Orlando, Winter Park And Longwood, Florida - Ser vasectomy by urology Consultants Sterilization, including both vasectomy and that had been cited as possible complications of vasectomy, including hardening http://www.urologyorlando.com/services.shtml

For Men Only - About Your Prostate Vasectomy and Vasectomy Reversals Impotence La Impotencia Sexual ... Other Conditions Vasectomy Information for You and Your Partner The main question a man should ask himself is: Would you like to father another child in your lifetime? If you answer YES....keep on reading but perhaps you should not consider this procedure at this time. If you answer "NO" we are here to help you. If you are not certain or you answer " maybe " sperm freezing or delaying the procedure should be an option for you. Until recent years, few people questioned the long-term safety of vasectomy. A couple considering vasectomy was more likely to ask a doctor about the operation itself, its effectiveness, or how it might change their sexual relationship. Things have changed. Men considering vasectomy and their partners now want to know about long-term side effects. Their biggest concern is hardening of the arteries or heart disease, issues raised by animal studies in the late 1970s. Researchers speculated then that sperm antibodies, produced by many men following vasectomy, could be responsible for these and other health risks.

64. Wauu.DE: Health: Reproductive Health: Birth Control: Surgical Sterilization: Vas Information on vasectomy risks and complications, male menopause women want to know about vasectomy, reversals and com. Illinois Oak Brook urology No scalpel http://www.wauu.de/Health/Reproductive_Health/Birth_Control/Surgical_Sterilizati

Home Health Reproductive Health Birth Control ... Surgical Sterilization : Vasectomy Search DMOZ-Verzeichnis: All Categories Categories Onlye Kategorien: Reversal Links: About Vasectomy.Com - The Source of Information Information from specialist doctors about vasectomy and vasectomy reversal. http://www.vasectomy.com/ All About Vasectomy Information about vasectomy: Reasons for choosing, other options and questions and answers. http://www.plannedparenthood.org/BIRTH-CONTROL/allaboutvas.htm Australian vasectomy clinic - Medicine4Men.com Information on vasectomy risks and complications, male menopause and our Perth Men's Health clinic. http://www.medicine4men.com California - Vasectomy.MD A southern California Institute providing vasectomy and reversal services. http://www.vasectomy.md A guide to government and grant-funded vasectomy services in West Florida, as well as low-cost office-based vasectomy reversal with updated statistics available on-line. http://www.vasweb.com For Women What women want to know about vasectomy, reversals and the centers where they are performed. http://www.vascenters.com

65. Urology Associates Of North Georgia assuming that significant female factors do not exist, vasectomy reversal is egg retrieval stage due to various reasons including complications from ovarian http://www.urologynorthga.com/reversal.html

Your browser does not support script 3890 Johns Creek Pkwy Suite 200 Suwanee, GA 30024 Phone 678.417.0400 Fax 678.417.0483 1400 Northside Forsyth Drive Suite 280 Cumming, GA 30041 Phone 770.889.8880 Fax 770.889.8885 Vasectomy IVF/ICSI In vitro fertilization with intracytoplasmic sperm injection (IVF/ICSI) is now the treatment of choice for severe male factor infertility and obstructive male infertility not amenable to reconstructive surgery. Several groups of men may require IVF/ICSI: 1. Severe male factor infertility: 2. Obstructive azoospermia: Men with CBAVD or failed vasectomy reversals do very well with ICSI. PR is the highest in this group. 3. Immuno-infertility: The presence of anti sperm antibodies, which have failed sperm washing/IUI and medical therapy. 4. Intrinsic sperm defects: Sperm without the acrosomal cap (round-headed sperm) or with defective tail ultrastructure (Kartagener's) will require ICSI. 5. Necrospermia:

66. Urology Associates Of North Georgia and healthy, it has extremely low incidence of complications. are successful in having the vasectomy reversed The urology community further contributes to this http://www.urologynorthga.com/101.html

Your browser does not support script 3890 Johns Creek Pkwy Suite 200 Suwanee, GA 30024 Phone 678.417.0400 Fax 678.417.0483 1400 Northside Forsyth Drive Suite 280 Cumming, GA 30041 Phone 770.889.8880 Fax 770.889.8885 vasectomy reversal,vasectomy reversal Atlanta,vasectomy reversal Georgia VASECTOMY REVERSAL 101 Q: Who are the candidates for vasectomy reversals? A: With few exceptions, nearly all vasectomised men are candidates for microscopic reversal procedures, either a vas-vas (vasovasostomy, VV) or a vas-epididymis (epididymovasostomy, EV) connection may be performed. Couples with significant female fertility issues such as fallopian tube blockage or inadequate egg reserve should consider in vitro fertilization (IVF) since the restoration of normal sperm count may not overcome the co-existing female factor. Q: What are the factors which determine pregnancy rate following vasectomy reversal?

67. Male Infertility, Northern California Fertility Medical Center is not absolutely necessary to undergo a vasectomy reversal if a carries a high risk of complications but the in late 1989 and joined the urology faculty there http://www.ncfmc.com/malinf.htm

Contents: Microscopic Vasectomy Reversal Sperm Extraction Male Fertility Advice John E. Gould, M.D., Ph.D. , biography Antisperm Antibodies Microscopic Vasectomy Reversal John E. Gould, M.D., Ph.D. What is a vasectomy reversal? A vasectomy reversal, or vasovasostomy, is a surgical procedure to reconnect the tubes that are cut during a vasectomy (Figure 1). These tubes (called the vas deferens) are each about the size of a strand of spaghetti, and the channels in the tubes that conduct sperm are barely visible to the naked eye. Sperm production continues after a vasectomy, and the sperm are reabsorbed. Figure 1 During the reversal, the vas deferens is cut above and below the site of the previous vasectomy, and the two ends are precisely aligned. Dr. Gould always uses an operative microscope and performs a "two-layer" connection (Figure 2). Less precise procedures are performed by some doctors because they take less time and do not require as much surgical skill. In the United States, physicians are currently performing about 500,000 vasectomies per year. About 1 percent of men (1 out of 100) who have had a vasectomy will decide to undergo a reversal. The technique used for the vasectomy is largely irrelevant to the success of the reversal. The vas deferens is a long tube and it is very rare to be unable to accomplish a reconnection. Figure 2 What are the chances of success?

68. Jim Palleschi, M.D. - Vasectomy Reversal, Male Infertility, Santa Rosa, CA surgical procedure and significant complications from the to proceed with a vasectomy reversal is Male Infertility Specialist Redwood urology Medical Group http://www.ihr.com/redirect/redwood-urology_vasectomyreversal_ca-so_asdf/www.red

Home Dr. Palleschi Services Office Policies ... Glossary Vasectomy Reversal This page discusses the following topics: Introduction Assisted Reproductive Technology Male Reproduction The Procedure ... In Conclusion Introduction Vasectomies have become one of the most common methods of birth control in the United States and world-wide. It is estimated that in this country approximately 500,000 men undergo a vasectomy each year. About 2% to 6% of men who have had a vasectomy will eventually request a vasectomy reversal. Usually this occurs as a result of a divorce and remarriage (often to a childless spouse), but often a change in circumstances (e.g. economic) within the same marriage will motivate couples. While today there are a variety of options available, most couples’ strong preference is to conceive their own biological child rather than pursuing adoption, donor-sperm insemination, surrogate parenthood, etc. Pregnancy can be accomplished either through Assisted Reproductive Technology or Vasectomy Reversal Assisted Reproductive Technology Assisted Reproductive Technology (ART) refers to the process of producing a pregnancy with sperm and eggs which are fertilized outside of the female. In couples where the male partner has had a vasectomy, sperm retrieval can be accomplished through a variety of techniques.

69. Sterilization, Vasectomy And Tubal Ligation Disadvantages Late complications of sterilization 1. Campbell et al. British Journal of urology (1983), 55, 430433. vasectomy and Atherosclerosis An Association in Man http://www.geocities.com/Heartland/Meadows/2879/fixed.html

The Downside of Sterilization Out of desperation, you may be considering getting cut open and having your plumbing plugged to destroy your fertility, probably forever. You may be afraid of the alternatives: side effects, sickness or death from the Pill and/or the IUD; the abortion causing effects of the IUD and the Pill; fear of unplanned pregnancies resulting from the less effective barrier methods, perhaps fear of exercising sexual self-control. After you see the rest of our website on natural family planning, we hope you will see sterilization as drastic, unwise, and completely unnecessary, since Natural Family Planning is very effective, safe, and reversible. We wouldn't recommend it for your cat. But you are smarter than your cat. POP QUIZ: What are the three 100% effective ways of preventing pregnancy? If you guessed vasectomy or tubal ligation, give yourself zero points. Vasectomy has a failure rate of .15, or 15 pregnancies per 10,000 woman-years of exposure.[1] (Notes are at the end of this piece.) Recannulation, the reestablishment of a vas deferens by internal healing processes, occurs in one instance per thousand, and sometimes the urologist misses a rare third vas deferens. More often pregnancies result from the failure to wait until two negative sperm counts are obtained before considering oneself sterile. And it takes over 22 weeks for sperm counts to go to zero, according to recent research: http://www.fhi.org/en/fp/fpother/conferences/vascet/vasectomymtg.html

70. New Medical Specialty Brings New Options To Oklahomans is very little blood and few complications, if any just as effective as the traditional vasectomy with less At OU Physicians urology, I see patients with kidney http://magic104.com/2000/ouphysicians.htm

New Medical Specialty Brings New Options to Oklahomans By Theresa Green New technology and new techniques now mean less invasive treatments for many urologic diseases, including cancer.  In this interview with Carson Wong, MD, FRCSC, OU Physicians Urologist, learn more about a medical specialty that is bringing new options to Oklahomans. Question: Your specialty is called Endourology. What is that? Dr. Wong:    Endourology is a fast-growing subspecialty of urology.  It combines the expertise of an urologist and the cutting-edge technology of endoscopy and laparoscopy.  It means we utilize tiny cameras, telescopes and instruments introduced into the body through small flexible tubes or catheters to accomplish a variety of procedures.  Those tubes are inserted through natural pathways or by creating tiny punctures in the skin.  Endourology specialists treat kidney stones and any sort of abnormality of the urinary tract, including cancer.  At OU Physicians Urology, we also have the ability to provide scalpel-free vasectomies. Question: What are the advantages of a laparoscopic procedure versus a traditional, open procedure?

71. Sansum - Santa Barbara Medical Foundation Clinic - Urology - Videos noscalpel vasectomy, using a diagram to explain the procedure. He also discusses the recovery period and any possible complications. For urology related videos http://www.sansumurology.com/videos.shtml

We hope these patient education videos answer some of your questions. If you have specific questions not covered in these video options, or would like to make an appointment, call us today. Select a video category below. To view the urological videos, you must have the RealVideo™ plug-in . The Vasectomy video is offered in two formats: one for broadband access and one for a 56K modem. The link you should choose depends upon the format of your Internet access. Vasectomy Dr. Curhan's Vasectomy Counseling Broadband Dr. Daniel J. Curhan discusses a no-scalpel vasectomy, using a diagram to explain the procedure. He also discusses the recovery period and any possible complications. For urology related videos, please visit Sansum - Santa Barbara Medical Foundation Clinic 215 Pesetas Lane Santa Barbara, CA 93110 Tel: 805.681.7564 Fax: 805.681.7811 click here for a map Legal Notice Website errors? Contact the healthcommunities.com webmaster Please provide the website address in your subject line. (Messages sent to this address will not reach the practice.) Healthcommunities.com, Inc

72. BCMA > BC Medical Journal > Issues > BCMJ December 2001 Edition Risks and complications after vasectomy. Cornell University Center for Male Reproductive urology, 1999 Following a vasectomy the blood supply to the vas can be http://www.bcma.org/public/bc_medical_journal/BCMJ/december_2001/MaleContracepti

BC Medical Journal Volume 43, Number 10, December 2001, pages 560-566 See responses to this article Male contraception and no-scalpel vasectomy Many simple, safe, and effective contraceptive options are available to men; here is a review of the current options and future possibilities. Barry Rich, MD Dr Rich is a general practitioner in Surrey, Vancouver, and West Vancouver, with a practice limited to no-scalpel vasectomy and men’s sexual dysfunction. He is on staff at Surrey Memorial and Lions Gate Hospital, chairs the Men’s Health Committee of the BCMA Council on Health Promotion, and is a member of the Canadian Male Sexual Health Council. Contents Abstract Introduction Male contraceptive options Abstinence ... References Abstract A review of current options for male contraception, with a focus on no-scalpel vasectomy—its technique, benefits, risks, and possible complications. Important considerations for physicians who counsel men considering vasectomy, and future trends in male contraception currently under development.

73. My First Vasectomy / Mountain Xpress / Asheville, NC More than 500,000 vasectomies are done in the States each year, the Digital urology Journal reports. done there found only minor complications – and those in http://www.mountainx.com/opinion/2004/0317pope.php

Home Opinion News Asheville ... Fiction Contest Listings Club Land Calendar Movies Restaurants ... Advertising Rates Mar 17, 2004 / vol 10 iss 32 My first vasectomy by Jerald D. Pope That said, here's my story. I'm the 55-year-old, married father of a 17-year-old child by another marriage. My current wife and I, while not immune to the snuggly fantasy of offspring milling 'bout the knee, are practical enough to see that her age (42) and mine, plus our Trojan artist's lifestyle, do not bode well for child-rearing. But yes, we've discussed it for years, gone back and forth, and finally arrived at some kind of resolution. We sought birth control that worked, did less hormonal meddling than the pill, and was more aesthetically and sensually pleasing than the various rubber devices available. The NSV was invented by the Chinese in the early '70s to help manage their burgeoning population. In a vasectomy, a section is cut out of the vas deferens (the spaghetti-sized tube that carries sperm from the testicles to the prostate, where it's mixed with semen prior to delivery). One or both ends of the vas are then cauterized to prevent an overachieving sperm from leaping the void and surprising an unexpectant mother. The only difference between an NSV and a conventional vasectomy is the way the surgeon accesses the vital parts. A urologist performs the conventional vasectomy as an outpatient procedure; an incision is made in the scrotum, the two vasa deferentia are pulled out and severed, along with any innocent nerves and blood vessels that lie too close to the action. The ends are cauterized and the incision stitched up.

74. BJU International (August 2002), 90.3 haematuria Bladder function Bladder cancer Prostate cancer vasectomy Paediatric urology this but they maintain that the complications are relatively http://www.bjui.org/90/3/article/bju_2956.asp

Quick Search: You are in: Home Online Content List of Issues BJU International (August 2002), 90.3 EDITOR'S COMMENT Microscopic haematuria Bladder function Bladder cancer The continent stoma Prostate cancer ... Paediatric urology Nobody doubts the importance of haematuria that is clearly visible to all but the colour blind. Many patients ignore this symptom and many studies have shown the importance of urgent investigation. However, there is no consensus about when and how to investigate haematuria that is only demonstrated down a microscope or on dipstick testing of urine. It is possible to provide cogent reasons for pursuing almost any management policy. Defensive medicine may be the motivating factor behind over-investigation. The low statistical chance of finding any serious pathology may encourage others to ignore the finding. Urologists, nephrologists and primary health care physicians all see a different spectrum of patients and this adds further difficulty in recommending guidelines. In their scholarly review, Tomson and Porter (p. 185) weave their way skilfully through this minefield and are bold enough to make comprehensive recommendations. Bladder function Microscopic haematuria Bladder cancer The continent stoma Prostate cancer ... Paediatric urology I am always particularly pleased to publish an article in this urological journal from those who are not urologists. It is refreshing to learn from those whose perspective is different from a urological one. The authors of the study which appears on p. 205 have a wide range of backgrounds and skills which makes their study of particular interest and importance. We are all familiar with questionnaires that focus on particular symptom complexes but these authors have looked to develop and to validate a questionnaire which measures a wider variety of symptoms.

75. BJU International (February 1999), 83.3 and V. Kumaran 1 Department of urology, Leighton Hospital the magnitude and range of complications encountered during noscalpel vasectomy (NSV) and to http://www.bjui.org/83/3/article/bju934.asp

Quick Search: You are in: Home Online Content List of Issues BJU International (February 1999), 83.3 An evaluation of the no-scalpel vasectomy technique V Kumar , R.M Kaza , I Singh , S Singhal and V Kumaran Department of Urology, Leighton Hospital, Crewe, UK, Maulana Azad Medical College, Delhi, Department of Surgery, GTB Hospital, Delhi, ADMO, N. Railway Central Hospital, Delhi, India Objective To evaluate the magnitude and range of complications encountered during no-scalpel vasectomy (NSV) and to identify any limiting factor or contraindication to NSV. Subjects and methods A total of 4255 men visiting a family welfare clinic of a city hospital in Delhi, India, or outpatients of the surgery department, opted for NSV; 4253 procedures were performed from September 1989 to December 1997, with two not performed because of technical difficulties. The success and complication rates were recorded. Results Conclusion NSV is a refined and rapid technique of vasectomy with an extremely low complication rate. Being a minimally invasive procedure, it allays the fear of incision commonly encountered in men choosing vasectomy. Keywords: No-scalpel vasectomy vasal fistula complications Introduction Subjects and methods Results Discussion References Vasectomy is accepted as a safe, effective, simple and inexpensive method of permanent contraception for men. This study evaluated the no-scalpel vasectomy (NSV) [

76. Vasectomy Alternative Now Available Patients need to come back to the clinic only with complications, but they must have a The local doctors send unusual vasectomy cases to a urology specialist http://www.pahcs.com/Newsletter/winter2004/vasclip.html

Vasectomy alternative now available Vasclip is the new Alternative to Vasectomy and is now being offered at PAHCS. Dr. Larry Strate, Dr. Tim Malling and Dr. Allan Solum have been trained to perform the Vasclip procedure. The Vasclip implant procedure significantly reduces pain and complications when compared to traditional vasectomy. Benefits include: A traditional vasectomy requires making a small incision or poking a small hole in the scrotum, pulling a couple centimeters of the vas deferens, cutting the vas deferens, and cauterizing both ends. Using the Vasclip still requires making a small incision or poking a hole and exposing the vas deferens, but less of the vas deferens needs to be exposed to put the Vasclip in place. The procedure with the Vasclip requires less cutting, has less bleeding, and causes less tissue damage to the testicles, meaning there is less swelling afterwards, less pain, and quicker recovery, agreed Drs. Tim Malling, Larry Strate, and Allan Solum, who perform the procedure at the Paynesville Area Health Care System. "It simplifies the procedure immensely," said Dr. Solum. The only drawback about the new procedure is the cost, since the Vasclip costs $400. "If it were the same cost, every guy would have this," said Dr. Malling. Since insurance may or may not pay for it, patients must pay for the Vasclip up front, and then will be reimburse if insurance pays for it. That cost, the doctors said, can be offset by the quicker recovery time. The optimum time to perform a regular vasectomy is Friday afternoon, so the patient has all weekend (two days) to recover.

77. Clinical Programs | KU Medical Center MD Assistant Professor of urology, is the vasectomy The noscalpel vasectomy was brought The procedure has significantly fewer complications than conventional http://www.kumc.edu/urology/programs.shtml

Cancer Incontinence Interstitial Cystitis This often devastating disease process is the subject of intensive clinical and basic research. Our specialists (Dr. John Weigel and Dr. Tomas Griebling) have one of the largest interstitial cystitis practices in the Midwest offering the latest medical and surgical therapies in a compassionate supportive environment. Male Infertility Infertility is a common problem affecting up to 15% of couples. In over 50% of cases, a male factor is solely responsible or is contributing to the problem. We have a comprehensive male infertility center that includes an andrology laboratory capable of semen analysis, cryopreservation, and other sophisticated sperm testing. Erectile Dysfunction Public awareness of erectile dysfunction as a significant medical problem is finally being achieved. We offer all forms of diagnostic and therapeutic modalities including penile blood flow assessment, oral and transurethral medication, vacuum devices, penile injection therapy, and surgical placement of a penile prosthesis. Benign Prostate Hypertrophy (BPH) We offer a comprehensive array of diagnostic and treatment options for the enlarged prostate. These include oral medications, minimally invasive techniques and transurethral resection of the prostate. We are the only major medical facility in this area offering the TransUrethral Needle Ablation of the prostate (TUNA) which involves the use of radio frequency to heat the prostate and shrink it over a 3-to-6-week period. The procedure is offered on an out-patient basis and has very few complications.

78. Jim Palleschi, M.D. - Vasectomy, Male Infertility, Santa Rosa, CA complications occur in about 5% of patients undergoing a Semen collected before a vasectomy can be Male Infertility Specialist Redwood urology Medical Group http://www.redwoodmalefertility.com/education/vasectomy.html

Home Dr. Palleschi Services Office Policies ... Glossary Vasectomy Introduction Vasectomy is a common office procedure performed with the intent of achieving permanent sterilization. An office consultation, with the patient’s wife in attendance, is required before a vasectomy can be scheduled. Approximately 500,000-750,000 vasectomies are performed annually in the United States The Male Reproductive Tract Sperm are produced in the testicle and travel into the epididymis (a small crescent shaped organ attached to the back of the testicle) where they are stored for two weeks. After they leave the epididymis, sperm are discharged into the vas deferens that delivers them into the urethra at the time of ejaculation. Live sperm are stored along the entire length of the vas deferens and sperm constitute less than 1% of the total volume of the ejaculate. Men have one testicle, epididymis, and vas deferens on each side, although in rare cases the vas deferens may be absent on one side. The Procedure After suitable preparation, which includes showering with an antibacterial soap and shaving the scrotal area, a local anesthetic (Xylocaine) is administered into the scrotal area and a quarter inch segment of each vas deferens is removed through a small skin incision on each side. The cut ends of each vas are cauterized (sealed) and separated from each other. The scrotal incisions are closed with one or two absorbable (doesn’t require removal) sutures. Although it is common to be apprehensive, the procedure is usually quite painless and takes about 30-45 minutes.

79. Urology Care / Prostate Cancer Treatment - Stanford Hospital And Clinics reduces the likelihood of treatment failure and complications. Clinical Faculty of Female urology and the Center patients who are postvasectomy and patients http://www.stanfordhospital.com/clinicsmedServices/clinics/urology/urologyClinic

Urologists Genitourinary and Prostate Cancer Program Laparoscopic and Minimally Invasive Surgery / Endourology Urology Clinic Home ... Stanford researcher shows selenium may help prevent prostate cancer Urology Care / Prostate Cancer Treatment Location: Boswell Building 300 Pasteur Drive Stanford, CA Click here for map Room/Suite: Mailing Address: 300 Pasteur Drive Stanford, CA 94305 Contact Phone: Urologic Oncology : Female Urology and Center for NeuroUrology: Infertility/Impotence, Laparoscopic and General Urology: Fax Number: Days and Hours: Monday-Friday 8:00 am - 4:30 pm The Stanford University Urology Clinic provides general urologic care for the local population and serves as a secondary and tertiary referral center for adult patients with a wide range of complex urologic problems. Our staff is committed to preserving patient dignity and providing the highest quality care and comfort. Urologic Oncology/Genitourinary Cancer Program The Genitourinary Cancer Program focuses on the investigation and management of cancers of the prostate, bladder, kidney, testis and genitalia. Emphasis is placed on finding cancer treatment that offers the greatest efficacy with the fewest complications and is based on a multidisciplinary approach which combines clinical expertise from Urology, Radiation Oncology and Medical Oncology in the office, operating room and laboratory. Treatment plans are customized to meet individual patient needs, and when appropriate, patients are invited to participate in studies to investigate the newest treatments as well as large-scale clinical trials for more established treatments.

80. Editor' Mebust(10) also recommends against routine vasectomy. and Volume Voided , Journal of urology, 1982, Vol Immediate and Postoperative complications A Cooperative http://www.shemayisrael.co.il/forums/physician/medical.htm

Medical Considerations Benign prostatic hypertrophy is an extremely common malady in men age fifty and over, causing variable degrees of bladder outlet obstruction. The etiology is unknown, but alterations in the hormonal balance associated with aging have been instigated. PATHOLOGY The prostate is a fibromuscular organ located at the base of the bladder. In pathological hypertrophy , m ultiple fibroadenomatous nodules develop in the periurethral region of the prostate. These nodules peripherally displace the fibromuscular prostate. This process may affect the lateral walls of the prostate or may include the inferior margin. Histologically, the tissue is composed of both fibrous and glandular elements. As the disease process progresses, the lumen of the prostatic urethra becomes progressively distorted, compromising urinary flow. The bladder wall undergoes morphic changes including hypertrophy, trabeculation, and diverticula formation. Cystitis frequently occurs secondary to stasis resulting from incomplete bladder emptying. With prolonged obstruction, the upper urinary tract becomes progressively involved. Calculi formation, hydroureter, hydronephrosis, and compromised renal function may ensue. DIAGNOSIS Signs and Symptoms: The patient may complain of progressive urinary frequency, urgency, and nocturia. Hesitancy, terminal dribbling, and overflow incontinence are frequent complaints. Occasionally, intermittent bouts of complete obstruction may occur.

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