Urinary Sling Procedures
Dr. Smith has performed thousands of minimally invasive sling procedures over his career and has established himself as a specialist in this particular sub-specialty of Urology. He prefers a single incision sling system is designed to be a minimally invasive and effective treatment of stress urinary incontinence. The Solyx System is Dr Smith's preferred choice of products which is an innovative mid-urethral sling system that offers several advancements in delivery and tensioning – all built on the proven Advantage® Mesh platform. The result is sling placement progress towards reduced risk and dissection, and a more simplified procedure. Usually woman are back to work within days of this same day procedure at an ambulatory surgery center called Aspen Surgery Center in Walnut Creek, CA.
BPH Treatment
BPH (Benign Prostatic Hyperplasia) commonly effects men as they age and can cause significant urinary symptoms including frequency, urgency, nocturia (getting up to urinate at night), slow urinary stream and difficulty emptying the bladder. Treatments such as medications called alpha blockers or alpha reductase inhibitors can offer relief. For those that do not respond to medications or prefer to treatment without the use of medications, the Rezum procedure is an in-office procedure performed without the use of general anesthesia that can be very effective for many men. Visit https://www.rezum.com/home.html for more information.
The Greenlight laser can be used to treat severe BPH as an outpatient ambulatory surgery.
Vasectomy
Vasectomy is a permanent form of birth control for males. It entails cutting or blocking two tubes, called the vasa differentia so that sperm can no longer get into the semen.
A vasectomy is usually done in a doctor’s office or in an outpatient surgery center. It can usually be completed in less than 20 minutes. Patients area wake and are given a local anesthetic to numb their scrotum. Oral anti-anxiety medications are offered to patients to improve comfort during the procedure.
Dr. Smith will make a small puncture on each side of the scrotum and pull out a small section of the vas deferens. The ends of the vasa deferentia will be sealed with small clips and cauterized. You should expect to feel slight tugging or pulling during the procedure. One dissolvable suture is used on each side.
Text 925-395-4023 to make an appointment for a consultation.
Kidney Stone Treatment
Kidney stones are small, hard deposits that can form when there are too many minerals and salts in your body, and not enough water. Although they are treatable they can be painful, and people with a kidney stone usually require medical attention so that it does not turn into a larger medical issue. Dr. Smith specializes in treatment of kidney stones with thousands of minimally invasive procedures to remove them. Shockwave lithotripsy (ESWL), ureteroscopy with laser lithotripsy, and percutaneous nephrolithotomy are three procedures commonly performed by Dr. Smith.
Treatment of Low Testosterone
Testosterone replacement therapy is available in several forms. All can improve testosterone levels. Transdermal Gels and patches are often used to improve testosterone levels. Testosterone is absorbed directly through the skin when you apply the gel once a day. AndroGel, Axiron, and Fortesta are examples. Muscular injections are also used to maintain therapeutic testosterone levels. Finally, patient who prefer a long acting testosterone delivery system often opt for Testopel, a subdermal implant of testosterone pellets. This implant is usually repeated every 3-4 months and patients often prefer this method for ease of use and also excellent therapeutic results.
Treatment of Erectile Dysfunction
Pills are the most common treatments for ED. Avanafil (Stendra), sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra, Staxyn) will work for most men. You take these medications before sex. When they work, you can get a normal erection when you’re turned on. While pills are the most popular treatment, there are others. Self-injected medications can work. Before sex, you put these into the side of the penis. In the long run, they may also improve blood flow and potency. Testosterone replacement therapy may help men with low levels of the hormone in certain patients.
