Gulfshore Urology a Division of 21st Century Oncology Treats 50th Patient with the UroLift® System for Enlarged Prostate

Urologists Dr. David Wilkinson, Dr. Rolando Rivera and Dr. Jonathan Jay of Gulfshore Urology Have Performed the Most UroLift System Procedures in Naples, FL

Nearly 40 million men in the United States are affected by BPH. Not to be confused with prostate cancer, BPH occurs when the prostate gland that surrounds the male urethra becomes enlarged with advancing age and begins to obstruct the urinary system. Symptoms of BPH often include interrupted sleep and urinary problems, and can cause loss of productivity, depression and decreased quality of life.

“The UroLift System is a breakthrough treatment that typically takes less than an hour and can offer multiple benefits for men with enlarged prostate – an alternative to invasive surgery without cutting, heating, or removing tissue,” said Dr. Wilkinson “In addition, the procedure involves minimal downtime, no compromise of sexual function, and no need for continued medications. Hearing first-hand the experiences of more than 50 patients reaffirms that we are providing the best care possible for our patients and that this procedure is changing lives.”

Five-year data from a randomized study shows the UroLift System offers not only rapid improvement, but also durable relief for patients with BPH. After five years, patients treated with the UroLift System continue to experience symptom relief with minimal side effects, with few patients requiring an additional procedure for relief. A second randomized clinical trial called BPH6 demonstrated that the minimally invasive UroLift System compares very well to the reference standard surgery, transurethral resection of the prostate (TURP), with regard to efficacy, and is superior to TURP at preserving sexual function and offering a more rapid recovery.

Medication is often the first-line therapy for enlarged prostate, but relief can be inadequate and temporary. Side effects of medication treatment can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using the drugs. For these patients, the classic alternative is surgery that cuts, heats or removes prostate tissue to open the blocked urethra. While current surgical options can be very effective in relieving symptoms, they can also leave patients with permanent side effects such as urinary incontinence, erectile dysfunction and retrograde ejaculation.

To schedule a consultation with the physicians at Gulfshore Urology, please call 239-333-3200.

About the UroLift System

NeoTract’s FDA-cleared UroLift System is a proven, minimally invasive technology for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). The UroLift permanent implants, delivered during a minimally invasive transurethral outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue. Clinical data from a pivotal 206-patient randomized controlled study showed that patients with enlarged prostate receiving UroLift implants reported rapid and durable symptomatic and urinary flow rate improvement without compromising sexual function. Patients also experienced a significant improvement in quality of life. Most common adverse events reported include hematuria, dysuria, micturition urgency, pelvic pain, and urge incontinence. Most symptoms were mild to moderate in severity and resolved within two to four weeks after the procedure. The UroLift System is available in the U.S., Europe, Australia, Canada, Mexico and South Korea. Learn more at

About Gulfshore Urology

As a urology practice, Gulfshore Urology ‘s mission is to provide the same or greater level of urological care to patients that they would receive at the finest academic institutions, but in a more private setting and with a more personal and intimate approach. Our emphasis is on embracing new technology and training along with exceptional and dedicated staff. Our goal is to deliver unprecedented care from presentation and diagnosis to treatment and then ongoing follow-up. Our physicians participate in numerous clinical trials including new medical treatments for various disorders as well as new surgical procedures and device trials. Our excellence has gained us not only regional, but also national and international recognition. Our ongoing efforts are focused on maintaining our level of quality while continuing to grow as a group of dedicated health care professionals offering nothing short of state of the art care. Learn more at

  Rolando R. Rivera   Feb 23, 2018   Press Release   Comments Off on Gulfshore Urology a Division of 21st Century Oncology Treats 50th Patient with the UroLift® System for Enlarged Prostate   Read More

What is MonaLisa Touch Laser Therapy?

monalisa touch laser therapy womens health gulfshore urologyWhen it comes to women’s health, MonaLisa Touch laser therapy is bringing quality of life back to patients suffering from symptoms like vaginal dryness, painful intercourse, painful urination, and itching and burning. This minimally invasive laser procedure isn’t just for women experiencing menopause, but patients of various ages who are suffering from vaginal discomfort.

Simple, safe, and clinically proven to work, Gulfshore Urology has added it to its list of cutting-edge services that help you recover faster and feel better. However, like with any new technology we know our patients have a list of questions! To help introduce this new technology, we’re answering some of the most common questions below.

How Does MonaLisa Touch Laser Therapy Work?

MonaLisa Touch laser therapy is a minimally invasive, safe, and quick procedure. It involves inserting a probe into the patient’s vagina which then stimulates a healing response by delivering gentle laser energy to the vaginal wall. The therapy is relatively painless and involves three separate procedures spread out across 18 weeks, with each session typically completed in five minutes or less.

The timespan in which patients start to see improvement can vary, from immediate relief after their procedure to seeing significant improvement after their second or third session. All patients should find themselves returning to a normal vaginal health by the end of their final session.

It may be recommended after this therapy is completed that you return annually for follow up appointments to help maintain your results. If your urologist feels this is necessary, he or she will notify you.

How do I know if MonaLisa Touch laser therapy is right for me?

Most patients who undergo this procedure are women enduring the painful symptoms of menopause or female patients suffering side effects from chemical or surgical treatment.

With virtually no side effects, it has become a popular treatment option for female patients with vaginal discomfort. However, you will want to consult your urologist in order to determine whether this procedure is right for you.

How long is the recovery time?

The great part about MonaLisa Touch laser therapy is that you can resume your regular routine right after the procedure is completed. However, it is advised that you should refrain from any sexual activity for 2-3 days.

What does the procedure feel like?

How the procedure feels can vary from patient to patient. Some describe it as a warm, pulsing sensation, while others describe the laser treatment as a pinching or snapping sensation. The most discomfort typically comes from the probe’s insertion, particularly in patients who experience painful intercourse. However, most describe it more as an uncomfortable feeling rather than painful.

Is this procedure covered by my insurance?

Due to the fact that this form of treatment is considered elective, it may not be covered by your health insurance policy. For more information, please contact your urologist’s office or healthcare provider.

Gulfshore Urology Offers MonaLisa Touch Laser Therapy to Southwest Florida Patients

Whether you’re a seasonal patient or one of our year-round residents, Gulfshore Urology is here to help you. To set up a consultation to discuss your menopause or vaginal discomfort symptoms simply call our office at 239-333-3200. One of our courteous professionals will answer any questions you may have and set up a time for you to meet with one of our exceptional physicians.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples and Bonita Springs. To set an appointment, please call 239-333-3200.


  Rolando R. Rivera   Jan 02, 2018   Uncategorized   Comments Off on What is MonaLisa Touch Laser Therapy?   Read More

Why Kegel Exercises Promote Good Urological Health

pelvis kegel exercises gulfshore urologyBy now it is common knowledge that diet and exercise are crucial to your overall health. Yet did you know that there is a specific set of exercises that can improve your urological health? Kegel exercises can improve and even prevent urological conditions with regular practice.

Gulfshore Urology provides you an in-depth look at what these special exercises are and how they impact your urological health for the better.

What are Kegel Exercises?

Kegel exercises are a set of exercises that are designed to strengthen your pelvic floor. Great for both male and female anatomies, it is gentle enough to be practiced by patients of all ages as well as women who are pregnant. Urologists and doctors often recommend this form of exercise to help strengthen the pelvic floor muscles located below the bladder that control urination and bowel movements.

Kegel exercises can be completed pretty much anywhere, whether you are sitting, standing, walking, or lying down. For more information on how to practice them, take a look at these “How To” articles by the Mayo Clinic and WedMD:

Your pelvic floor made up of several muscles, which like the rest of your body requires exercise in order to maintain optimal strength and functionality. While everyday bodily functions typically help with this, there are certain conditions that can weaken these muscles, leading to dysfunction. This includes:

  • Pregnancy
  • Childbirth
  • Pelvic Trauma/Injury
  • Constipation or Bowel Strain
  • Obesity
  • Overuse or Underuse of Muscles
  • Prostate or Gynecological Surgery
  • Conditions that Cause Chronic Coughing
  • Back Pain
  • Menopause
  • And More

The Benefits of Kegel Exercises

These relatively simple exercises are extremely beneficial to your urological health. If you are recovering from a surgery or condition that impacts the function of your bladder and rectum, daily practice of these exercises can help you regain control of your bodily functions.

This means you can see improvements in certain cases of incontinence, including fewer urine leaks from stress incontinence, reduced symptoms of urinary incontinence, and even improvement in stool leakages from fecal incontinence.

Women who are pregnant or have recently given birth can perform Kegel exercises to help prevent urinary incontinence post-childbirth.

In addition to improved bladder and bowel control, men and women find that Kegel exercises can improve sexual performance. For men, this includes improving and even eliminating certain erectile dysfunction issues, strengthening erectile muscles, increasing latency time, and improving blood flow to the penis.

Women can use Kegel exercises to tighten the muscles that contract during sexual climax, increasing sexual satisfaction for both herself and her partner.

Is Lack of Exercise Affecting Your Health?

Are you wanting to better your health? If so, Kegel exercises aren’t the only form of exercise you should be practicing. In America especially, lack of exercise and obesity have become a national epidemic that is having a profound impact on the population’s overall health.

Your body needs exercise to maintain optimal strength and function. Beyond that, putting on a substantial amount of weight can lead to a long list of serious health concerns and complications, including your urological health.

If you’re concerned about your health, call your doctor and set an appointment to discuss ways not only to treat current issues but help prevent future conditions you may be at risk for.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples and Bonita Springs. To set an appointment, please call 239-333-3200.

  Rolando R. Rivera   Dec 18, 2017   Incontinence   Comments Off on Why Kegel Exercises Promote Good Urological Health   Read More

Understanding Penile Implants

understanding penile implants sexual performance erectile dysfunction ED gulfshore urologyErectile Dysfunction, or ED, is one of the most commonly treated issues we see in male patients. Urologists provide a selection of different options to patients on how to treat this issue, depending on the cause and personal preference.

However, the satisfaction rate of penile implants is a whopping 94%, making it a popular option compared to prescription drugs, injections, and penis pumps.

Discover what makes penile implants popular among men with ED, as well as answers to some of the most common questions regarding this surgical procedure below.

Why Men Choose Penile Implants

Penile implants are easy to use, discreet, and provide positive results with minimal risk. They require a one-time and relatively simple surgery where a customized prosthesis is implanted into the penis.

This procedure, which typically takes between 1 to 1.5 hours to complete, consists of a small incision at the base of the penis through which the implant is inserted. Patients are expected to recover and return to normal sexual activity within 2 to 6 weeks after the procedure.

Once healed, most patients aren’t able to see the prosthesis, whether the penis is flacid or erect. They are relatively unnoticeable and easy to use. Plus, they do not interfere with normal activity, such as urination, ejaculation, or orgasm.

The side effects of implants are few. You should maintain all sensation and original length that you had pre-surgery. However, you will most likely no longer experience spontaneous erections. Instead, you will be required to either pump or adjust your prosthesis depending on the type you have implanted.

Choices include malleable and inflatable implants. The malleable option is typically used in patients with spinal injuries or limited strength in their hands. To create an erection, the patient simply bends the prosthesis. Inflatable implants are the most common choice and requires a less invasive surgery and a pump to create an erection prior to sexual activity.

Penile Implant Risks

When it comes to complications and success rate, penile implants are extremely low risk. The biggest concern is infection, which only occurs in about 1 to 2 percent of patients. Patients who suffer from spinal cord injuries or are diabetic have a slightly increased risk, but even that remains at 3 to 5 percent.

Issues with the implant’s functionality may also occur, but again this is very rare. Should infection or mechanical problems occur, the patient will likely have to undergo a second surgery to remove and/or replace the prosthesis.

Some patients may experience scar tissue or pain due to the implant, as well as deformity due to scar tissue buildup.

The Cure for ED Always Starts with a Visit to Your Urologist

Are you considering a penile implant? All remedies for ED start with a visit to your urologist. He or she will conduct a thorough evaluation and likely a few tests to help determine the cause of your ED.

Most urologists suggest that patients try a prescription prior to turning to surgical solutions such as penile implants. If you have questions about this option or whether it is right for you, set an appointment with your urologist today.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples and Bonita Springs. To set an appointment, please call 239-333-3200.


  Rolando R. Rivera   Dec 18, 2017   Erectile Dysfunction   Comments Off on Understanding Penile Implants   Read More

How Smoking Impacts Your Urological Health

quit smoking gulfshore urology reasonsNeed a reason to quit smoking? We’ll give you several. This dangerous habit has a significant impact on various parts of the body, including your urological health. While cutting out bad habits is never easy, understanding their impact is a great way to reignite your motivation to quit.

None of us want to be a statistic. Yet more than 16 million Americans fall into the category of having a smoking-related disease. With smoking ranking first in the list of preventable causes for death and disease, it’s high time that patients take this negative lifestyle choice seriously.

Below, you’ll find a few major urological conditions that are impacted by smoking, as well as the best approach to cutting the habit, and assuming a healthy lifestyle.

Urological Conditions Affected by Smoking

Whether smoking is the cause of your urological condition or an influencing factor, it’s proven to exacerbate many diseases. Some of the most common include cancer, infertility, and overactive bladder functions. Keep in mind that smoking’s impact isn’t limited to these common conditions. This is just a glimpse at how this one bad habit can negatively impact your urological health.

Smoking and Cancer

By now, the link between smoking and cancer is no surprise to anyone. However, knowing the statistics behind the risk factor often brings the truth of this statement home to our patients. Bladder and Kidney cancer are two common forms of cancer urologists diagnose and treat. Both of these have their own unique risk factors, but one thing they have in common is the significant increase in risk among patients with a smoking habit.

According to multiple kidney cancer cases recorded in the United Kingdom, an estimated 29 percent of men and 14 percent of women diagnosed with kidney cancer were cases caused by or linked to their smoking habits. Why? Because the chemicals in cigarettes enter the bloodstream, which is then filtered by your kidneys.

But your kidneys aren’t the only organs touched by these chemicals. For bladder cancer, the impact of smoking is just as significant. In fact, smoking tobacco is the most common risk factor, with patients who smoke becoming 4 to 7 times more likely to develop this form of cancer.

At this point, it is estimated that more than half of bladder cancer cases in men and between twenty to thirty percent of cases in women are caused by the effects of smoking. Like kidney cancer, this is due to the harmful chemicals and drugs that are packed into cigarettes.

As we stated previously, these chemicals enter your bloodstream only to be filtered out by your kidneys. Like all other waste the kidneys remove, these chemicals then get ejected from the body through your urine. As this happens, they come in contact with the lining of the bladder, which is what increases your risk of developing bladder cancer.

Erectile Dysfunction and Infertility

Wondering why things aren’t working the way they should “down there”? The problem might start with your smoking habit. Erectile Dysfunction (ED) and Infertility both can be triggered by your lifestyle habits, including smoking.

Smoking can trigger ED through the manner in which chemicals damage the blood vessels in your system. The effects of this damage includes reduced blood supply to the penis, which is essential to gaining and keeping an erection.

You don’t have to be older to experience ED either. Smoking’s impact on your sexual health can occur in any patient who smokes. In fact, smoking is the leading cause of ED in most young patients.

So what about fertility? Even if smoking hasn’t led to erectile struggles, you may still find that your sexual health is compromised. The risk of infertility doubles for both male and female patients who smoke. Why? The chemicals your body takes in while smoking directly impacts the genetic makeup of eggs and sperm, the overall health of the uterus, and the produce of hormones that are crucial to achieving a successful, healthy pregnancy.

Smokers experience reduced success from vitro fertilization as well as an increased chance of miscarriage or birth defects. However, there is good news. Patients who quit smoking can reverse these effects over the course of a year.

Ready to Stop Smoking?

Infertility, cancer, and ED is only a small taste of the negative impacts smoking can have on your body. If you’re ready to quit, we highly encourage you to speak to your doctor about the best approach to cutting out the habit.

Like many addictions or bad habits, quitting can feel like an uphill battle. Don’t attempt to do so alone. Instead, seek out the support of your friends, family, and doctor. Together, you can receive the tools, support, and encouragement to kick the habit.

When you quit smoking, you’ll experience numerous mental and physical benefits, including improved respiratory function, increased energy, a longer lifespan, and improved quality of living.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples and Bonita Springs. To set an appointment, please call 239-333-3200.

  Rolando R. Rivera   Nov 09, 2017   Erectile Dysfunction   Comments Off on How Smoking Impacts Your Urological Health   Read More

How to Reduce Your Risk of UTI’s

Reduce risk of UTI Florida Gulfshore UrologyFlorida is known as the state of eternal summer where you can have fun in the sun all year long. However, there are certain risk factors for Urinary Tract Infections (UTI’s) that your daily activities can be contributing to—even if they’re healthy! Gulfshore Urology covers some of the most common habits that may be causing your infection, as well as suggestions on changes that will help you reduce your risk of UTI’s. Take a look!

Shed Those Wet Clothes Quickly!

Many Floridians, snowbirds, and tourists like spending the afternoon by the pool or splashing in one of Southwest Florida’s beautiful oceans, and why not? Swimming is an excellent form of exercise and it’s good for the body to soak in some Vitamin D.

However, running around in soaked clothing—even if it’s a bathing suit—can create an opportunity for an infection to start. Instead of lounging around in your swimsuit, change into some breathable, dry clothes as soon as you get out of the water.

The same goes for working out. When we sweat, we not only cool down our bodies but cleanse it of toxins as well. While you may be tired right after your visit to the gym, it’s important to shed those sweaty clothes, toss aside the damp towels, and take a shower.

Sweaty clothing, damp towels, and bathing suits can carry bacteria from your latest outdoor or workout activity, which then can travel up the urethra and cause a UTI. Women, who have shorter urethras than their male counterparts, are especially prone to this.

Drink Plenty of Water, and Drink It Often

This tip shouldn’t surprise anyone. Every doctor’s mantra to patients seems to include drinking plenty of water when advising patients on how to live a healthy lifestyle. However, there is a reason why we are so insistent on you picking up this habit. Water is essential to our body’s health, including the process of cleansing it of bacteria.

Don’t wait until you feel thirsty to start gulping down a glass of water. When your body starts to tell you it needs something to drink, it’s because you’re already dehydrated. Your body can’t function at an optimal level if you aren’t fueling it with the right fluids to keep it going.

Make sure you drink plenty of water, and drink it often. If you’re out in the sun for an extended period of time or participate in an activity that makes you sweat, drink even more to replenish the fluid you’ve lost!

We’ve all heard the one-sized-fits-all suggestion of 8 ounces a day, but the truth is that the amount of daily water intake you need varies based on your size, weight, activity level, and other factors. Instead, we recommend to let your body tell you.

Check your urine color. The clearer it is, the more hydrated you are. For more information, check out this article by Wed MD called Water and Your Diet. It provides a wealth of information on how water contributes to your body’s health, as well as suggestions on how much water to drink and at what frequency.

When You Gotta Go—Go!

Too often, when we really need to urinate, we hold it. This may be due to a long car ride, our preoccupation with a task or event, or simply the mere inconvenience of having to get up and use the bathroom.

However, holding in urine when your bladder is full is a bad idea. It’s important to listen to your body’s suggestions and urinate when you need to until your bladder is empty. Not doing so can give bacteria an opportunity to linger and turn into an infection.

Practice Good Post-Sex Practices

One of the most common causes of UTI’s is sex. Engaging in sexual activity allows for a transfer of bacteria that can easily make it’s way up a woman’s urethra. To help prevent these infections, always urinate after having sex. Also, make sure you and your partner practice good hygiene.

If you are experiencing symptoms of a UTI, including pain and burning during urination, frequent urination, cloudy, smelly, or bloody urine, or lower abdominal pain, consult your doctor. Frequent UTI’s may be an indication of another health issue and should be evaluated by a urologist.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples and Bonita Springs. To set an appointment, please call 239-333-3200.

  Rolando R. Rivera   Nov 09, 2017   Uncategorized   Comments Off on How to Reduce Your Risk of UTI’s   Read More

Common Urological Issues in Men

common urological issues in menWhen it comes to addressing issues that arise “down below”, many men try to avoid a medical appointment due to embarrassment. However, the truth is that men encounter common urological issues at some point in their life. Young or old, it’s important to  know the symptoms of some of the more common infections or conditions should they arise.

After all, not every urological issues comes from old age! Several of our patients are in their 20’s and 30’s, proving that you’re never too young to be aware of what’s going on inside of your body.

A Few Statistics About Urology and Men’s Health

In many ways, men and women are wired differently. This is especially true in the field of urology as the physical anatomy of men and women differ, making each more resilient or more prone to different types of issues. Before we dive into the most common issues we see walking through the door, let’s touch on some of the statistics regarding urology and men’s health.

  • Most men who develop testicular cancer do so between the ages of 20 and 55 (The Urology Foundation)
  • 25% of all couples’ inability to become pregnant is caused by male infertility, and 75% of male infertility cases are caused by abnormal sperm (The Urology Foundation)
  • Men who are obese, physically inactive, older, experience chronic coughing, have BPH, or a history of prostate cancer are more prone to developing urinary incontinence (NIH)
  • Men who have diabetes are 2-3 times more likely to develop erectile dysfunction (NIH)

Both genetics and your daily habits can have a direct impact on your urological health, which is why it’s important to take care of your body through proper diet, physical exercise, and regular check-ups.

A Few Common Urological Issues in Men

While urology certainly isn’t limited to this list of conditions, it does encompass some of the most common issues that we see in our male patients on a regular basis. We hope that through familiarity, you’ll come to understand that you are not alone in your experience and that it’s important to seek help from a urologist should you experience symptoms like these.

Erectile Dysfunction

Whether you’re having trouble achieving an erection, maintaining an erection, or experiencing delayed ejaculation, rest assured you are not alone. Patients young and old have come to us for answers to these difficult issues, and we welcome them without judgment.

The cause of erectile dysfunction is broad, with many different influencing factors. Because this act is tied to physical, psychological, and emotional triggers, the cause can be any one or combination of causes. Some possibilities include certain medical conditions, obesity, depression, stress, alcoholism, drug abuse, sleep disorders, or side effects to certain surgeries or medical treatments.

If you experience symptoms of erectile dysfunction, a urologist can ask a series of questions and run tests to help identify the cause, as well as provide treatment options.

Enlarged Prostate

Did you know that men undergo two periods of prostate growth in their life? One is the obvious development undergone through puberty. The second phase begins typically in your mid-twenties.

How much your prostate enlarges during this second phase may cause the prostate to press on the urethra and weaken the bladder. As you get older, this problem can get worse. Men in their 50’s are most commonly diagnosed with enlarged prostate.

Symptoms include incontinence, difficulty urinating, frequent urination, painful or bloody urine, or the inability to completely empty one’s bladder. By seeking a urologist for diagnosis and treatment, you may receive medication as well as recommended lifestyle changes to help you reduce your symptoms. In severe cases, your urologist may recommend a surgical procedure to correct the issue.

A proper diagnosis is important, as many of these symptoms may also be a result of another common issue known as urinary incontinence (UI). UI can be the result of damaged nerves, weakened pelvic muscles, or other health issues.

Urinary Tract Infections (UTI’s)

While UTI’s are most common in women, men can and do develop them, too. UTI’s are caused by bacteria that fails to get flushed out of the urinary tract. This often occurs from an enlarged prostate, kidney stones, diabetes, catheter insertion, or health conditions that weaken one’s immune system.

Many of the symptoms of a UTI in a man are the same as the one’s experienced by women: a constant urge to urinate, abdominal or lower back pain, foul smelling, bloody, or cloudy urine, and a painful or burning sensation while urinating. However, there is one that is unique, and that is discharge seeping from the penis.

If you experience any of these symptoms, it’s important to see a doctor for treatment. He or she will likely be prescribed an antibiotic to kill off the bacteria.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.


  Rolando R. Rivera   Oct 18, 2017   Urology   Comments Off on Common Urological Issues in Men   Read More

Common Urological Issues in Women

common urological issues in women gulfshore urology Many times when you think of “urologist” you think of prostate cancer and kidney stones. However, these specialized physicians are responsible for treating far more conditions related to the urological system. This goes for men and women alike, but today Gulfshore Urology is focusing on common urological issues in women.

The urological system is wired differently based on your gender, which in turn leads to different conditions. Because of this, a good physician must approach his or her female patients with their unique needs and risks.

Female Statistics Regarding Urological Conditions

Did you know that women are twice as likely to experience incontinence as men? In fact, one in every three ladies experience stress incontinence at some point in their lives. Stress incontinence defines the involuntary leak of urine caused by coughing, laughing, sneezing, or even just walking from one place to another.

Bladder Cancer also has a unique impact on women. Even though men are more prone to this form of cancer, women typically have a worse prognosis and lower survival rate. This is why a good physician will recommend regular check-ups. This allows for early detection should you develop bladder cancer.

Also, Interstitial Cystitis (IC) impacts an estimated 3.3 million women. Commonly referred to as painful bladder syndrome, this condition is tricky because it has several different causes. Thus, the best course of treatment will be unique to each patient.

When to See a Urologist, and When to See Your Family Physician

A common question is when do you know when to see your urologist versus when you should see your family physician? There are certain conditions that may apply to urology that can be treated through general practice, while others may require a urologist. Depending on your symptoms and your healthcare plan, you made need a referral to see a specialist.

Below are a few common urological issues for women along with which type of physician should be consulted for treatment:

  • For a Urinary Tract Infection (UTI): UTI’s are common among women and are typically treated with a dose of antibiotics. If you experience symptoms of a UTI, your family doctor can both diagnose it and prescribe the proper antibiotic for treatment.
  • For Recurring UTI’s: If you find yourself having multiple UTI’s a year, it may very well be a symptom of a larger issue. For frequent UTI’s, you should consult your urologist who can implement the right tests, scans, or other measures to identify what is causing the recurring infection. It’s important to treat recurring UTI’s, as they can lead to several complications, including sepsis and premature delivery for pregnant women.
  • Overactive Bladder: For symptoms of an overactive bladder, it’s best to start with your family doctor. Due to the wide range of causes for this issue, a family physician can help narrow down the cause and refer you to a urologist if he or she finds it necessary.
  • Prolonged or Long-Term Bladder Pain: If you’re experiencing bladder pain that won’t go away, this could be a sign of IC. If you’re experiencing debilitating bladder pain that’s impacting you daily life or ability to work, definitely consult your urologist. As a specialist, he or she can help you determine the cause of your bladder pain as well as the best approach to ease your symptoms.
  • General Bladder Discomfort: Whether it’s signs of menopause or the onset of a UTI, your general practitioner can help you with a more general bladder discomfort.

Think of it like this: urologists specialize in serious or specific urological issues while your primary physician treats general infections and symptoms. Your family physician can also review your symptoms and refer you to a urologist should your symptoms require a specialist’s help to diagnose and treat.

When in doubt, you can also call your urologist if you have one already. Here at Gulfshore Urology, we treat all of our Naples and Bonita Springs patients like family. Just give us a call at 239-333-3200. We’ll be happy to answer any of your questions and set an appointment.


  Rolando R. Rivera   Oct 18, 2017   Urology   Comments Off on Common Urological Issues in Women   Read More

What is Delayed Ejaculation?

What is Delayed Ejaculation Gulfshore Urology FloridaDelayed ejaculation may sound like a good time, but those who experience it often struggle with the physical and psychological side effects this symptom can create. The reason for it can stem from various different causes, and not all of them are physical. Sometimes psychological or emotional factors may play a role. Other times it may be a combination of all three.

Delayed ejaculation may also be called impaired ejaculation. It is defined by a man taking an extended period of sexual stimulation to reach a climax and release semen from the penis. In some cases, this may lead to the man being unable to ejaculate at all (anejaculation).

Delayed ejaculation can be a temporary or lifelong issue, depending on its cause. It’s important to note that men will experience delayed ejaculation from time to time. This is completely normal.

Delayed ejaculation doesn’t have a specific time frame that indicates whether you’re having this issue. While some men with delayed ejaculation require over 20 or 30 minutes to achieve an orgasm, it can be defined by any case where you find yourself stopping sexual activity prior to ejaculation due to fatigue, loss of erection, or physical irritation. You should see a doctor when delayed ejaculation is ongoing or it becomes stressful for you or your partner.

What Caused Delayed Ejaculation?

Pinpointing the reason for delayed ejaculation can sometimes be tricky. Doctors have actually separated delayed ejaculation into certain types based on the patient’s symptoms. Those types are:

  • Lifelong: When delayed ejaculation is present since the patient’s sexual maturity
  • Acquired: When delayed ejaculation occurs under certain circumstances
  • Generalized: When delayed ejaculation is present only with certain partners or types of stimulation
  • Situational: When delayed ejaculation is limited to specific situations

Each of these types have different causes. The act of sexual stimulation and orgasm requires the collaboration of brain, nerves, and muscles. When one of these is off, it can impact your ability to successfully have sexual intercourse.

Sometimes this can be caused by drugs or disease interfering with your physical ability to climax. Your nerves are the messengers between your brain and your muscles. If the instruction to orgasm never makes it from point A to point B, you won’t be able to ejaculate. Low hormones or testosterone levels can increase your risk, too.

There are also psychological causes, such as depression, anxiety, fear, or shame. These can be both a reason for your delayed ejaculation or a side effect, depending on when they occur. Psychological causes can also be coupled with physical ones.

Lastly, you may simply be struggling to find adequate stimulation. If your sexual partner isn’t able to achieve the stimulation you’re used to for achieving an orgasm, it can prevent you from having one.

If you find yourself struggling with delayed ejaculation, don’t try to diagnose and resolve it on your own. Seeking help from a qualified health professional can help you pinpoint the cause and find a solution that works best for you.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.

  Gulfshore   Jun 06, 2017   Uncategorized   Comments Off on What is Delayed Ejaculation?   Read More

How Menopause Can Affect Urological Health

how menopause can affect urological health gulfshore urologyAs we get older, our bodies change. Hormones fluctuate and we experience symptoms we may not have had or known about in our younger years. It can be alarming for women to experience changes in their vaginal and urological health during menopause, but that doesn’t necessarily mean you have to learn to live with the symptoms.

Many women experience hesitation or an urge to ignore the different health issues that may arise with the age and a change in estrogen levels, but we encourage our patients to make an appointment. Many symptoms can be treated, such as vaginal dryness, frequent UTI’s, and more.

Here’s What You Need to Know About Menopause

Menopause is the end of a woman’s reproductive cycle. The symptoms may begin just before your body stops menstruating or after. Because the female body has a finite number of eggs that it produces within a lifetime, there comes a point when it stops producing them.

On average, this happens after 40, but for some women in may occur earlier. It’s usually triggered by a health condition or surgical procedure that may cause damage to the ovaries and their function. Hysterectomies, premature ovarian failure, and chemotherapy are both known causes of premature menopause.

However, natural menopause doesn’t just happen overnight. It’s a gradual transition that spans over several years. Perimenopause starts when the ovaries begin to produce less and less estrogen. This continues on until the ovaries stop producing eggs, which usually happens between 1 to 2 years after estrogen begins to drop. During this period, the symptoms of menopause begin to show.

After perimenopause is actual menopause. A woman doesn’t reach menopause until a year after their last menstruation. This is when eggs have ceased to release and most of your body’s estrogen ceases to be produced.

Symptoms of menopause include:

  • Hot flashes
  • Vaginal dryness
  • Sleep deprivation
  • Mood changes
  • Urinary symptoms
  • Painful intercourse

Postmenopause is the rest of a woman’s years after menopause. During this time, the symptoms of menopause usually diminish. However, there are several bodily changes, symptoms, and health risks that tend to occur during this time. These health risks are caused to the loss of estrogen.

The good news is that many of them are treatable thanks to modern medicine.

Urological Conditions Caused by Menopause

There are several different urological conditions that arise in women during menopause. They are quite common, as well, and nothing you should feel shy about discussing with your urologist. We see these cases on a regular basis, understand how they can impede your quality of life, and can help you find solutions to help ease or eliminate negative symptoms.

One of the most common issues is frequent urinary tract infections (better known as UTI’s). The frequency during and after menopause is caused by changes in the urinary tract, which occur due to a lack of estrogen.

This lack of estrogen allows bad bacteria to thrive, overpowering the good bacteria in your system and causing infections. Drinking plenty of water can help flush the bad bacteria out of your system. However, women with frequent UTI’s (two or more over the span of six months) may be recommended topical estrogen cream by their doctor.

Menopause can also cause issues with incontinence. Again, this is a result of the lack of estrogen, which supports the tissues within the urinary tract. Weakened tissue can lead to incontinence, yet there are several lifestyle changes that can lessen or help eliminate this issue.

Reducing bladder irritation, scheduling bathroom breaks every two to three hours, practicing Kegel exercises, quitting smoking, and losing excess weight are all great ways to help lessen the impact of incontinence.

You also are at heightened risk for kidney stone and kidney disease. The best way to keep your kidneys in good health, especially in your older years, is to stay hydrated, eat well, exercise, and lead a healthy lifestyle.

If you find yourself experiencing symptoms of menopause or any of the associated urological issues, be sure to set up an appointment with your doctor. It’s important that you identify and address these medical issues so that you can prevent them from getting worse. There are safe and effective solutions available to treat the urogynecological consequences of menopause.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.


  Gulfshore   Jun 06, 2017   Uncategorized   Comments Off on How Menopause Can Affect Urological Health   Read More