A common problem among men, erectile dysfunction (ED) is defined as the consistent inability to achieve or maintain a satisfactory erection. With its prevalence scaling with age and age-related health problems, erectile dysfunction (ED) can put a damper on men`s quality of life by causing emotional suffering, shattering self-esteem, and heaping strains on intimate relationships. Most experts agree that for men over 50 years old, erectile dysfunction (ED) is much more likely to be due to physiological problems, such as blood flow issues related to vascular disease, heart disease or diabetes, or simply age-related deterioration of healthy tissue function.

Imagine a treatment that utilizes your own body`s tremendous healing properties to enhance your vigour and help you experience a more fulfilling intimate life. Through extensive research over the past few years, a truly revolutionary treatment has been discovered – the P-Shot®. Named after the Greek god of virility `Priapus`, The P-Shot® has been receiving a lot of media attention recently as a regenerative solution for men suffering from erectile dysfunction (ED) and the results seen thus far have been extremely encouraging to say the least.

The cutting edge science behind the P-Shot® is that it uses platelets- rich plasma (PRP) that concentrates the growth factors in your own blood into a virtually painless, injection. All that is required to obtain a small volume of blood from your arm, and then the platelets are separated from the red and white blood cells through a lab-based spinning process called centrifugation, leaving behind a super-concentrated platelets-rich plasma that is the basis of the P-Shot®.

When injected into an area with dysfunction, the platelets-rich plasma (PRP) encourages the natural healing process to begin. In the form of the P-Shot®, experts inject the platelets-rich plasma (PRP) directly into the male reproductive organ using a tiny needle to induce tissue regeneration and the formation of new vascular networks. This results in increased blood flow to the male reproductive organ and stronger, more reliable, and more frequent erections.

If you are experiencing any of the following issues, the P-Shot® is a drug-free, surgery-free treatment that can help you restore your more youthful state and regain your confidence:

• Decreased sensation and diminished stamina
• Inability to achieve a satisfactory erection
• Difficulty maintaining an erection
• Decrease in size 

The P-Shot® procedure… What to expect?

The P-Shot® is a simple, in-office procedure. Before injecting the platelets-rich plasma, a local anaesthetic cream is applied at the injection site. This ensures your comfort while getting your P-Shot®. The procedure takes about 30 – 45 minutes from start to finish. Immediately afterwards, you are free to return to your daily activities with no downtime. That means you can go back to work, hit the gym, or take your pet for a walk. Because the P-Shot® uses your own blood, there is no chance of an allergic or negative reaction to the materials used in the injection.

Although some men may notice rapid benefits within only 2-3 weeks after having the P-Shot®, it usually takes around two months to enjoy optimal effects as healthy tissues return to the area.

It can be frustrating for any man to lose his potency with the natural aging process, as declining erections may prevent him from enjoying the intimacy he has always enjoyed. As a type of effective regenerative treatment,  the P-Shot® harnesses the power of platelets-rich plasma and its rich content of growth factors to stimulate the male reproductive organ`s healing process. With clinically-proven benefits such as improved sensation and pleasure, enhanced quality, and potentially the size, of erections, the P-Shot® has resulted in enhanced intimate performance for thousands of men worldwide. Over the past decade, it has indeed proven to be a game-changer in the field of male enhancement.

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Men`s Health Expert

The post THE P-SHOT® – EVERYTHING YOU WANTED TO KNOW ABOUT THIS NATURAL SOLUTION, BUT DIDN’T KNOW WHOM TO ASK! first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Feeling stressed and fatigued? It may be more than work, it can be low testosterone!

In the world of today, most men are busier than ever before, and they have every reason to be so! The daily stresses of life are major contributors to the way they feel physically and mentally during their waking hours, while impacting the quality of their night sleep as well.

We may experience constant tiredness, lack of energy, poor sleeping, loss of motivation, increased body weight, mood swings, depression, and some of us may also complain of a `brain fog`. Unfortunately, many men often throw these symptoms to the wayside, eluding themselves by considering these symptoms a byproduct of demanding job obligations and deadlines, a rough week of being a parent, or simply relating it to age progression. But what if life`s inevitable stress was only the little rookie in your every day`s battle against these symptoms? Low testosterone is a clear and present danger for every man, and it can result in every symptom listed above. It can drain the energy out of your body, make it difficult to concentrate, and may lead to most men`s worst nightmare; low sex drive and poorer erection quality.

With low testosterone, many men simply lose their appetite for intimate activity. It is not that they consciously don’t want it, actually they are often bewildered as they do not know what`s going on and they cannot figure out why they are not interested anymore. The truth is, men rely on a sex drive to be the motivator for their intimate life. Essentially, without adequate testosterone, low sex drive in men is common, and this may make it difficult to attain an adequate erection for a satisfactory intimate activity.

Everybody wants to think they are the strongest, toughest guy. And if you are still young, you might be thinking this doesn’t concern you, but even men in their twenties may be affected by low testosterone. A gradual decline in testosterone is typical with age, but age isn’t always the determining factor with testosterone deficiency. Regardless of age, more than a few factors can increase your risk. These include, but are not limited to, genetic problems, obesity, high blood pressure, type II diabetes, abuse of anabolic steroids, and certain prescribed medications.

Here’s the good news. You do not have to accept this as the `new you`! If you have low testosterone, the safe and effective Testosterone Replacement therapy (TRT) administered under specialized medical care can bring you back to feeling re-energized and lively each day, with a sex drive to match. By treating the symptoms of low testosterone, men feel more vigorous, enjoy more productive sleep and take pleasure in a renewed sense of self. They find it easier to concentrate and remember, with mood improvement.

When it comes to sex drive and erection, many men will find that Testosterone Replacement Therapy (TRT) alone will provide them with an increased sex drive and an adequate erection for a satisfactory intimate life, eliminating the need for PDE5 inhibitors like Sildinafil tablets and its alternatives occupying the shelves in pharmacies.

If you are experiencing a chronic low sex drive or an unsatisfactory intimate life, your body may be giving you an alarm signal that concerns its testosterone levels. Finding out if you are low on testosterone is as easy as getting a blood test.

In our society, men who always feel tired or drained are often told it is just a fact of life, and a drop in men’s vitality is commonly brushed under the carpet as an inevitable part of ageing. But in some cases low testosterone is to blame, and there are treatments available. Your masculinity and virility are key drivers for living your best life. Talk to your trusted male health expert who can evaluate you for other conditions that might be causing your symptoms, get down to the root cause of your low testosterone, and through a customized approach tailored to your body`s unique health needs, prescribe testosterone treatment if it is right for you.

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Male Health Expert

The post Feeling stressed and fatigued? It may be more than work, it can be low testosterone! first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Truly, health and well-being are fundamental for the quality of men`s lives. Despite this, many men are still reluctant to take on a more positive approach towards their health enhancement. In a survey conducted by the Cleveland Clinic, over 40% of men reported that they visit the medical professional only when they are concerned about having a serious health problem.

Every November, the world hails “Movember”; the month-long campaign focused on men’s health. Movember aims to generate conversation and raise awareness and funds for men`s health issues – specifically male cancers, including testicular cancer. Indeed, cancer is a rather sensitive subject for most people as most of us know someone who has or has had cancer. It can be brutal and that is why awareness is the key. And yes, this is why we have a whole month dedicated to men`s `balls.

Testicular cancer is a relatively rare type of cancer that can affect men worlwide. Nevertheless, it is known to many as `the young man’s cancer`. It can strike in the midst of some of the most carefree times of life. More than half of testicular cancer diagnoses occur in men between the ages of 20 and 45.

With global statistics showing alarming increase in incidence, testicular cancer is believed to be about as common in young men as breast cancer is in young women. Yet this type of malignancy does not get as much attention as, say, prostate cancer, and public awareness campaigns seem always to be lacking.

Testicular cancer is a disease in which malignant cells form in the tissues of one or both testicles. The testicles are 2 egg-shaped organs located inside the scrotum (the sac of loose skin that lies directly below the male reproductive organ). The testicles play an important role in reproduction as it produces the male sex hormone `testosterone`, and sperms. Germ cells within the testicles produce immature sperms that travel through a network of tiny tubes towards the epididymis (a long coiled tube just above the testicles) where the sperms mature and are stored. Almost all testicular cancers start in the germ cells.

The good news is that testicular cancer is one of the most beatable forms of cancer nowadays, with the 5-year relative survival rate for men with this cancer being 95% when caught early However, it should never be taken lightly. Testicular cancer can be fast-growing and aggressive. Therefore, it must be radically managed to enhance cure rates.

Although the exact cause behind most testicular cancers is unknown, there are several risk factors that can raise a man’s risk of developing testicular cancer. Men who have had cancer in one testicle have an increased risk of developing cancer in the other testicle. The presence of a positive family history of testicular cancer makes a man at a higher risk. Having had an undescended testicle as a child is also a risk factor. Some males are born with their testicles still inside their abdomen. If they don’t naturally descend into the scrotum early on in life, this increases the risk of testicular cancer around three-fold.

What could be the symptoms?

In many cases, testicular cancer presents with no symptoms apart from the accidental discovery of a painless lump or swelling on either testicle. Detected early, the lump may be pea-sized and in over 80% of cases this will be painless. In more advanced stages, it can grow much larger. Additional symptoms may include:

• Change in the way a testicle feels or a feeling of heaviness in the scrotum
• Change in size of any of the testicles
• Pain or discomfort in any of the testicles
• Pressure sensitivity
• A dull ache or a sense of pressure in the lower back, abdomen, or groin.
• Groin lumps (enlarged lymph nodes in the groin area)

Self-examination can save lives, check yourself!

Testicular self-examination represents the key to early detection. Monthly self-examinations only take a few minutes to perform, but are critical in helping men notice any unusual changes early. According to the American Cancer Society, the best time to do a testicular examination is during or immediately after a shower – when the skin of the scrotum is relaxed:

• Hold your male organ out of the way and examine each testicle separately
• Hold your testicle between your thumb and fingers and roll it gently between your fingers
• Look and feel for any hard lumps or any change in the size, shape, or consistency of your testicles.

The point is to learn what everything down there feels like when things are normal. And by checking back every month, you make sure that nothing has changed. If something did change, you will know it and you can do something about it.

If you feel anything unusual, have your trusted Urologist check it out as soon as possible – but remember only around 4% of lumps turn out to be cancer, so do not allow fear or worry to grab the better part of you!

Even though it directly involves one`s manhood, testicular cancer is not talked about enough in society and so many men prefer to live the illusion of “It can happen to anyone but surely not me!” But why leave your life up to a coin toss? There is nothing to lose with a regular `feel down below`. Learning the signs and keeping an eye out for them are the best ways to ensure that you get the appropriate treatment in a timely manner, if you are in need for it!

Dr. Anis Haddad, MD

Urologist, Andrologist and Sexologist

Men`s Health Expert

The post Testicular Cancer In Younger Age Groups first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Testosterone is much more than just a male sex hormone; its levels in your body play a fundamental role in regulating a variety of bodily functions from mood and cognitive ability to cardiovascular health, muscle mass and body fat.

Often called `male andropause` because of its far-reaching effects, testosterone deficiency is a common issue that affects millions of men in various age groups across the globe.  Low testosterone is often defined as the decrease in total testosterone level below 300 mg/dL.  Men with low testosterone may suffer from diminished sex drive with fewer and weaker spontaneous erections, lack of motivation, decreased muscle strength and mass, increased body fat, sense of fatigue, feelings of depression and sadness, trouble with concentration and memory, plus a degraded overall sense of well-being.

Symptoms of low testosterone were often considered as a typical part of aging.  Nevertheless, a nearly four-fold increase in androgen scripts was witnessed during the last two decades leading to increased public awareness about this condition and more men are now approaching their physicians about diagnosis and available treatment solutions. This serves a testament to the potentially life-transforming benefits of Testosterone Replacement Therapy.  Some of those benefits include improved sexual rive, a more positive mood, increased energy and motivation, better sleep, sharper focus, improved ability to handle stress, increased muscle mass and strength, as well as improved brain function and cognitive ability.

While Testosterone Replacement Therapy is gaining popularity and is a proven, effective treatment for men with depleted testosterone levels, it does not come without potential drawbacks.  Two of the common concerns are the possible impact on testicular size and fertility.

In a nutshell, the production of testosterone inside the body is a multifaceted process that balances interactions between the brain and the body.  The brain is continually monitoring the level of testosterone in the body.  When low levels are detected, the brain produces a hormone called Gonadotropin-Releasing Hormone (GnRH).  This hormone leads to the increased production of Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH), which in turn triggers sperm production as well as testosterone production in the testes.

When men are receiving external testosterone to treat their testosterone deficiency, that natural process may be suppressed.  That is, the brain doesn`t detect a `low` level of testosterone, thereby not increasing the production of GnRH.  Without GnRH, the body does not signal testicular production of sperms or testosterone. Over time, the testicles may shrink in size and this may be associated with a decrease in natural testosterone production together with a decline in sperm count and fertility.

A lower sperm count does not necessarily cause infertility but it can make it more difficult to conceive.  For men on Testosterone Replacement Therapy, the impact of a decreased sperm count is usually temporary and can return to normal with terminating the treatment. However, studies have shown that supplementation with Human Chorionic Gonadotropin (HCG) in men receiving Testosterone Replacement Therapy plays a leading role in preserving sperm production and testicular size.

An analog of Luteinizing Hormone, Human Chorionic Gonadotropin is a natural hormone that has been found to mimic the effects of Luteinizing Hormone in males. Luteinizing Hormone is vital for the production and secretion of testosterone. When Human Chorionic Gonadotropin is utilized during the treatment of testosterone deficiency, it gets to work by imitating the naturally-occurring Luteinizing Hormone. This, in turn, means that it stimulates the natural production of testosterone and sperms inside the testes.

The importance of the Human Chorionic Gonadotropin (HCG) treatment has grown vastly as it presents a safe and efficient adjunct to Testosterone Replacement Therapy in men desiring to preserve testicular function and fertility while treating their low testosterone.

Between the stressors of everyday life, job and family obligations, or lack of exercise and being at the office too long you could be suffering from low Testosterone. You don`t have to suffer in silence anymore. To find out if you have low testosterone levels, asking your trusted male health expert for a simple blood test can ease your worries. As men age, declining levels of testosterone is common, and thanks to the Testosterone Replacement Therapy & HCG therapy, you can enjoy optimum intra-testicular testosterone production, leading to preservation of testicular size and fertility while boosting your overall health!

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Male Health Expert

The post The Benefits of using HCG with TRT first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Across the globe, millions of men suffer from the symptoms of low testosterone each year. This represents a nerve-wrecking health problem that many men experience, but few choose to treat. Chances are you stumbled upon this piece of writing because you’re concerned about having low testosterone (Low T) and interested in knowing more about the most effective therapeutic option available for men nowadays; Testosterone Replacement Therapy (TRT).

As a consensus, we know that testosterone is the hormone responsible for making males “men.” Produced inside the testicles, testosterone is responsible for the main male characteristics, such as the typical male muscular frame and strength, hair distribution, and the voice pitch. Moreover, many people know that testosterone is important for a man’s sexual drive. Yet, testosterone has other important functions throughout the body, some of which are not so obvious: it plays a fundamental role in mood-boosting, keeping the well being, and helping men mentally perform at their best. When testosterone levels drop, the experience comes with quite a few distressing symptoms that can markedly impair a man’s quality of life such as decreased sexual drive, weak erection, depression, tiredness and lack of strength, problems concentrating, irritability, sleep problems, loss of interest in physical activity and feeling generally `beaten`.

You’re probably reading the above symptoms and thinking “I may have low testosterone because I have some of these symptoms!” Though low testosterone can cause these symptoms, many other conditions could be the cause. You therefore cannot assume a man with some of these symptoms has low testosterone for certain. If you suspect that you might have low testosterone, discuss the matter with your trusted male health expert who can order the appropriate lab tests to measure your testosterone level.

If it turns out that you are low on testosterone, you`re likely keen on treating this problem and getting your body back on track. Low testosterone is a condition that no man would enjoy going through, but it’s important to know that there are options, and you might have heard of Testosterone Replacement Therapy and its globally recognized type; testosterone injections.

Worldwide, testosterone intramuscular injections are virtually the most popular way to treat low testosterone and the symptoms that come along with it. It can help men stay performing at their peak, mentally, physically, and indeed, sexually.  The main reason behind the wide use of testosterone injections and its preference over other forms of testosterone treatment is that it`s most effective. With testosterone being injected directly into your body and bloodstream, you will feel the benefits faster and you will also feel them stronger. Other options, such as bioidentical testosterone gels that gain popularity from being pain-free and simple to apply, usually take time to generate effects which are also not as prominent as with an injection. In addition, injectable testosterone treatments allow for a greater control over your testosterone dosage which can be properly adjusted to help you achieve optimum testosterone levels, one important last point about choosing your TRT, is where we live, and which Testosterone is available in the market.

As most of our patients live in United Arab Emirates, we will detail more about the available options here (TRT in UAE) in general & (TRT in Dubai) in particular, the available Testosterone injections here are either a short-acting testosterone (e.g. Sustanon®) or a long-acting testosterone (e.g. Nebido®).

Sustanon® is an oil-based injectable that contains four different testosterone esters which release testosterone into the body at a differing rate, thus allowing a steady blood level to be sustained. Injections are usually carried out every 7-14 days into the butt muscles where the testosterone is gradually released into the bloodstream. Sustanon® dose is 250 mg while the frequency of injection will depend on the severity of your testosterone deficiency, the need, and the presenting symptoms among other factors. No man is like other, our needs vary, so the interval between the injections is usually determined by your attending male health expert after a clear discussion with you to decide on the appropriate therapeutic regimen taking in consideration the above mentioned elements.

The longer-acting Nebido® needs to be administered every 9-12 weeks ( sometimes shorter than this) allowing the testosterone to be gradually released over a period of time. This means that an evenly distributed effect can be better sustained. With properly-administered Nebido® injections, deeply intra-muscular, you will only have to receive a fewer number of injections throughout the course of treatment. This timeframe makes it a highly desirable treatment and the reason that some men favor Nebido® injections as an ideal solution for their low testosterone, the dosage is 1000mg, while the interval varies according to the patient’s need.

Many men will choose both, means they may start with the short acting testosterone (The Sustanon®) to feel the boost the earliest, then after reaching the peak or the expected desired level, they shift to the long acting one ( The Nebido®) to reduce the injections frequency.

Knowing this, most probably you’ve made your choice of Testosterone Replacement Therapy, and you`re now considering the next move towards getting your “manhood” back. The truth is, Testosterone Replacement Therapy is a big decision in a man’s life, and it isn’t one-size-fits-all!

Ultimately, it’s not so much a question of testosterone injections versus other forms of Testosterone Replacement Therapy, or short-acting versus longer-acting testosterone injections. The real question is: Which solution is the most suitable for you? The answer depends on your body`s unique health needs, and this will be the core of discussion for you and your trusted male health expert.

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Male Health Expert

The post A MAN’S GUIDE TO TESTOSTERONE REPLACEMENT THERAPY (TRT) first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Are you suffering from erectile dysfunction (ED)? This man-terrorizing problem is starting to exist in epidemic numbers worldwide with some studies estimating that the global prevalence of erectile dysfunction should reach 322 million by 2025. The scenario looks even grimmer in the Arab world. Despite the fact that in Arab countries there are no firm data on the true prevalence of erectile dysfunction, several reports claim a high incidence among different age groups and in men with various risk factors and related chronically prevalent health problems.

Erectile dysfunction – commonly known as weak erection – can present as an inability to achieve an erection or maintain an erection long enough to have a satisfactory intimate relationship.

While previously, erectile dysfunction was assumed to be largely due to psychological causes, this is no longer the case. Currently, science has proven that the vast majority of cases are due to an underlying organic cause. The most common risk factors and related chronic ailments were smoking, obesity, Diabetes Mellitus, hypertension, and hyperlipidemia as well as disturbed hormones ( like Low testosterone). In their desperate search for a solution, many erectile dysfunction sufferers have been utilizing oral Phosphodiesterase (PDE) inhibitors medications (such as Sildenafil, Tadalafil, Vardenafil tablets). However, these medications are only partially effective in treating certain types of erectile dysfunction.

Indeed, the availability of an alternative option that can distinctively address the underlying cause of this nerve-wracking problem is very desirable. The most advanced clinical strategy which represents a viable treatment option for erectile dysfunction is the use of autologous adult stem cell therapy.

How Stem Cells Therapy for Erectile Dysfunction Work?

With the discovery of fat (adipose) tissue as the largest reservoir of stem cells, scientists have gained a wealth of information. The use of stem cells has enabled them to accomplish booming scientific results that we could not imagine it was possible to achieve. Fundamentally, stem cells are blank slates that are able to turn into specialized tissue to renew or heal tissues as needed. Research into using stem cells—including the more versatile adult stem cells—to accelerate healing or treat complicated ailments has gained global interest and enthusiasm. Nowadays, stem cells – being able to replicate themselves – are frequently used in the field of male health enhancement.

Stem cell therapy for the treatment of erectile dysfunction utilizes the patient’s own stem cells to achieve a natural male enhancement that helps regenerate erectile tissue, improve erections and boost intimate performance.

Done as an outpatient procedure, the procedure takes short period of around 30 minutes. The stem cells are harvested from the abdominal fat tissue through a high-tech liposuction to comfortably extract the fat tissue under local Anesthesia. Once the component is extracted, it is processed in the specialized Stem Cells laboratory through a a process to purify and collect the concentrated cells this will take around 2 weeks. In a separate setting and through a virtually painless injection, the stem cells are injected into the male reproductive organ using a tiny micro needle that will take few minutes only. The entire procedure is done under only local anesthesia, with men reporting only little post-procedural discomfort, slight swelling and temporary redness or bruising that takes but few days to completely resolve.

Results typically start to be obvious within 4-12 weeks. Then they continue to progressively improve for around 6months following the stem cell procedure. Restoring the ability to initiate and maintain an erection capable of intimate function is a tremendous boost both physically and psychologically to men suffering from erectile dysfunction and its related emotional agony.

An extremely useful, fast, natural and effective treatment, stem cell therapy for erectile dysfunction The Stem Cells therapy for erectile dysfunction is a pioneering treatment which is helping men across the world by giving them back their intimate vigor, regenerating their penile erectile tissues and blood vessels, and allowing them to re-enjoy spontaneously stronger and longer-lasting erections.

Erectile Dysfunction can have a massive emotional impact on men, affecting both self-esteem and personal relationships. If you’re among those who suffer in silence, now is the time to really do something about it. Stem Cell Therapy is a truly regenerative, effective and safe treatment of Erectile Dysfunction.  Consult your trusted Men`s Health Expert for a more accurate assessment of your complaint, he will deploy the best therapeutic protocols to help you achieve your goal of a better quality of intimate life.

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Men`s Health Expert

The post THE NEW STEM CELL THERAPY FOR ERECTILE DYSFUNCTION first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Anyone who’s had to endure the agony of a passing a kidney stone before will do anything to avoid it again and surely he`ll be able to warn you: it`s not an experience to take lightly!

Despite being a health problem since ancient times, kidney stones have become a more prevalent global problem in today’s population due to improper dietary habits and stressful lifestyle. They tend to run in families and are more common in men aged between 20-60 years as compared to women. Kidney stones occur due to the bad habit of not drinking enough fluids, high protein and salt diets, or genetics.

Frequent water intake helps in reducing the risk of minerals buildup in the urinary tract. Urine contains various concentrated minerals — such as calcium, oxalate, phosphate and uric acid — which are filtered from the blood by the kidneys. When there’s too much of these minerals in the kidneys and not enough water to dilute and flush them out, these minerals may collect and form crystals that grow larger and settle in the kidney to form `stones`.

Varying in shape and size, these stones may stay in the kidney or dislodge to move down into the ureter (the tube that leads down from the kidney to the bladder) and block the flow of urine. When this happens, kidney stones can become dreadfully painful, sometimes with abnormal urine color, blood in urine, chills, nausea and vomiting.

If you experience any of these symptoms, see your Urologist at once. He will likely perform a urinalysis, kidney function tests, urinary tract ultrasound, abdominal x-ray, or CT scan to confirm kidney stones are the source of your pain and determine their size and number.

Definitive treatment will depend upon the size of the stone, its location, the degree of urinary tract obstruction, and how bad your symptoms are. The good news is that not all kidney stones require drastic intervention. Often, small kidney stones pass on their own and don’t require any treatment apart from pain killers and medications that will help the stone pass. As long as the pain is manageable, and with the progressive downward movement of the stone, conservative management can be maintained as an option.

However, if the pain becomes too severe, the stones are too large to pass or blocking the urine flow, the problem becomes quite troublesome. A safe and effective treatment for these pestering stones becomes mandatory to quickly relieve the pain and prevent any further complications. The advanced laser treatment for kidney stones serves the desired purpose.

Thanks to technological advancement, Laser Lithotripsy or removal of kidney stones and ureter stones using laser energy is by far the most popular, safe and effective technology for fragmenting any form of stone, no matter what kind, and throughout the urinary tract, into tiny fragments that can be flushed out or excreted in urine.

Seeking a very clear view of the urinary tract, your treating Urologist inserts a small, flexible, and tube-like device called the Ureteroscope (a device with a tiny video camera and tools at the end of a tube) into the bladder, without surgical opening, and up the ureter while you`re under general anesthesia. Through the scope, the doctor examines the urinary tract and looks for the stone. Once the stone is found, a laser fiber is inserted through the tube, which aims a high-intensity laser beam at the stone. The laser beam breaks the stone (laser Lithotripsy), reducing it into dust and small pieces. After this, your treating Urologist removes the small stone pieces through a basket sent in through the Ureteroscope while the microscopic fragments are left behind to be flushed out naturally through the urine. A temporary stent might be inserted to keep the ureter open, regulate urine flow, and allow smooth passage of any fragments.

The use of laser (Lithotripsy) to break up kidney stones bears multiple advantages including rapid pain relief, reduced risk of trauma to the surrounding tissues, and speedy recovery. The procedure doesn’t take up a lot of time; laser treatment is fulfilled in about an hour or less. Moreover, being a minimally invasive procedure and without any surgical incisions, most patients are allowed to return home within a few hours and are able to return to average activity within 2 to 3 days.

Kidney stones may be little, but they represent a big problem. They are harmful to your kidney and can impair its function, or damage the urinary tract. If you have one kidney stone, the chances of developing a second one or more over your lifetime may exceed 50 percent.

Making smart choices about what goes into your body can diminish your risk for the pain and consequences of kidney diseases down the road. In a protracted case of kidney stones, you must reach out to a trustworthy Urology expert regarding modern laser treatment for kidney stones. Ureteroscopy and laser lithotripsy has significantly improved the management of kidney stones, providing a less invasive and more effective treatment. It is certainly the wisest choice for treating those stones affecting your quality of life.

Dr. Anis Haddad, MD

Urologist, Andrologist and Male Health Expert

The post Ureteroscopy and Advanced Laser Lithotripsy first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Testosterone (or the `male hormone`) plays a pivotal role in a man`s physical and emotional well-being. But this vital hormone does more than just control men`s libido and sexual drive; it has a role in regulating various systems throughout the male body. It affects bone and muscle mass, the way fat is stored in the body, memory and cognitive functions, as well as the red blood cells production. Even a man`s mood is influenced by his testosterone level.

Men are liable for a gradual decline in their testosterone levels along with the aging process. But the aging factor is not the only `crook`; endocrine disorders and hormonal problems (especially with abnormally high estrogen levels that can disturb the balance of hormones), obesity, physical and emotional stress, poor sleep habits, sleep apnea, exposure to radiation also can have its toll on testosterone levels. Moreover, various international studies have advocated that excessive alcohol intake and regularly consuming trans-fats from sources like processed foods could decrease testosterone levels.

Testosterone deficiency is common in middle-aged and older men but it`s under-diagnosed and often untreated. Low motivation, decreased stamina and energy, mood swings, low sexual drive, weight gain/difficulty losing weight, hot flushes, disturbed sleep, loss of muscle mass, and weak erectile function are some of the manifest symptoms of low testosterone. As a matter of fact, low testosterone levels can wreak havoc in a man`s body.

This explains why millions of men across the globe are now opting for Testosterone Replacement Therapy (TRT) in an attempt to revitalize their bodies and revive their dwindling libidos.

With benefits clearly recognized; improved mood and cognition, increased libido and sexual function, boosted sense of energy and well-being, increase in lean muscle mass and strength, and reduction of body fat, Testosterone Replacement Therapy (TRT) is recommended for men with deficient blood testosterone levels.

What is Testosterone Replacement Therapy (TRT)?

In order to fulfill the body’s requirements of testosterone, exogenous testosterone can be supplied to the body to maintain optimum bodily functions. Testosterone replacement therapy (TRT) is a class of hormone replacement therapy in which body androgens, often testosterone, are replaced. Testosterone replacement therapy (TRT) is an FDA-approved medical treatment for men of any age who have low testosterone, and is used to optimize hormonal levels that have become imbalanced and improve the symptoms often associated with this condition.

According to Harvard Health, most men experience improvement in symptoms within four to

six weeks of receiving Testosterone Replacement Therapy (TRT), with changes like increase in

muscle bulk taking from three to six months.

How is Testosterone Replacement Therapy (TRT) prescribed and delivered?

Testosterone can be administered in various ways, depending on the individual health needs of

each man. These include:

❖ Injectable testosterone: Injectable testosterones are the standard and most costeffective treatment option, with a high patient satisfaction rate. These are administered through intramuscular injection. Two forms of testosterone injections exist:

– Those administered every 1-2 weeks are known as short-acting injectable testosterone (e.g. Sustanon)

– Those administered every 2-3 months are known as long-acting injectable testosterone (e.g. Nebido)

❖ Bioidentical Testosterone gel: This involves the application of a clear gel infused with testosterone that is absorbed through the skin. The gel is rubbed onto a dry and clean area of the skin of the abdomen, shoulder or upper arm, preferably after shower, on a daily basis.

❖ Transdermal testosterone patches: Testosterone patches that adhere to the skin can be suitable for long-term Testosterone Replacement Therapy. Usually, a single patch is applied daily. The medication is then absorbed through the skin and enters the bloodstream to normalize your testosterone levels. The patch can be applied to the abdomen, upper arm or thigh.

❖ Testosterone implants (Pellets): Through a simple procedure that takes only a few minutes in the clinic, testosterone implants (pellets) can be placed under the skin of your abdomen, upper arm, or the buttocks. Local anesthesia is used to numb the skin, and a tiny incision is made to place the pellets under your skin. They dissolve slowly and release their testosterone content over the course of three to six months.

❖ Oral testosterone: When it comes to deciding on the most suitable form of Testosterone Replacement Therapy, oral route is the least popular. This is because the liver metabolizes the majority of the testosterone.

There are many positive benefits of Testosterone Replacement Therapy that can enhance the overall quality of life for those with low testosterone levels. Your trusted Men`s Health expert doctor will be of great help in guiding you to make informed choices on the best form of Testosterone Replacement Therapy based on your individual health needs. Across the world, a drop in men’s vitality and well-being is brushed under the carpet as an inevitable element of ageing. However, men don’t have to accept the loss of their liveliness. Surely, they can do something about it!

Dr. Anis Haddad, MD

Urologist, Andrologist & Sexologist

Men`s Health Expert

The post “I`M ENERGETIC AND LIVELY AGAIN”: How Testosterone Replacement Therapy is transforming many men’s lives! first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

However, it is imperative to engage the matter and educate yourself about the various causes of erectile dysfunction, especially if you have been grappling with a performance issue for some time and do not know how to tackle it on your own. Learn more about erectile dysfunction from the experts of men’s health and beat your worries off!

What Is Erectile Dysfunction?

Erectile dysfunction refers to a condition that consistently affects a person’s ability to achieve or maintain a satisfactory erection. It is currently one of the most common sexual dysfunctions worldwide. Still, it is usually underestimated because of the associated stigma and misinformation that make many men uncomfortable discussing their `shameful` secret.

Studies suggest that one of every ten men may experience erectile dysfunction at some point during his lifetime. It was once thought to be mainly a psychological and lifestyle disorder. Nevertheless, it became clear more recently that in the vast majority of cases, erectile dysfunction is primarily attributable to an underlying organic cause. Moreover, erectile dysfunction may be associated with other problems that interfere with intimate acts, such as decreased desire and problems with ejaculation. This nerve-wracking ailment often has a negative impact on intimate life and can cause additional stress, relationship problems, frustration, lack of self-confidence, and low self-esteem.

Understanding the most common potential risk factors for erectile dysfunction can help men understand why they may be experiencing this health problem and alert them at an early stage to seek specialised medical help. These include, but not limited to:

• Diabetes Mellitus: This is a typical and appalling example of an endocrine ailment that can cause a person to suffer from weak erection. One of the complications associating diabetes – especially if uncontrolled – is nerve damage, starting with the delicate peripheral nerves of the body, including the male organ’s nerve supply. Other diabetes-induced complications include impaired male organ’s blood flow. These complications ultimately contribute to the development/deterioration of erectile dysfunction.
• Hypertension: Over time, high blood pressure damages the lining of blood vessels and induces arterial walls to harden and narrow. This accelerates the development of atherosclerosis and inadequacy of blood flow inside the male organ.
• Hyperlipidaemia: Several things can lead to atherosclerosis, including abnormal levels of `bad` cholesterol (also known as low-density lipoproteins – LDL). High levels of cholesterol in the blood can cause a buildup of cholesterol on the inside of the arterial walls, which in turn can narrow these blood vessels.
• Metabolic syndrome: A condition describing an umbrella of risk factors including high blood pressure, type II diabetes, high cholesterol, and increased body fat around the waist. These factors, combined, create the perfect storm for developing cardiovascular disease and inadequate blood flow throughout the body, including the male organ. There is a strong correlation between metabolic syndrome and the development/aggravation of erectile dysfunction.
• Prescription medications: Certain medications can negatively impact erectile function, including antihypertensive drugs (e.g. thiazide diuretics and beta-blockers), antidepressants, antihistamines, as well as medications for gastric reflux and gastritis can cause temporary erectile dysfunction.
• Mental health problems: Because arousal starts in the brain, psychological issues can negatively impact erectile function. Mental health problems such as anxiety, depression, or overwhelming stress exert a suppressing effect on libido and thus make it difficult for the person to get aroused.
• Hormonal disturbances: Testosterone is the primary sex hormone in men, and is responsible for intimate drive and high libido. A decrease in libido commonly associates the decline in testosterone level.
• Lifestyle Conditions: Smoking, alcohol intake, and obesity are notorious for their role in increasing the risk of developing a vascular disease that causes erectile dysfunction.

The good news is that the ceaseless advances in science brought in various novel solutions for erectile dysfunction which are doing more than enhance the intimate relationships of untold numbers of men worldwide; they have also brought what had previously considered a taboo subject out into the open. The ideal plan for treating erectile dysfunction is to manage the root cause along with the restoration of erectile function.

WE HAVE ANSWERS  ABOUT ERECTILE DYSFUNCTION FOR YOU

It is not uncommon for many men to find it challenging to attain or keep an erection on an occasional basis, and it is usually nothing to worry about. However, if you are experiencing consistent difficulties that are negatively impacting your enjoyment of a satisfying intimate life, make an appointment to see your trusted men’s health expert. He understands the distressing impact that erectile dysfunction has on your life, and will take your concerns very seriously as he formulates a treatment plan tailored to your unique health needs.

Stand up to the problem, and you may be satisfyingly surprised that a cure is just around the corner. Treatments for erectile dysfunction are highly successful for most men, so the sooner you seek treatment, the sooner you will be able to return to a healthy and satisfying intimate life. Getting to the real cause behind erectile dysfunction requires careful diagnosis, so take proactive measures to protect your health and long-term well-being.

Dr Anis Haddad

Urologist, Andrologist and Sexologist

Male Health Expert

The post HAVING ERECTILE DYSFUNCTION, WHERE TO START? first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.

Sensitive matters like erectile dysfunction often top the list of taboos that many men shy away from talking about. Regretfully, this ‘bear it quietly and carry on’ attitude means that many prefer suffering in silence rather than having to endure the embarrassment or `shame` of speaking it out, even confidentially to their doctor. Being ignorant about the cause of their weak erection and also far from certain about what treatment could be effective for them can be so distressing, frustrating, and even nerve-wracking sometimes.

Erectile dysfunction (ED) is one of the most common conditions affecting millions of middle-aged and older men across the world. Many factors can contribute to erectile dysfunction, including psychological and organic health problems, as well as some of the medications used to treat them. Aspects of men’s lifestyles, behaviours, and testosterone deficiency, may also have a negative impact on erectile function. With Erectile Dysfunction, it is hard to attain or maintain an erection that is firm enough for a satisfactory intimate act. When weak erection becomes a persistent and worrisome problem that casts a dark shadow on a man’s well-being, his intimate relationship, and self-esteem, it should be treated. Timely and expert management aims at treating the underlying cause(s), restoring erectile function, and enhancing the quality of man’s life.

Until recently, oral therapy represented the first-line option for most men with erectile dysfunction. The goal of oral medications is to boost response to arousal by increasing the blood flow inside the male organ to get an erection. In addition to lifestyle modifications, men who have erectile dysfunction have access to a range of medications called Phosphodiesterase type 5 (PDE5) inhibitors, the most famous of which are Sildenafil, tadalafil, and vardenafil. Since their introduction in the 1990s and early 2000s, these medications were considered a significant innovation in the treatment of erectile dysfunction.

Nevertheless, these medications come with significant downsides. PDE5 inhibitors must be taken between 30 minutes and two hours before intimate acts, leading to the lack of spontaneity in the intimate lives of those who depend on these medications. Many men have already tried these, but the results were way less than the expectations. Some have suffered prominent side-effects, while others cannot – or should not – take these medications, such as those with heart disease or high blood pressure.

Global interest in finding genuinely novel treatments has been growing intensely. The need for more natural, safer, and longer-acting solutions to improve spontaneity and reduce the stress of having to take medications on a planned basis has never been more eminent.

Tired of popping a pill every time? The P-Shot® can solve that!

The human body is a highly resilient structure, able to heal and repair itself in ways that can seem miraculous sometimes. The use of Platelet-Rich Plasma (PRP) therapy for the treatment of chronic knee pain and tendon injuries, hair re-growth, as well as face rejuvenation is a typical example. Most likely you have heard of this ground-breaking and effective natural treatment that has been making major global headlines lately because of its ability to help to fight various age-related health problems and promoting natural healing through the use of the body’s own blood platelets. But, what if you come to know that Platelet-Rich Plasma therapy can also be effective in treating erectile dysfunction!

Platelet-Rich Plasma Priapus Shot (commonly known as the P-Shot®) is a breakthrough scientific development designed to deliver lasting enhancements in men’s intimate performance. This non-surgical and non-pharmaceutical solution is innovative in that it utilises the body’s own healing power in reversing the age-related impact on erectile function. It involves harvesting concentrated platelets (which contain a large number of growth factors) from your blood and re-injecting them into specific areas of the male reproductive organ.

This safe and pain-free outpatient-clinic procedure includes the withdrawal of a small amount of your blood (as simple as doing a routine blood test), spinning it in a centrifuge to collect the platelets and then re-injecting the concentrate into the penile tissue. Once injected, the blood-derived growth factors ignite the body’s unique tissue renewal process and lead to the revitalisation of the existing blood vessels, stimulation of new blood vessels production, as well as stimulation of new tissue growth. The procedure has no recovery time, and there are virtually no side effects or allergic reactions because it is your body’s own platelets.

The result is significantly improved blood flow to the male organ with improved quality of erections that are more firm, and more frequent. Some men report an immediate improvement, but maximum benefits can be witnessed within 6-8 weeks as the tissues regenerate with the release of growth factors.

The P-Shot® is capable of helping men struggling with erectile dysfunction achieve stronger and more sustainable erections, with increased stamina and improved sensitivity. Therefore, this revolutionary natural treatment is ideal for any man who seeks an alternative to prescribed medications with all its potential risks and side effects. The all-natural P-Shot® presents an ideal solution for these men.

Harnessing your own body’s natural healing capabilities to revitalise ageing and damaged tissues is considered a significant transformation in the field of erectile dysfunction treatment nowadays. Being drug-free, the P-Shot® is a natural, medically-proven male enhancement non-surgical solution for men of all ages to enjoy a healthy and rewarding intimate life!

Dr. Anis Haddad, MD

Urologist, Andrologist and Sexologist

The post THE P-SHOT® FOR MEN first appeared on Best Urology Doctor in Dubai | Dr. Anis Haddad.