• Who Is a Good Candidate for Vasectomy Reversal?

    If you have had a vasectomy but later decide that you want more children, then a vasectomy reversal could be the right answer for you. There are a number of factors that go into determining if a reversal procedure is successful, and your urologist will review your personal health history when helping you decide if you are a good candidate. Here are some of the signs that a vasectomy reversal could be right for you.  

    It has been less than 15 years since your vasectomy.  

    Generally, the more recent your vasectomy was, the more likely it is for your reversal to be successful. Although studies vary, 15 years seems to be the point at which the success of a vasectomy reversal tends to drop off considerably. Newer surgical techniques are more successful than in the past for vasectomy reversals, even when a considerable amount of time has passed, but the length of time since the vasectomy is still a factor.  

    You haven’t had additional surgeries in the groin area.  

    Other surgical procedures in the groin area, such as hernia surgeries, can decrease the chances of having a successful vasectomy reversal. This includes previous vasectomy reversal surgeries that were unsuccessful. Some surgical procedures increase the chances of a blockage in the vas deferens that makes reversals more difficult.  

    A minimal amount of the vas deferens tubing was removed during your vasectomy. 

    If a large amount of the tubing of your vas deferens was removed during your vasectomy, there may not be enough left to reconnect or it may make your surgical procedure more difficult. It can also be more difficult to reverse your vasectomy if your vas deferens was cut length-wise during your original surgery.  

    If you are interested in a vasectomy reversal, make an appointment with a urologist at Urology Associates, P.C. to discuss your case. Our urologists in Nashville will review your history and help you decide if a vasectomy reversal is a good choice for you. To schedule your consultation, please call (855) 901-1338.

  • What Are the Most Common Causes of Difficult Urination?

    Difficult urination occurs when it is hard to start the flow of urine or to maintain it. This is also referred to as urinary hesitancy. This condition is most common in older men, but it can happen to anyone, at any age. There is a number of different potential causes for urinary hesitancy, and it’s important to work with your urologist to pinpoint the trigger for your symptoms. Hesitancy can lead to serious complications, including urinary retention, when left untreated. Here is a look at some of the most common causes of difficult urination.  

    Enlarged Prostate 

    For men, an enlarged prostate is a very common cause of urinary hesitancy. When the prostate gland becomes enlarged, it puts pressure on the nearby prostatic urethra. As a result, it can be difficult for the flow of urine to begin, or, once it is started, to continue until the bladder is empty. There are a number of different treatments you urologist can use to address an enlarged prostate, including medication and surgery.  

    Nerve Damage         

    If nerve damage occurs in the urinary tract, the flow of urine can be affected. This damage can occur as the result of trauma, such as giving birth, or it can be a complication of an illness, including spinal cord infections and diabetes. People with multiple sclerosis frequently experience difficult urination that is linked to nerve damage.  


    Paruresis, or shy bladder syndrome, is a rare, psychological cause of difficult urination. It occurs when people are unable to urinate in places in which they fear others may present. Some people only experience paruresis in specific situations, such as in a public restroom, while others may experience it with more regularity.  

    If you think you are suffering from the symptoms of difficult urination, make an appointment at Urology Associates, P.C. Our urologists can find the cause of your symptoms so you can the treatment you need. For more information about our urology services in Nashville, call (855) 901-1338. 

  • Kidney Stones 101

    Kidney stones occur when certain minerals build up and clump together in your kidneys. They are extremely painful, and in some cases, they may require surgery. It’s important to see your urologist as soon as you notice any symptoms that could indicate that you might have a kidney stone.  

    Watch this video to learn more about how kidney stones form and what you can do about them. Some kidney stones are small enough to pass on their own, but your urologist may suggest laser treatments or surgery for larger ones.  

    Urology Associates, P.C. offers comprehensive urology services for kidney stones, UTIs, sexual dysfunction, and much more. To make an appointment with a urologist in Nashville, please call (855) 901-1338. 

  • What Happens if You Have Elevated PSA Levels?

    PSA refers to prostate-specific antigen. Testing for this protein that is produced by the prostate is often done as a screening test for disorders of the prostate, including prostate cancer. PSA tests are often done by primary care physicians in the course of a routine physical. If your levels are high, your primary care doctor may refer you to a urologist.  

    It is important to note that elevated PSA levels are not always indicative of prostate cancer, but they are usually an indicator that you may need further testing. If you have elevated PSA levels, your urologist may recommend that you undergo a prostate biopsy to determine if you have any cancerous cells. The results of those tests will be used to diagnose prostate cancer or decide if you need more testing to determine if you have another prostate disorder.  

    If you are concerned about prostate health, make an appointment with a urologist at Urology Associates, P.C. For more information about our urologists and cancer treatments in Nashville, call (855) 901-1338. 

  • What Causes Chronic Testicular Pain?

    Chronic testicular pain—or CTP—is a serious condition that is often misunderstood. It affects thousands of men and can be debilitating, and yet, many men don’t know that it exists. Ongoing testicular pain without an explanation isn’t normal and should always be addressed with a urologist.  

    CTP can have a number of different causes. Trauma, infection, surgery, and kidney stones can all cause CTP, as can hernias and torsion. In rare cases, a tumor is to blame. Blockages, varicoceles, and hydroceles may also cause pain. In about a quarter of cases, the cause cannot be determined. Fortunately, your urologist has several treatments that can put an end to the discomfort, including surgery and medications.  

    At Urology Associates, P.C., we offer comprehensive care for a range of urological and sexual health concerns for both male and female patients. Schedule a consultation with a urologist in Nashville by calling (855) 901-1338.  

  • What Foods Can Exacerbate Your OAB Symptoms?

    If you have overactive bladder or OAB, learning how to control your symptoms is an important part of managing your condition. Your urologist can offer advice that will help. You may also want to consider avoiding the foods mentioned in this video.  

    Spicy foods can irritate the bladder and make OAB symptoms worse, as can any food or drink that acts as a diuretic. This includes cranberry juice and drinks with caffeine. Keep track of your symptoms and your diet to find any links between what you are eating and drinking and your symptoms.  

    Don’t let OAB control your life. The urologists in Nashville at Urology Associates, P.C. can help you find a treatment that works for you. Make an appointment today by calling (855) 901-1338. 

  • Treating Recurring UTIs

    Urinary tract infections, or UTIs, can happen to anyone, but when they recur, it’s important to see a urologist to pinpoint the cause and find the right UTI treatment. This video explains more about recurrent UTIs in women, who is most likely to get them, and what can be done to treat them.

    Recurring UTIs may occur when the initial treatment was not effective. Typically, over-the-counter medications will not clear up an infection completely. In some cases, bladder stones can contribute to recurring UTIs as well.

    Urology Associates, P.C. can help you get the right UTI treatment to put recurrent infections behind you. Make an appointment with a urologist in Nashville by calling (855) 901-1338.

  • Exploring the Link Between Diabetes and Kidney Stones

    It is well-established that diabetes can increase the risk of kidney failure, particularly when it is poorly controlled. However, does the disease also increase the risk of kidney stones ? Here is what you need to know about the connection between diabetes and kidney stones and when you should see a urologist about your symptoms.

    What are kidney stones?

    Kidney stones are hard, stone-like formations of excessive calcium oxalate, struvite, uric acid, or cysteine. These substances can band together inside of your kidneys and form stones that range in size from minute to large and obstructive. When stones form, they eventually must pass out of your body through your urinary tract. Small stones can pass through your system with few, if any, symptoms. Large stones can be excruciatingly painful to pass and may get stuck in your urinary tract, where they can block the release of urine and trigger infections.

    How does diabetes increase the risk of kidney stones?

    Diabetes can increase the acidity of your urine. If your blood glucose levels are high, the acidity in your blood increases, which in turn causes the acid levels in your urine to increase. Acidic urine increases the risk of kidney stones. Following your diabetes care plan closely in order to control blood glucose and drinking plenty of water every day can help to reduce the risk.

    When should you see a urologist for kidney stones?

    See a urologist as soon as possible if you have symptoms of a kidney stone. These include nausea, vomiting, back pain, abdominal pain, and blood in the urine. If your stone is small, you may be able to pass it by increasing your water intake and using over-the-counter pain medicines. For large stones, your urologist may recommend procedures to break up the stone or surgical removal.

    Urology Associates, P.C. provides treatment for a wide range of conditions, from UITs to kidney stones and bladder cancer. If you think you could have a kidney stone in Nashville, make an appointment by calling (855) 901-1338.

  • Spotlight on the Symptoms of Testicular Cancer

    Testicular cancer is relatively uncommon, so men are often unaware of the symptoms. Unlike many kinds of cancer, about half of all cases of testicular cancer occur in young men between the ages of 20 and 34, though it can affect men at any stage in their lives, including in infancy. Typically, testicular cancer can be cured in its early stages, so it’s important to see a urologist if you think you could be experiencing any of these testicular cancer symptoms.

    Painless Lump

    The most common indicator of testicular cancer is the appearance of a painless lump on a testicle. Occasionally, the lump may become tender or painful, but in the vast majority of cases, it is not. When you do experience pain with testicular cancer, it is more likely to be in the lower belly or in the entire scrotum rather than just at the site of the lump. It is often described as a deep ache or a feeling of heaviness.

    Testicular Swelling

    Some men with testicular cancer notice that one of their testicles has become larger or swollen. Although it’s natural for men to have testicles that are different sizes, with testicular cancer, an existing difference in size may become more pronounced. This can happen with or without the presence of a lump.

    Breast Growth

    Testicular cancer can lead to a hormonal imbalance that causes breast growth or tenderness in men. These hormonal changes can also result in a loss of sex drive. Pre-pubescent boys who develop testicular cancer may experience more pronounced hormonal symptoms, including the sudden deepening of the voice or facial hair growth.

    The symptoms of testicular cancer can also be associated with a number of other conditions, so let a urologist at Urology Associates, P.C. make an accurate diagnosis, so you can get the appropriate treatment. For a diagnosis and testicular cancer treatment in Nashville, call (855) 901-1338.

  • What You Need to Know About Circumcision in Adulthood

    Circumcision, a procedure in which the foreskin of the penis is removed, is performed on about 65% of newborn boys in the U.S. Although circumcision is embraced for religious or cultural reasons, it is not medically necessary. Neither systemic nor sexual health is compromised by forgoing circumcision in the majority of cases, as long as proper hygiene practices are followed.

    However, some uncircumcised men reach adulthood and decide that they would prefer to be circumcised. Generally, urologists recommend against having a circumcision performed during adulthood, unless there is a health problem. Some men have difficulty with recurring infections despite practicing good hygiene. Other men have difficulties with foreskin retraction. In these cases, a urologist can perform circumcision surgery to reverse the issues.

    To discuss your options for circumcision in adulthood , schedule a consultation at Urology Associates, P.C. To make an appointment with a urologist in Nashville, please call (855) 901-1338.

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