• More than 15 years of experience• Urological care in Madina & Azparren SLP (2004 - currently)
• Optional Area Specialist in Urology of the University Hospital of Nuestra Sra. De Aránzazu de San Sebastián (2001 - 2007)• Head of the Urology Department of the Policlínica Gipuzkoa (2004 - 2014)• Head of Urology Service of Onkologikoa San Sebastián (2014 - 2015)• Specialist in Da Vinci robotic surgery: he has made 400 robotic radical prostactetomies• Specialist in prostatic laser surgery: he has performed 2000 surgeries of benign prostatic hyperplasia with laser ...
• Bachelor of Medicine and General Surgery from the Faculty of Medicine of the University of the Basque Country• Specialist in Urology via MIR in the University General Hospital of Our Lady of Aránzazu of San Sebastián
• PhD program and research proficiency at the Basque Country University (1996 - 1998)• Rotation at the University General Hospital of Zaragoza• Rotation in urological lithiasis in Hospital de Granada• Training in prostatic cryotherapy at Krankenhaus nordwest hospital in Frankfurt ...
Publications and conferences
• Speaker in 10 courses and scientific meetings of national and international scope• Author of publications in scientific journals, chapters of books and communications to national and international congresses
*Translated with Google translator. We apologize for any imperfection
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Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is
Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is also known as impotence, but now it has stopped using the term in the medical field. It affects many men and increases with age, but to consider an alteration is necessary to manifest persistently. The most common causes of erectile dysfunction can be both physical and psychological, or a combination of both. They can be of vascular type: men with an index of high cholesterol, smoking, diabetes or who have been treated with radiotherapy. Neurological disorders (Alzheimer's, for example) and hormonal (by utilizing medication) are given a lesser extent. There may also be a cause of affective: patients with severe forms of depression or anxiety often have erectile dysfunction. The treatments besides medication, usually include changes in lifestyle, such as quitting smoking and exercising regularly.
No-scalpel vasectomy and needles is an intervention without surgical incision to perform the partial removal of the vas deferens, which are the tubes No-scalpel vasectomy and needles is an intervention without surgical incision to perform the partial removal of the vas deferens, which are the tubes that carry sperm out of the testes. It is one of the most simple and effective contraceptive methods. Unlike a traditional vasectomy, which knife is used, this technique is performed with collets, causing the opening of the skin separating the fibers, not by cutting. The advantage is that patients have less pain and bleeding during surgery and less bruising, infections and other possible postoperative complications. In addition, not having to make cuts, no scarring.
Phimosis is a condition in which there is congenital or accidental of the foreskin of the penis ring narrow, which makes it impossible to retract
Phimosis is a condition in which there is congenital or accidental of the foreskin of the penis ring narrow, which makes it impossible to retract to show the glans. It is common in children and can sometimes be caused by forced retraction of the foreskin at an early age. It can also be caused by an infection or scars that form after injury. Phimosis can be corrected by a simple surgical procedure called circumcision, which involves removing excess skin around the glans (bridle), permanently leaving it exposed. Instead, parafimosis is unable to return the foreskin over the glans. Usually causes pain and some swelling, and usually occurs in children or the elderly who have not been circumcised.
Early or premature ejaculation is a dysfunction that is premature expulsion of semen during intercourse. It occurs when there has been minimal sexual Early or premature ejaculation is a dysfunction that is premature expulsion of semen during intercourse. It occurs when there has been minimal sexual stimulation or when not controlled enough to maintain vaginal penetration for the desired time. It is relatively common and the causes are usually psychological, rather than physical: such as stress, depression, lack of confidence with a sexual partner, nervousness, excessive excitement, etc. Physical causes may originate in a low amount of serotonin. In this case, drugs that regulate the production of this substance in the brain are used. But usually the treatment involves psychological therapy.
Vasovasostomy refers to surgery that is used to reverse a vasectomy and restore fertility to recover the ability to have children. The surgical technique is to rejoin the sealed segments during vasectomy to allow the passage of sperm during sex and pregnancy consent. The main reason to reverse a vasectomy is the desire to have children with a new partner. The operation is complex, so it must be done with a specialist andrologist in microsurgery. The procedure lasts 2 to 4 hours, and discomfort can be extended to 2 or 3 weeks after surgery. May again not have sex until 10 days after surgery.
It is called andropause to the progressive decrease in sexual function in men. While women experience a rapid change in fertility (menopause ) in men occurs gradually, and is the process that describes andropause. it loses potency because of natural decrease in testosterone levels in the body. Symptoms include, among others, irritability, insomnia, depression, anxiety, bone deterioration, circulatory problems, decreased sex drive, low sexual desire, and reduction in the strength and volume of ejaculation. The treatment of andropause, which in most cases is not necessary, usually to supply testosterone orally or by intramuscular injections.
The anorgasmia is the persistent inability to experience orgasm despite having sexual excitement disability. Along with the lack of desire, is one of the most common sexual dysfunction in women. This dysfunction also can occur in men, although less frequently. There may be of many types. Primary anorgasmia suffers the woman who has never reached orgasm;secondary is given to stop having orgasms after a time have had them;absolute occurs when you can not achieve orgasm through any procedure; the relative is the inability to have an orgasm in a certain way, for example with anal sex; and situational 's when you can only achieve orgasm in certain situations. The causes of changes in the female orgasm, in most cases, are psychological, so that a treatment with a therapist is often the most effective.
It is called hemospermia hematospermia or the presence of blood in the seme n, either visible or not. The symptoms that often precede this condition can range from blood in urine even painful ejaculation, swelling in the scrotum or in the groin area, fever or chills, urine, etc. You can not always determine the cause, but is usually related to an inflammation of the seminal vesicles, caused by infection or injury. It can also be a sign of disease in some area of the male genitalia. To treat hematospermia, it is often recommended to rest and apply ice. The resulting infections may require antibiotics, while for urinary tract obstruction is often used surgery.
Cystocele hernia is a protrusion or bladder into the vaginal canal. It occurs when the muscle that supports the bladder wall is so weak that it is unable to maintain its normal position, so the bladder tends to move down. This weakness can cause urine leakage from the bladder when abdominal pressure increases, which is what happens when you cough or sneeze, for example. Cystocele is relatively common in women after age 40 disorder, and the likelihood increases with age at menopause, after a particularly difficult birth and when obesity, among other reasons. In mild cases, treatment consists in performing Kegel exercises, which strengthen the pelvic floor muscles. Surgery is needed in severe cases or when they fail those years.
Delayed ejaculation in the vagina or anejaculation is the delay or total lack of expulsion of semen. The climax or orgasm is the climax of sexual excitement, during which increases the concentration of blood in the genitals, muscles contract erogenous zones and sexual tension is released. In man accompanies generally ejaculation. Sometimes, abnormal orgasm, i.e., delay or absence of orgasm, persistently or recurrently occur following a normal sexual excitement phase. The most common clinical form of male orgasmic disorder is delayed ejaculation in the vagina, and the most serious, anejaculation, which is the total lack of expulsion of semen. This dysfunction can appear both during sex with a partner as during masturbation, and the causes are often more psychological (anxiety, pressure) physical (spinal cord injuries, neurological diseases).
Penis diseases are those that affect the male reproductive system. In addition to causing pain, can affect sexual functioning and fertility of men. The disease most common penis is erectile dysfunction, which is the inability to achieve or maintain an erection. Other common diseases are priapism, Peyronie's disease and balanitis. Although it is a rare form of cancer, penile cancer it may also appear.
The lack of sexual, or hypoactive sexual desire, desire refers to low interest in sex, temporary or permanent. It affects both men and women, and can be a secondary primary condition (the person has never felt much sexual interest) or (the person I used to experience sexual desire, but lost). The lack of sexual drive in men and in women often occurs mainly because of (rather than physical) psychological problems, such as lack of communication or affection, power struggles, very strict sexual education or traumatic sexual experiences. Conditions such as stress and depression, particularly if a medication is followed, may also contribute to this dysfunction. To treat a disorder of sexual desire is advisable to consult a specialist in sexual and marital therapy.
A hydrocele is the pathological accumulation of fluid within a body cavity. The most common hydrocele in men is testicular, and occurs when fluid accumulates in the spermatic cord (the cord that holds the testicles), between the two layers that cover the inside face testicle and scrotum. This condition, which can occur in newborns or in other ages, even in adulthood, occurs because either the body produces more fluid than necessary, or the scrotum does not absorb enough. . Hydrocele in infants usually evolves to spontaneous resolution during the first months of life. If it persists, adult hydrocele requires a minor surgical procedure, consisting of practicing a slight incision in the scrotum or lower abdomen to remove excess liquid. ...
Hypogonadism is an endocrine disorder caused by low production of certain hormones, testosterone in men and estrogen in women by male and female gonads (testes in men and ovaries in women). The origin of this disorder can be varied from hereditary factors, a result of some surgeries, or autoimmune diseases, kidney, liver problems, infections. The most common symptoms of hypogonadism are: in women, loss of menstruation and pubic hair, hot flashes, low libido ,,,; and in men, loss of hair on beard and body, loss of muscle tone, breast enlargement and erection problems. The low production of testosterone in men is known as male hypogonadism, while the low production of testosterone from the testis is called hypogonadism.
What is infertility?
According to the World Health Organization, infertility is a pathology of the reproductive system that makes pregnancy impossible. Infertility affects the couple, both men and women, who can not have a child naturally. There are two types of infertility. Primary infertility, which affects couples who have not achieved a pregnancy after at least one year of sexual intercourse without contraception, and secondary infertility, in couples who have been able to get pregnant and can not now.
Symptoms and causes of infertility can vary between men and women
Symptoms of infertility
The symptoms of infertility can vary in men and women.
In women, the symptoms may be related to the menstrual cycle and ovulation. They can be abnormal menstruation, with bleeding more abundant or less than usual; irregular menses, when the number of days between each menstruation is different every month; amenorrhea, that is, absence of menstruation, and dysmenorrhea, very painful menstruations. Symptoms may also occur without regard to menstruation, these being the appearance of whitish flow in the nipples (without having any relation to breastfeeding) or pain during sexual intercourse.
In men, the symptoms of infertility related to sperm can be the presence of semen of yellow or green tonality, red or brown spots; ejaculations very odorous, thick, watery or with little amount. Also, they can witness symptoms unrelated to semen such as: changes in hair growth, alterations in sexual desire, erection problems and stiffness in the testicles.
What are the causes of infertility?
The causes of infertility common between men and women are:
Congenital defects of the reproductive system
Cancer, tumors, chemotherapeutic drugs, radiotherapy.
Excess of alcohol consumption
Scars due to sexually transmitted infections, abdominal surgery or endometriosis.
In women, infertility can arise as a result of:
Neoplasms in the cervix and / or uterus, ovarian cysts, polycystic ovarian syndrome.
Tubal ligation or reanastomosis.
In men, the causes of infertility can be:
Consumption of certain medicines, such as cimetidine, spironolactone and nitrofurantoin
Scarring due to sexually transmitted diseases, injury or surgery
Toxins in the environment
Vasectomy or failure of the vasovasostomy.
Can infertility be prevented?
As a general rule, if the infertility is genetic or caused by an illness, it can not be remedied. However, there are certain things that favor infertility that can be avoided:
Take preventive measures against Sexually Transmitted Diseases (STDs).
Do not consume drugs. Do not drink alcohol frequently or in excess.
Maintain good personal hygiene.
In women, go for a gynecological examination once a year once they are sexually active.
In men, wear loose underwear and avoid hot baths, saunas and radiations.
What is the treatment of infertility?
The methods to treat infertility in men and women are the taking of hormones to balance the hormonal imbalance, the use of supplements to improve fertility and the taking of antibiotics when suffering from infection. In women, undergoing minor surgery that removes blocking tissues or scarring of the fallopian tubes, uterus or pelvic area is another option. If this does not work, you can proceed to assisted reproduction techniques.
Infertility is the inability to father children after a period of 12 months or more keeping unprotected sex. This term should be distinguished from sterility, which is the absolute inability to achieve pregnancy. According to the World Health Organization, infertility affects 15% of couples. In approximately 40% of cases, it is male infertility; in another 40%, the problem comes from the woman, and the remaining 20% either of the two, or unspecified causes. The causes may be varied: genetics, immune, endocrine, toxic, infectious, etc. So both partners must undergo medical tests. Treatment may include techniques such as in vitro fertilization, artificial insemination, transfer of zygotes to the fallopian tubes, intracytoplasmic sperm injection.
A prosthesis is specially designed to replace a body part either missing or to make it work better device. In the case of penile prosthesis it serves to hold this body straightening and also helps them erections last longer. When other medical treatments for impotence have not proved satisfactory and comfortable, the penile prosthesis is often a good choice. There are two main groups: the flexible and inflatable. The first, of silicone or polyurethane, are introduced into number two within the corpora cavernosa of the penis, allowing an erection firm enough for penetration to occur. The size of the prosthesis fits the penis, and all parts are invisible as are inserted under the skin. Such air or hydraulic work by a similar mechanism that occurs during erection and allow natural sagging state. The choice of one type or another depending on the type of patient.
The penis enlargement is a treatment that involves applying traction mechanisms for increasing the size of the flaccid penis. The penis, like any other organ, may differ in their morphology (length and diameter). According to statistics, flaccid length is between 6 and 10 cm; when erect, between 12 and 18 cm. Although only considered micropenis who has a long erect exceeding 8 cm, above which does not give rise to problems during sex, many men are obsessed with the size to the point of making it a psychological problem.
Peyronie's disease (also known as Peyronie syndrome) occurs when the area of fibrosis (scar) in the corpus cavernosum penis is formed. That area loses elasticity, and not stretch when the corpora cavernosa to fill in the erection, the penis is bent toward the scar. This curvature can become painful and even prevent intercourse. Although the average age of men affected is 50, also it occurs in young people. The exact cause of this disease is unknown, but can result from trauma when the penis is erect, such as during intercourse. Studies have linked the syndrome of Peyronie with an impaired immune system of man. In an initial phase, the treatment consists of drugs, but if the disease progresses and continues bowing of the penis, surgery may be necessary.
Phalloplasty is the operation that allows us to reconstruct or extend a penis of anatomical dimensions. In intervention own skin tissue and fat arm it is used. The penis resulting from the operation allows urination and presents tácil and erogenous sensitivity but needs a prosthesis to allow sexual penetration. This prosthesis must always be implanted in a second operation. The hard phalloplasty between 10 and 12 hours and should always be performed under general anesthesia.
Priapism is a prolonged and painful erection of the penis that is not associated with sexual stimulation, and can last from hours to several days. It occurs when the penis begins to fill with blood, as in a normal erection, but blood does not drain properly. It may be a result of illness or traumatic spinal cord injury or nerve centers of leukemia or inflammation of the urethra. But causes such as abuse of alcohol and other drugs (especially cocaine), consumption of antidepressants or to control blood pressure, or treatments for erectile dysfunction are also given. It is a problem that must be treated promptly by a medical professional, which drain blood from the penis with a needle and / or supply drugs
Sexual problems can present both women and men. In women it manifests with symptoms of pain during sexual intercourse, lack of orgasm and desire or arousal problems. In men we find erectile dysfunction, reduction or loss of sexual interest, problems with ejaculation or low testosterone. In both cases, the causes can be psychological stress-related, disease, drugs, or emotional or physical problems.
Surgical technique consisted in obtaining a sample of testicular tissue through an incision in the scrotum. The objective of this procedure is to diagnose some kind of illness or so therapeutic for assisted reproduction. In the first case a sample of testicular pulp is taken to assess testicular function and testicular tissue discover whether or not sperm produced. Also you can perform to a genetic or meiosis study. Regarding the therapeutic target, biopsy is performed to remove immature sperm, if one exists, for the purpose of assisted reproduction and freezing a sample buffer for reproduction cycles. Before biopsy is a preliminary study of the state of the male, both physical examination as a hormonal analytical ago to establish if required performing this test.
Penile fibrosis is a condition that involves the formation of a scar on the surface of the body, which eventually leads to loss of elasticity of the penis and, therefore, the Peyronie's disease. By no stretch when the corpora cavernosa to fill in the erection, the penis is bent in the direction of the scar. This curvature can become painful and even prevent intercourse. Although the average age of men affected is 50, also it occurs in young people. The exact cause of this disease is unknown but studies relate Peyronie syndrome with an impaired immune system of man. In addition, cases of traumatic penile fibrosis, which may be the result of injury occurred also occur when the penis is erect. In an initial phase, treatment for this condition is pharmacological, but if the disease progresses and continues bowing of the penis, surgery may be needed to avoid future complications.
A varicocele is a varicose vein tumor formed by an (unusually swollen vein) or a group of varices, usually located in the scrotum or in the spermatic cord. Usually develops during the course of puberty, most often on the left side of the scrotum, and although it is usually not harmful, in some people it can damage the testicles or decrease sperm production. If testicular varicocele causes infertility, surgery, called varicocelectomy, which involves cutting the affected veins for blood flow is performed. An alternative to surgery is varicocele embolization, which makes a much smaller incision and involves placing a catheter into the vein.
Vasectomy is the partial or total removal of the vas deferens of man, which are the tubes that carry sperm out of the testes. What it does is clog the channel sperm, and therefore prevent sperm out of the testes. So it is an effective method for birth control, since women can not become pregnant, but is not recommended in the short term, because for a while there remain stored sperm. This is a simple outpatient surgery, in most cases, in which local anesthesia is used. Recovery takes less than a week. After vasectomy, the man can still have orgasms and ejaculate semen.
Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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