Our center for general male urology, reconstruction and sexual health is a world leader in treating urethral and prostatic disease, as well as impotence or erectile dysfunction. We specialize in evaluating and delivering innovative treatments, educating patients and their families about treatment options and providing comprehensive care for each individual patient. At Keck Medicine of USC, we have performed more artificial sphincter surgery and penile prosthesis placements than any other institution in the western United States. We have referrals from throughout the country for patients who have failed treatment at other centers.
Benign Prostatic Hyperplasia (BPH)
BPH refers to a condition where the prostate gland grows and leads to obstruction of the bladder, leading to difficulty voiding. Symptoms can include inability to initiate voiding, a weak urinary stream, increased frequency of urination during the day and at night, a feeling of incomplete emptying or inability to void. Depending on the severity of your condition treatment includes lifestyle modifications, medications, or surgery. At Keck Medicine of USC, we encourage patients to take an active role in the decision-making process after having learned the facts about their condition.
Incontinence in men can be caused from a number of conditions, including prostatectomy for prostate cancer, neurologic conditions or from an enlarged prostate causing over flow incontinence. At Keck Medicine of USC we treat not only the symptom, but more importantly, discover the underlying cause and address that issue. We employ the latest in diagnostics and treatments to help our patients. We offer one of the largest series of surgical treatments for male urinary incontinence, including placement of more than 1,000 artificial urinary sphincters over the past three decades.
Urethreal Stricture Disease
Urethral stricture disease is a condition which leads to narrowing of the lumen of the urethra. Although uncommon in women due to the relatively shorter urethral length, men are subject to the condition because of their longer urethra. Strictures are caused from previous trauma, from sexually transmitted infections or sometimes from previous surgeries. At Keck Medicine of USC, our team of surgeons specialize in urethral reconstruction which addresses urethral strictures, often with unique repairs developed or refined by our surgeons.
Prostatitis and Pelvic Pain
Prostatitis, or inflammation of the prostate, affects men of all ages. Our physicians tailor treatment to each individual patient’s needs, depending on the type of prostatitis presented. These treatments include anti-inflammatory medications, antibiotics and surgical options.
Erectile Dysfunction (ED)
Erectile dysfunction or impotence can not only affect a patient’s quality of life, but can be one of the first signs of systemic disease, including atherosclerosis or vascular disease. Sometimes it can be a result of medications the patient is on and other times it may be a result of previous trauma or surgery. At Keck Medicine of USC, we will work with the patient to determine the underlying cause of the problem. In addition to conventional medical treatment, either through oral medications or injections, at Keck Medicine we offer one of the largest series of surgical treatments for ED as well as Peyronie’s Disease (abnormal curvature of the penis due to abnormal penile scaring). We are a recognized world leader in placement of penile prosthesis.
Keck Medicine of USC urologists employ the latest techniques in laser prostatectomy to help treat benign prostatic hyperplasia (BPH) and relieve obstructive symptoms. With the use of this procedure, patients have a short recovery time and see rapid symptom relief.
Bladder symptoms are not just confined to female patients. In fact, men are just as likely as women to be bothered by certain types of bladder dysfunction. Symptoms may be related to the bladder, the prostate or both. Keck Medicine urologists are highly skilled in diagnosing the cause of symptoms and offer a full array of possible treatment options.
Patients with neurological diseases such as multiple sclerosis, Parkinson’s, spinal cord injury and spina bifida can experience problems with the lower urinary tract, leading to a condition called neurogenic bladder. Treatment options for this condition include medications, botulinum toxin (Botox) and sacral nerve stimulation, as well as minimally invasive and surgical options.
Keck Medicine of USC urologists provide various medical therapies related to BPH. These treatments tend to be in the form of pills, Botox injections and other therapies. Clinical trials in this area are also available for patients who meet proper criteria.
Biofeedback is a form of physical therapy in which the patient is taught how to relax the pelvic floor muscle to facilitate voiding and to improve control. It usually requires regular treatments and has been shown to be effective in certain types of voiding dysfunction.
Individuals who have undergone genito-urinary and colorectal procedures that have lessened their bowel and bladder control or sexual function can be helped with genito-urinary reconstructive surgery. Keck Medicine’s urological team offers robotic and laparoscopic surgery for a wide variety of reconstructive procedures.
USC’s urologic surgeons have extensive experience with complex reconstructive techniques such as robotic and laparoscopic pyeloplasty, ureteral reimplantation, Boari flap, ileal ureteral replacement and augmentation enterocystoplasty.
Minority Men’s Health Center
Housed at LAC+USC Medical Center, the Minority Men’s Health Center offers unique screening services to minority men in the surrounding community. Our physicians provide free prostate cancer screenings, and, in collaboration with LAC+USC Medical Center, the services are expanded to screenings for cholesterol, diabetes, heart disease and other conditions. Keck Medicine urologists from the Minority Men’s Health Center participate in semi-annual health fairs to provide further service to the community.
Outcomes Analysis Center
The Outcomes Analysis Center contains a computerized database with information from patients evaluated at Keck Medicine of USC. This information helps to improve future clinical care and research. All individualized data are for internal medical use and academic research only. Patient confidentiality is never compromised.
Outpatient Tumor Ablation
Leading-edge techniques for robotic image-guided surgery are being developed at our Center for Outpatient Tumor Ablation. The most important feature of the center is the creation of the world’s first completely automated robotic operating room. Our goal for the future of the center is to develop energy-based focal therapy treatments for prostate and kidney cancer.
The USC Institute of Urology has partnered with the Center for Male Reproductive Medicine and Vasectomy Reversal.