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Category Archives: News

image worried man
Categories: News, Andrology

Erectile dysfunction: when to worry about it and how to treat it

Erectile dysfunction in men: when to worry and how to treat it

By Dr. Pablo Juárez del Dago - Urologist. GUA Urology and Andrology.

Table of Contents

  1. What is erectile dysfunction in men?
  2. When to worry
  3. Main causes
  4. How it is diagnosed
  5. Effective treatments
  6. How we address erectile dysfunction at GUA
  7. Frequently asked questions
  8. Request an appointment

What is erectile dysfunction in men?

Erectile dysfunction in men is the ongoing difficulty in achieving or maintaining an erection firm enough for sexual activity.
It does not define those who suffer from it: it is a health indicator that requires medical attention and can be treated with excellent results.

When to worry

  • Persistence of the problem for more than 3-6 months.
  • Progressive decrease in rigidity or duration of erection.
  • Anxiety or impact on the partner.
  • Risk factors: diabetes, hypertension, high cholesterol, smoking, obesity.
  • Pain, curvature or associated hormonal changes.

Attention: Erectile dysfunction in men can be a vascular warning. Early detection also improves cardiovascular health.

Main causes

ED is usually multifactorial in origin:

  • Vascular: arteriosclerosis, hypertension, endothelial damage.
  • Neurological: neuropathies, pelvic injuries or prostate surgery.
  • Hormonal: low testosterone or thyroid disorders.
  • Pharmacological and toxic: some antihypertensives, alcohol and tobacco.
  • Psychological: performance anxiety, stress, relationship problems.

More information about erectile dysfunction - GUA Urology and Andrology.

How it is diagnosed

  • Clinical history and physical examination.
  • Hormone analysis and metabolic profile.
  • Penile Doppler ultrasound to assess arterial and venous flow.
  • Psychological and sexual evaluation.

Effective treatments

Habits and lifestyle

  • Regular exercise, balanced diet and adequate sleep.
  • Smoking cessation and alcohol reduction.
  • Stress management and improvement of sexual communication.

Sex therapy and psychological support

The emotional component is key. Sex therapy helps reduce performance anxiety and improves response to medical treatments.

3. Oral medication (iPDE5)

  • Sildenafil, tadalafil, vardenafil or avanafil, always under medical supervision.
  • They require sexual stimulation and control of interactions.

4. Local treatments and devices

  • Intracavernous injections or urethral suppositories (alprostadil).
  • Vacuum pump and constriction rings.

5. Penile implants

Definitive solution for refractory cases.
Visit our penile prosthesis page.

6. Innovative alternatives

  • Low intensity shock waves.
  • Regenerative therapies (under investigation).
  • New oral/local formulations.

How we address erectile dysfunction at GUA

Our philosophy: science + human warmth.
At GUA Urology and Andrology, we offer comprehensive diagnosis and personalized plans with continuous follow-up.

Request an appointment

Take the first step toward a fulfilling sex life today.
At GUA, we evaluate your case with discretion and offer personalized solutions.

"Erectile dysfunction in men can be treated. At GUA we help you regain your confidence and sexual well-being."

Frequently asked questions about erectile dysfunction

Can erectile dysfunction be cured?

It depends on the cause. In many cases it improves by treating the factors involved -such as controlling metabolic diseases or reducing stress-. In others, it may require ongoing treatment or the use of devices, drugs or combination therapies.

Do erection medications work for all men?

Not in all cases. Its effectiveness depends on the cause, the general state of health and adherence to medical guidelines. Adjusting the dose and accompanying it with healthy habits increases its effectiveness.

What if the drugs don't work for me?

There are alternatives: intracavernous injections, urethral suppositories, vacuum pumps or even penile implants for severe cases. At GUA we help you to evaluate the best option according to your diagnosis.

Does it have something to do with the heart?

Yes, in many men, erectile dysfunction can be an early vascular warning. Early detection can prevent or treat cardiovascular disease preventively.

Does age influence erectile dysfunction?

Not necessarily. Although it is more frequent with age, age is not a condemnation. The important thing is to identify the cause and apply the appropriate treatment to recover sexual function.

Movember 2025 Complete Guide to Men's Health Care
Categories: News, Movember

Movember 2025: a complete guide to men's health care

By Dr. Maria Fernanda Peraza Godoy - Specialist in Urology, Andrology and Sexual Medicine. GUA Urology and Andrology.

Movember 2025 men's health in Gran Canaria: at GUA Urology and Andrology we promote prevention, early diagnosis, and comprehensive check-ups to care for the prostate, testicles, hormones, and mental well-being.
Learn about our campaign.

Movember 2025: a complete guide to men's health care

Table of Contents

  1. Movember: what is it and why does it matter in 2025?
  2. Annual prostate check-up: more than an exam
  3. Urinary symptoms that you should not normalize
  4. Testicular self-examination in 3 steps
  5. Andropause (androgen deficiency): signs and approach
  6. Mental wellness: asking for help is also prevention
  7. Opening up to talk: the true act of fortitude
  8. How we help you at GUA
  9. Frequently Asked Questions (FAQ)
  10. Book your appointment: Gran Canaria

Movember: what is it and why does it matter in 2025?

Movember was born to raise the visibility of men's health and promote action against prostate cancer, testicular cancer and mental health. In 2025 it is still key: many men consult late, minimize symptoms and postpone check-ups. Movember 2025 men's health means moving from symbolic gesture to real prevention: check, consult and act in time.

External reference sources: Movember Foundation, WHO - Men's Health, AECC - Prostate Cancer, Ministry of Health.

Annual prostate check-up: more than an exam

Screening is not a formality; it is an opportunity for prevention and early detection. Starting at age 50 (or earlier if there is a history), we recommend an annual assessment that may include:

  • Total and free PSA to assess prostate cancer risk.
  • Digital rectal examination to identify changes in the gland.
  • Renovesical and prostatic ultrasound to evaluate bladder, prostate and flow.
  • Multiparametric resonance according to clinical indication.

These tests can detect early stage tumors and understand how prostate growth impacts your urination. If you are experiencing symptoms, book your evaluation at GUA.

Urinary symptoms that you should not normalize

Benign prostatic hyperplasia (BPH) is common and can compress the urethra. Warning signs:

  • Weak or choppy stream
  • Urge to urinate or leakage
  • Nocturia (getting up several times a night)
  • Feeling of incomplete emptying

GUA advice: don't put it down to "old age." An accurate assessment prevents infections, bladder damage, and, in extreme cases, retention with kidney involvement.
Make an appointment.

Testicular self-examination in 3 steps

  1. Perform it after showering, with the scrotum relaxed.
  2. Explore each testicle with both hands, looking for hard nodules or changes in size/shape.
  3. If you notice something new, consult. Early detection improves results.

Also check out our men's health content section and meet our team.

Andropause (androgen deficiency): signs and approach

Up to half of men aged 45-74 years may present compatible symptoms: fatigue, irritability, reduced sexual desire, sleep disturbances or loss of muscle mass. These are not "personal failures"; they are signs that deserve evaluation. Talking about it without shame is the first step to recover physical, emotional and sexual well-being. In consultation we evaluate clinical history, analytical and individualized treatment options.

Mental wellness: asking for help is also prevention

Mental health is part of men's health. Normalizing asking for help, exploring stress, insomnia or mood and referring to the right resources is key. At the Movember Foundation you'll find helpful support programs and guides. Remember: asking for help is prevention.

Opening up to talk: the true act of fortitude

Health does not improve with silence. Recognizing that something is wrong gives you control. Every consultation is an opportunity to build confidence, understand what the body is saying and act in time. At GUA we combine high precision diagnosis with close and personalized treatments.

How we help you at GUA

  • Prevention and Movember check-upsPSA, rectal examination, ultrasound and MRI as indicated.
  • Management of BPHHBP management: accurate diagnosis and personalized therapies.
  • Sexual and hormonal healthandrogen deficiency assessment and treatment options.
  • Comprehensive and confidential careClear communication, shared decisions and follow-up.

Learn more about the Movember campaign

Frequently Asked Questions (FAQ)

What does "Movember 2025 men's health" mean to me?

It is the annual reminder to prioritize your health: prostate examination, testicular self-examination, hormonal evaluation and mental wellness. If you live in Gran Canaria, ask for your appointment at GUA.

How often should I have my prostate checked?

From the age of 50, annually (earlier if there is a family history or urinary symptoms). PSA and digital rectal examination are complementary.

When should I consult for urinary symptoms?

If you notice weak stream, urgency, nocturia or incomplete emptying. Do not normalize. Schedule an evaluation to prevent complications.

Is andropause treatable?

There are options. The first step is a medical evaluation to decide the most appropriate approach for you.

Does testicular self-examination replace consultation?

No. It is a self-care tool. If you detect a change, consult to complete the study.

Book your appointment: Gran Canaria

This Movember, the gesture that counts is to ask for help in time. We are here to help you.

Illustration bladder urethra
Categories: News, Urology

Urethral stricture: a complete guide to understanding and treating it

By Dr. Héctor Ajubita Fernández - Urology Specialist. GUA Urology and Andrology.

Urethral stricture: a complete guide to understanding and treating it

Table of Contents

  1. What is urethral stricture and why does it matter?
  2. Symptoms and how it affects day-to-day life
  3. Diagnosis: what tests do we perform
  4. Treatments: from the simple approach to reconstruction
  5. Frequently asked questions
  6. Practical tips while waiting for the appraisal
  7. How we accompany you in GUA
  8. Make an appointment today

What is urethral stricture and why does it matter?

The urethral stricture is more than a narrowing of the urinary tract: it can significantly alter the quality of life. When pain, difficulty urinating or the sensation of incomplete emptying occurs, routine changes completely. Early detection and treatment prevents complications such as infections, urinary retention or progressive damage to the bladder and even the kidneys. The earlier you consult, the simpler the solution is usually.

Symptoms and how it affects day-to-day life

  • Weak or broken stream, straining to urinate, stinging and dribbling.
  • Recurrent urinary tract infections and sensation of incomplete emptying.

In addition to the physical aspect, many patients describe social limitations (constantly looking for toilets), anxiety about the possibility of retention and discomfort in their intimate life. Our approach seeks to restore your quality of life, not just "fix the urethra".

Diagnosis: what tests do we perform

At the first visit we explain each step to you. We use safe and well-tolerated tests to confirm the diagnosis and plan the best treatment:

  • Uroflowmetry: measures the strength and quantity of the jet.
  • Urological ultrasound: evaluates bladder and rules out complications.
  • Retrograde urethrography: shows narrowing.
  • Urethrocystoscopy: direct vision of the urethra with a flexible camera; it is performed under local anesthesia and the diagnosis is immediate. It is usually completed in minutes.

The objective is always to confirm the diagnosis in order to decide the most effective option in your case.

Treatments: from the simple approach to reconstruction

There is no universal treatment; we individualize each case. These are the most frequent options:

Urethral dilatations

Ambulatory procedure useful in mild stenosis. If it fails or the stricture recurs, more definitive alternatives should be considered.

Endoscopic internal urethrotomy

Minimally invasive technique that incises the narrowing from the inside, with endoscopic scalpel or laser. It is usually recommended in initial cases, congenital or with little fibrosis.

Paclitaxel Balloon Catheter Dilatation (OPTILUME)

A novel procedure that can be combined with urethrotomy in the same procedure. Paclitaxel reduces postoperative fibrosis and improves results, also on an outpatient basis.

Reconstructive surgery (urethroplasty)

Recommended in complex or recurrent stenosis. It offers the highest success rates and long-lasting results. In men with short strictures that do not affect the penile urethra, end-to-end anastomosis (resection of the diseased segment and joining the ends) can be performed. In long strictures or strictures that affect the penile urethra and in women, enlargement urethroplasty with buccal mucosa grafts (cheek, tongue or lip) is chosen. Two-stage surgeries are reserved for complex cases.

At GUA Urology and Andrology we have experience in urethral reconstructive surgery to offer definitive solutions in severe or recurrent strictures.

Frequently asked questions

Can urethral stricture recur?

Yes, it can in some cases. That is why regular follow-up after treatment is key.

Is the treatment painful?

The techniques are performed under anesthesia and are usually painless. The postoperative period is usually well tolerated, with progressive recovery.

Can it affect sex life?

After successful treatment, it is usual to resume a normal sex life. At GUA we also attend to this aspect to offer peace of mind and confidence.

Practical tips while waiting for the appraisal

  • Adequate hydrationlimit bladder irritants (alcohol, excessive coffee).
  • Do not delay urination when the desire arises.
  • In case of fever, severe pain or inability to urinate, consult urgently.

Important: these tips are not a substitute for medical evaluation. Urethral stricture always requires evaluation by a specialist.

How we accompany you in GUA

At GUA Urology and Andrology we offer a confidential, close and decisive environment. We perform the complete study (uroflowmetry, ultrasound, urethrography, endoscopy), indicate the most appropriate treatment -from outpatient options to reconstructive surgery- and plan the follow-up to prevent relapses.

Make an appointment today

Take the next step towards your wellness. Schedule your assessment with our specialists in Gran Canaria:

"Your urological health deserves specialized care. We're here to help."

male psychological therapy
Categories: News, Andrology

Psychological therapy for men: when to go and how it can help your intimate life

By Psychologist Jasmina García Velázquez - Specialist in Psychology and Sexuality.

For years, men's mental health has been a silenced topic. Social pressure to "be strong" and "solve problems alone" has led many men to delay seeking professional help. However, scientific evidence shows that untreated emotional disorders directly impact physical health, sexuality and the quality of relationships.

In urological and andrological consultations it is common to see patients who, in addition to a physical symptom, have anxiety, stress or emotional problems that aggravate their situation. Male sex therapy, combined with the medical approach, offers a complete path to wellness.

Table of Contents

  1. Warning signs: when to ask for help?
  2. Relationship between mind and male sexual health
  3. Benefits of psychological therapy in intimate life
  4. Interdisciplinary approach: medical and psychological work together
  5. Debunking common myths
  6. Clinical example: the failure spiral
  7. Practical tips to improve your intimate life
  8. How we accompany you in GUA
  9. Make an appointment today

Warning signs: when to ask for help?

Going to therapy does not mean weakness, but responsibility and self-care. Here are some signs that you could benefit from psychological help:

  • Anxiety or depression: insomnia, irritability, lack of concentration and persistent discouragement.
  • Chronic stress: work or personal burden affecting sexual and urinary performance.
  • Couple problems: frequent arguments, lack of communication or intimacy difficulties.
  • Sexual dysfunctions: premature ejaculation, erectile dysfunction or low desire when not explained only by physical causes.
  • Difficult medical processes: infertility, urological cancer or surgeries affecting body image.

Recognizing these signs early can make the difference between a problem that becomes chronic and a successful recovery.

Relationship between mind and male sexual health

Mind and body form an inseparable binomial. In male sexuality, emotional factors play a decisive role:

Erectile dysfunction and performance anxiety

Many men experience the so-called "failure spiral": after an episode of erectile difficulty, there is a fear of repeating it. This anxiety generates more tension and perpetuates the problem. The intervention of a psychologist for erectile dysfunction helps to break this vicious circle.

Premature ejaculation

Up to 30% of men suffer from it at some point in their lives. The psychological component - anxiety, hyperarousal, anticipatory thoughts - is usually decisive and responds very well to sex therapy.

Low sexual desire

It is not always hormonal. It is often related to depression, chronic fatigue or relationship conflicts. In therapy, both emotional causes and relationship patterns are addressed.

Male infertility

Receiving a diagnosis such as oligozoospermia or azoospermia generates a strong emotional impact. Feelings of guilt, low self-esteem and tension with the partner arise. Here, psychological help for men in sexuality is essential to sustain the process.

Benefits of psychological therapy in intimate life

The benefits of psychotherapy are not limited to emotional symptoms. Its effects reach sexual, couple and social life:

  • Improved communication in couples: learning to express fears, desires and expectations.
  • Anxiety and stress management: relaxation techniques and cognitive restructuring.
  • Strengthening of self-esteem: regaining personal security and sexual confidence.
  • Prevention of isolation: encourage the search for social and family support.
  • Accompaniment in medical processes: emotional support in situations such as prostate surgery or vasectomy.

Interdisciplinary approach: medical and psychological work together

The integrated approach combines the vision of the urology/andrology specialist with that of the clinical psychologist:

  • Urologist/andrologist: rules out organic causes (vascular, hormonal, neurological).
  • Clinical psychologist/sexologist: works with emotional and relationship factors.
  • Multidisciplinary team: the patient receives global care, without fragmenting his or her problem.

Debunking common myths

  • "Therapy is for the weak" → False. Seeking help is a sign of maturity.
  • "Sexual problems are only physical" → False. More than 50% have a strong psychological component.
  • "Going to a psychologist involves years of sessions" → False. Many specific dysfunctions improve in a few weeks.

Clinical example: the failure spiral

A 45-year-old man comes to the clinic for erectile dysfunction. After ruling out organic causes, a great anticipatory anxiety is identified: "it will fail me again". This belief reinforces the problem. The combined treatment -medication and cognitive-behavioral therapy- achieves better results than those obtained separately.

Practical tips to improve your intimate life

  • Take care of rest and nutrition: poor sleep and excess alcohol affect sexual function.
  • Talk to your partner: sharing concerns reduces tension.
  • Do not self-medicate: a specialist must assess each case.
  • Integrate physical exercise: improves self-esteem and erectile function.
  • Seek professional help: the sooner, the better the prognosis.

How we accompany you in GUA

At GUA Urology and Andrology we understand that sexual health is not only physical. Our medical and psychological team works in a coordinated way to offer you:

  • Medical diagnosis of sexual dysfunctions.
  • Psychological and sexological therapy specialized in men.
  • Continuous follow-up to ensure lasting recovery.

Also explore our male dysfunctions section and our blog articles for more information.

Make an appointment today

If you notice that your intimate life is affected by stress, anxiety or sexual dysfunction, don't let it go. Take the first step toward a fulfilling life:

"Taking care of your emotional and sexual health is investing in your well-being. We are here to help you."

nerve-pudendum-man
Categories: News, Urology

The pudendal nerve: the great unknown behind pelvic pain and sexual dysfunction in men

By Dr. Héctor Ajubita Fernández - Specialist in Urology and Andrology. GUA Urology and Andrology.

Table of Contents

  1. What is the pudendal nerve?
  2. Functions of the pudendal nerve in males
  3. Pudendalgia: symptoms and warning signs
  4. Diagnosis: Nantes criteria and available tests
  5. Treatments for pudendal nerve entrapment
  6. Impact on male quality of life
  7. How we help you at GUA Urology and Andrology
  8. Frequently asked questions
  9. Request an appointment

What is the pudendal nerve?

The pudendal nerve is one of the most important nerves in the male pelvic floor.
It originates from the sacral roots S2–S4 and runs through the pelvis, passing through critical areas such as Alcock's canal.
Along this path, it can suffer irritation, inflammation, or entrapment, causing pain and functional disorders known as pudendalgia.

Despite its importance, it remains a great unknown: many men suffer for years from pelvic pain or sexual problems without reaching an accurate diagnosis.

Functions of the pudendal nerve in males

The pudendal nerve serves several key functions:

  • Sensitive: provides sensitivity to the penis, scrotum, perineum, anus and urethra.
  • Motor: controls essential muscles such as the external urethral sphincter and the anal sphincter.
  • Autonomic: involved in erectile function and ejaculation.

Therefore, when this nerve is compromised, the symptoms affect not only the male pelvic floor,
but also the sexual and urinary spheres.

Pudendalgia: symptoms and warning signs

Entrapment of the pudendal nerve causes a set of very characteristic symptoms. Recognizing them is key in order not to confuse them with other urological pathologies.

Pelvic pain

  • Discomfort or severe pain in the perineal area.
  • Pain increases with sitting and improves with standing or sitting on the edge of the chair.
  • It may coexist with foreign body sensation in the urethra or rectum.

Urinary symptoms

  • Urinary urgency and need to urinate frequently.
  • Pain or stinging when urinating (dysuria).
  • Sensation of incomplete emptying of the bladder.

Sexual alterations

  • Erectile dysfunction, sometimes resistant to conventional drugs.
  • Painful ejaculation or discomfort during sexual intercourse.

This condition is often confused with chronic prostatitis,
which delays correct diagnosis and treatment.

Diagnosis: Nantes criteria and available tests

Diagnosis is based on the Nantes criteria, a set of clinical points that help identify pudendal neuralgia:

  • Pain that worsens when sitting.
  • Absence of pain during the night.
  • Pain that does not radiate outside the pudendal nerve territory.
  • Significant improvement after an anesthetic pudendal nerve block.

Imaging tests can provide information, but the most reliable confirmation is a positive response to a diagnostic block.

Treatments for pudendal nerve entrapment

Treatment is usually staggered, with less invasive options being sought first:

  • Conservative measures: pelvic floor physiotherapy, postural changes, decompression exercises.
  • Pharmacological treatment: neuromodulatory drugs for neuropathic pain.
  • Anesthetic blocks: applied with ultrasound or radiological control, they provide relief and confirm the diagnosis.
  • Neuromodulation: electrical stimulation of sacral roots or the pudendal nerve itself.
  • Decompression surgery: indicated only in selected and refractory cases.

Impact on male quality of life

Chronic pelvic pain and pudendal nerve dysfunction affect men's personal, sexual, work, and emotional lives.
Early diagnosis is essential to avoid years of suffering and improve quality of life.
The good news: effective treatments are available.

How we help you at GUA Urology and Andrology

At GUA Urology and Andrology, in Las Palmas de Gran Canaria, we have a team specializing in male pelvic floor dysfunction.
We take a comprehensive approach: we combine accurate clinical diagnosis, advanced testing, and pelvic physiotherapy, tailoring each treatment to the individual case.

Meet us: our medical team.

Frequently asked questions

  • Can pudendal nerve entrapment be cured? Many patients achieve significant improvement with physical therapy, blocks or neuromodulation.
  • Is it the same as chronic prostatitis? No. Although they share symptoms, the cause and treatment are different.
  • How long does it take to improve? It depends on each case and the time of evolution. Early detection facilitates recovery.

Request an appointment

If you suffer from pelvic pain or sexual dysfunction that could be related to the pudendal nerve, don't wait any longer.
Our team can help you regain your quality of life:

"Your pelvic and sexual health deserves specialized care. We're here to help you."

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