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ROBOTIC SURGERY

Category Archives: News

Illustration of ovary surrounded by spermatozoa.
Categories: Andrology, News

Male infertility: common causes and treatment options

By Dr. Alejandro Silva - Specialist in Andrology. GUA Urology and Andrology, Gran Canaria

Table of Contents

  1. Male infertility exists (and it's more common than you think)
  2. Main causes of male infertility
  3. How do we evaluate male fertility at GUA?
  4. Treatment options available
  5. Why is it so important to study man as well?
  6. Why choose GUA for your fertility study?
  7. Make an appointment today

Male infertility exists (and it's more common than you think)

Did you know that 1 in 6 couples have difficulty conceiving? And the most surprising thing: in at least half of the cases, the male factor is involved.

Even so, infertility is perceived as a "women's problem", which has made the role of men invisible. Many men do not consult because of embarrassment, misinformation or because they have never considered that they could be part of the problem.

Male infertility has nothing to do with virility or sexual desire. It is simply the ability to produce functional sperm capable of fertilizing an egg and achieving a viable pregnancy.

This is not only a fertility issue, but also a general male health issue. A sperm alteration can alert about hormonal imbalances, clinical varicoceles, or even genetic alterations that could go unnoticed if not studied rigorously.

Many cases have a solution, but require an accurate and specialized diagnosis.

Main causes of male infertility

Varicocele

Varicocele is the most frequent cause. It is an abnormal dilation of the veins of the scrotum, which raises the testicular temperature and alters the production of sperm and testosterone.

  • Even 1 degree too much can affect fertility.
  • Varicocele microsurgery has been shown to triple spontaneous pregnancy rates.

Furthermore, in our clinical experience, not all varicoceles require intervention. It is essential to make a personalized evaluation, since there are mild cases that do not affect fertility and other moderate cases that do require surgery. The important thing is not to assume or generalize.

2. Duct obstructions

In some men, the testicle produces sperm, but there is an obstruction that prevents it from reaching the ejaculate (obstructive azoospermia).

  • Causes: infections (chlamydia, gonorrhea), vasectomy, congenital malformations.
  • At GUA we can repair blockages or extract sperm directly.

Even in cases of vasectomy, reconstructive microsurgery allows fertility to be restored without the immediate need for assisted reproduction. This option is also more natural and is preferred by many patients.

3. Problems in sperm production

It is the non-obstructive azoospermia, when the testicle does not produce spermatozoa or does so in minimal quantities.

Thanks to the surgical microscope, today we can detect functional areas and recover viable spermatozoa in almost 50% of cases.

4. Genetic alterations

Between 10 and 15% of men with low sperm count have microdeletions of the Y chromosome, which affect spermatogenesis.

In these cases it is essential to perform a complete genetic study before attempting assisted reproduction.

How do we evaluate male fertility at GUA?

The study begins with a semen analysis, but it does not stop there. At GUA we perform a comprehensive evaluation, which includes:

  • Complete semenogram (volume, concentration, morphology and motility)
  • Testicular ultrasound and Doppler
  • Hormonal assessment: FSH, LH, testosterone, prolactin
  • Andrological physical examination
  • Testicular biopsy (when indicated)
  • Genetic studies: karyotype, FISH, microdeletions, etc.

We also assess environmental and lifestyle factors: smoking, cannabis use, excessive heat in the genital area (such as saunas or laptops on the lap) or use of anabolic steroids can all affect sperm count and should be considered in the approach.

A bad diagnosis can cost you years, money and opportunities. At GUA, we look at the whole picture from day one.

Treatment options available

Surgical techniques

Sperm recovery techniques

  • TESE / MicroTESE: direct testicular sperm extraction

3. Assisted reproduction

We work in coordination with fertility clinics to apply techniques such as ICSI (intracytoplasmic sperm injection).

4. Medical treatments and supplements

  • Hormone regulation and correction of deficits
  • Antioxidant supplementation when indicated

At GUA, we combine science and experience: we do not apply standardized protocols, but design specific plans for each patient. This not only improves success rates, but also reduces frustration and emotional toll on couples.

Why is it so important to study man as well?

Because in many cases, the problem is in him. And if it is not studied correctly, the couple may undergo costly and unnecessary treatments.

  • Male study is less invasive, faster and cheaper than female study
  • It can completely change the therapeutic approach

Studying the man is not optional. It is an essential part of the diagnosis.

Why choose GUA for your fertility study?

  • Andrology unit specializing in male fertility
  • We are located in Gran Canaria, with state-of-the-art diagnostic technology.
  • Urology, microsurgery and direct coordination with fertility clinics
  • Comprehensive evaluation in one place

Make an appointment today

Have you been looking for pregnancy for more than a year without success? Have you still not had a complete andrological study?

It's time to act. At GUA we are here to help you.

"Male infertility: not your fault, but your responsibility."

medical examination
Categories: News, Andrology

Erectile dysfunction: real solutions to get your sex life back on track

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

Table of Contents

  1. What is erectile dysfunction?
  2. Common causes of erectile dysfunction
  3. How do we assess erectile dysfunction in GUA?
  4. What can an erection reveal about your cardiovascular health?
  5. The importance of a specialized physical examination
  6. Effective treatments for erectile dysfunction
  7. Why choose GUA for your treatment?
  8. Conclusion: take the step towards your sexual well-being.

What is erectile dysfunction?

  • The erectile dysfunction is the persistent inability to achieve or maintain an erection that allows satisfactory sexual intercourse. It can come on gradually or suddenly, and always carries with it a significant emotional impact. In our experience, many men arrive convinced that the cause is "psychological", but in reality, a significant proportion has an organic cause, i.e. a physical problem that can be identified and treated with a rigorous clinical approach.

Common causes of erectile dysfunction

The most common factors include:

  • Psychological factors: performance anxiety, chronic stress, relationship problems.
  • Vascular disorders: diseases that hinder adequate blood flow, such as hypertension or atherosclerosis.
  • Hormonal imbalances: such as hypogonadism (testosterone deficiency), hyperprolactinemia, or thyroid disorders.
  • Neurological disorders.
  • Altered metabolism: such as type 2 diabetes, which damages nerves and vessels, or high cholesterol, which alters vascular elasticity.

💡 At GUA we use this consultation as an opportunity to diagnose underlying issues that affect your overall health.

How do we assess erectile dysfunction in GUA?

Our studies include:

  • Complete hormonal analyses, including total and free testosterone, prolactin, FSH, LH and thyroid profile.
  • Vascular evaluations (Echo Doppler): which allows us to visualize blood flow and detect possible obstructions or venous insufficiency.
  • Thorough physical examination of the penis, which is often overlooked, but may reveal structural pathologies such as fibrous plaques, non-physiological curvatures or asymmetries.
  • Assessment of the condition of the pelvic floor, whose dysfunction can affect rigidity and maintenance of erection.

We don't just prescribe drugs. We explore what others often overlook by performing erectile function studies and hormone analysis, but above all, we assess the physical condition of the penis, which is key to understanding the real cause.

What can an erection reveal about your cardiovascular health?

Erection is closely linked to vascular health. So when it fails, it can be an early sign that something is wrong with the circulatory system. In fact, recent studies and the European Urology Guidelines warn that even young men with no history of erectile dysfunction may have an elevated cardiovascular risk. At GUA, we assess all these aspects from the first consultation, not only to treat the symptom, but to understand its origin.

❤️ Early consultation not only allows you to recover your sex life, but also to detect in time possible cardiac problems that are still silent.

The importance of a specialized physical examination

Many clinics omit this step, but in GUA it is essential. Physical examination of the penis and pelvic area may reveal:

  • Fibrosis of corpora cavernosa, which prevents adequate filling during erection.

  • Signs of Peyronie's disease, such as plaques or curvatures that may cause pain or make penetration difficult.

  • Changes in sensitivity or muscle tone, which are associated with pelvic floor dysfunction.

🩺 These findings make it possible to choose more effective treatments and avoid inappropriate therapies that do not attack the real cause of the problem.

Effective treatments for erectile dysfunction

At GUA we combine advanced technology and regenerative medicine with a solid scientific basis:

Low intensity shock waves

  • They stimulate the regeneration of blood vessels.
  • Improve flow and oxygenation.
  • Storz Duolith® technology: customized, ambulatory and painless.
  • Non-invasive, painless and performed in an outpatient clinic.

Platelet Rich Plasma (PRP)

  • Repairs damaged tissues.
  • It is extracted from the patient himself.
  • Concentrated in growth factors that promote the regeneration of the corpora cavernosa.
  • It can be combined with shock waves.

🔬 Both therapies are backed by scientific evidence and more than 35 years of clinical experience in GUA.

Why choose GUA for your treatment?

Choosing GUA means choosing equipment that:

  • It is formed by specialists in andrology, regenerative urology and sexual medicine.
  • Uses advanced diagnostic equipment to explore all possible causes.
  • He has over 35 years of clinical experience, having successfully treated hundreds of cases.
  • It adopts a human, close and non-judgmental approach.

🔶 Book your appointment online at
📞 Phone: 928 264 695
📩 Email: info@urologiayandrologia.com

Conclusion: take the step towards your sexual well-being.

If you notice something has changed in your erectile function, don't ignore it or normalize it. At GUA we help you understand what's going on and find real and lasting solutions.

"It's not just about functioning. It's about living your sexuality with freedom, health and confidence."

Dr Pablo Juárez del Dago with the drug Bioksan Peseax
Categories: News, Urology

Natural Remedies for the Prostate: A Comprehensive Guide

Prostate health is critical to a man's overall well-being, but is often overlooked until problems arise. Maintaining proper balance in this area not only impacts urinary function, but also plays a crucial role in reproductive and hormonal health. Fortunately, there are natural solutions backed by scientific studies that can support optimal prostate function. In this article, we explore the benefits and the most effective natural ingredients to care for your prostate and improve your quality of life.

Prostate health benefits

Prostate care offers important benefits for men's health, such as the following:

Maintenance of prostate function: Contributes to the proper functioning of the prostate and prevents possible related disorders.

Hormonal balance: Helps regulate dihydrotestosterone (DHT) levels, a key factor in prostate enlargement, promoting a healthy hormonal balance.

Reproductive function support: Supports male reproductive health by maintaining optimal levels of testosterone and other hormonal factors.

Key ingredients for prostate wellness

Here are some natural ingredients that have been shown to be effective in supporting prostate health:

Enotprost® (Epilobium Angustifolium): This patented extract is known to inhibit 5-alpha-reductase, an enzyme responsible for the conversion of testosterone to DHT. By reducing DHT levels, it helps prevent prostate enlargement. In addition, it possesses anti-inflammatory and antioxidant properties that improve overall health. Clinical studies have demonstrated its efficacy in improving urinary symptoms and quality of life in men.

Serenoa repens and Pygeum africanum: This combination of herbal extracts works synergistically with Enotprost® to optimize the effects in reducing DHT, improving urinary flow and preventing prostate overgrowth. They are recognized for their anti-inflammatory and urinary function support properties.

Zinc, Selenium and Vitamin B6: These micronutrients are essential for hormonal balance and cellular protection. Zinc and selenium contribute to the maintenance of healthy testosterone levels, while vitamin B6 plays a crucial role in overall well-being and the reduction of oxidative stress in cells.

Peseax: a natural option for your prostate health

If you are looking for an option that combines all these effective ingredients in one supplement, Peseax is an excellent choice. This product has been formulated with extracts such as Enotprost®, Serenoa repens and Pygeum africanum, as well as key micronutrients such as Zinc, Selenium and Vitamin B6. With its potent combination of natural ingredients, Peseax offers a comprehensive approach to support your prostate health, promoting hormonal balance and proper urinary function.

The use of Peseax can help you keep your prostate in optimal condition and reduce urinary symptoms associated with prostate enlargement. Remember that, although natural supplements can be a great ally, it is important to complement them with healthy habits such as a balanced diet and regular exercise.

A holistic approach to male wellness

Prostate health care depends not only on natural ingredients, but also on adopting healthy habits in your daily routine. A balanced diet, regular exercise and regular visits to the specialist are essential to keep the prostate in optimal condition. If you experience urinary discomfort or have doubts about your prostate health, do not hesitate to consult one of our specialists, such as Dr. Pablo Juarez del Dago, who, in addition to appearing in the photo below, will be able to offer you the best guidance on the options available to take care of your urological health.

 

graph male urinary system
Categories: News, Urology

How to improve urinary tract health: habits, diet and supplements

Taking care of the urinary tract is key to prevent discomfort, recurrent infections and complications. Adopting healthy habits, following a balanced diet and considering the use of supplements are effective strategies to keep this system in good condition. At GUA Urology and Andrologywe have professionals such as Dr. Pablo Juarez del Dagowho can help you prevent and treat urinary disorders with a personalized approach.

Hydration: The foundation for a healthy urinary tract

Water helps eliminate bacteria and toxins from the urinary tract. The ideal is to drink between 6-8 glasses a day, adjusting according to individual needs. Fluids can also be supplemented with natural infusions, such as cranberry tea, for its antioxidant properties.

Diet for urinary health

Proper nutrition contributes to the health of the urinary system. It is recommended to incorporate foods rich in antioxidants such as cranberries, citrus fruits, green leafy vegetables and probiotics. These strengthen the immune system, reduce inflammation and hinder bacterial growth.

On the other hand, it is advisable to avoid irritants such as coffee, alcohol and spicy foods, as they can cause discomfort and affect the balance of the urinary tract.

A reliable food supplement: Uriex

Uriex is a supplement formulated to prevent urinary tract infections and promote a healthy urinary tract. It contains key ingredients backed by scientific evidence:

  • D-mannoseD-mannose: A natural sugar that prevents bacteria such as E. coli from adhering to the walls of the bladder, facilitating its expulsion. Ideal to prevent recurrent infections.
  • Cranberry extractRich in proanthocyanidins, it reduces bacterial adhesion and provides protective antioxidants.
  • Vitamin CStrengthens the immune system and acidifies the urine, hindering bacterial growth.
  • Aloe VeraAloe Vera: Contributes to the maintenance of natural defenses against microorganisms.
  • Probiotics (L. acidophillus and L. rhamnosus)They help maintain the balance of intestinal and vaginal flora, essential for urinary health.

Benefits of supplementation:

Thanks to its formulation with natural ingredients and safe for daily use, Uriex is an excellent choice for preventing recurrent urinary tract infections and improving urinary tract health. However, it is always advisable to consult a physician before starting any supplement.

Healthy habits for a strong urinary tract

Small changes in routine can make a difference in preventing urinary tract infections:

  • Urinate regularly and do not hold urine for long periods.
  • Empty the bladder after sexual intercourse to reduce the risk of infections.
  • Maintain good intimate hygiene with appropriate products.
  • Wear cotton underwear and avoid tight-fitting garments.

When to consult a physician

It is important to see a health professional if you have symptoms such as:

  • Pain or burning when urinating.
  • Blood in the urine.
  • Fever or chills.
  • Lumbar pain.

If you experience any of these discomforts, we can help you. Make an appointment with our specialists through the following link: Make an appointment online.

Conclusion

Protecting the urinary tract is possible through adequate hydration, a balanced diet, preventive habits and specific supplements. At GUA Urology and Andrologywe offer specialized attention to take care of your urinary health.

Categories: News, Andrology

Bladder Cancer: Diagnosis, Treatment and Advances in Robotic Surgery

Bladder cancer is one of the most common types of urinary tract cancer and ranks fourth in frequency among tumors diagnosed in our country. This type of cancer affects the bladder, a hollow muscular organ located in the lower abdomen, whose main function is to store urine. The good news is that, in most cases, bladder cancer is detected in early stages, which allows for highly effective treatment and the possibility of maintaining a good quality of life for patients.

Early Diagnosis: Key in the Treatment of Bladder Cancer

Detecting bladder cancer in its early stages is crucial to offer curative treatment and ensure a good quality of life. At GUA Urology and Andrology, we have the most advanced technology for early detection, such as high-definition cystoscopy, which allows us to accurately visualize the inside of the bladder and detect any abnormality in its early stages. This approach allows us to design a personalized and effective treatment for each patient.

Treatment options

Treatment of bladder cancer varies depending on the stage of the disease. In the early stages, minimally invasive treatments such as transurethral resection of the bladder (TUR) may be chosen. This procedure is performed through the urethra and allows removal of small tumors without the need for external incisions.

In cases where the cancer has invaded the bladder muscle, an intervention such as cystectomy (removal of the bladder) is required. Traditionally, this procedure involved the creation of an external urinary diversion, forcing the patient to use an external urine bag. However, advances in robotic surgery have revolutionized this area, allowing for less invasive solutions with better results.

Robotic surgery: A revolutionary advance

At GUA Urology and Andrology, we have integrated state-of-the-art robotic surgery, such as Medtronic's Hugo RAS system, to provide more precise procedures with fewer complications. Robotic surgery allows for smaller incisions and more precise control of every movement, resulting in faster recovery and less post-operative pain.

Advantages of robotic surgery in the treatment of bladder cancer

  1. Less invasive and more precise: Smaller incisions mean less pain and faster recovery.
  2. Preservation of the quality of life: The creation of neobladders allows patients to maintain a more natural urinary function, avoiding the use of an external urostomy bag.
  3. Reduced complications: The precision of robotic surgery minimizes the risk of infections and bleeding.
  4. Preservation of sexual function: Robotic surgery helps preserve sexual function, which is crucial to patients' quality of life.

NeovejigasNeovejigas: Innovation in bladder cancer surgery

One of the most significant advances in the treatment of bladder cancer is the creation of neobladders, a procedure that involves the reconstruction of a new bladder using a portion of the patient's bowel. This method allows urination to be more natural, significantly improving quality of life. Thanks to robotic surgery, this procedure is performed with greater precision, reducing side effects and improving long-term results.

At GUA Urology and Andrology, we are specialists in the diagnosis and treatment of bladder cancer and in performing robotic surgeries. If you have been diagnosed with bladder cancer or suspect you might have it, do not hesitate to contact us. We have the best diagnostic tests and a team of expert surgeons to provide you with the care you need.

We are here to offer you the best possible treatment and help you maintain a full and healthy life.

☎️ 928 264 695

📲 629 334 583. WhatsApp

📩 info@urologiayandrologia.com

➡️www.urologiayandrologia.com

José Mesa y López, 54. Las Palmas de Gran Canaria.

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