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08.11.2014
Extracorporeal shock wave lithotripsy (ESWL) is a technique for treating stones in the kidney and ureter that does not require invasive surgery. The lithotriptor attempts to break up the stone with minimal collateral damage by using an externally-applied, focused, high-intensity acoustic pulse. A fluoroscopic x-ray imaging system or an ultrasound imaging system is used to locate the stone and aim the treatment head so that the focal point of the parabola of the shock wave is focused on the stone.
The successive shock wave pressure pulses result in direct shearing forces, as well as cavitation bubbles surrounding the stone, which fragment the stones into smaller pieces that then can easily pass through the ureters.
If a kidney stone becomes too large or painful to pass on its own, your doctor may recommend treatment with lithotripsy. The main advantage of this treatment is that many patients may be treated for kidney stones without invasive surgery.
In general, some type of anesthesia – either sedation, regional or general – helps the patient remain still and to reduce any discomfort.
Usually a lithotripsy patient is asked to strain his or her urine afterward to collect pieces for analysis and to determine what the stones are made of.
Through examination, x-ray and other tests, the doctor can decide whether this is the best treatment for the patient. In those patients who are thought to be good candidates for this treatment, about 70 to 90 percent are found to be free of stones within three months of treatment. Established in 1995, Pacific Urology is one of the most established urological practices in the San Francisco Bay Area. Pacific Urology offers treatment of kidney stones, impotence, incontinence, bladder and kidney cancers, prostate challenges and children's urological conditions. Best Enlarged Prostate, prostate health and BPH surgery for men with slow urine and trouble urinating. Epididymitis symptoms include lump and swelling in the testicles, tender and painful epididymis, painful testicles. During acute stage of epididymitis, it is very critical that the treatment be administered thoroughly as soon as symptoms are noticed. If not treated promptly or thoroughly, acute epididymitis may change to chronic epididymitis. Epididymitis and prostatitis are closely related as infection can easily move from the epididymis to the prostate or vice versa.
For acute epididymitis, heavy dosage of oral antibiotic treatment for prolonged period of time is recommended. For chronic epididymitis, conventional treatments are not effective anymore as the infection has reached into the deeper area of epididymis and start to show resistance to antibiotics. Epididymitis surgery such as epididymectomy is usually the final solution for chronic epididymitis for people in such countries such as United States, Canada, Australia and United Kingdom. A much better treatment option for epididymectomy surgery is epididymal injection which is a kind of treatment with much less side effects and risks.
For men who do not want to travel to our clinic for epididymitis surgery, a home remedy is available for home use. Aside from Cialis, the other drugs in this class are Viagra (Sildenafil) and Levitra (Vardenafil).
If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. For erectile dysfunction, take the dose just before sexual activity but not more than once per day. For use as needed: Take Cialis at least 30 minutes before sexual activity, as directed by your doctor.


Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension. Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis. The recommended dose of Cialis for once daily use is 5 mg, taken at approximately the same time every day. When therapy for BPH is initiated with Cialis and finasteride, the recommended dose of Cialis for once daily use is 5 mg, taken at approximately the same time every day for up to 26 weeks. The recommended dose of Cialis for once daily use is 5 mg, taken at approximately the same time every day, without regard to timing of sexual activity. All medicines may cause side effects, but most men taking Cialis do not experience significant side effects. Instead, high energy shock waves are passed through the body and used to break stones into pieces as small as grains of sand. The patient lies down in the apparatus bed, with the back supported by a water-filled coupling device placed at the level of kidneys. Pacific Urology has partnered with a Bay Area health system that has a dedicated, on-site Storz lithotripter machine.
This disadvantage is that the patient has to pass the small fragments of the original stone.
Uric acid and cysteine kidney stones are not visible on plain X-ray and cannot be easily treated using lithotripsy.
Many people can fully resume daily activities within one to two days. Special diets are not required, but drinking plenty of water helps the stone fragments pass.
Some pain may occur when the fragments pass, which begins soon after treatment and may last for up to four to eight weeks.
The size, number, location and composition of the stones are factors that must be taken into account when exploring treatment options. In some cases, extracorporeal shock wave lithotripsy may be combined with other forms of treatment.
The highest success rates seem to be in those patients with mobile stones that are located in the upper portions of the urinary tract (kidney and upper ureter). Our physicians are some of the most respected urologists in Northern California, with expertise in all areas of urologic care for men, women and children. Our urology specialists also excel in vasectomy reversals and infertility treatment, and have advanced skills in surgery – including performing robotic surgery with the da Vinci robot since 2002, long before the university hospitals in the Bay Area. Alex Shteynshlyuger is a fellowship trained board certified urologist with expertise in treating men with urinary problems and prostate problems including BPH, prostate cancer and prostatitis.
Top Urologist in Brooklyn, NYC, Manhattan, New Jersey Queens, Long Island and Staten Island. Epididymitis has a very close link with prostatitis as infections in both the epididymis and the prostate are often from the same source. Other pathogens such as virus, common bacteria, STDs and yeast are also cause of epididymitis. It is also important that symptoms of prostatitis are also likely when a man is infected with epididymitis. During this stage, a specialized epididymitis treatment is necessary as oral antibiotic treatment is not working anymore.
Clinically, most men develop prostatitis first, then symptoms of epididymitis appear in a couple of months. Although we do not recommended taking epididymitis surgery, especially epididymectomy, to treat epididymitis, many people choose to take such epididymal surgery to get some relief. Epididymal injection of antibiotics can quickly penetrate into infected epididymis and kill the pathogens there.


Herbal medicine remedies such as herbal tea remedy, sitz herbal bath remedy, epididymal plaster remedy are the TCM remedies for epididymitis, epididymal cyst and abscess. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Therefore, when advising patients on optimal use of Cialis, this should be taken into consideration. If you have questions about side effects call your doctor for medical advice about side effects. This means that Pacific Urology patients can often undergo lithotripsy treatment within 24-48 hours. It is common to pass blood in the urine after the procedure and to have pain in the kidney and ureter as the small stone fragments pass. In addition, stone fragments are occasionally left in the body and additional treatments are needed.
Patients are also advised to void through a stonescreen in order to capture stone fragments for analysis. Also the stones must be clearly viewed by the x-ray monitor so the shock waves can be targeted accurately. After treatment, some patients may still have stone fragments that are too large to be passed.
Such specialized treatments include epididymal injection remedy in our clinic which inject antibiotics into the epididymis. Epididymal injection therapy with antibiotics is the latest and newest medical surgery for men who want to get a complete cure on epididymitis. In a few weeks, the epididymal infection is thoroughly eradicated and epididymitis is cured. Cialis is indicated for the treatment of erectile dysfunction (ED, impotence) and indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH, enlarged prostate). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Tell your doctor if you are pregnant or plan to become pregnant during treatment with Adcirca. If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. If you believe that you are in need of lithotripsy treatments, please call us at 925-937-7740 or Request An Appointment online.
If anatomical abnormalities prevent this, other methods of stone removal may have to be considered.
In addition, herbal medicine acts as the natural antibiotics to inhibit the growth of infection. Cialis(Tadalafil) relaxes muscles and increases blood flow to particular areas of the body. For severe symptoms effective medications often work well as do minimally invasive surgical treatments. Another brand of Tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.



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