Area of passion and focus - ranging from ED and postprostatectomy stress incontinence to oncofertility (preserving fertility or pursuing fertility after cancer therapies, surgery/radiation/chemo)

Cancer Survivorship

UCLA Urology Web Profile

MLK Community Healthcare

Erectile Dysfunction (ED) is when a man has trouble getting or keeping an erection for sex. It can be caused by physical and psychological factors including diabetes, heart disease, stress, or anxiety. Treatments involve lifestyle changes such as exercising, quitting smoking, or managing stress. There are also oral medications or injections. Ultimately, surgical treatment is possible if these options do not work for you. It's important to talk to a doctor to find the best approach for you.

ED General and Medical Treatment

A penile prosthesis is a medical device surgically placed inside the penis to help men with erectile dysfunction (ED) achieve an erection. It is typically considered after other treatments for ED haven't worked (such as lifestyle modifications, medications, and injections). Lifestyle considerations, like maintaining a healthy diet and exercise routine, can also play a role in managing overall health and well-being.

ED Penile Prosthesis

Complex Prosthesis (Priapism, Infection)

Male incontinence is the unintentional leaking of urine, which can happen when coughing, laughing, or exercising. It may be caused by various factors, such as prostate issues, certain medications, or nerve damage. Treatment options typically include pelvic floor exercises, lifestyle changes like reducing caffeine and alcohol, and sometimes medical interventions. Remember, you're not alone, and there are effective ways to manage this condition.

Male Incontinence

Male infertility may be due to problems with sperm production or function/motility. Causes range from genetic factors to lifestyle choices like smoking or excessive alcohol use. Managing male infertility often involves lifestyle changes and sometimes medical treatments or assisted reproductive technologies. It's important to communicate openly with healthcare providers for support and guidance.

Male Infertility

Diagnosis after semen analysis - requires fellowship level expertise and often surgical treatment

Azoospermia

A vasectomy reversal is a surgical procedure that reconnects the tubes (vas deferens) cut during a vasectomy, allowing sperm to travel from the testicles to the urethra. Men may consider this procedure if they wish to father children following a vasectomy. Recovery typically involves some rest, and success largely depends on the time since the original vasectomy. Patients are encouraged to follow their doctor's advice for optimal healing.

Vasectomy Reversal

Peyronie's disease is a condition where scar tissue forms inside the penis, leading to curved, painful erections. This can result from injury or happen without a clear cause. While it might make sexual intercourse difficult, various treatments can help manage symptoms. Maintaining open communication with your healthcare provider and partner is important. Lifestyle adjustments, like quitting smoking, might also contribute to improved outcomes.

Peyronie's disease

Ischemic Priapism

Penile fracture is a rare but serious injury that occurs when the protective sheath around the erectile tissue in the penis tears, often due to sudden trauma or bending during intercourse. Symptoms include a popping sound, immediate pain, swelling, and bruising. Treatment usually requires prompt medical attention. To prevent it, being gentle and cautious during sexual activity is advised. If you suspect a penile fracture, seeking urgent care is important for recovery and function.

Penile fracture

Testicular cancer occurs when abnormal cells in the testicles grow out of control. It's most commonly found in young and middle-aged men. Key symptoms include a lump or swelling in the testicle and a feeling of heaviness in the scrotum. Early detection has high treatment success rates, often involving surgery, radiation, or chemotherapy. Regular self-exams and prompt medical attention for any changes can help with early diagnosis and effective management.

Testicular cancer

A hydrocele is a fluid-filled sac around a testicle, often causing swelling in the scrotum. It's usually painless and common in newborns, though it can affect males at any age. Hydroceles often resolve on their own, but persistent cases may require medical evaluation. Wearing supportive underwear and avoiding heavy lifting may help with discomfort. It's generally not harmful but should be monitored by a healthcare provider, and it may need surgical treatment depending on its size and symptoms.

Hydrocele

Testicular Prosthesis

A varicocele is a condition where veins inside the scrotum become enlarged, similar to varicose veins in the legs. This might cause discomfort, swelling, or a feeling of heaviness, but often it has no symptoms. While the exact cause isn't fully understood, it’s thought to result from blood pooling in the veins. Generally, a varicocele is not serious, but if it leads to problems like pain or fertility issues, a doctor can offer treatment options. Maintaining a healthy lifestyle and wearing supportive underwear might help manage symptoms.

Varicocele

Epididymectomy

Adult circumcision is a surgical procedure that involves the removal of the foreskin from the penis. It is often chosen for cultural, religious, or medical reasons. Key reasons can be cultural preferences or include recurring infections or tightness of the foreskin (phimosis). The procedure is generally safe but may require a couple weeks of recovery. Patients are encouraged to follow their doctor's advice on wound care and to avoid strenuous activities while healing.

Circumcision - Adults

Low testosterone, or low T, occurs when the body doesn't produce enough of the hormone testosterone. This can lead to symptoms like fatigue, low sex drive, mood changes, and decreased muscle mass. Causes can include aging, medical conditions, or certain medications. Managing low testosterone often involves lifestyle changes like diet and exercise, while medical evaluation can determine if treatment is needed. Understanding and addressing this condition can improve quality of life.

Low testosterone

Premature Ejaculation

Anorgasmia

Testicular pain is discomfort or aching in one or both testicles. It can be caused by various issues, such as injury, infection, or swelling due to conditions like a hernia. Rest, wearing supportive underwear, and avoiding strenuous activities can help ease mild symptoms. If the pain is severe or persistent, it's important to see a doctor to identify the cause and receive appropriate care.

Testicular pain

A vasectomy is a simple surgical procedure for men aimed at permanent birth control. During the procedure, the tubes that carry sperm from the testicles are cut or blocked, preventing sperm from reaching the semen. Recovery is usually quick, with most men returning to normal activities within a few days. It's important to note that a vasectomy doesn't affect sexual function or hormone levels.

Vasectomy

Benign Prostatic Hyperplasia (BPH) is a very common, non-cancerous enlargement of the prostate in men, often leading to urinary symptoms like frequent need to urinate, difficulty starting urination, or a weak stream. It generally occurs as men age. While not usually a serious health threat, managing BPH may involve lifestyle changes such as reducing caffeine and alcohol intake, and treatments may include lifestyle modifications, medications, or surgery.

BPH General and Medical Treatment

Juan José Andino

UCLA The Men's Clinic

MLK Wilmington - Urology

Sexual Medicine & Prosthetic Surgery Surgeon

Surgery (Urology)

Reproductive Urology & Male Infertility Specialist

UCLA Urology - Associate Residency Program Director

Conditions affecting male organs, fertility, and sexual health.

Men's Reproductive Health

Prostate problems that affect men's urination and health.

Prostate Conditions

Health conditions affecting sex organs, fertility, & sexual well-being.

Sexual and Reproductive Health

Conditions about getting pregnant, preventing it, and reproductive health.

Fertility and Family Planning

Health issues impacting women's bodies and well-being, including reproductive health.

Juan José Andino, MD/MBA

Cancer Survivorship

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