Male Urologic Conditions

Penile Cancer

Penile cancer is a rare but potentially aggressive form of cancer.  It most commonly appears in men who are uncircumcised and in their 70s or 80s. Penile cancer may present as a painless firm lump or as a flat red lesion. It is important to speak to your primary doctor or urologist about any changes you may have noticed on your genitalia.

Erectile Dysfunction

ED, or Erectile Dysfunction, is described as difficulty obtaining or maintaining an erection during sexual intercourse. It is an extremely common condition that affects over 30 million men in the US alone.  It has been shown in several studies that over 50% of men between the ages of 40 and 70 suffer from some degree of ED. Multiple factors can affect or cause erectile dysfunction, including diabetes, hypertension, vascular disease, smoking, various medications, hormone problems or neurogenic disease. In previous years, treatment options were limited. However, today’s urologist may employ medical therapy, injection therapy, vacuum devices or surgical therapies to successfully treat ED.

Peyronies Disease

Peyronie’s disease is a condition noted to cause abnormal curvature of the penis. The cause is unknown but is estimated to be present in 4-5% of American men. It may present with a painful erection that begins to curve. The curvature may become so severe that sex is impossible, while other men may have less drastic changes.  There are numerous conservative and medical therapies, but they have limited effectiveness. Surgery may be an option if you have a more severe case. Talk to your primary care physician or call our office if you have noticed any signs or symptoms of Peyronie’s disease.

Premature Ejaculation

Premature ejaculation, or PE, is the inability to delay climax and ejaculation before or shortly after initiating sexual intercourse. This may have many negative personal consequences such as distress, bother, frustration, and/or the avoidance of sexual intimacy. It can also place a large strain on the patient’s personal life or marriage. It is present in 20-30% of men, and is more common in younger age groups. Your urologist at Central Texas Urology has many different treatment options for PE, ranging from simple behavioral techniques to topical treatments to prescribed medications.

Low Testosterone

Low Testosterone is a common condition now being increasingly recognized, diagnosed and treated. Studies estimate that over 15 million men suffer from decreased levels of testosterone. Normal aging leads to a gradual decline in the body’s normal hormonal balance. Symptoms may include a low sex drive, decreased energy levels, mood changes, loss of muscle mass, sexual dysfunction and increased body fat. Low testosterone can be diagnosed by simple blood work and may reveal a correctable cause. There are numerous treatment options available to correct low testosterone, so call today for your confidential evaluation.



Infertility is a common problem affecting millions of American couples. Fifty percent of the time, the problem can be attributed to the male reproductive system. Fertility evaluations are often done on the man and woman at the same time, and we have years of experience dealing with this sensitive medical issue. A complete history and physical, along with initial laboratory tests and semen analysis can often help pinpoint the cause of infertility in males. A variety of medical treatments, surgical procedures and assisted reproductive techniques are now widely available. At Central Texas Urology, we are committed to helping you and your partner start the family you want.

Testicular Cancer

Testicular cancer is a common cancer among young men, affecting those primarily in the 15-35 year old range. It is often diagnosed when the patient feels a strange lump or growth in the testicle, which is why urologists advocate monthly testicular self exams. There are other growths or enlargements that occur in the scrotum which may not represent cancer, but only your physician can reliably distinguish between a cancerous lesion and benign growth. Fortunately, testicular cancer is one of the most treatable cancers, especially when found early. Treatment almost always requires removal of the testicle by the urologist, followed by close observation, radiation therapy and/or chemotherapy.


A hydrocele is a fluid filled sac that accumulates around the testicle. This may occur after infection, trauma, or for no reason at all. Hydroceles are almost painless, and the only presenting symptom is enlargement of the scrotum. As always, any change or enlargement in the scrotum should be evaluated by an urologist, as it may represent a more serious underlying condition. Treatment may consist of a simple office procedure to remove the fluid, or a small surgical procedure to permanently correct the condition.


Varicoceles are collections of enlarged, dilated veins in the scrotum.  These are very similar to the varicose veins that many women develop in their legs. Varicoceles are very common and can be found in 15% of males. Most men do not experience any problems with varicoceles, but at times, they may be a source for testicular pain or cause issues with fertility or testicular growth. If any of these problems occur, varicoceles can be easily corrected by various minor outpatient surgical procedures

Prostate Conditions

What is a Prostate?

The prostate is a small walnut-shaped gland that is located above the bladder and lies on top of the rectum. The prostate surrounds the urethra, the tube leaving the bladder that transports urine to outside of the body. Its function is to produce liquid that aids and protects the sperm cells in semen during ejaculation. It is present from birth and grows in response to a special form of the male hormone testosterone.  As men grow older, the cells that make up the prostate may turn into cancer cells, leading to the development of prostate cancer. They may also continue to enlarge as men grow older, causing difficulty voiding later in life.

Prostate Cancer

Prostate cancer is the most commonly diagnosed male cancer in America, and the second leading cause of cancer deaths in men.  Around 1 in 6 men will develop prostate cancer in their lifetime, with the chances of developing prostate cancer becoming much more common as men grow older. Prostate cancer usually develops without any symptoms, and is most often discovered through screening exams performed by primary care physicians. A DRE, or digital rectal exam of the prostate, is often done in conjunction with a simple blood test known as a PSA. When there is a suspicion for prostate cancer, the diagnosis is made after a biopsy of the prostate is performed.  Once cancer is diagnosed, your urologist will explain the various treatment options in detail to you and your family. You may decide on surgery, radiation therapy or simple observation, depending on your overall health and specific cancer characteristics. Although many prostate cancers are slow growing, early detection and consultation with your urologist are key steps to avoid missing a potentially curable disease.  Talk to your family physician about yearly screening, or make an appointment today.

Elevated PSA

PSA refers to the blood test done to detect prostate cancer. PSA, or prostate specific antigen, is a protein produced by the prostate that is present in the blood stream. This test has been around since the 1980s and has been shown to be very effective in early detection of prostate cancer. When it becomes elevated above a certain level, there is concern that prostate cancer may be present. In addition, a rising PSA may also signify early prostate cancer. However, it is only a screening tool, and has several limitations. Other things can cause PSA elevation besides prostate cancer, such as infection or trauma to the prostate. Only a biopsy can confirm the presence or absence of prostate cancer.


Prostatitis is a common condition associated with pain and inflammation of the prostate gland. This may represent as an acute bacterial infection, chronic recurring infectious process, or non-infectious chronic inflammatory condition. The disease process affects young and old men, and can present with fever, chills, burning on urination, pelvic pain, or other various symptoms. Multiple treatment options are available and should be discussed with your urologist.


BPH, or benign prostatic hyperplasia, refers to the gradual enlargement of the prostate gland. This occurs to a certain degree in all men as they grow older, and is present in 50% of men in their 60s. Since the urine channel is surrounded by the prostate gland, the enlargement of the prostate can compress this channel and cause voiding symptoms. Men often present with difficulty starting their stream, slow or weak voiding, getting up at night to void and feelings of incomplete emptying. Symptoms typically progress with age and as the prostate increases in size. Treatment options may range from simple lifestyle modifications to medical therapy to minimally invasive surgical options.



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Central Texas Urology is proud to offer courteous, friendly, state-of-the-art, efficient care. We feel it is important for you and your family to understand as much as possible about your healthcare. We are dedicated to providing you with the best and latest information and procedures available.

601 W. Highway 6, Suite 105, Waco, Texas 76710 | 254-741-6113
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