UPMC Men’s Health Center can help patients with:
Delayed or Absent Ejaculation
Delayed ejaculation is the inability of a man to achieve climax within a reasonable amount of time. An estimated 4% of men may suffer from delayed ejaculation, and it may be a lifelong problem or related to a specific situation. The Men’s Health Center provides a comprehensive medical, surgical and psychological history review as well as a thorough physical examination and coordination of psychological and neurological evaluation to put together appropriate treatment plans.
Erectile Dysfunction (ED)
Erectile Dysfunction (ED) is the inability to achieve or maintain an erection adequate for sexual intercourse. This is a common issue impacting almost 50% of men ranging from 40 to 70 years of age. Our goal at The Men’s Health Center is to diagnose the cause of ED by evaluating the man’s overall health and risk factors, including cardiovascular health and lifestyle changes, providing customized therapy and care. We offer individualized treatment plans, including oral medications, injection therapy, and surgical correction of ED.
When couples struggle with infertility, timely evaluation of the male partner is crucial. The Men’s Health Center at UPMC offers all aspects of male fertility diagnosis and treatment. Male fertility problems can stem from hormone imbalances, anatomic abnormalities, genetic factors, and medical factors. Our physicians will diagnose the issue and offer personalized treatment options, including medical and state-of-the-art surgical management.
Low testosterone, or hypogonadism, is a reduction in the amount of testosterone being produced by the body. Patients experiencing low testosterone may report fatigue, erectile dysfunction, lack of motivation, diminished libido, loss of lean muscle mass, and decreased bone density. This is a complex disorder that requires expert treatment, including education on lifestyle changes as well as medical therapy. The Men’s Health Center at UPMC offers a wide range of treatment options for low testosterone to meet each patient’s needs.
Peyronie’s disease is an inflammatory condition that is often debilitating where scar tissue, or plaque, forms inside of the penis, causing a curved erection that can prevent normal erectile function, which, in turn, interferes with the ability to penetrate during intercourse. This plaque is often dense and can usually be felt through the penile skin. We offer both medical and surgical therapies for Peyronie’s disease, using today’s most sophisticated and cutting-edge treatments.
Post-Prostatectomy Erectile Dysfunction and Penile Rehabilitation
After pelvic surgery, especially for prostate and bladder cancers, men are at risk for losing some degree of erectile function. The Men’s Health Center offers cancer survivors comprehensive expertise with evidence-based treatment options to preserve sexual function to preserve as much sexual function as possible. Research suggests that men participating in a penile rehabilitation program experience return of intimacy more often than men who do not seek treatment. We offer pre-surgical counseling and post-surgical guidance with treatment options to give men the best chance of restoring intimacy and sexual function with their partners.
Post-Prostatectomy Urinary Incontinence
After pelvic surgery, especially for prostate and bladder cancers, men are at risk for losing some degree of the ability to control urination. The Men’s Health Center at UPMC offers cancer survivors comprehensive expertise with evidence-based treatment options to preserve and regain urinary control to preserve as much sexual function as possible. There are medications or behavioral techniques and exercises that will help teach men to regain urinary control. For men with more severe urinary leakage, there are surgical options available. We offer pre-surgical counseling and post-surgical guidance with treatment options to give men the best chance of restoring urinary control.
Premature ejaculation is when ejaculation happens in response to minimal stimulation just before or shortly after penetration. It has various timing definitions ranging from ejaculating before penetration to ejaculating prior to the partner’s orgasm is reached. Overall, a man or a couple can suffer from premature ejaculation if one or both is unhappy and dissatisfied with how rapidly the man ejaculates. It is a common condition and can affect up to 30% of men. There are various treatment options available that mostly center around behavioral, neurological, and hormonal adjustments.
At times, the only method for a couple to achieve biologic fatherhood is through surgical sperm extraction. At The Men’s Health Center at UPMC, experienced surgeons use advanced microsurgical techniques, including microdissection testicular sperm extraction (microTESE), to extract sperm for in vitro fertilization. The care plan is coordinated with the female partner’s reproductive endocrinologist. There are several ways to do this procedure, and the physicians at The Men’s Health Center at UPMC will work with each patient to determine which option is best for his individual needs.
When a couple has met their fertility goals, physicians at The Men’s Health Center at UPMC offer vasectomy as a permanent surgical option for contraception. Vasectomy is a safe, minimally invasive office procedure that takes less than 30 minutes to complete. Physicians at The Men’s Health Center at UPMC use the no-scalpel technique to minimize incision size and shorten recovery time.
Vasectomy reversal is an option for couples who would like to conceive a child naturally after a vasectomy has been performed. Patients are seen by highly-trained surgeons, and our physicians offer two different surgeries (vasovasostomy and vasoepididymostomy) to restore flow of sperm for couples to pursue spontaneous pregnancy. Freezing sperm at the time of reversal is also offered.
Our Men’s Health Experts
Our providers understand the intimate nature of male sexual difficulties, and we are dedicated to helping you restore your normal level of sexual function in a comfortable, educational, and discreet environment.
Kathleen Hwang, MD
Paul Rusilko, DO, FACS
Male reproductive health services at the UPMC Men’s Health Center are provided in partnership with UPMC Magee-Women's Hospital.