Clear answers to common urology questions.

HIFU, or high-intensity focused ultrasound, may be an option for select patients with recurrent prostate cancer. It is a targeted treatment that uses focused ultrasound energy to destroy selected prostate tissue while trying to limit damage to surrounding structures.

Whether HIFU is appropriate depends on several factors, including prior treatment, PSA history, MRI or PSMA PET findings, biopsy results, cancer location, whether disease is localized, and your overall health. The safest next step is to have your records reviewed by a urologist who treats prostate cancer.

No. HIFU is not right for every patient. It may be considered in carefully selected cases, but recurrent prostate cancer requires individualized evaluation. Some patients may need radiation, surgery, systemic therapy, active surveillance, or another treatment approach.

Some kidney stones are small enough to pass on their own without causing lasting damage. However, a kidney stone that blocks urine flow can cause hydronephrosis, severe pain, infection, and possible kidney damage if the blockage is not relieved.

Warning signs that need urgent attention include fever, chills, uncontrolled pain, nausea, vomiting, difficulty urinating, or signs of infection. Hydration can help some stones pass, but not every stone should simply be watched.

The chance of passing a kidney stone depends on stone size, location, symptoms, infection risk, kidney function, and whether the stone is blocking urine flow. Imaging and evaluation help determine whether observation, medication, or a procedure is safest.

There are several options, but the right treatment depends on the type of incontinence. Stress incontinence, urgency incontinence, mixed incontinence, overflow incontinence, and leakage related to pelvic floor weakness can require different care plans.

Options may include bladder training, timed voiding, pelvic floor physical therapy, Kegel exercises, lifestyle changes, medications, medical devices, injections, nerve stimulation, or surgery in select cases.

Urinary leakage is common, but that does not mean you have to live with it. Many patients improve with conservative treatment such as pelvic floor therapy, bladder training, and lifestyle changes. A urologic evaluation can help identify the cause.

No. Erectile dysfunction can happen at any adult age. In younger men, ED may be related to stress, anxiety, depression, relationship strain, medication effects, low testosterone, diabetes, blood pressure, smoking, alcohol use, vascular health, or other medical factors.

Persistent erection problems should be evaluated because ED can sometimes be a sign of an underlying health issue. The goal of care is not only to improve sexual function, but also to identify and address any contributing medical concerns.

Treatment may include lifestyle changes, management of underlying health conditions, oral medications, testosterone evaluation when appropriate, injection therapy, vacuum erection devices, counseling when anxiety or relationship factors are involved, or penile implant surgery for select patients.

You should consider seeing a urologist for blood in the urine, kidney stone symptoms, urinary leakage, recurrent urinary tract infections, prostate concerns, erectile dysfunction, testicular pain, pelvic pain, or urinary symptoms that persist or worsen.

Yes. Urology care often involves sensitive concerns, and Health Orlando Urology provides private, respectful care for men and women in a professional medical setting.

You can request an appointment online or call Health Orlando Urology at (407) 808-5656. The office is located at 1056 E. Osceola Parkway, Kissimmee, FL 34744.