It is an involuntary loss of urine that occurs during a physical activity such as coughing, sneezing, laughing, or exercising. 

Stress urinary incontinence may occur as a result of weakening of the pelvic muscles that support the bladder and urethra or because the urethral sphincter is not functioning properly. 

The weakening can be caused by: 

Birth 

Injury in the urethral area 

Medicines 

Surgery of the prostate or pelvic area 

The treatment depends on the severity of the symptoms and how much they affect your daily life 

There are four types of treatment for stress urinary incontinence: 

. Behavior changes 

. Medicines 

. Training the pelvic floor muscles 

. Surgery 

Urinary Stress Incontinence is not part of aging. It has a solution 

The infertility or incapacity of pregnancy of a couple is defined as: 

Primary infertility when the couple has never achieved a pregnancy in natural ways 

Secondary infertility after a first pregnancy and the couple does not get another pregnancy. It must take at least twelve months from the previous pregnancy to be considered sterile 

To establish a diagnosis, a procedure of different stages must be followed, including questioning, physical examination and diagnostic tests. 

In men, they will begin to study with spermatobioscopy, which is the study of semen, where we can evaluate sperm from the point of view of quantity and quality. 

Within the study of infertility in the male, one of the most frequent causes is the presence of varicocele. This is an abnormal thickening of the veins in the cord that drain the testicles. 

The main symptoms are a sensation of heaviness in the scrotum, pain in the scrotum of the affected side, decreased scrotal volume and increased volume of the veins, either visible or palpable. 

The varicocele usually does not present symptoms, although there are studies in which, upon receiving treatment, an improvement in semen quality of 57% is found. 

The infertility or incapacity of pregnancy of a couple is defined as: 

Primary infertility when the couple has never achieved a pregnancy in natural ways 

Secondary infertility after a first pregnancy and the couple does not get another pregnancy. It must take at least twelve months from the previous pregnancy to be considered sterile 

To establish a diagnosis, a procedure of different stages must be followed, including questioning, physical examination and diagnostic tests. 

In men, they will begin to study with spermatobioscopy, which is the study of semen, where we can evaluate sperm from the point of view of quantity and quality. 

Within the study of infertility in the male, one of the most frequent causes is the presence of varicocele. This is an abnormal thickening of the veins in the cord that drain the testicles. 

The main symptoms are a sensation of heaviness in the scrotum, pain in the scrotum of the affected side, decreased scrotal volume and increased volume of the veins, either visible or palpable. 

The varicocele usually does not present symptoms, although there are studies in which, upon receiving treatment, an improvement in semen quality of 57% is found. 

A kidney stone, nephrolithiasis, kidney stone or kidney stone is a piece of solid material that forms inside the kidney from substances in the urine. 

The stone can stay in the kidney or it can detach and go down through the urinary tract. The intensity of the symptomatology (pain) is generally related to the size of the stone. Occasionally, its expulsion occurs almost without symptoms. 

The stones can get stuck in one of the ureters, in the bladder, or in the urethra, producing pain symptoms (nephritic colic), dysuria (difficulty urinating), or signs such as hematuria (presence of blood in the urine). 

The frequency of nephrolithiasis by sex is 13% for men and 7% for women. 

If they are very small or in formation they are usually asymptomatic, there can be removal of stones, usually when they are less than 0.5 cm in diameter, producing isolated hematuria (urine with blood). 

Symptoms usually arise when there is occlusion or closure of an ureter, or of the ureteropelvic junction; thus causing its classic symptoms: obstruction to the flow of urine. Hemorrhage Pain that is usually very intense, sudden, colic type (nephritic colic), which starts in the renal fossa (unilateral lumbar region) then radiates to the inguinal region and genital areas on the same side (scrotum in man), usually accompanied of nausea and vomiting. If the obstruction occurs in the parietal portion of the ureter in the bladder, it can cause Tenesmus, Polaquuria, and dysuria. It can also present as acute abdominal pain of less than 12 hours of evolution. 

They chronically favor urinary tract infections. They can give a silent pain that radiates according to the place where the stone was trapped inside the urinary tract (kidney, ureter, bladder). 

If a stone is displaced, the spasm of the muscles and the inflammation due to the damage of the tissue where it passes, trying to expel it cause a very intense stitch-like pain called nephritic colic. 

If part of the stone is expelled, hematuria (blood) and dysuria may appear. Also when feeling pain, nausea and repeated vomiting can occur. 

The treatment depends on the location and size of the stone. Today there are minimally invasive procedures for the elimination and fragmentation of the stone, where it is not necessary to make incisions and with a rapid recovery. 

Overactive bladder represents a collection of symptoms that include: 

Urgency to urinate 

Frequency when urinating 

Incontinence when one gives the urgency 

Need to get up to urinate at night 

Overactive bladder is secondary to multiple factors such as: weakness of the pelvic floor musculature, damage to the nerves that send signals from the brain to the bladder, medications, alcohol, caffeine, infections, excess weight, estrogen deficiency after menopause . 

Overactivity of the bladder is a very common disease that is often confused with urinary tract infections. It is very treatable, but requires the cooperation of both the doctor and the patient. 

There are multiple techniques for behavior modification to help control the bladder, such as: 

Control your diet 

Stop smoking 

Begin re-training the bladder 

Treatments with medicines 

Urinary incontinence due to overactive bladder can not be treated by surgery, unlike stress urinary incontinence, so it is important to make a specific diagnosis of the origin of incontinence

It is a benign disease in which the prostate gland enlarges and causes problems associated with the emptying of urine. 

Around the age of 25, the prostate begins to grow and continues to grow during most of life. It does not usually cause problems until later in life. More than half of men between 60 and 70 years of age have symptoms of Prostatic Hyperplasia and about 90 percent of men between 70 and 90 years of age have symptoms of Prostatic Hyperplasia 

Symptoms may include 

Runny or leakage of urine 

Urinate more often, mainly at night 

Weak urine stream 

Urine with pauses and interruptions 

Urine retention or inability to urinate 

Complications of Prostatic Hyperplasia are 

Incontinence 

Kidney damage 

Damage to the bladder 

Bleeding from urine (Hematuria) 

Infections 

Bladder calculations 

The enlargement of the prostate can be treated by means of medications, obtaining good results, however, if there is no response or complications occur, surgical treatment is decided. 

Currently it has state-of-the-art technology such as the GreenLigth laser that offers an immediate improvement in symptoms, it is a practically bloodless procedure, with a quick recovery and in the case of healthy patients does not require hospitalization. 

The initial purpose of vasectomy is to recover the passage of sperm to ejaculation for purposes of pregnancy in the traditional way. 

The success rates of surgery are greater than 85% in recovering the passage of sperm to semen, however, there are factors that decrease this percentage, mainly if the time elapsed after vasectomy exceeds 15 years favors secondary obstructions along the path of the vas deferens mainly at the level of the epididymis. 

If the vasectomy is performed in the lower parts of the vas deferens, the chances worsen. 

Vasectomy reversal is performed with a vasovasostomy technique with the help of a microscope with an image enlargement of 25 times. 

Erectile dysfunction, often still called inappropriately in Spanish, is the repeated inability to achieve or maintain an erection firm enough to have a satisfactory sexual relationship 

In older men, it usually has a physical cause, such as an illness, an injury or medication side effects. Any disorder that causes a nerve injury or impairs the flow of blood to the penis can cause erectile dysfunction. The incidence increases with age: about 5 percent of men 40 years of age and between 15 and 25 percent of men 65 years of age experience erectile dysfunction. But erectile dysfunction is not necessarily an inevitable part of the aging process. 

The most common cause of erectile dysfunction is damage to the nerves, arteries, smooth muscles and fibrous tissues, often as a result of disease. Diseases such as diabetes, kidney disease, chronic alcoholism [3], multiple sclerosis, arteriosclerosis, psoriasis, vascular disease and neurological disease are responsible for about 70 percent of cases of erectile dysfunction. Between 35 and 50 percent of men with diabetes suffer from erectile dysfunction. 

Experts think that psychological factors, such as stress, anxiety, guilt, depression, low self-esteem and fear of not engaging in intercourse as expected cause 10 to 20 percent of cases of erectile dysfunction. Men with a physical cause often experience the same type of psychological reactions (stress, anxiety, guilt, depression). 

The treatment process ranges from simple general measures, to highly specialized and surgical procedures. The important thing is to determine the origin of dysfunction and establish the appropriate personalized treatment for each patient. 

It is called prostate cancer that develops in one of the glandular organs of the male reproductive system called prostate. Cancer occurs when some prostate cells mutate and begin to multiply uncontrollably. These may also spread from the prostate to other parts of the body, especially the bones and lymph nodes, causing metastasis. 

This condition can cause pain, difficult urination, erectile dysfunction, among other symptoms. 

The disease develops more frequently in individuals older than 50 years. It is the second most common type of cancer in men. However, many men who develop prostate cancer never have symptoms, nor are they undergoing therapy. Several factors, including genetics and diet, have been implicated in its development, but to date (2005), the known primary prevention modalities are insufficient to eliminate the risk of contracting the disease. 

The detection is mainly carried out by the blood test of the prostate specific antigen, called PSA (acronym in English of prostate-specific antigen) or by physical examination of the prostate gland (digital rectal examination). Suspicious results typically result in the subsequent removal of a tissue sample from the prostate (biopsy), which is examined under a microscope. 

The treatment may include surgery, radiation therapy, chemotherapy, or a combination of all. The age and general state of health of the affected person, as well as the extent of dissemination, the appearance of the tissues examined under the microscope and the response of the cancer to the initial treatment, are vital in determining the therapeutic result. 

The bladder is a hollow organ in the lower part of the abdomen where urine is stored. Bladder cancer occurs in the inner membrane of the bladder. It is the sixth most common type of cancer in the United States. 

Symptoms include: 

Blood in the urine 

Frequent urge to urinate 

Pain when urinating 

Pain in the back side of the back 

Cigarette smoking is a major risk factor for bladder cancer. Another risk factor is exposure to certain chemicals in the work environment. People who have a family history of bladder cancer, and of mature age, white or male are at greater risk. 

Treatments for bladder cancer include surgery, radiation, chemotherapy and biological therapy. Biologic therapy or immunotherapy stimulates your own body's ability to fight cancer. 

The cystocele is the descent of the bladder towards the vaginal introitus. 

It can cause multiple symptoms such as pain and local discomfort as problems in the emptying of the bladder. 

This descent occurs due to the tearing of the vaginal elastic tissue, this tissue is dependent on estrogen reason why it is more frequent to occur after the menopause. Other factors that influence the development of cystocele are multiple vaginal births, traumatic vaginal births, chronic constipation. 

The cystocele is not a cause of urinary incontinence as such, however, it may be associated with stress urinary incontinence. 

There are multiple treatments for cystocele, the decision depends on the degree of cystocele and the symptoms the patient presents. They can become conservative as pessaries to avoid descent or surgical treatment by different techniques depending on the degree and severity of the cystocele. 

Vasectomy consists of the section and ligation of the vas deferens. As a consequence, the ejaculated semen does not contain sperm. 

It is a generally permanent method of birth control. 

It is a technique with a percentage with a low rate of complications. 

There is no so-called reversible vasectomy, any vasectomy is done with the spirit of irreversibility. 

Vasectomy does not produce any hormonal or sexual changes; only prevents the passage of sperm to the seminal fluid. 

After a vasectomy, ejaculation is not lost because the semen is produced in the seminal vesicle and not in the testicles. 

The term Andropause is used only to make a parallel with the female phenomenon of menopause. These two entities are different in their physiopathology, evolution, prognosis and clinical effects. The androgenic deficit is gradual, occurs in 25 to 35% of men and there is only a partial deficiency of androgens, not significantly affecting their capacity for fertilization, which is opposite in the phenomenon of menopause. The initiation of andropause is unpredictable and its manifestations are subtle and varied 

• Weakening of facial, axillary and pubic hair. 

• Decreased libido and erectile function, with decreased testicular volume 

• Low bone mineral density. 

• Low muscle mass and increased body fat. 

• Gynecomastia 

• Decreased sense of well-being. 

• Depression, irritability. 

There is a substitute hormonal treatment for the support of these symptoms with the general purpose of improving the quality of life of every man. 

Premature ejaculation is a lack of control over the ejaculatory reflex; therefore, it is a disorder of the orgasm phase during intercourse. The vast majority of men experienced premature ejaculation at some point in their sex life. It is the most frequent sexual problem in men, affecting between 25 and 40% of them. In the most serious cases, the man ejaculates before the penetration of his partner or seconds after doing so. 

About 75% of men will experience premature ejaculation once in their lives, while the prevalence rate of premature ejaculation as a clinical disorder is globally in approximately 30% of men. Urologists and sex therapists find that premature ejaculation causes frequent emotional problems, both for the patient and his partner, in addition to the sudden conclusion of the sexual act. 

In a normal sexual relationship, the excitement in the man increases progressively until the phase called "plateau", enjoying his sexual pleasure until the moment he voluntarily reaches a climax. The premature ejaculator can not remain in the "plateau" phase, but there is a rapid excitement and an involuntary and early ejaculation. In many cases, premature ejaculation is a sign of a psychological condition (anxiety, nervousness, etc.) or emotional (guilt, anguish, etc.) and in a few cases is due to an anatomical or physiological disorder. 

Treatments range from simple changes in sexual behavior, such as medications that help inhibit the ejaculatory reflex, to surgical procedures to correct neurological pathways. 

Renal cell carcinoma is more common in people between 50 and 70 years of age and tends to be more frequent in men. [2] The most common risk factors include smoking, genetic factors and hemodialysis. About one third of patients have metastases at the time of diagnosis. 

The classic triad of kidney cancer is blood in the urine, pain in the flank and the appearance of an abdominal mass. This triad is known as the triad too late, because by the time the patient has all three symptoms, the disease has advanced beyond a healing point. At present, most renal tumors are asymptomatic and are detected accidentally during an imaging examination, usually in search of unrelated causes. 

Other signs may include: 

Abnormal color of urine (brown, reddish, copper, etc.) due to the appearance of red blood cells in the urine. 

Weight loss and malnourished appearance. 

The main symptom may be due to a metastatic disease, such as the pathological fracture of a bone by bone dissemination. 

Varicocele or enlargement of a testicle by blockage of the gonadal vein, usually on the left side due to compression by the tumor of the renal vein-the gonadal vein drains directly into the inferior vena cava. 

Abnormalities in vision 

Palidéz for hypervolemia. 

Hirsutism - excessive hair growth in women. 

Constipation 

Arterial hypertension 

High calcium values (Hypercalcemia) 

The initial treatment of kidney carcinoma is surgical and in case of advanced disease there are multiple options such as white therapy with good results. 

Testicular cancer is formed in the testes of men, the oval glands that produce sperm and testosterone. Testicular cancer affects mainly young men between 20 and 39 years old. It is also more common in men than: 

They had an abnormal testicular development 

They had an undescended testicle 

Have a family history of cancer 

Symptoms include pain, swelling or nodules in the testicles or the inguinal region. Most cases are treatable, especially when detected early. Treatment options include surgery, radiation and chemotherapy. The usual tests after treatment are important. The treatments can also cause infertility. If you want to have children later, you should consider going to a sperm bank before treatment.