Author: William Brant, MD

What You Should Know About Vasectomy Reversals

Making major decisions in life—like getting a vasectomy—don’t have to remain permanent. A vasectomy is a procedure that prevents semen from exiting a man’s body and impregnating his partner. It is basically sterilization. The good news for many men is that it can be reversed should he change his mind. What you should know about vasectomy reversals.

Why a Vasectomy Reversal?

Five hundred thousand men choose to have a vasectomy each year in the US. Having a vasectomy too early in life can lead to regret. Sometimes a marriage ends, and a man enters into a new relationship where having a family is paramount. Other times a child is lost. And sometimes, a man just changes his mind later in life.

Reversal is a Low Risk Outpatient Procedure

A vasectomy reversal is performed at an outpatient clinic by a urologist, and you can return home afterward. Be sure your surgeon has expertise in doing vasectomies and reversals like Men’s Sexual Health Utah  in Our men’s health clinic in Salt Lake City.
It is a minimally invasive surgery with low risk, and it takes approximately 2 hours to perform either under general anesthesia, or local where you remain awake but can not feel anything.
Many are now down using microsurgery techniques. It is best to wait for about 3 weeks before having sexual intercourse again in order to thoroughly heal.

Most Insurance Companies Do Not Cover Reversals

Talk with your insurance company to see if your plan will cover any of the costs.
If you have any questions about procedure cost, please call our office at (801) 965-2767  .

Vasectomy Reversals Are Successful

Successful vasectomy reversals can be as high as 95% if the original surgery was performed less than 10 years ago. That rate begins to decline after 15 years.

Other reasons your reversal could be compromised:

  • The health of your sperm \
  • Your partner’s age is a factor
  • Fertility issues of both you and your partner

If time is a factor, you can opt for a sperm retrieval procedure to facilitate in-vitro fertilization.
Contact urologist William Brant, MD at (801) 965-2767  if you are considering a vasectomy reversal procedure. We will walk you through the process and give you all your options.

How Low Testosterone Affects Your Health and Quality of Life

Testosterone plays a vital role in the body, impacting everything from bone density and muscle mass to mood and energy levels. While it’s commonly associated with men’s health, testosterone is essential for both males and females.

When testosterone levels drop—a condition often referred to as Low T—it can have significant physical, emotional, and social impacts, affecting overall life quality. Let’s explore how low testosterone affects your health, the symptoms to watch for, and available treatment options.

The Role of Testosterone in the Body

Testosterone is a hormone produced primarily in the testes in men and the ovaries and adrenal glands in women. It regulates key functions, including:

  • Development of muscle mass and strength
  • Maintenance of bone density
  • Red blood cell production
  • Fat distribution
  • Libido and sexual function
  • Mood and cognitive performance

Optimal testosterone levels help maintain a healthy, active lifestyle. When levels decline, either due to aging or medical conditions, the effects can be profound.

Common Symptoms of Low Testosterone

Low testosterone can manifest in various ways, including:

  • Physical Symptoms: Fatigue, reduced muscle mass, increased body fat, and decreased bone density.
  • Emotional Symptoms: Irritability, depression, anxiety, and difficulty concentrating.
  • Sexual Symptoms: Reduced libido, erectile dysfunction, and decreased sexual satisfaction.

These symptoms can lead to a diminished sense of well-being, affecting confidence, motivation, and social relationships.

How Low Testosterone Impacts Health

Low-T affects many aspects of health, including:

Muscle Mass and Strength

Testosterone plays a key role in maintaining muscle mass. Low T can lead to muscle loss and reduced strength, making physical activity and daily tasks more challenging.

Bone Density

Low testosterone contributes to reduced bone density, increasing the risk of osteoporosis and fractures, particularly in older adults.

Cardiovascular Health

Studies suggest that low testosterone levels may be linked to an increased risk of cardiovascular disease. Maintaining healthy testosterone levels can support heart health and circulation.

Mood and Cognitive Function

Low T can lead to feelings of depression, anxiety, and brain fog, significantly impacting mental health and daily functioning.

Treatment Options for Low Testosterone

Fortunately, Low T can be managed effectively with the right treatment plan. Options include:

Testosterone Replacement Therapy (TRT)

TRT involves administering testosterone via injections, gels, patches, or pellets to restore hormone levels. This treatment can improve energy, mood, libido, and muscle mass while reducing symptoms like fatigue and depression.

Lifestyle Changes

Adopting a healthy lifestyle can naturally boost testosterone levels. Key strategies include:

  • Regular exercise, particularly strength training
  • A balanced diet rich in healthy fats, protein, and essential nutrients
  • Stress management and adequate sleep

Regular Monitoring

It’s important to monitor testosterone levels regularly, especially if you experience symptoms of Low T. Regular check-ups can help tailor treatments to your individual needs and ensure long-term health.

Low Testosterone Treatment In Salt Lake City, UT

Low testosterone can significantly impact your health and quality of life, but with early detection and proper management, you can regain vitality and well-being.

If you suspect you may have Low T, contact urologist William Brant, MD, FACS, FECSM at (801) 965-2767 to explore treatment options and take steps toward a healthier, more fulfilling life.

Signs, Symptoms and Treatment Options for Erectile Dysfunction and Urinary Incontinence

Discover expert insights into the signs, symptoms, and treatment options for erectile dysfunction and urinary incontinence in this informative webinar led by Dr. William Brant and Dr. James Craig. In this recorded session, both specialists break down why these conditions occur, how they impact daily life, and the latest effective therapies available. Watch the full webinar below to learn practical, evidence-based guidance and get a clearer understanding of the treatment paths that may be right for you.

Dr. Brant’s Webinar on ED and Stress Urinary Incontinence

Join Dr. William Brant for an insightful webinar as he delves into two critical topics: erectile dysfunction and stress urinary incontinence. In this engaging session, Dr. Brant will provide expert knowledge into the causes, treatments, and latest advancements in managing these conditions. Don’t miss this opportunity to learn directly from a leading specialist and get your questions answered.

How Long Do Penile Implants Last?

When a man discovers that he has erectile dysfunction, there are several treatments. Many times medications will work for a time, but it is estimated that 40% of men discontinue their use within one year due to several issues. Injections are the next line of treatment, but if these do not prove to be satisfactory, most men decide on a penile implant. We will discuss implants here including the two types, their benefits, plus the question: how long do penile implants last?

For a comprehensive evaluation in Salt Lake City, UT, contact Dr. William Brant, our skilled urologist, at (801) 965-2767. Discover if an implant is the right solution for you.

Penile Implant Options

Penile implants are devices placed inside the penis to allow men with ED, or sometimes Peyronie’s Disease, to have erections and regain sexual function.

older couple smiling.

In general, there are two types of penile implants: inflatable and semi-rigid.

The inflatable implant has two cylinders, a pump in the scrotum, and a reservoir filled with fluid. When an erection is desired, the man presses the pump inside the scrotum which allows the fluid to transfer to the cylinders producing an erection. You can control the level of hardness and the erection will not deflate until you press a valve on the pump to return the fluid to the reservoir.

The semi-rigid implant has two firm but flexible rods implanted in the penis. With this one, you simply move the penis in place for sexual intercourse and move it back afterward.

Penile Implant Lifespan

Although it depends a bit on luck and a bit on how it is used, the implant typically can last 10-15 years.  If you have a great sports car that lives in your garage and you take it for Sunday cruises, it will last a long time.  If you take it to the track, you’ll wear out the parts!  Luckily, if the implant does stop working, it can be replaced.

The Benefits of a Penile Implant

Aside from the long lifespan of the device, there are numerous other benefits including:

  • They are very durable.
  • You are once again in control of your body.
  • No one will know you have an implant as it is contained within the body.
  • Discretion. You operate the pump when you are ready. There is no waiting like with a pill.
  • You can achieve an erection in 15 seconds and keep it as long as you wish.
  • The devices do not affect your ability to ejaculate or have an orgasm.
  • They do not affect the sensation of the skin on your penis.
  • Your partner will not be able to tell any difference between a naturally erect penis and one with a device.
  • Over 90% of men are very happy with the results.
  • Implanting the device is an outpatient procedure and you go home the same day.
  • It will restore your self-esteem and confidence.

Contact our trained urologist, Dr. William Brant at (801) 965-2767 for an evaluation in Salt Lake City, UT. Have all your questions answered, and find out if an implant is right for you.

Male Sexual Problems Over 65: What to Know

Anyone over 65 can relate to you in excruciating detail all their aches, pains, and health problems that come with aging. What they won’t admit is that their sex drive and sexual function may have decreased a bit (or more than a bit) over the years. It’s not surprising that they wouldn’t want to admit that, but it’s a topic that should be addressed. There are many, many reasons this occurs. Male sexual problems over 65: what to know.

Continue reading “Male Sexual Problems Over 65: What to Know”

When Do Men Need Low Testosterone Treatment?

You have probably seen any number of ads on the television and online about low T. They seem to indicate that this is a growing national problem and that all men should begin taking medication to correct their testosterone deficiency and become more “manly men.” It might be time to slow down this growing snowball down the mountain and look carefully to evaluate when men need testosterone treatment.

Continue reading “When Do Men Need Low Testosterone Treatment?”

How Is Erectile Dysfunction Diagnosed?

It is typically done through the process of elimination. There are so many factors involved in getting and maintaining an erection firm enough to have sexual relations, Dr. Brant will test one possibility at a time to finally reach the real cause. Only then can proper treatment be provided.

Process of Elimination

When there is difficulty getting and/or keeping an erection long enough for satisfactory sex and intimacy, that is erectile dysfunction. Many people think it’s only when it doesn’t work at all, but that’s not the case.  When everything is working right, erections can come and go without a thought. You never think about everything that has to go “right” to get and keep one.

There happen to be multiple parts of your body and mind that have to be in sync. With occasional ED or if it becomes more common, suddenly you need to become aware of “what parts” need to be in sync. man talking to his doctor.

Contacting our board-certified urologist, Dr. William Brant for an erectile dysfunction appointment in Salt Lake City, is your first step toward getting the answers. Call us today at (801) 965-2767.

The causes of ED can be due to physical issues, mental/psychological issues, or emotional problems.

Erectile Dysfunction Diagnosis: The Physical Test

Your urologist will begin by taking your medical history and asking lots of questions.

Blood tests and a physical exam will indicate any physical issues that can cause ED like the following:

  • Diabetes
  • Heart disease
  • High blood pressure
  • High cholesterol
  • Obesity
  • Kidney disease
  • Low testosterone

Any of these can contribute to erectile dysfunction. If one or more are identified, Dr. Brant may begin treating those particular issues. Several of these physical problems can affect blood flow throughout your body. This, in turn, can be a significant cause of ED.

Dr. Brant may recommend additional tests beyond the blood tests and physical exam.

If a more thorough diagnosis is required, a doppler ultrasound may be recommended.  This is a series of ultrasounds (typically 3), which do not require radiation, that evaluate the blood flow.  Getting a view of how blood gets into the penis and how the penis is able to store it can provide a lot of information.

Erectile Dysfunction Diagnosis: Emotional and Mental Issues

Depression, stress, and anxiety can contribute a great deal to erectile dysfunction.

Dr. Brant will discuss these issues with you and give you a psychological screening test for depression.

Erectile Dysfunction Diagnosis: Other Risk Factors

Smoking, drinking to excess, lack of exercise, and use of recreational drugs can also contribute to ED. Being over the age of 50 can be a contributing factor, but men in their 80s can still have a satisfactory sex life.

There may not be only one cause of ED, but a combination of factors.  Fortunately, no matter what the cause, there is usually a treatment that can take care of it.

Getting a thorough evaluation from our urologist in Salt Lake City will help pinpoint the cause and provide direction on which treatment option is best for you.

Contact our board-certified urologist, Dr. William Brant in Salt Lake City to schedule an appointment for tests and treatment if you are experiencing symptoms of erectile dysfunction. Call our urology clinic in Salt Lake City at (801) 965-2767.

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