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6116 East Arbor Avenue, Building 2, Suite 108, Mesa, AZ 85206

Frequently Asked Questions

Success rates of vasectomies are generally very high, over 99.9%. After a vasectomy, there is still sperm swimming through the vas deferens which need to be flushed out via ejaculation. During the eight to 12 week post-procedure time period, it is important to use backup contraception to prevent an unwanted pregnancy. Please read further in our vasectomy section about post-procedure instructions.
Typically, there will be some discomfort on the day of the vasectomy, which will slowly resolve within the next two to three days. We advise wearing scrotal support (boxer briefs, compression shorts, etc.) for one week, as well as refraining from exercise and intercourse for a week. This speeds up the recovery process. The stitches usually fall off in one week, and the scar from the incisions fades away over time. Within one month, the scrotal skin will look like it did before the procedure.
Dr. Mehan has been performing vasectomies for over a decade, with several thousand administered.
Yes, Dr. Mehan does see female patients for urological issues such as urinary incontinence, frequent urinary tract infections, overactive bladder, kidney stones, bladder cancer, and kidney cancer.
Dr. Mehan does perform penile prosthesis implantation.
Dr. Mehan does not typically treat hernias. If an inguinal hernia is suspected, we will gladly refer you to a general surgeon that we recommend.
We accept most major insurance plans, including Blue Cross Blue Shield, Aetna, Cigna, United, and Medicare. Please call the office to ask if we accept your individual insurance.
We recommend waiting one week to have intercourse. This allows proper time for recovery and healing.
Vasectomies are partially or fully covered by most insurance policies depending on your insurance plan. As a courtesy, we will call your insurance company and provide you with an estimate of what your out-of-pocket expense will be. We also offer a low self-pay discount to allow those who are not covered by insurance an affordable choice for contraception. Give us a call and we’ll assist you in getting the information you need.
The test usually takes about 20-30 minutes.
Overall, the urodynamics test should not be painful, although there are times during the test where the patient might experience some mild discomfort. Our team is very thorough in explaining each step of what they are doing. We are mindful of the fact that each patient is different, and may react differently to the procedure.
This depends on the type of surgery you had done, as well as if there were any complications, bleeding, etc. For transurethral resection of prostate (TURP) procedures, catheters are typically placed for two to seven days. For prostatectomies (prostate removal), catheters are placed for seven to 10 days. This length of time may vary and is at the provider’s discretion.
Oral erectile dysfunction medications will usually cost around $43 per pill if you are paying out-of-pocket and buying them from a retail pharmacy. Insurance may sometimes cover a portion of this depending on your plan. Be sure to go on the specific medication’s website to check for any coupons or specials they might be offering. To help combat this outrageous cost, you can buy generic ViagraⓇ and CialisⓇ directly from our practice. We are able to provide sublingual medications at a fraction of the cost. The charge per Viagra 100mg or Cialis 20mg is just $5.
Pelvic floor physical therapy or biofeedback therapy is a special type of physical therapy. This may be beneficial for patients with urinary problems, including incontinence, incomplete emptying, and groin pain. With comprehensive baseline testing, the therapist will target your pelvic floor muscles to see how well you are contracting and relaxing those muscles, as well as urinary sphincters.
Medications all have a different course of time that they take to become fully effective. Antibiotics are usually prescribed for a short period of time, and should work relatively quickly within a few days/weeks. Other medications such as those for low testosterone or prostate enlargement may take up to weeks or months for you to notice the full effect. Depending on your diagnosis and treatment selected specifically for you, we will review in detail what to expect from each medication.
The cause of prostatitis, infection or inflammation of the prostate, is generally unknown. Since the prostate sits between the rectum and the bladder, two areas where bacteria may be present, there could be a possible transference of bacteria to the prostate. It may also depend on the anatomy of each individual prostate. Certain prostates may develop calcifications which harbor bacteria.
FLA STANDS FOR ‘FOCAL LASER ABLATION’.
FLA is also referred to as laser interstitial thermotherapy. It uses a laser which emits high-energy light causing heat to ablate (destroy) targeted tissue1. During FLA prostate ablation, this energy is delivered to the prostate using a laser fiber, which may be housed inside a water-cooled applicator4. Using a needle guide, this laser fiber is pushed into the prostate either through the rectum (transrectal), or through the perineum (transperineal), the area between the rectum and the testicles. The very tip of the laser fiber emits light energy in a spherical pattern that gets absorbed by the prostate tissue, heating it up to high enough temperatures to ablate the prostate tissue2. This procedure is typically performed under the guidance of real-time MR imaging1.
TULSA STANDS FOR ‘TRANSURETHRAL ULTRASOUND ABLATION’.
The urethra is a structure located inside the prostate. During the TULSA Procedure, a device is inserted into the urethra (transurethral), which delivers thermal ultrasound energy (heat created by ultrasound energy) into the prostate. This device rotates, creating a sweeping heating pattern that is directional and reaches the edge of the targeted prostate region. The ability to ablate from within the natural channel of the urethra means the TULSA Procedure is incision-free and requires no needle to puncture the rectal wall or the perineum to reach the prostate. The TULSA Procedure always takes place in an MRI suite, using real-time MR imaging, to plan and control the ablation, ensuring the procedure is predictable. The TULSA Procedure also actively cools the urethra and rectum to help preserve the patient’s natural urinary, bowel, and sexual functions. During the TULSA Procedure, no needle or thermal energy passes through the rectal wall. Instead, a cooling device is inserted into the rectum, protecting the tissue from the ultrasound energy. Simultaneously, the transurethral device cools the urethra, also protecting it from the ultrasound energy.
ABLATION SIZE
The ablation size can also be described as the maximum distance that the ‘heat’ from a device can reach the prostate tissue. Having the ability to target larger areas may be beneficial when needing to target larger areas of the prostate. According to one study, the targeted prostate volume needing ablation was approximately less than 2cm3, and the maximum FLA ablation diameter was 15 millimeters (mm) (3). With FLA, larger prostate zones are ablated by retracing the laser and repeating the ablation, or by inserting the laser in another location. Another approach is to use two different sized laser applicators, to target small and large tumours4. Another study with 24 months of follow-up data published in 2019 with the largest cohort for MRI-guided FLA, has similar inclusion criteria regarding lesion size and volume5. With the TULSA Procedure, you can ablate the prostate tissue with an ablation volume anywhere between 1cc to > 100cc. More specifically, the ultrasound heating extends to a radial depth of 30mm away from each of the ten independent 5mm-long elements, enabling ablation of regions with up to 60mm diameter and 50mm length. This enables the TULSA Procedure to be flexible and customizable, with the ability to target a wide range of prostate tissue volumes depending on the patient’s disease and desired outcomes.