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Viagra
(Sildenafil Citrate)
The use of Viagra and any nitrate
medicine or recreational drug containing nitrates,
at any time, is contraindicated.
However, for certain patients, the drug can be used
to successfully treat impotence.
Viagra offers patients convenient
dosing. The initial recommended starting dose is 50mg;
however, patients
can be safely
titrated
up
to 100
mg
for increased success or decreased to 25 mg. Patients
should not exceed 1 dose per day with a maximum
dose of 100 mg.
Viagra works in as fast as 30 minutes, and remains active
for up to 4 hours, allowing patients time for spontaneity
and intimacy. The drug works with the body's response
system, so patients should know that they will only
see the effect if they are sexually stimulated. High-fat
meals consumed before dose administration may slow down
the effects of Viagra, and it is recommended that patients
keep their physicians informed about their results.
Best results may occur after the second or third attempt
and some patients may have positive results with an
increased dosage of 100mg.
Prostate Enlargement and Blockage
(Benign Prostatic Hyperplasia) - Treatment
for difficulty with urination or incomplete bladder
emptying due to BPH is available with Indigo Laser
to reduce blockage tissue as an outpatient procedure
or office-based TUNA procedure. Dr.
Bilowus is highly trained and experienced with the
Indigo Laser and TUNA System.
Prostate Cancer Screening - Prostate physical
exam (DRE) should be done in all men after age 40.
In
men with a family history, no knowledge of family history
(adopted), or African-American heritage, PSA blood
testing should begin at age 40
annually
instead
of age 50.
Kidney Stone Lithotripsy (ESWL)
- This can now be performed effectively and quickly
on stones within the ureter non-invasively (without
surgery) with the new Reston Hospital Center Dornier
Lithotriptor. Dr. Bilowus is specially trained and
very
experienced with the Dornier Lithotriptor.
Vasectomy - This procedure is available as
an outpatient through the hospital or as a confidential,
in-office procedure under local anesthetic. Special
financial arrangements are available for patients not
covered by insurance.
Vasectomy Reversal (Vasovasostomy) - This
procedure can now be done with IV sedation and local
anesthetics,
using
an operating microscope with 10x magnification.
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