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We currently have 11 urologists with a variety of interests and specialties in the field of Urology. Choose a physician listed on the right to learn more about that specific physician. You can also call our office or complete the Request a Consultation form on this page to speak directly with one of our staff who can help to schedule you with a physician to meet your needs.
DR. BRIAN
BILLMEYER
Dr. Billmeyer grew up in Omaha, Nebraska. He attended the University of Iowa and graduated with highest distinction with a major in biology and a minor in chemistry. He was selected for membership in the Phi Beta Kappa honor society.
DR. EDWARD “TED”
CAPOCCIA
Dr. Capoccia was born and raised in Kansas City. He attended the University of Kansas for his undergraduate education and majored in human biology. He completed his medical school training at the University of Kansas School of Medicine.
DR. TYLER
EMLEY
Dr. Emley was born in Michigan and grew up in New Hampshire. He graduated magna cum laude from Indiana University/Bloomington in 1995 with degrees in Biology and Sociology. He was selected for the Phi Beta Kappa honor society.
DR. PRIYANKA
KUMAR
Dr. Kumar grew up in Crown Point, IN and graduated from Merrillville High School before pursuing a degree in Biology, with a minor in business administration from the University of Southern Indiana.
DR. KEVIN
PARIKH
Dr. Parikh grew up in Schererville, Indiana. After graduating as valedictorian from Lake Central High School, he went on to Indiana University where he obtained a business degree from the Kelley School of Business and minors in both chemistry and biology.
DR. ADAM
PERLMUTTER
Dr Perlmutter grew up on Long Island, New York. He majored in biology at Emory University in Atlanta, Georgia. He received his medical degree from New York College of Osteopathic Medicine.
DR. MANOJ
RAO
Dr. Rao was born in Chicago and grew up in Olympia Fields, Illinois. He attended Saint Louis University for his undergraduate studies as both a Pre Medical and Presidential Scholar.
DR. RYAN
SWEARINGEN
Dr. Swearingen grew up in Wheaton, Illinois. He attended the University of Illinois at Urbana-Champaign, and graduated with honors, with a major in economics and a minor in chemistry. He was selected in the Phi Beta Kappa honor society.
DR. RAMESH
UNNI
Dr. Unni was born in Maywood, Illinois. He grew up in Crown Point, IN and attended St. Mary’s School and Andrean High School locally before pursuing a degree in economics at Northwestern University.
DR. TED
VELLOS
Dr. Vellos was born and raised in Orland Park, Illinois where he graduated from Carl Sandburg High school. He attended Loyola University Chicago for both undergraduate and medical schools obtaining degrees in Chemistry and Economics and earning Honors in research.
DR. BRUCE
YALOWITZ
Premature ejaculation is a condition of sexual dysfunction where a man releases sooner than anticipated or desired during sexual intercourse. It is among the most common sexual dysfunctions in men, with up to one-third of men reporting instances of premature ejaculation at some point in their life.
Infrequent and irregular instances of premature ejaculation are common and present little cause for concern. However, if it occurs regularly, it could be caused by various physical and psychological factors. When it does become a problem, patients can experience significant distress and frustration and avoid sexual intimacy.
Psychological causes are contributing factors in many cases. These can include a history of sexual abuse, early sexual experiences, anxiety, depression, and poor self-image. Men experiencing erectile dysfunction are also prone to premature ejaculation. Biological causes can also contribute to abnormal hormone or neurotransmitter levels and prostate or urethra inflammation or infections.
The primary symptom of premature ejaculation is the inability to delay ejaculation past one minute into sexual intercourse. The problem can also occur during other sexual activities. Symptoms are generally divided into the following categories:
A physician will first ask the patient about the extent of their premature ejaculation and their other medical history. That can reveal potential underlying causes. In cases where erectile dysfunction is also an issue, the physician will order blood tests to check for testosterone levels, a deficiency of which can cause many sexual problems.
In many cases, the physician will recommend the patient to a psychiatrist or other mental health professional specializing in sexual dysfunction. Premature ejaculation is typically the result of psychological factors—at least in part.
Further testing could include a physical examination for inflammation of the prostate and a urine test to check for urinary tract infection. A general practitioner will often refer patients to a urologist for specialized diagnosis and treatment.
There are many different approaches to the treatment of premature ejaculation. A physician can choose to prescribe a combination of these various treatments, including behavioral techniques, pelvic floor exercises, counseling, medications, and the use of condoms designed to delay ejaculation.
Among the first recommendations for most patients are some simple behavioral adjustments that can provide results. A patient may be advised to masturbate several hours before sexual intercourse to delay ejaculation. Engaging in sexual activities other than intercourse can also reduce the anxiety that can come with premature ejaculation.
Several topical anesthetics can numb the penis, reducing sensation and delaying ejaculation. These products are available in both creams and sprays. Some oral medications are also available to delay ejaculation, although none are FDA-approved for that use.
Due to the many psychological factors involved in premature ejaculation, counseling for the patient alone or with their partner can help resolve the issue.
Physicians sometimes recommend that patients try pelvic floor exercises, also called Kegel exercises. If the pelvic floor muscles are too weak, they may contribute to the inability to delay ejaculation.
The exercises consist of tightening, holding, and then relaxing the pelvic floor muscles. Many patients struggle to identify the pelvic floor muscles. They are the muscles used when stopping urination in midstream.
One of the most prominent risk factors in erectile dysfunction, as the two conditions often co-occur. Patients who have erectile dysfunction can feel significant pressure to complete sexual intercourse before they lose their erection. In turn, they can consciously or unconsciously rush through sexual intercourse and ejaculate prematurely.
Stress is another significant risk factor in acquired premature ejaculation. In cases where the condition is new and unexpected, stress could be the cause. The inability to relax and focus during sexual intercourse contributes to premature ejaculation.
Premature ejaculation can present significant distress and anxiety for patients. The patient can experience feelings of anxiety and depression, along with damage to self-image. It can also place considerable stress on the patient’s relationships, creating further problems. In severe cases, premature ejaculation can lead to fertility issues if intravaginal ejaculation is not achievable.
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