(936) 441-1005
When patients have a problem, they need to be seen that day and not next week. We strive to take care of all our patients in a timely manner. 
Ajay Kwatra M.D.


Entries in The Woodlands Urologist (4)


Erectile Dysfunction : What's New?

The newest drug in the PDE5 inhibitor family has just been introduced into the market.  Stendra (avanafil) is the first new ED drug to be released in over a decade.  If you have tried other medications without sucess Stendra may be effective for you.  It is very selective for the PDE5 inhibitors and reaches peak plasma concentration levels in 30 minutes.  It may also be taken with moderate amounts of alcohol.  If you are interested in seeing if this is an option for you please give us a call.


Overactive Bladder : When medicines don’t work

Overactive bladder is a common problem among men and women in which the patient has a sudden uncontrollable urge to urinate.  In some cases this can be accompanied by urinary leakage while other patients may feel that they have to urinate very often.  Treatments for this common bladder disorder include medications such as Ditropan, Detrol, Vesicare, Enablex, Santura or Toviaz .  In some patients, the medications may not resolve the problem or side effects such as dry mouth, constipation or changes in mental status may preclude continuing the medication.  In this group of patients alternative treatments are  available and effective.  Urge PC  is an office based therapy that requires 12 half hour treatments and can markedly improve the symptoms of overactive bladder.  The Interstim device is another very effective option that can resolve the symptoms of overactive bladder .  So if your overactive bladder medicine is not working please contact our office to discuss the latest treatment options.


Enlarged Prostate : When medicines don’t work

An enlarged prostate or BPH (Benign Hypertrophic Hyperplasia) is a common condition that affects many men as they age.  Symptoms of  BPH include a frequent urge to urinate, getting up at night, having a weak stream that may stop and start, having to strain to start the urinary stream or having sudden strong urges to urinate.  Most patients with these symptoms are started on medications to improve their urine flow and shrink their prostate with good results.  Unfortunately the prostate continues to grow even while patients are on medical therapy and at some point the medications may not be effective any more.  At this point, patients should consider minimally invasive therapies such as Transurethral Microwave Therapy (TUMT).   TUMT is an office based treatment that can shrink the prostate and relieve the symptoms of an enlarged prostate with a 30 minute office treatment.  In patients who are taking multiple medications for their prostate TUMT may also be a more cost effective treatment.  Please contact our office if your prostate medications are not helping.


Why do kidney stones cause pain?

Anyone who has suffered a kidney stone attack knows how severe and incapacitating the pain can be.  Most people describe a kidney stone attack as the worst pain that they have ever had.  How does a tiny stone cause so much pain?  A kidney stone forms in the kidney from minerals urine that stick together to from a stone.  The stone will stay in the kidney and get bigger over time until something causes it to move.  The stone then travels down a small tube that carries urine from the kidney to the bladder called the ureter.  The ureter is very narrow and when the stone travels down the ureter it usually gets stuck blocking the urine flow from that kidney.  This blockage of urine flow causes the kidney to swell and results in the excruciating pain that patient’s feel.   The pain will usually improve over the next few days even if the stone does not pass.  It is important to follow-up with a urologist to make sure that the stone has passed even if the pain has resolved.  In some cases patients can suffer permanent kidney damage from a stone that they thought had passed because there pain had improved.