Diagram of pelvis and related nerves

Using radio waves to treat pelvic pain and urinary problems

I participated in a study on the use of radiofrequency ablation to reduce pelvic pain and urinary problems.

The study was published in “Case Reports in Urology” and is currently available online.


Relief of urinary urgency, hesitancy, and male pelvic pain with pulse radiofrequency ablation of the pudendal nerve: a case presentation.

Bui C, Pangarkar S, Zeitlin SI.


Department of Physical Medicine and Rehabilitation, West Los Angeles Veterans Administration/UCLA, Los Angeles, CA 90073, USA.


Diagram of pelvis and related nervesBackground and Aims. This report demonstrates the utility of a pudendal nerve block by pulsed radiofrequency ablation (RFA) for the treatment of male pelvic pain and urinary urgency and hesitancy. Methods. The patient is an 86-year-old gentleman with a 30-year history of urinary hesitancy and urgency. The patient also had pain in the area of the perineum but considered it a secondary issue. The patient was seen by a number of specialists, tried various medications, and underwent a variety of procedures to no avail. Therefore, the patient underwent a pulsed RFA of the pudendal nerve. Results. The patient underwent a pulsed RFA of the pudendal nerve; the patient reported marked improvement in his pelvic pain as well as a drastic reduction in his urinary urgency and hesitancy. Conclusion. Urinary urgency and hesitancy and male pelvic pain are some of the most common symptoms affecting men. Pudendal nerve block by pulsed RFA is an effective treatment of pelvic pain. It may also hold some therapeutic value in the treatment of urinary urgency and hesitancy as our case demonstrated. Further studies are needed to help clarify both the anatomy of the pelvis as well as if pudendal blocks are effective in treating more than pelvic pain.

Case Rep Urol. 2013; 2013: 125703.
Published online 2013 March 28. doi: 10.1155/2013/125703

I Didn’t Know You Could Break That

I Didn’t Know You Could Break That: Secrets of Urologic Andrology

How does testosterone affect fertility? Are erections relaxation or contraction? Can I really fracture my penis? There are some common misconceptions about male sexual health perpetuated by popular culture and even some physicians.

In this talk, I examine a few of the most prevalent ones, and explain some important issues that trouble men. I also used the opportunity to provide some tips for the ladies on how to help their man be his best and have a fulfilling sexual relationship.

The title of the talk and much of the tone is comical. Issues like fertility, erectile dysfunction, and enlarged prostate are serious, though, and I strongly recommend that you see a doctor to find a course of treatment.

I have more information about male sexual health issues, fertility testing and infertility treatments available in the “services” section of this website.

If you’d like to contact me, you can schedule an appointment or call my offices at 310-453-2061.

Is prostatitis a vascular disease?

An editorial published in the Journal of Urology, Vol. 186, No. 3 – September, 2011

My editorial response to an article published in the June issue titled “Greater endothelial dysfunction and arterial stiffness in men with chronic prostatitis/chronic pelvic pain syndrome–a possible link to cardiovascular disease.”

Journal of Urology logo

Urologists used to believe that all of our patients with the chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) had a prostate problem. In December 1995 that perception started to change with … [more]