Impotence After Prostate Surgery: A Guide to Recovery & Rehab

• Understanding Erectile Dysfunction Post-Surgery
  • Prostate Surgery Impact
  • Factors Influencing Recovery
  • Nerve Damage Implications
  • Hormone and Radiotherapy Effects
• Prevalence of Sexual Dysfunction
  • Commonness Post-Surgery
  • Orgasmic Function Changes
  • Ejaculation Concerns
• Treatment Options for Erectile Dysfunction
  • Non-Surgical Interventions
    • PDE-5 Inhibitors
    • Lifestyle Modifications
  • Surgical Treatments
    • Penile Implants
• Strategies for Erection Recovery
  • Rehabilitation Importance
  • Improving Recovery Outcomes
  • Timeframe for Healing
• Coping with Psychological Effects
  • Emotional Impact
  • Sexual Counseling Benefits
  • Therapy for Couples
• Expectations and Reality of Recovery
  • Sexual Activity Post-Treatment
  • Outcome Expectations
  • Healthy Lifestyle Integration
• Innovations in Erectile Rehabilitation
  • HIFU and Cryotherapy
  • Advances in Non-Surgical Options
• Addressing Erectile Dysfunction Failures
  • After PDE-5 Inhibitor Failure
  • Exploring Alternative Treatments
• The Role of Sexual Counseling
  • Importance of Counseling
  • Addressing Emotional Concerns
• Conclusion
• Frequently Asked Questions
  • How common is erectile dysfunction after prostate surgery?
  • What are the treatment options for post-surgery impotence?
  • Can erections improve over time after prostate surgery?
  • How does psychological counseling help with post-surgery erectile dysfunction?
  • Are there new methods for treating erectile dysfunction after prostatectomy?
  • Is it normal to feel depressed about sexual dysfunction after surgery?

Impotence after prostate surgery is often a frequent and overlooked concern that warrants more open discussion.. Previously, the treatment for sexual dysfunction, which often required invasive and costly penile prosthesis, posed significant risks, particularly concerning erection problems. There is now promising progress in the field of penile rehabilitation, with the emergence of various non-invasive procedures like shockwave therapy, P-shot, and Botox treatments. These innovative approaches offer hope for enhance outcomes and improved quality of life.

Understanding Erectile Dysfunction Post-Surgery

Prostate Surgery Impact

After a radical prostatectomy, men often face immediate effects on their penis, particularly their sexual function and erection. This can be distressing. The ability to achieve an erectile function, or an erection of the penis, may be compromised temporarily or permanently, potentially leading to sexual dysfunction or impacting orgasmic function. It’s not the same for everyone, though.

Some patients experience a long-term impact on their sexual health, specifically their erectile function, with issues in the penis sustaining an erection. For others, normal function returns over time. There are many stories of recovery and hope.

Factors Influencing Recovery

Several factors affect how well a man recovers his erectile function after a prostatectomy, a common prostate cancer treatment. This recovery is particularly crucial in terms of maintaining an erection post-surgery. Age and overall health play big roles in this process for patients, with a certain percent experiencing sexual dysfunction, commonly referred to as ED. Younger, healthier men tend to recover faster.

Erectile dysfunction affects almost all men within the first months following a prostatectomy. However, there is a silver lining for many, as most will see significant improvement within a year or so. For some, though, it might take up to two years to fully recover and have regular erections.

The risk of ED after a prostatectomy increases with age. Men younger than 50 are most likely to avoid ED or recover more quickly, highlighting the impact age has on the recovery process. As such, understanding these factors can help in setting realistic expectations and planning for recovery.

The state of a patient’s sexual function, particularly erection, before a prostatectomy operation, is also crucial. Prostate cancer patients with strong pre-existing erection function generally fare better post-surgery.

Lastly, the type and extent of the biopsy procedure matter greatly for patients, influencing the percent of success. More invasive surgeries might lead to longer recovery times.

Nerve Damage Implications

Nerves control erections; thus, damage during prostate cancer surgery can cause impotence in patients, affecting the penis and sex life. The prostate is a small gland in the pelvis, about the size of a walnut, located between the bladder and rectum at the base of the penis. During a radical prostatectomy, which is the primary surgery for prostate cancer, the entire prostate gland and some surrounding tissue are removed.

On either side of the prostate are bundles of nerves essential for an erection. These nerves run close to the prostate gland, and if one or both are removed or damaged during surgery, it can lead to erectile dysfunction. However, nerve-sparing techniques have improved outcomes significantly. These methods aim to protect the penis nerves, enhancing chances of regaining erectile function. Doctors will perform nerve-sparing surgeries whenever possible to maintain erectile function, although the nerves may need to be removed if cancer is found nearby.

This approach potentially reduces the risk of prostate cancer and improves the effectiveness of PDE5 inhibitors for sex. Recovery timelines for patients after a biopsy vary widely, with a certain percent influenced by these nerve-related factors.

By understanding both the anatomy and surgical options, patients can better prepare for and manage the outcomes of prostate cancer treatments.

Hormone and Radiotherapy Effects

Hormone therapy impacts sexual functions too. It can reduce libido or make achieving erections difficult. Radiotherapy, often used for cancer, has its own side effects that might compound those from a biopsy or surgery, affecting both sex and overall health of patients.

Treatments interact in complex ways that influence impotence risks. Understanding these interactions helps guide expectations for recovery.

Prevalence of Sexual Dysfunction

Commonness Post-Surgery

Firstly, the surgery can damage nerves and blood vessels essential for an erection, a concern for sex life in cancer patients, potentially necessitating PDE5i. Secondly, psychological stress associated with cancer treatment may play a role in patients’ sex life, affecting a significant percent and their partner. Finally, hormonal changes after treatment can affect sexual function.

For instance, a male patient who had no cancer issues before might face challenges post-surgery due to these factors, impacting his sex life, a problem affecting a certain percent of individuals.

Orgasmic Function Changes

The sensation of sex and orgasm can change dramatically for patients after prostate surgery. Some male patients report less intense orgasms, or even discomfort during climaxing.

Many patients will experience dry orgasms because a significant percent of their bodies no longer ejaculate fluid. This lack of ejaculation in sex does not mean pleasure is absent for patients, but it alters the familiar sensation of orgasm which can impact the overall satisfaction of a certain percent.

It’s important for patients to communicate and explore new ways to maintain intimacy and pleasure during this adjustment period, which affects a significant percent of individuals.

Ejaculation Concerns

A specific issue related to prostate surgery for patients is retrograde ejaculation where semen enters the bladder instead of exiting through the penis during orgasm. While startling at first, it’s crucial for patients to understand that this doesn’t necessarily impair erectile function or indicate harm.

Moreover, while semen production in patients may be affected by surgery, erectile function relies on different mechanisms within the body such as blood flow and nerve signals. These could remain intact in patients despite alterations in the ejaculation process.

Men concerned about fertility should discuss options like sperm banking before undergoing treatment since retrograde ejaculation could influence their ability to conceive naturally post-surgery.

Treatment Options for Erectile Dysfunction

Non-Surgical Interventions

Men facing impotence after prostate surgery often seek non-surgical treatments. These methods focus on enhancing blood flow and improving overall health.

PDE-5 Inhibitors

PDE-5 inhibitors play a key role in managing erectile dysfunction (ED). Medications like Viagra and Cialis are common choices. They work by increasing blood flow to the penis, helping achieve an erection.

However, they come with potential side effects. Headaches and flushing are common. Men with certain health conditions should avoid these drugs. It’s crucial to consult a doctor before starting any medication.

Lifestyle Modifications

A healthy diet and regular exercise can aid recovery from ED post-surgery. Foods rich in nutrients support vascular health, which is essential for erections.

Stress management techniques also contribute significantly to overcoming impotence. Practices such as meditation can help reduce anxiety related to sexual performance. Quitting smoking and cutting back on alcohol have clear benefits too. They improve overall circulatory health, which is vital for preventing ED.

Shockwave Therapy for Erectile Dysfunction (ED)

Shockwave therapy is a non-invasive treatment option that utilizes low-intensity shockwaves to improve blood flow and stimulate the growth of new blood vessels in the penile area. This therapy has shown promising results in enhancing erectile function and promoting overall sexual wellness. By increasing blood circulation and rejuvenating penile tissue, shockwave therapy offers a potential solution for individuals seeking a non-surgical and drug-free approach to address ED concerns.

P-Shot, Platelet Rich Plasma to the Penis

The P-Shot, also known as the Platelet Rich Plasma (PRP) therapy, is a medical treatment that involves injecting platelet-rich plasma into the penis. This innovative procedure utilizes the regenerative properties of platelets to potentially improve sexual performance and address certain concerns related to male sexual health.

Bocox is Botox Injections to the Penis

Penile Botox, is a medical procedure that involves the use of botulinum toxin to help treat certain conditions such as erectile dysfunction or premature ejaculation. This procedure aims to relax the muscles and improve blood flow in the penis, potentially leading to better sexual performance and satisfaction. It is typically performed by qualified healthcare professionals and may be considered as an option for individuals seeking alternative treatments for specific penile issues.

What Are Urethral Pellets, and How Do They Work?

Urethral pellets are a medical treatment designed to help achieve an erection. They are small, medicated suppositories that are inserted directly into the urethra—the passageway in the penis. Once inserted, the pellet dissolves and releases medication that enhances blood flow, thereby facilitating an erection.

How They Work:

1. Insertion: You place a small pellet into the opening of the urethra using a special applicator.

2. Dissolution: The pellet dissolves quickly, releasing its active ingredients.

3. Increased Blood Flow: The medication triggers blood vessels in the penis to expand, leading to increased blood flow and an erection.

Considerations:

• Effectiveness: This method can be less reliable than direct injections.
• Convenience: It’s a non-invasive, needle-free option for those uncomfortable with injections.

Urethral pellets offer a unique alternative for individuals seeking erectile support, with the key benefit of being easy to use and providing a discrete solution.

Surgical Treatments

When non-surgical interventions don’t suffice, surgical options might be considered.

Penile Implants

Penile implant surgery involves placing a device inside the penis that allows men to control when they have an erection. This option is suitable for some men who’ve had prostate surgery, but it’s not right for everyone. The procedure has risks like infections or mechanical problems with the implant.

However, it’s important to be aware of specific risks associated with surgical implants for erectile dysfunction. These potential risks include:

• Infection: This can occur at the site of the implant, requiring medical attention.
• Failure of the implant: Mechanical issues may arise, necessitating further surgery or replacement.
• Damage to the penis: The implant may cause physical damage to the penile tissue.

While these risks are possible, many men find satisfaction with the results. It’s crucial to have a thorough discussion with your healthcare provider to understand both the benefits and potential complications before deciding if this surgical option is right for you.

What is a Semi-Rigid Implant, and What are Its Pros and Cons?

A semi-rigid implant is a non-inflatable type of penile implant designed to assist those who may need assistance achieving or maintaining an erection. Unlike its inflatable counterpart, this implant maintains a constant level of firmness.

Pros

• Simplicity: With fewer moving parts compared to inflatable implants, semi-rigid implants are less complicated. This simplicity might appeal to individuals who prefer or need an uncomplicated solution.
• Dexterity-Friendly: This option is often suitable for those who have limited hand dexterity, as there is no need to manipulate a pump to achieve firmness.

Cons

• Permanence of Rigidity: One significant drawback is the fact that it does not deflate. The penis remains semi-rigid, which may cause discomfort or inconvenience in everyday situations.
• Concealment Challenges: Due to its constant firmness, it can be difficult to hide under clothing, potentially leading to social discomfort.
• Potential for Injury: The rigidity of the implant can occasionally lead to injury, especially if not positioned carefully or during sudden movements.

In conclusion, while a semi-rigid implant offers simplicity and ease of use, it comes with the trade-off of being continuously firm, which poses challenges in concealment and comfort. For those prioritizing simplicity and requiring minimal manual dexterity, it might be the appropriate choice. However, others may seek alternatives that offer more flexibility and discretion.

Differences Between Three-Piece and Two-Piece Inflatable Implants

When it comes to inflatable implants for penile augmentation, engineering plays a crucial role in their design and functionality. Here’s how the three-piece and two-piece options differ:

Three-Piece Inflatable Implant

1. Components: This model comprises three main elements:

   • Inflatable Tubes: Positioned within the penis, these are responsible for mimicking natural erections.
   • Fluid Reservoir: Typically located in the groin or abdomen, it holds the saline solution needed to inflate the tubes.
   • Pump: Placed in the scrotum, this device controls the transfer of fluid to the inflatable tubes.

2. Operation: To initiate inflation, the user compresses the pump, moving fluid from the reservoir into the tubes. Post-activity, a release valve is used to drain the fluid back into the reservoir.

3. Benefits: Offers a more natural feel due to the external reservoir, allowing for greater firmness and control.

Two-Piece Inflatable Implant

1. Components: This design simplifies the structure by combining elements:

   • Inflatable Tubes and Pump/Reservoir Combination: Both the pump and reservoir are integrated and placed inside the scrotum alongside the inflatable tubes.

2. Operation: Like the three-piece model, the user inflates the implant with a pump. However, both the fluid storage and pumping action are contained within a single device in the scrotum.

3. Benefits: Easier to implant due to fewer components and requires less surgical time, though it may offer slightly less rigidity than the three-piece system.

In summary, the choice between these two implants often depends on personal preference for naturalness versus simplicity, and the surgical considerations discussed with a healthcare provider.

Strategies for Erection Recovery

Rehabilitation Importance

Physical therapy plays a key role in post-surgery recovery. It helps regain strength and function. Pelvic floor exercises are especially important. They improve blood flow and nerve response around the prostate.

A team approach to rehab is beneficial. Doctors, therapists, and counselors work together to help patients heal. This multidisciplinary method leads to better outcomes.

Improving Recovery Outcomes

Regular check-ups with your doctor are crucial after surgery. They ensure that recovery is on track. A positive attitude aids healing too. Mental health impacts physical health more than we often realize.

Talking about sexual concerns is necessary for recovery. Open communication with partners and doctors can ease anxiety and promote healing.

Timeframe for Healing

Recovery varies from person to person after prostate surgery. Generally, it takes months for sexual function to return fully; sometimes longer. Several factors affect this timeline—age, overall health, and the extent of surgery matter a lot here. It’s vital to manage expectations regarding the healing process realistically.
Erectile dysfunction affects almost all men within the initial months following a prostatectomy. Most men, however, will experience significant improvement within a year. For some, it may take up to two years to fully recover and have regular erections.

Understanding these time frames can help in setting realistic expectations and planning for gradual improvement. Remember, each individual’s journey is unique, and consulting with a healthcare professional can provide personalized guidance tailored to your specific situation.

Coping with Psychological Effects

Emotional Impact

The journey to recovery after prostate surgery often brings emotional challenges. Men may struggle with feelings of loss or inadequacy due to impotence. It’s crucial for them to receive emotional support from family and friends. This backing helps them navigate these tough emotions.

Professional help can be vital too. A psychologist or counselor provides coping strategies tailored to individual needs. They understand the deep impact of such changes on one’s self-esteem and relationships.

Sexual Counseling Benefits

Sex therapy plays a key role in managing post-surgery impotence concerns. Therapists offer guidance that addresses both psychological and physical aspects of sexual function. The benefits are notable when partners join these sessions together.

In counseling, couples learn various techniques to enhance intimacy and sexual satisfaction despite challenges. This might include communication exercises or alternative methods for sexual expression.

Therapy for Couples

Intimacy doesn’t just fade away because of surgical outcomes; it evolves. Couples must find new ways to connect during the recovery process from prostate surgery which has led to impotence issues.

Open dialogue is essential here – talking honestly about fears, desires, and expectations can relieve tension and build trust between partners. Strategies like focusing on non-sexual forms of affection can maintain closeness while adjusting sexually post-surgery.

By acknowledging these psychological effects, men and their partners take an important step towards healing after prostate surgery-induced impotence. It’s not just about physical recovery but also nurturing mental well-being through support systems, counseling, and intimate communication strategies.

Understanding Psychological Erectile Dysfunction and How to Address It

Psychological erectile dysfunction (ED) is when mental or emotional factors lead to difficulties in achieving or maintaining an erection. Even if the physical components, such as nerves and blood vessels, are functioning correctly, the mind can sometimes create barriers. This type of ED is often linked to stress, anxiety, or self-esteem issues around sexual performance.

Causes and Impact

• Anxiety and Stress: Fear or stress about sexual performance can be overwhelming enough to trigger ED.
• Emotional Health: Concerns about self-worth and sexual identity can contribute to psychological ED, even if there’s no physical issue.
• Mental Health Conditions: Chronic stress, anxiety, and depression can exacerbate or initiate ED due to their impacts on emotional well-being.

Addressing Psychological ED

1. Counseling and Therapy: Working with a mental health specialist can be immensely beneficial. Therapies such as cognitive behavioral therapy (CBT) can help identify and reshape negative thought patterns that contribute to ED.

2. Mindfulness and Relaxation Techniques: Activities that promote relaxation, like meditation and yoga, can reduce stress and improve mental well-being, offering potential relief from ED.

3. Open Communication: Discussing challenges with a partner can alleviate some of the stress and anxiety associated with ED. Mutual understanding and support can be pivotal.

4. Lifestyle Modifications: Incorporating a balanced diet, regular exercise, and adequate sleep into your routine can reinforce overall health, positively impacting emotional and psychological states.

5. Professional Guidance: Consulting healthcare professionals for tailored advice and potential medications, like those from Pfizer or Eli Lilly, could complement psychological treatment approaches.

Addressing psychological ED often requires a multifaceted approach, combining professional help with personal efforts towards mental well-being. This blend can offer a pathway to overcoming barriers imposed by psychological concerns and enhance the quality of life and relationships.

Expectations and Reality of Recovery

Sexual Activity Post-Treatment

After prostate surgery, many men wonder when they can resume sexual activity. It’s generally safe to engage in sex once the doctor says it’s okay. However, changes in sexual performance are common. Some men may experience differences in erection quality or sensation.

It’s normal to feel anxious about resuming sex after treatment. Discussing these concerns with a partner can help alleviate fears. Open communication is key for both emotional support and managing expectations.

Outcome Expectations

Having realistic expectations is crucial for recovery from impotence after prostate surgery. Each man recovers differently based on factors like age, overall health, and surgical technique used.

Outcomes vary widely among individuals. Some regain full function quickly while others take longer or need additional treatments such as medication or devices to assist with erections.

Patience is important during this time. Recovery might be slow but persistence often leads to improvement over months or even years.

Healthy Lifestyle Integration

A healthy lifestyle supports recovery from impotence post-prostate surgery. Good habits boost well-being and may improve sexual health outcomes too.

Diet plays a role in prostate health:

• Eat plenty of fruits and vegetables.
• Choose whole grains over refined ones.
• Limit red meat and choose lean proteins instead.

Regular exercise also contributes to better overall health which can aid recovery efforts:

• Start with gentle activities like walking.
• Gradually increase intensity under medical guidance.

Innovations in Erectile Rehabilitation

HIFU and Cryotherapy

High-Intensity Focused Ultrasound, or HIFU, is a newer treatment. It uses precise ultrasound waves to heat and destroy cancer cells. Unlike traditional surgery, it’s less invasive. This means fewer side effects for patients. Cryotherapy also targets prostate cancer in a less invasive way. It freezes the cancer cells to kill them.

Both methods are gentler than older surgeries. They have shown promise in preserving sexual function post-treatment. For men worried about impotence after prostate surgery, these options might be worth considering.

However, they’re not perfect solutions yet. Some men still experience sexual dysfunction after these treatments—just possibly at lower rates than with traditional methods.

Advances in Non-Surgical Options

Researchers are always looking for better treatments that cause fewer issues like impotence after prostate surgery.

New non-surgical options include advanced hormone therapies and radiation techniques. These aim to treat cancer while sparing sexual function as much as possible.

The benefits of non-surgical treatments can be significant:

• Reduced risk of physical complications
• Shorter recovery time
• Potentially lower impact on erectile function

But there are risks too:

• Cancer may not be removed as completely
• Possible need for additional treatment later on

Compared to surgical methods, some of these advances show reduced rates of impotence. This gives hope to many facing prostate cancer treatment decisions.

Addressing Erectile Dysfunction Failures

After PDE-5 Inhibitor Failure

“When PDE-5 inhibitors don’t work, other options exist.

“Vacuum erection devices (VEDs) are one alternative. They draw blood into the penis to help achieve an erection. Many men find VEDs simple and effective.

Here’s how they work:

1. Components: A VED consists of a plastic cylinder placed over the penis and a suction pump.

2. Creating an Erection: The pump creates a vacuum inside the cylinder, which forces blood into the penis, leading to an erection.

3. Maintaining the Erection: Once erect, a special elastic band is placed around the base of the penis. This band helps hold the blood inside, maintaining the erection.

4. Usage Duration: The elastic band can be safely left in place for up to 30 minutes, offering a practical solution for many.

By understanding the mechanics and use of VEDs, individuals can better assess their suitability as a treatment option.”

Another choice is intracavernosal injections. These involve injecting medication directly into the penile tissue. This method can produce a strong erection for most men after prostate surgery. Your healthcare provider will guide you on how to administer these injections safely.

Shockwave therapy, P-shot, and Botox into the penis should be considered before committing to penile implant surgery. Each of these options offers unique benefits and can be tailored to individual needs.

Some may consider penile implant surgery as a last resort. It involves placing a device inside the penis that allows control over erections. This surgical option is typically considered when other treatments are ineffective and offers a permanent solution for those seeking one.”

See the differences between penile implant surgery and shockwave therapy here.

Exploring Alternative Treatments

Beyond conventional treatments, alternatives like acupuncture have gained attention. Acupuncture involves inserting needles at specific points in the body to improve health.

Herbal supplements are also popular for their natural approach to healing. However, research on these methods varies widely in quality and results.

It’s crucial to discuss all treatment options with your healthcare provider before trying them out.

The Role of Sexual Counseling

Importance of Counseling

Sexual counseling plays a key role in recovery after prostate surgery. It helps patients deal with both the emotional and psychological aspects. Individual sessions offer personalized strategies to cope with changes. Group sessions provide support from others facing similar challenges.

Partner involvement is crucial as well. It fosters understanding and mutual support, which can strengthen relationships during this tough time.

Addressing Emotional Concerns

Post-surgery impotence can trigger emotions like anxiety or depression. Patients often feel a hit to their self-esteem too. Recognizing these feelings is the first step toward managing them effectively.

Professional help can be vital for those struggling more severely. Therapists provide tools for coping and moving forward positively.

Conclusion

Erectile dysfunction after prostate surgery can feel like a tough mountain to climb, but you’re not alone on this trek. We’ve walked through the valley of understanding its prevalence and explored the peaks of treatment options available. You’ve got a map—strategies for erection recovery and sexual counseling are your trusty guides, helping you navigate through the psychological underbrush.

Don’t let setbacks keep you from pushing forward. Innovations in erectile rehabilitation are springing up like new growth in a forest, promising fresh hope. Your expectations may need adjusting, but remember, the reality of recovery is a journey, not a sprint. If you’re hitting a wall with erectile dysfunction failures, punch back with knowledge and support. Ready to take control? Reach out to a healthcare provider and start your path to reclaiming your sexual health today.

Frequently Asked Questions

How common is erectile dysfunction after prostate surgery?

It’s quite common; many men experience some degree of erectile dysfunction following prostate surgery. The exact prevalence varies, but it’s a well-known post-operative challenge.

What are the treatment options for post-surgery impotence?

Treatment options include oral medications, penile injections, vacuum erection devices, shockwave therapy, P shot, Botox injections and very rarely there is a need for surgical implants. Each case may require a different approach.

Can erections improve over time after prostate surgery?

Yes, erections can improve over time with various strategies like medication or therapy. Recovery isn’t immediate and requires patience and often a tailored rehabilitation plan.

How does psychological counseling help with post-surgery impotence?

Psychological counseling addresses the emotional impact of ED and can enhance coping strategies, thereby improving sexual confidence and relationship dynamics.

Are there new methods of penile rehabilitation?

Indeed, there are innovations such as advanced penile rehabilitation protocols and emerging drug therapies that show promise in enhancing recovery outcomes.

Is it normal to feel depressed about erection problems and sexual dysfunction post surgery?

Absolutely. It’s very normal to have feelings of sadness or loss regarding changes in sexual function post-surgery; seeking support through this time is important for mental health.

Final Words:

With his personalized approach, Dr. Kumar has successfully helped hundreds of patients regain their potency even in the most challenging circumstances. The remarkable results he achieves speak volumes about his expertise and dedication.

Still have questions? Want to learn if our holistic therapies are right for you? If you are located in Palm beach county or in Saint Lucie county we can do an office visit. For those unable to do so, we can achieve results through a Telemedicine call. Contact my office today at 772-332-9975 and I’m happy to discuss:

• Your health history and concerns
• Potential causes/factors contributing to your condition
• Complementary modalities and lifestyle measures to incorporate into your care plan
• Our patient-focused process and what to expect at your first visit

I look forward to speaking!

Dr. Kumar. Please check out the 136 five star reviews at WebMD.com