General Urology
Comprehensive urinary and reproductive health care for men and women — with evaluation designed around symptoms, comfort, long-term function, and a treatment plan that feels clear, modern, and personalized.
Urinary symptoms can disrupt sleep, confidence, travel, work, exercise, intimacy, and quality of life. They may be embarrassing to talk about, but they are common — and in many cases they are treatable once the underlying cause is clear.
General urology works best when evaluation is specific: distinguishing urgency from infection, bladder pain from pelvic pain, weak stream from obstruction, and hormone symptoms from unrelated fatigue or mood changes. The better the diagnosis, the better the plan.
Comprehensive care should feel organized, not fragmented.
General urology is a broad specialty because urinary and reproductive health concerns often overlap. A patient may arrive with frequency and urgency, but the issue turns out to be infection, incontinence, bladder pain, prostate enlargement, pelvic dysfunction, or a hormonal concern that is affecting overall vitality and sexual health.
At Joshua R. Gonzalez, MD, general urology care is designed to be both comprehensive and focused — with attention to symptom burden, function, comfort, and the treatment pathway that actually fits.
Common concerns, evaluated with more precision
The symptom may sound simple. The diagnosis often is not.
Loss of bladder control
Urinary incontinence can range from occasional leakage with coughing or exercise to stronger urgency and leakage that is harder to control. Identifying the type of incontinence is what helps guide treatment.
UTIs and recurrent bladder infection
UTIs can affect different parts of the urinary tract and may cause pain, urgency, frequency, and discomfort with urination. Recurrent symptoms deserve proper evaluation rather than repeat treatment without clarification.
BPH and obstructive urinary symptoms
An enlarged prostate can contribute to weak stream, hesitancy, frequency, nocturia, and incomplete emptying. Men with bothersome symptoms often benefit from structured BPH evaluation and treatment planning.
Bladder, pelvic, or prostate-related pain
Pelvic pain can overlap with urinary symptoms, pelvic floor dysfunction, inflammatory conditions, or other urologic and reproductive issues. Longstanding pain deserves a focused workup rather than a generic label.
Bladder pain + urgency + frequency
Interstitial cystitis, also called bladder pain syndrome, is a chronic condition that can cause bladder pressure, bladder pain, pelvic pain, urgency, and frequent urination.
Hormonal concerns affecting energy and libido
Testosterone deficiency can overlap with sexual symptoms, lower energy, mood changes, and changes in body composition. Appropriate evaluation matters before treatment decisions are made.
General urology care can include diagnostics, hormone care, and procedures
The right office services depend on the problem being evaluated and the next step that actually fits.
Penile Doppler ultrasound
Penile Doppler ultrasound is used in selected patients to assess penile blood flow response and support more precise erectile dysfunction evaluation when clinically appropriate.
Customized hormone support
The practice offers hormone replacement therapy and related hormonal care, including bioidentical hormone replacement therapy and tailored low testosterone support.
Vasectomy
Vasectomy is an established form of permanent contraception, and the practice offers vasectomy care as part of its broader general urology services.
UroLift®
UroLift® is one option for men with bothersome urinary symptoms related to BPH when medication is not enough and a minimally invasive approach may be a fit.
Direct links to the right next step
These services are already live on the site and connected to the concerns most patients ask about from general urology care.
Benign Prostate + Urinary Health
For BPH, weak stream, urgency, nocturia, and incomplete emptying.
Erectile Dysfunction
For erection concerns, penile blood flow evaluation, and personalized ED treatment planning.
Low Testosterone
For libido, energy, muscle, and testosterone deficiency evaluation.
Hormone Replacement Therapy
For customized BHRT and hormone-related symptom support.
UroLift®
For men seeking minimally invasive relief from BPH-related urinary obstruction.
Vasectomy
For permanent contraception with urologic counseling and procedural care.
A structured, efficient path forward
The goal is to move from symptoms to a diagnosis and from a diagnosis to the most appropriate next step.
Conversation first
We start with the symptom pattern itself: leakage, urgency, burning, nocturia, weak flow, pelvic discomfort, hormone-related symptoms, or a reproductive health concern.
Targeted evaluation
Depending on the concern, evaluation may include exam, urinalysis, blood work, PSA when appropriate, imaging, and symptom-specific testing rather than a one-size-fits-all workup.
Personalized treatment plan
Treatment may involve monitoring, behavioral strategies, medication, hormone support, diagnostic ultrasound, procedural planning, or referral to a more focused service line depending on the diagnosis.
Follow-through
Follow-up helps confirm progress, adjust treatment, and decide whether a different general urology or specialty pathway would better serve the patient long term.
Frequently asked questions
Clear answers, without the noise.
General urology focuses on urinary tract concerns in men and women and often overlaps with male reproductive and sexual health issues. In this practice, it includes care for urinary incontinence, UTIs, BPH, pelvic pain, interstitial cystitis, low testosterone, vasectomy, hormone therapy, and prostate health management.
It is worth seeing a urologist if urinary symptoms are recurring, disruptive, painful, associated with leakage, weak flow, bladder pain, frequent infection, or affecting sleep and quality of life.
Yes. Benign prostatic hyperplasia can contribute to weak stream, hesitancy, urgency, frequency, nocturia, and incomplete emptying.
Yes. Recurrent or persistent urinary infection symptoms should be evaluated to confirm what is actually driving the symptoms and whether there is a structural, bladder, prostate, or other contributing issue involved.
Interstitial cystitis, also called bladder pain syndrome, is a chronic condition associated with bladder pressure, bladder pain, pelvic pain, urgency, and frequent urination.
This page connects general urology care with penile Doppler ultrasound, hormone therapy, vasectomy, prostate health management, and related services such as Low Testosterone, UroLift®, Erectile Dysfunction, and Benign Prostate + Urinary Health.
Ready for a more tailored evaluation?
If you are dealing with urinary symptoms, bladder pain, prostate concerns, or other general urology issues in Los Angeles, request a consultation with Joshua R. Gonzalez, MD.
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