Urologist - Mark Brian Roa, MD, FPCS, FPUA

23/06/2025

🔍 Ano ang Varicocele?

Ang varicocele ay ang paglobo o pamamaga ng ugat sa paligid ng bayag o itlog (testicles). Para itong varicose veins sa paa, pero sa sc***um. Dahil dito, nagkakaroon ng problema sa daloy ng dugo, at pwedeng tumaas ang temperatura sa bayag — na hindi maganda para sa paggawa ng malusog na semilya (s***m).

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❗Karaniwan ba ito? At paano nito naaapektuhan ang fertility ng lalaki?

Oo. Ang varicocele ang pinakakaraniwang nakikitang sanhi ng male infertility.
Maaaring bumaba ang dami, galaw, at kalidad ng s***m dahil sa:
• Mas mataas na init sa bayag
• Pagka-ipon ng toxins mula sa abnormal na daloy ng dugo
• Stress sa mga selula na gumagawa ng s***m

Hindi lahat ng may varicocele ay baog, pero kung may problema sa fertility, ito ang isa sa unang tinitingnan ng mga espesyalista.

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⚠️ Ano ang mga sintomas?

Marami sa mga lalaki ay walang nararamdaman. Pero sa iba, maaaring may:
• Pakiramdam ng bigat sa bayag
• Pananakit lalo na kapag nakatayo nang matagal
• Makikitang “guhit” o namamagang ugat sa sc***um
• Problema sa s***m count kapag nagpatingin

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🩺 Paano ito ginagamot?

Ang varicocelectomy ang pinakakaraniwang operasyon para dito.
Ito ay isang minor surgery kung saan tinatali o inaalis ang mga ugat na may problema sa pagdaloy ng dugo.
• Minimally invasive – Mabilis makarecover
• Ginagawa kung may infertility o pananakit
• Maaaring bumuti ang s***m count at quality pagkatapos ng operasyon

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📣 Final Message:

Kung ikaw ay may varicocele at may problema sa fertility, magpatingin sa isang urologist. Maaaring ito ang susi para mapabuti ang inyong tsansang magkaanak.

21/06/2025

Ang Dating Sigla, Ibalik ang Kumpiyansa.

As men age, it’s normal to experience changes—but that doesn’t mean we should simply accept fatigue, low drive, or declining performance as “part of getting older.”

This morning, I had the privilege to speak at Mary Mother of Church Parish, Las Piñas, to a group of men in their golden years about erectile dysfunction, testosterone deficiency, and sexual health—topics often ignored, but deeply impactful on confidence, relationships, and overall well-being.

Erectile dysfunction is more than a bedroom issue. It can be a sign of underlying health concerns—like diabetes, cardiovascular disease, or low testosterone—and it can quietly chip away at a man’s self-esteem.

That’s why we need to break the stigma, start the conversation, and educate more men about the changes they experience and the options available.

Because regaining strength, energy, and confidence isn’t just about medication—it’s about understanding your body, making better choices, and seeking help when needed.

Let’s keep talking about men’s health. Let’s keep showing up.

—
Mark Brian Roa, MD, FPCS, FPUA
Urologist | Men’s Health Advocate

17/06/2025

Advancing Male Fertility Surgery in the South: First Microsurgical Subinguinal Varicocelectomy in the South of the Metro Performed at Calamba Medical Center

We are proud to share that the first microsurgical subinguinal varicocelectomy has just been successfully performed at Calamba Medical Center, marking a significant step forward in male reproductive health services in the South of Metro Manila.

Varicocele, the abnormal dilation of the veins within the sc***um, is a leading and reversible cause of male infertility. Among the various surgical options available, microsurgical subinguinal varicocelectomy remains the gold standard due to its superior outcomes.

Why Microsurgical Subinguinal Varicocelectomy?
1. Highest Success Rates in Improving Fertility
• Studies consistently show improved semen parameters and pregnancy rates following this procedure, especially in men with clinically palpable varicoceles and abnormal semen analysis.
2. Minimally Invasive, Maximum Precision
• Performed under high magnification using an operating microscope, the procedure allows precise identification and ligation of dilated veins while preserving critical structures such as the testicular artery, lymphatics, and vas deferens.
3. Lower Complication and Recurrence Rates
• Compared to other techniques (open inguinal, laparoscopic, embolization), the microsurgical subinguinal approach has the lowest recurrence rates and a significantly reduced risk of hydrocele formation.
4. Faster Recovery
• Because the incision is made below the external inguinal ring, the muscle layers are not violated, resulting in less postoperative pain and faster return to normal activity.
5. Also Beneficial in Adolescents and Men with Scrotal Discomfort
• Beyond infertility, microsurgical varicocelectomy is also beneficial for adolescents with progressive testicular atrophy and men experiencing dull scrotal pain from varicoceles.

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This milestone reflects our continuing commitment to bringing advanced male fertility treatments closer to home. With growing awareness and accessibility, more men can now benefit from evidence-based andrology care without having to travel far.

06/06/2025

Invest in your health now…

05/06/2025

𝐌𝐞𝐞𝐭 𝐃𝐫. 𝐌𝐚𝐫𝐤 𝐁𝐫𝐲𝐚𝐧 𝐑𝐨𝐚, 𝐔𝐫𝐨𝐥𝐨𝐠𝐢𝐬𝐭

A dedicated specialist in urinary and male reproductive health—delivering expert and compassionate care for your urologic needs.

When to Schedule a Visit:

• Prostate health check-ups
• Urinary tract issues and infections
• Kidney stones and bladder concerns
• Male reproductive and fertility concerns
• Urologic consultations and treatment plans

Schedule an Appointment today:

• Tuesday & Thursday
• 10:00am - 1:00pm
• Saturday
• 1:00pm - 3:00pm
• Location: Room 503

📞 Call OPD to book your appointment at 0917-639-9225.
Prioritize your health today!

Discover more about our services at 🌐 calambadoctorshospital.com

03/06/2025

Be safe out there.

MANILA, Philippines — HIV cases in the country have surged by 500 percent, prompting the Department of Health (DOH) to call on the government to declare a national public health emergency. In a

17/04/2025

MRI fusion biopsy is superior in detecting clinically significant prostate cancer, reduces unnecessary biopsies and overdiagnosis, and improves treatment planning — making it the preferred method in many guidelines, especially for men with prior negative biopsies or elevated PSA with normal DRE.

14/02/2025

Clinic Schedule: Wednesday and Friday 10-12nn, Room 418 MOB

HIRAP UM-IHI? Wag mo na IHI-gnor ang senyales!

Is your bladder trying to tell you something? Don’t let urinary issues disrupt your life. Take the 𝟱-𝗺𝗶𝗻𝘂𝘁𝗲 𝗨𝗿𝗼𝗳𝗹𝗼𝘄𝗺𝗲𝘁𝗿𝘆 𝗧𝗲𝘀𝘁 today and start your journey to better health—fast and simple!

🔍 Early detection makes all the difference.
📞 Talk to an Asian Hospital Urologist today!
📍 Asian Hospital Info Hub
☎️ (02) 8771-9000 local 5913
📧 infohub@asianhospital.com

14/02/2025

National Impotence Day is celebrated on February 14th to raise awareness of erectile dysfunction (ED). ED is the inability to get or maintain an er****on.

What is ED?
* ED is also known as impotence, but health professionals use the term ED less often. �
* ED can be a red flag for underlying health issues like cardiovascular disease. �
* Some possible causes of ED include:
* Hypertension �
* Diabetes �
* Heart disease �
* Neurological disease �
* Thyroid dysfunction �
* Hypogonadism �
* Peyronie's disease

Talk to us about ED today!

22/01/2025

Level 2 certified for this particular robotic surgery console.

I am hoping that I will be able to offer this procedure to our patients in the near future.

17/01/2025

Keep January dry so your fertility stays high! 🙅‍♂️🍹

There are many reasons why we would encourage men to take part in Dry January this year. One of the most important reasons is that alcohol and heavy drinking can affect fertility in men (and in women!).

Drinking too much alcohol can affect men by:

⚠️Lowering testosterone levels.
⚠️Lowering the volume of semen and s***m concentration.
⚠️Negatively affecting s***m motility.

You can read more on our guidelines about male infertility here:
👉 https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/male-infertility

Taking a break from the booze gives your body the chance to reset and recharge, so you can feel your best, inside and out. Let’s make this year your healthiest one yet 😉

12/09/2024

Clinic Announcement

We are excited to announce that our clinic will resume operations in October. We look forward to bringing the latest knowledge and advanced care techniques to better serve our patients. Thank you for your continued support, and we can’t wait to see you soon!

Studies show about 1 in 2 men over the age of 50 have some degree of erectile dysfunction (ED). While ED becomes more common as men age, growing old is not the only cause. Click the link below to learn more about what else can cause ED.

https://bit.ly/3yKfx10