Category: News

If you leak a little when you laugh, cough or exercise—or feel like you always need to know where the nearest bathroom is—you’re not alone. Urinary incontinence and pelvic floor weakness are incredibly common, but not something you just have to “live with.” Up to half of adult women experience some form of urine leakage, and it can affect men too, especially after prostate or pelvic surgery.

At Pregenzer Urology, we’re proud to offer High-Intensity Focused Electromagnetic (HIFEM) therapy. This non-invasive treatment helps rebuild pelvic floor strength, improve bladder control, and restore confidence, all while you comfortably sit.

Your Pelvic Floor: Small Muscles, Big Impact

Your pelvic floor is a group of muscles and connective tissues that act like a hammock to support the bladder, uterus (in women), prostate (in men), and bowel. When these muscles weaken, you may notice:

• Leaking with coughing, laughing, or exercise (stress incontinence)
• Strong, sudden urges to urinate (urgency or overactive bladder)
• A feeling of heaviness or pressure in the pelvis
• Changes in sexual function or comfort

Pregnancy and childbirth, aging, menopause, pelvic surgery, chronic coughing, constipation, and high-impact exercise can all strain the pelvic floor over time.

Pelvic floor muscle training (often called Kegels) is considered a first-line treatment for many types of urinary incontinence. However, these exercises are easy to do incorrectly, and it can take months to see results.

This is where HIFEM therapy can empower you to regain control over your pelvic health and confidence.

What Is HIFEM Therapy?

HIFEM (High-Intensity Focused Electromagnetic) therapy uses powerful, targeted electromagnetic energy to stimulate and strengthen the pelvic floor muscles. During each roughly 30-minute session, the device causes thousands of strong, rapid muscle contractions—far more than you could achieve with voluntary Kegels alone.

At Pregenzer Urology, HIFEM therapy is:

• Non-invasive: No surgery, needles, or anesthesia
• Fully clothed: You sit comfortably on the treatment chair
• Quick & convenient: Sessions take about 30 minutes
• Comfortable: You may feel intense muscle engagement, but it shouldn’t be painful
• Evidence-based: Clinical studies show HIFEM can significantly improve pelvic floor strength and urinary incontinence in many patients

It’s as simple as sitting comfortably in the chair while the device gently strengthens your pelvic muscles, offering reassurance and ease.

Who Can Benefit from HIFEM Therapy?

HIFEM therapy can be an excellent option for adults looking to improve pelvic floor function and bladder or sexual health, including those who:

• Leak urine when they cough, sneeze, laugh, or exercise
• Rush to the bathroom with strong, urgent urges
• Wake at night to urinate frequently
• Have pelvic floor weakness after childbirth or menopause
• Experience decreased sexual sensation or confidence
• Are looking for a non-surgical, non-medication option for pelvic floor strengthening

HIFEM can often be used alongside pelvic floor physical therapy, lifestyle changes, or other urologic treatments as part of a comprehensive plan.

What to Expect During HIFEM Treatment at Pregenzer Urology

• Personalized Consultation: Meet with Dr. Gerard Pregenzer or a care team member for a thorough evaluation of your bladder and pelvic floor health. Together, you’ll discuss your symptoms, medical history, and treatment goals to assess if HIFEM is suitable for you.
• Your First Session: You’ll remain fully clothed and comfortably positioned on the HIFEM chair, where the energy targets your pelvic floor. Expect rapid muscle contractions, described as “intense, but tolerable.”
• After Your Session: There’s no downtime—you can resume normal activities immediately. Most treatment plans consist of multiple sessions over several weeks, tailored to your needs.
• Tracking Your Progress: As your pelvic floor strengthens, many patients notice fewer leakage episodes, better urgency control, and increased confidence in daily life, travel, exercise, and intimacy.

How HIFEM Fits Into Your Overall Bladder & Pelvic Health Plan

HIFEM therapy is one powerful tool in a broader strategy to protect your pelvic floor and bladder health. Depending on your diagnosis, your provider may also recommend:

• Pelvic floor muscle training (with or without physical therapy)
• Bladder training and bathroom habit changes
• Medications or other urologic treatments
• Weight management, smoking cessation, or addressing chronic cough/constipation

While pelvic floor exercises are first-line, HIFEM offers a non-invasive, effective alternative for those who struggle with traditional Kegels or want faster results.

At Pregenzer Urology, the goal is not just to reduce leaks; it’s to help you feel more in control, active, and confident in every part of your life.

Ready to Restore Your Strength and Confidence?

If bladder leaks, urgency, or pelvic floor weakness are affecting your life, you don’t have to keep adjusting your plans, or your wardrobe, around them.

HIFEM therapy at Pregenzer Urology offers a non-invasive, science-backed way to retrain and strengthen your pelvic floor.

To find out whether HIFEM is right for you, call (860) 962-6600 or request an appointment online to meet with Dr. Pregenzer and his team in West Hartford or Enfield.

Penile Girth Enhancement in Hartford, CT

Let’s be honest here. Most men would prefer they were larger, and we’re not talking about their hands. However, most men are not wanting to delve into surgery to make it happen. Increasing the size of your penis is a universal wish, but now it is as easy as 30 minutes in the doctor’s office or less. You heard right. If you are one of those men, let’s learn more about girth enhancement and the benefits.

Increasing the circumference of your penis can be accomplished in various ways. There are a number of surgical interventions and implants which make it possible. There are also non-surgical options. You can choose from some short-lived effects like a pump, traction devices to increase length, or silicone fillers with their serious complications. Truth be told, most men are less likely to do any of these, especially when there are better choices.

Today men can take advantage of a girth enhancement with few if any complications. Injections of hyaluronic acid do the trick. Used for years to enhance faces and other areas of the body, hyaluronic acid is a natural substance found in our bodies.

Benefits of Penile Girth Enhancement

• Increased sensation for both partners
• Increased confidence and improves self-image
• No downtime after a treatment
• Immediate results
• Minimal discomfort
• Enhancement occurs both flaccid and erect
• Enhanced sexual pleasure
• Enhanced sexual performance
• Short in-office treatments

UroFill® Penile Girth Enhancement

UroFill® is a patented technique which will safely enhance the girth of your penis. You are able to have the girth of your dreams with some simple injections which take place in his urology clinic in Enfield and West Hartford. You can be injected during your lunch break and go immediately back to work.

A local anesthetic will be applied to your penis with a tiny needle. Once the penis is numb, the hyaluronic acid filler will be injected into several areas of the penis. A series of these injections can give you almost any girth size you desire. Discuss realistic expectations with board-certified urologist Gerard Pregenzer., MD.

All providers are board-certified urologists who have undergone extensive training. Expect some mild bruising for about one week, and you can resume workouts and sexual intercourse after 72 hours.

Phallofill® Penile Girth Enhancement

This girth enhancement will provide a safe, natural look to give you a thicker or straighter penis which is long lasting. Patients will see an increase of 0.25 to 0.3 in girth after each treatment. Within three to four treatments with Dr. Pregenzer , you will see an increase of 1 inch in girth.

It is possible that hyaluronic acid injections will reabsorb although the placement determines how quickly this happens. An annual “touch up” can help keep the desired size stable indefinitely.

Over six million injections have been given with no complications. There may be some light bruising and tenderness which will last less than a week. For the first three days any workouts should be light. For best results it is recommended that you refrain from sexual activity for one week.

Don’t Wait—Schedule a Consultation

If you have been bothered by the size of your “equipment,” now you can do something about it safely, quickly, and without the fear of any complications.

Contact Gerard Pregenzer., MD at (860) 962-6600 to learn more about the benefits you can expect from penile girth enhancement.

Testosterone plays a vital role in the body, impacting everything from bone density and muscle mass to mood and energy levels. While it’s commonly associated with men’s health, testosterone is essential for both males and females.

When testosterone levels drop—a condition often referred to as Low T—it can have significant physical, emotional, and social impacts, affecting overall life quality. Let’s explore how low testosterone affects your health, the symptoms to watch for, and available treatment options.

The Role of Testosterone in the Body

Testosterone is a hormone produced primarily in the testes in men and the ovaries and adrenal glands in women. It regulates key functions, including:

• Development of muscle mass and strength
• Maintenance of bone density
• Red blood cell production
• Fat distribution
• Libido and sexual function
• Mood and cognitive performance

Optimal testosterone levels help maintain a healthy, active lifestyle. When levels decline, either due to aging or medical conditions, the effects can be profound.

Common Symptoms of Low Testosterone

Low testosterone can manifest in various ways, including:

• Physical Symptoms: Fatigue, reduced muscle mass, increased body fat, and decreased bone density.
• Emotional Symptoms: Irritability, depression, anxiety, and difficulty concentrating.
• Sexual Symptoms: Reduced libido, erectile dysfunction, and decreased sexual satisfaction.

These symptoms can lead to a diminished sense of well-being, affecting confidence, motivation, and social relationships.

How Low Testosterone Impacts Health

Low-T affects many aspects of health, including:

• Muscle Mass and Strength: Testosterone plays a key role in maintaining muscle mass. Low T can lead to muscle loss and reduced strength, making physical activity and daily tasks more challenging.
• Bone Density: Low testosterone contributes to reduced bone density, increasing the risk of osteoporosis and fractures, particularly in older adults.
• Cardiovascular Health: Studies suggest that low testosterone levels may be linked to an increased risk of cardiovascular disease. Maintaining healthy testosterone levels can support heart health and circulation.
• Mood and Cognitive Function: Low T can lead to feelings of depression, anxiety, and brain fog, significantly impacting mental health and daily functioning.

Treatment Options for Low Testosterone

Fortunately, Low T can be managed effectively with the right treatment plan. Options include:

• Testosterone Replacement Therapy (TRT): TRT involves administering testosterone via injections, gels, patches, or pellets to restore hormone levels. This treatment can improve energy, mood, libido, and muscle mass while reducing symptoms like fatigue and depression.
• Lifestyle Changes: Adopting a healthy lifestyle can naturally boost testosterone levels. Key strategies include:
  • Regular exercise, particularly strength training
  • A balanced diet rich in healthy fats, protein, and essential nutrients
  • Stress management and adequate sleep
• Regular Monitoring: It’s important to monitor testosterone levels regularly, especially if you experience symptoms of Low T. Regular check-ups can help tailor treatments to your individual needs and ensure long-term health.

Low Testosterone Treatment in Hartford, CT

Low testosterone can significantly impact your health and quality of life, but with early detection and proper management, you can regain vitality and well-being.

If you suspect you may have Low T, contact Dr. Gerard Pregenzer at Pregenzer Urology. Please call (860) 962-6600 to explore treatment options and take steps toward a healthier, more fulfilling life.

Erectile dysfunction is defined as the inability to get or maintain an erection firm enough for sexual intercourse. With regard to sexual health, erectile dysfunction is the most reported problem by men to their doctor. It is estimated that as many as 100 million men worldwide have ED, however as many as 85% do not report it. Many men believe aging is the only cause, but that’s not exactly true. In most cases, men are prescribed the “little blue pill,” but what are treatment options for erectile dysfunction when pills don’t work?

Diagnosis of Erectile Dysfunction

If you are wondering about ED, see an experienced urologist who diagnoses and treats ED like Dr. Pregenzer Board Certified Urologist in Hartford, CT.

One test is a Penile Doppler Ultrasound which will diagnose the root cause of erectile dysfunction: blood flow in the penis. This is done accompanied by a physical exam, urine and blood tests, and maybe an overnight test.

Once other medical issues are eliminated, Pregenzer Urology can make a definitive diagnosis.

Pill Problems

Sometimes the pills for ED don’t work. In addition, certain men cannot take this prescription due to side effects and other health issues including: severe heart disease or heart failure, low blood pressure, and those who take nitrate meds for chest pains. There must be some other alternatives.

You can try lifestyle changes like stopping smoking, exercise, pelvic floor exercises, stress management, and diet.

If you are among the men who do not respond to pills for ED, cannot take them due to other health problems, and if lifestyle changes don’t help, there are other options.

What Are Treatment Options For ED Aside From Medication?

Medical science and technology always have an answer. If you have ED, maybe one or more of these alternatives will help.

• A vacuum erection device, or VED, is sometimes known as a penile pump. Using suction it manually pulls blood into the penis. A tension ring is slipped onto the base of the penis to maintain the erection. Side effects include some restriction of the ejaculation, a cold penis to the touch, and mild bruising.
• Drug pellets inserted into the tip of the penis are like suppositories. They take about 10 minutes to work, and can last 30 to 60 minutes. Side effects include a burning sensation and minor bleeding from the penis.
• Penile injections are another option. These meds improve blood flow even better than pills. Side effects can include some bleeding and minor pain at the site of the injection, longer erections than you desire, and scar tissue within the penis.
• Penile implants involve a 30 to 45 minute procedure to place a device inside the penis which you control. You then have the ability to create erections and decide how long they last. This option has high satisfaction results.
• Another option is a high frequency and low intensity shock wave treatment directed at the penis with a handheld device. It works to increase blood flow by eliminating plaque in existing blood vessels and increases the growth of new blood vessels. It is painless and after a series of treatments, it can last up to 3 years with some minimal maintenance.

Erectile Dysfunction Specialist in Hartford, CT

Contact Dr. Gerard Pregenzer at Pregenzer Urology. Please call (860) 962-6600 if you would like to discuss any of these treatment options for erectile dysfunction and find out if they could be right for you.