Sexual Medicine & Surgery
Dr. Yonah Krakowsky MD FRCSC | Urologist
University of Toronto
Sexual Medicine & Surgery
Dr. Yonah Krakowsky MD FRCSC | Urologist
University of Toronto
DR. YONAH KRAKOWSKYMD FRCSC
Dr Krakowsky MD FRCSC is a urologist and sexual medicine surgeon on staff at Women’s College Hospital and Mount Sinai Hospital. Dr Krakowsky is a surgeon-educator at the University of Toronto and is the vice program director for the urology residency program.
Dr Krakowsky completed his medical training and urologic surgery residency at the University of Toronto. He then completed a fellowship in Sexual Medicine and Surgery at Harvard Medical School under Dr Abraham Morgentaler including Peyronie’s Disease, Erectile Dysfunction, Vasectomy and Penoscrotal Surgery. Dr Krakowsky is an active member of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Sexual Medicine Society of North America (SMSNA).
Dr Krakowsky’s clinical and research interests are in female sexual medicine, peyronie’s disease, vasectomy, surgery of the penis and scrotum, and increasing access for trans surgery in Canada.
Yonah is lifelong Blue Jay and Leafs fan. He’s into music, competitive storytelling and his family.
CONDITIONS
Low Libido
At any age individuals may experience a decrease in sexual desire that causes distress. While the cause of changes in libido are almost always multifactorial, there are medical investigations and treatments that can help uncover reversible causes and improve desire. For those with low libido secondary to birth control usage alternative options such as vasectomy can be explored.
Decreased Arousal
Decreased arousal is characterized as the inability to achieve the required blood flow and lubrication for sexual activity. In many cases, there are medical and psychosocial causes that contribute to the lack of arousal that can be diagnosed and treated.
Sexual Pain
Sexual activity should not be painful. Although once thought to be rooted in psychology, there is growing awareness of the many medical and anatomical causes of both superficial and deep sexual pain. There are a growing number of multidisciplinary treatments available for sexual pain depending on cause and patient preference that include oral therapies, injections, local therapies, surgery and new technologies such as laser treatment. For those with sexual pain related to birth control use, alternative options such as vasectomy can be explored.
Circumcision
Circumcision is the removal of foreskin for medical, cosmetic or religious reasons. The procedure is preformed either with local anesthesia or under a general anesthetic as day surgery depending on patient preference. Absorbable, dissolving sutures are used. The procedure takes approximately 45 minutes and patients are encouraged to take a few days off work to recover.
Erectile Dysfunction
There are many reasons why individuals may have trouble achieving or maintaining an erection. No matter the cause there are treatment options available including oral medications, injections, minimally invasive shockwave treatment or surgery with penile implants.
Peyronie’s Disease
Peyronie’s disease is characterized as a penile deformity secondary to plaque formation within the penis. Treatment may include oral therapies, injections (verapamil or Xiaflex) or surgery depending on a patient’s goals and the unique nature of their deformity.
Penoscrotal Surgery
There are abnormalities of the penis and scrotum that may cause undesired aesthetic or functional consequences. Many of these abnormalities are amenable to surgical correction. Further, many individuals choose to proceed with a vasectomy- a short procedure the provides reliable and permanent birth control.
Orgasmic Dysfunction
The experience of orgasm is unique. There are individuals who have never achieved an orgasm is their lifetime (primary anorgasmia) and others who became unable to achieve an orgasm due to medical, psychological or social changes in their life (secondary anorgasmia). While once thought to be a psychological phenomenon only, there is growing evidence that physicians can play an important role in the diagnosis and treatment of orgasmic dysfunction.
FORMS &
RESOURCES
Testosterone deficiency
Establishing a biochemical diagnosis
testosterone replacement therapy
Survival and cardiovascular events in men treated with testosterone replacement therapy: an intention-to-treat observational cohort study
erectile dysfunction
2015 CUA Practice guidelines for erectile dysfunction
Testosterone Undecanoate Therapy
Initial Clinical Experience With Testosterone Undecanoate Therapy (AVEED) in Men With Testosterone Deficiency in the United States
Sex Hormone–binding Globulin
Serum Concentrations of Sex Hormone–binding Globulin Vary Widely in Younger and Older Men: Clinical Data from a Men’s Health Practice
PEYRONIE’S DISEASE
American Urological Association (AUA) Guideline
North American Menopause Society
The 2017 hormone therapy position statement of The North American Menopause Society
Vulvodynia
Assessment and Treatment
Testosterone Flare
Risk of Testosterone Flare in the Era of the Saturation Model: One More Historical Myth
CONTACT &
LOCATION
Referrals:
Referrals are required for all non-cosmetic procedures
