General Practitioners

• Osteoporosis
• Primary Care
  Talk to your health-care provider. Incontinence can sometimes be treated by a primary care physician or it may be necessary for you to see a urologist who specializes in treating incontinence. You can help your doctor by bringing a list of your medications to your appointment. Prior to the appointment, you might want to record for two to four days the amount and type of liquids that you consume, the number of times you urinate and the number of accidents you have.
• Male Infertility
• High Cholesterol
• Constipation
• Erectile Dysfunction
• Urinary Incontinence
  Urinary incontinence is a very common problem affecting as many as 13 million people in the United States. Many of these people suffer in silence unnecessarily, since incontinence can be managed or treated. Discuss this condition with your urologist to find out what treatments are available to you.

Gynecologists

• Female Infertility
• Pelvic Pain
• Pregnancy
  Stress urinary incontinence: Stress incontinence is leakage that occurs when there is an increase in abdominal pressure caused by physical activities like coughing, laughing, sneezing, lifting, straining, getting out of a chair or bending over. The major risk factor for stress incontinence is damage to pelvic muscles that may occur during pregnancy and childbirth.
• Labor and Delivery

Internists

• Bladder Cancer
  There are some men who have severe degeneration in the tissues of the penis, which makes them unable to respond to any of the treatments listed above. While this is a small number of men, they usually have the most severe forms of ED. Patients most likely to fall into this group are men with advanced diabetes, men who suffered from ED before undergoing surgical or radiation treatment for prostate or bladder cancer and men with deformities of the penis called Peyronie’s disease. For these patients reconstructive prosthetic surgery (placement of a penile prosthesis or “implant”) will restore erection, with patient satisfaction rates approaching 90 percent. Surgical prosthetic placement normally can be performed in an outpatient setting or with one night of hospital observation. Possible adverse effects include infection of the prosthesis or mechanical failure of the device.
• Urology
  Dr. Razi is affiliated with Sutter Community Hospital in Tracy, California, and therefore, most hospital procedures are performed at this location. Please click the icons below to learn more about which urology procedures are performed in our offices, and which are performed at a hospital.
• Kidney Stones
  For more information about laser treatments for kidney stones, please contact Dr. Razi’s offices (located in Tracy, CA and Manteca, CA)...
• Testicular Cancer
  The testicles (testes) are contained in a skin-covered muscular sac called the scrotum. The testicles manufacture sperm cells for reproduction and also produce testosterone. The primary indication for scrotal ultrasound is the evaluation of masses in the scrotum or in the testes themselves. The most common mass in the scrotum is a benign collection of fluid around the testis called a hydrocele. Another common condition is a collection of fluid in the epididymis called a spermatocele. Ultrasound studies are also very helpful in investigating solid masses within the testes, which may represent testicular cancer.
• Colon Cancer
  DRE: Is performed with the man either bending over, lying on his side or with his knees drawn up to his chest on the examining table. The physician inserts a gloved finger into the rectum and examines the prostate gland, noting any abnormalities in size, contour or consistency. DRE is inexpensive, easy to perform and allows the physician to note other abnormalities such as blood in the stool, which might allow for the early detection of rectal or colon cancer. However, DRE is not the most effective way to catch an early cancer so it should be combined with a PSA test.
• Urinary Tract Infection
  Some of the causes of incontinence are temporary and easily reversible. Reversible causes include urinary tract infection, vaginal infection or irritation, medication, constipation and restricted mobility. However, in some cases, further medical intervention is necessary. Minimally invasive treatment options are those treatments that do not involve surgery and should be the first line of treatment for patients. However, they may also be used in conjunction with surgical therapy.
• Prostate Cancer
  San Joaquin Valley residents with prostate cancer and other urological conditions no longer have to travel to far away cities for state-of-the-art procedures and treatment. Dr. Salman Razi, M.D., is a highly skilled and Board Certified urologist with a full-time practice in the Tracy and Manteca areas.

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Although transrectal ultrasound guided prostate biopsy is usually very well tolerated, approximately 20 to 25 percent of those undergoing the procedure may find it painful. Injecting local anesthetics into the area before biopsy may minimize this discomfort. Blood in the ejaculate (hematospermia) and blood in the urine (hematuria) are common, occurring in approximately 40 to 50 percent of patients. High fever is rare, occurring in only 3 to 4 percent of patients. Antibiotics and enemas are usually given at the time of the procedure to prevent infection.
• MRI
  An ultrasound study may be performed prior to the day of the procedure to ensure there are no bones interfering with the placement of needles into the prostate. The ultrasound probe is placed into the rectum to obtain pictures of the prostate and surrounding structures. This study is commonly referred to as a transrectal ultrasound (TRUS). The information obtained from the TRUS can also be used to generate a road map for seed implantation. Ultrasound imaging is typically used to define the prostate although newer approaches using CT scan or MRI may be used.
• X-Rays
• Computed Tomography
  To determine if the cancer has spread to the lymph nodes or bones, the physician may order a CT scan of the pelvis or a bone scan. This is only done when the physician deems the cancer to be very serious.
• Radiation Therapy
  The choices we make in life can lead to degeneration of the erectile tissue and the development of ED. Smoking, drug or alcohol abuse, particularly over a long period of time, will compromise the blood vessels of the penis. Lack of exercise and a sedentary lifestyle will contribute to the development of ED. Correction of these conditions will contribute to overall health and may in some individuals correct mild ED. Treatment of many medical conditions can interfere with normal erections. Drugs used to treat these risk factors listed above may also lead to or worsen ED. Patients undergoing surgery or radiation therapy for cancer of the prostate, bladder, colon or rectum are at high risk for the development of ED.

Surgeons

• General Surgery
  Dr. Razi graduated from UC Riverside, and then went on to UCLA Medical School, where he graduated with honors. He spent the next two years doing his general surgery residency at UC Irvine before realizing that the practice of urology was his true medical calling.
• Vasectomy
  This is a minor surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The in office vasectomy procedure typically takes about 30 minutes and usually causes few complications and no change in sexual function. About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (i.e., the procedure used to prevent a woman’s eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control.
• Reconstructive Surgery
  All of the treatments above, with the exception of prosthetic reconstructive surgery, are temporary and meant for use on demand. The treatments compensate for but do not correct the underlying problem in the penis. So it is important to follow-up with your doctor and report on the success of the therapy. If your goals are not reached, if your erection is not of sufficient quality or duration and you are still distressed, you should explore the alternatives with your doctor. Because the medications used are not correcting the problems leading to ED, your response over time may not be what it once was. If such should occur again, have a repeat discussion with your physician about the remaining treatment options.

Dermatologists

• Skin Cancer
  The intake of other certain dietary factors may also reduce the risk of developing prostate cancer. Such substances include lycopene, selenium and vitamin E. Cooked tomatoes are rich sources of the carotenoid lycopene. Lycopenes are antioxidants that may protect cells from becoming cancerous. Several studies have shown that the likelihood of developing prostate cancer is reduced by high intake of lycopene. Researchers found that men ingesting two or more servings of tomato sauce per week had a 36 percent reduction in cancer risk compared to those who did not. Selenium intake has also been reported to lower prostate cancer risk. In a clinical trial designed to determine if selenium could lower skin cancer recurrences, men who took selenium had a 63 percent reduction in prostate cancer incidence compared to those who took a sugar pill (placebo). Attention has also focused on vitamin D’s effect on the prostate. Epidemiologic evidence shows an inverse relationship between prostate cancer risk and ultraviolet radiation, the primary source for vitamin D production. This observation has led some to suggest that higher rates of prostate cancer in the elderly may be partly due to decreased sun exposure or a decline in the body’s ability to make vitamin D with aging.