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  <url>
    <loc>https://www.shupanmd.com/about-dr-pan</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-06-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586700163708-1RV050GQHXGI4WWI8LLI/Shu%2BPan%2BMD%2B-%2B4x6.jpg</image:loc>
      <image:title>About Dr. Pan</image:title>
      <image:caption>Dr. Pan is an Asian man in his thirties. He is wearing glasses and is dressed in a suit and light blue tie for a professional profile picture.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586871514858-NHSLOOLAH1WIFTSJZK04/Resident%2BAwards-110.jpg</image:loc>
      <image:title>About Dr. Pan</image:title>
      <image:caption>Dr. Pan is dressed in a suit, accepting a large award from a fellow urologist.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586871569505-3IYALJQZBEPDAKN5D0VR/IMG_1306.jpg</image:loc>
      <image:title>About Dr. Pan</image:title>
      <image:caption>Dr. Pan is acceping an award from the American Urological Association. He is surrounded by three of his fellow urologists.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-12</lastmod>
  </url>
  <url>
    <loc>https://www.shupanmd.com/home</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2022-12-05</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586472165223-NI0DHPLNIAYO3V62IC33/A+middle-aged+man+in+a+sweater+is+embraced+by+his+wife%2C+who+is+standing+behind+him.</image:loc>
      <image:title>Home - Benign Prostatic Hyperplasia (BPH)</image:title>
      <image:caption>The prostate is the walnut-sized gland that produces semen. Most men don’t think of it until there’s a problem. If you’re having difficulty urinating, ejaculating, or are having pain in your lower back and rectal area, you may have an issue with your prostate. Talk to Dr. Pan to book a consultation and learn more. Topics Prostate | Diagnosis | GreenLight™ Laser Therapy | UroLift® System | Rezūm™ Water Vapor Therapy</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586476116564-J6JL7TVX5C6VIQPRSE8X/A+man+in+his+mid-twenties+looks+out.+He+is+blonde+with+short+hair+and+a+beard+and+he+wears+a+faded+pink+tee+shirt.+He+has+glasses.+He+is+standing+in+front+of+a+blue+sky.</image:loc>
      <image:title>Home - Sexual Health</image:title>
      <image:caption>Sexual dysfunction happens and is nothing to be embarrassed about. Many men experience difficulty in this area, but are able to get treatment and continue onto a problem-free sex life. Topics Erectile Dysfunction | Hypogonadism (Low Testosterone) | Peyronie’s Disease</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586459018479-8I8SD7TZVSCQTVWVF46B/A+man+and+woman+hold+their+three+month+old+baby.+The+baby+is+wearing+a+cute+little+pageboy+cap.+They+are+in+a+field+with+the+sun+shining+on+them.</image:loc>
      <image:title>Home - Male Infertility</image:title>
      <image:caption>12% of couples experience infertility, with male infertility accounting for 40-50% of cases. Talk to Dr. Pan and start building your family today. Topics Hypgonadism | Azoospermia | Blockage | Varicocele | Genetics Semen Analysis | Hormone Panel | Genetic Testing Microepididymal Sperm Aspiration (MESA) | Testicular Sperm Extractions (TESE) | Microsurgical Varicocele Repair | Vasectomy Reversal</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589204917246-PIXZ05UXRLDOYNCFYODX/A+man+works+on+his+macbook.+He+has+a+pad+of+paper+and+pens+next+to+him+and+a+latte+on+the+other+side.</image:loc>
      <image:title>Home - Telehealth</image:title>
      <image:caption>See Dr. Pan virtually, as we social distance during Covid-19 and for convenience beyond the pandemic.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586476653182-4NC2TNDCOYKEM49T5BO0/A+cute+family+of+four+walks+down+a+wet+street.+The+little+boy+is+pulling+on+the+dad%2C+who+is+holding+his+wife%27s+hand%2C+who+in+turn+is+guiding+their+daughter.</image:loc>
      <image:title>Home - Family Planning</image:title>
      <image:caption>Have you decided to be child-free? Have you completed your family and want a permanent form of birth control? Learn more about vasectomies and why they might be the right choice for you. Topics Vasectomy</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/male-infertility</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-11</lastmod>
  </url>
  <url>
    <loc>https://www.shupanmd.com/benign-prostatic-hyperplasia-bph</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-06-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588259884806-E2UDRVWR1GJ9D1SP8EFI/A%2Bnormal%2Bprostate%2Bimage%2Bnext%2Bto%2Ba%2BBPH%2Bprostate%2Bimage.%2BImages%2Bvia%2BUrolift..jpg</image:loc>
      <image:title>BPH - About the Prostate</image:title>
      <image:caption>What is the prostate? The prostate is a small but important gland in the male reproductive system located deep inside the groin, between the base of the penis and the rectum. Why is the prostate important? The prostate is important for reproduction because it supplies the seminal fluid, which mixes with sperm from the testes. Seminal fluid helps the sperm to travel and survive. (1) What is prostate enlargement and why does it happen? As men age, the prostate can grow from the size of a walnut to about the size of a lemon. It’s not clear why the prostate grows like this, but it’s believed certain male hormones such as dihydrotestosterone tend to act more strongly on the prostate gland later in life. (2) Why does my prostate affect my bladder? Because the prostate is located just below the bladder, when it becomes larger it can place pressure on the urethra, the tube that carries urine from the bladder through the penis and out of the body.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589393261615-K1R7LQPYB8MX6SO4WW8W/A+handsome+older+gentleman+smiles+while+he+reads+the+paper.</image:loc>
      <image:title>BPH - Diagnosis and Treatment for BPH</image:title>
      <image:caption>Diagnosis A doctor may do a number of things to find the cause of urinary problems, including: taking a medical history and description of symptoms; a physical examination; blood or urine tests; and sometimes ultrasound or digital rectal exam. (4) Treatment Options Watchful waiting if symptoms aren’t too bothersome and no complications arise. Behavioral modification, such as drinking fewer liquids before bed, drinking less caffeine and alcohol, or avoiding over-the-counter medications such as decongestants or antihistamines that can make prostate problems worse. Medication may help to minimize symptoms or growth of the prostate when symptoms become more advanced. Minimally invasive therapies are available when medication alone does not relieve symptoms of BPH, or when patients prefer not to take pills daily or experience medication-related side effects. Surgery is sometimes necessary for larger prostates or medically complicated patients. Medication is the most common first-line treatment for mild to moderate symptoms of prostate enlargement; however, minimally invasive or surgical therapy might be recommended if symptoms are moderate to severe, medication doesn’t relieve the symptoms, or the patient has other health issues.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1c2a2253-8fa9-47de-8c02-41f453cc6924/holep.png</image:loc>
      <image:title>BPH - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586466024304-3R2CR9OL0VOAZCZBSPS9/Rezum.png</image:loc>
      <image:title>BPH</image:title>
      <image:caption>The logo image for Rezum Water Vapor Therapy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588772181628-VARU4G15ETIHNCBOJIAK/GreenLight+Big.png</image:loc>
      <image:title>BPH</image:title>
      <image:caption>The logo image for GreenLight Laser Therapy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586464991977-Z1SRM0Q4TXSXI8DBOKXR/Urolift%2B1.jpg</image:loc>
      <image:title>BPH</image:title>
      <image:caption>The logo image for UroLift</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-hypogonadism-low-testosterone-testopel-testosterone-pellets</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-11</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588860808532-NFVDN02OWESVH2UIWHW4/Testopol+Skinny.png</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588787064873-VI0EODX17HHMPBZGRX94/fitness-4667733_1920.jpg</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
      <image:caption>A handsome, fit middle-aged man works out in the gym.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588789606484-JHDEBYLRPVK88UKRF6SU/injections+-+3+calendars.png</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
      <image:caption>Three illustrated calendars with two dates checked off, one on the first calendar, one on the third.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588789590246-P6I1GBLY4ALFPWBJ5UPP/Topical+Gels%3ASolutions+-+Daily.png</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
      <image:caption>An illustrated calendar with every day checked off.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588789598686-03WD4E2QGFY3TM21XGCR/injections+two+weeks.png</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
      <image:caption>An illustrated calendar with two dates checked off.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588789614703-NG7ZHM4OCEY3GP3LVRXG/injections+-+4+calendars.png</image:loc>
      <image:title>TESTOPEL® Testosterone Pellets</image:title>
      <image:caption>Four illustrated calendars with just one date checked.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/bph-rezum-water-vapor-therapy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586470314817-BWIE4O71RAWSGF6YET86/Rezum+Skinny.png</image:loc>
      <image:title>Rezūm™ Water Vapor Therapy</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586470660709-81KC262D33FIIW8JFMHS/image-asset.jpeg</image:loc>
      <image:title>Rezūm™ Water Vapor Therapy</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586470820521-VZ1LD7E89I2YB1Y6WZTM/3+After+Rezum+Procedure.jpeg</image:loc>
      <image:title>Rezūm™ Water Vapor Therapy</image:title>
      <image:caption>3. After Rezūm Procedure</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586470770791-Y73NZ7JLZNMRQ2T0V5WG/2+During+Rezum+Procedure.jpeg</image:loc>
      <image:title>Rezūm™ Water Vapor Therapy</image:title>
      <image:caption>2. During Rezūm Procedure</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586470763832-EK16VSZF375W1KW910SK/1+Before+Rezum+Procedure.jpeg</image:loc>
      <image:title>Rezūm™ Water Vapor Therapy</image:title>
      <image:caption>Before Rezūm Procedure</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-13</lastmod>
  </url>
  <url>
    <loc>https://www.shupanmd.com/family-planning</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-06</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1587306768848-T3I8TAPK100748NNRFH8/matthew-fassnacht-prN1G8dUMm8-unsplash.jpg</image:loc>
      <image:title>Family Planning</image:title>
      <image:caption>A couple embraces, with the man behind the woman. They are in winter clothing with a snowy background.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/bph-greenlight-laser-therapy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588772160274-AR9C1MJIH8YOVKDI0D8V/GreenLight+Skinny.png</image:loc>
      <image:title>GreenLight™ Laser Therapy</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/bph-urolift-system-treatment</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-06</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588798044582-1B7MKON4I1FNBS1583X3/Urolift+Skinny.png</image:loc>
      <image:title>UroLift® System Treatment</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586468967236-L811MIDIZ84SY54XAEGY/Prostate%2BMASTER%2BORG%2BSTEP%2B3.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 3</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586469001195-6GUTEPBYQ9AO5UH28YPV/Prostate%2BMASTER%2BORG%2BSTEP%2B4.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 4</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586468928632-9GSROO00KARPREO1AEW6/Prostate%2BMASTER%2BORG%2BSTEP%2B1.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 1</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586469022890-57M8G18EYMCH78VDL37Z/Prostate%2BMASTER%2BORG%2BSTEP%2B5.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 5</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586469091634-ISH4959FPV4GKW1691QK/Prostate%2BMASTER%2BORG%2BSTEP%2B6.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 6</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586468952449-BRP9QYOA12AOEZ3YRH6L/Prostate%2BMASTER%2BORG%2BSTEP%2B2.jpg</image:loc>
      <image:title>UroLift® System Treatment</image:title>
      <image:caption>Step 2</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-peyronies-disease</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-11</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588273392302-ZV2GNETYMB1SKO547MYU/An+illustration+of+a+penis+that+is+curved+60+degrees.</image:loc>
      <image:title>Peyronie's Disease - What are the symptoms of Peyronie’s Disease?</image:title>
      <image:caption>A curved erection with or without pain If you develop a curve in your erection that you didn't notice before, it may be a sign that you could have Peyronie's disease. Some men report they feel pain in their erection as the curve develops for the first 12 to 18 months. A Peyronie’s Plaque This is a bump of scar tissue under the skin of the penis. It's most commonly found on the top side of the penis. Some men can feel it, while others don't notice it. Bothered by your erection Many men with Peyronie's disease report being bothered by the way their curved erection looks and the challenges it presents to their ability to engage in sexual activity.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274153126-HNSP0K40MR2YNBOX7AAY/An+illustrated+cross-section+of+a+penis+with+Peyronie%27s+Plaque.</image:loc>
      <image:title>Peyronie's Disease - What is Peyronie’s Plaque?</image:title>
      <image:caption>This isn't the kind of plaque that can develop in your arteries. If you feel around the inner part of the bend in your penis you may be able to feel this bump of scar tissue. If the plaque forms on the top of the penis, it will make the erect penis curve up. If the plaque forms on one side of the penis, the erect penis will curve to that side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274204863-QUFIYFV4UHEYJES9Q5UZ/A+young+couple+sits+overlooking+a+lake.</image:loc>
      <image:title>Peyronie's Disease - How common is Peyronie’s Disease?</image:title>
      <image:caption>1 in 10 men may have Peyronie's disease in the US.* It's more common as men age, especially between the ages of 40 and 70.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274271381-PX0MM0F2RTFJLXBXKBZ5/A+man+in+glasses+looks+at+his+Macbook.</image:loc>
      <image:title>Peyronie's Disease - How do I know it’s Peyronie’s Disease?</image:title>
      <image:caption>Many men mistake Peyronie’s Disease for Erectile Dysfunction or cancer. A urologist will typically determine if you have Peyronie’s Disease based on your medical history and a physical examination.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586915283973-AC5AFR85MM3FUJXYF5PA/xiaflex+big+orange.png</image:loc>
      <image:title>Peyronie's Disease</image:title>
      <image:caption>The official navy and white logo for the medication Xiaflex - collagenase clostridium hisolyticum.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586912746515-GMYJ7XSLNC7GC92LQIN7/docs.png</image:loc>
      <image:title>Peyronie's Disease</image:title>
      <image:caption>Doctors are in an operating room, looking down at the table. There are tools on the table next to the patient. The doctors are in gown, masks, and scrub caps.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-peyronies-disease-xiaflex-collagenase-clostridium-histolyticum</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1586915242898-EKITID572MITRZ2OVX7X/xiaflex+skinny+orange.png</image:loc>
      <image:title>XIAFLEX®</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588271851646-VCVM6LYPNM7QS7VI0VEQ/30-degrees-curved-penis.png</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>The curved penis that results from Peyronie’s Disease.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588275786711-YF9226XWW3C0Y1EA7B5K/An+illustrated+outline+of+a+syringe.</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a syringe.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588275937371-AA26GXBR8SAAXITKT800/An+illustrated+outline+of+a+house.</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>A navy-blue colored, illustrated icon of a house.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588275895626-13DJI0XA0BXX7ON30SIK/An+illustrated+outline+of+a+hand.</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a hand.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274737489-KEDUW6HS936LR9K6DBE1/bandage.png</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a bandage.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274813928-5F3Q7I6XAVEQ2ODA32T4/vacuum.jpg</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a penis pump.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274771174-MMNCAZPIIV3A94V74AOP/torso.jpg</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a man’s abdominal muscles.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588274839456-6SETQCWMSFJFLTEJI9JG/no%2Bsign.jpg</image:loc>
      <image:title>XIAFLEX®</image:title>
      <image:caption>An orange-colored, illustrated icon of a prohibition symbol.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/telehealth</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-29</lastmod>
  </url>
  <url>
    <loc>https://www.shupanmd.com/male-infertility-vasectomy-reversal</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-11</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588599309764-6X80096G4VQD20ECWK6V/ivf-1514174_1280.png</image:loc>
      <image:title>Vasectomy Reversal</image:title>
      <image:caption>An image of ivf in process.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-erectile-dysfunction</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-11</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588258816902-KCYFP7MYJGFY0SM0FN3V/A+middle-aged+man+in+a+suit+being+embraced+by+his+middle-aged+wife+in+a+dress.+They+look+dressed+for+their+child%E2%80%99s+wedding.</image:loc>
      <image:title>Erectile Dysfunction - About Erectile Dysfunction</image:title>
      <image:caption>What is Erectile Dysfunction (ED)? ED is defined as the persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance.(1) Why is Erectile Dysfunction (ED) a problem? ED can limit your intimacy, affect your self­ esteem, and impact your most important relationships. Beyond the physical manifestations, ED can cause emotional distress and may impact your quality of life.(2)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588258695272-54I5KAZ086K9ENYAUGGV/A+young+couples+sits+and+looks+out+over+a+canal.</image:loc>
      <image:title>Erectile Dysfunction - What causes Erectile Dysfunction (ED)?</image:title>
      <image:caption>ED occurs when the blood flow to the penis is interrupted or when the nerves become damaged. There are many different factors that may contribute to this and can include diabetes, heart disease, prostate cancer treatment, depression, anxiety, and the side effects of some medications. (2,4) Lifestyle habits like sleep, smoking, alcohol consumption, exercise, and diet can also affect the quality of your erection.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588259091823-GU9PTJTIHYA373GZ94K7/A+couple+in+their+early+seventies+embraces+each+other+in+front+of+a+bridge.</image:loc>
      <image:title>Erectile Dysfunction - Erectile Dysfunction (ED) Diagnosis and Treatment</image:title>
      <image:caption>How is Erectile Dysfunction (ED) diagnosed? If you have trouble getting an erection and/or sustaining one, it may be time to visit your doctor. A personal history and physical exam can help you and your doctor understand the underlying causes of your ED. Lab tests and other tests may identify a source such as diabetes, high cholesterol, or other conditions that affect the nerves and blood flow to the penis. Understanding what is causing your ED can help you and your doctor determine the treatment options that are right for you. Will insurance cover my Erectile Dysfunction (ED) treatment? While most insurers cover the diagnosis and medically necessary treatment of ED, it is important to understand that coverage may vary. Medicare has a national policy for ED, which includes penile implants. Work with your doctor's office and insurance carrier to check coverage levels prior to receiving treatment. There are financial assistance programs available to help cover out-of-pocket expenses or to help cover the procedure if your private insurance will not cover it.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589202404120-N5MBYNXR4M4XFHB6KGF9/AMS+700+with+InhibiZone+%281%29.jpg</image:loc>
      <image:title>Erectile Dysfunction</image:title>
      <image:caption>Boston Scientific’s Ambicor penile prosthesis.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/erectile-dysfunction-penile-prosthesis</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588260943958-6E2RR924FEZFEXMH689W/Surgeons+gathered+around+the+operating+table.</image:loc>
      <image:title>Penile Prosthesis - Is a penile implant safe?</image:title>
      <image:caption>While penile prosthesis surgery is an exceedingly safe procedure, all surgeries come with the risk of infection, bleeding, and possible damage to adjacent tissues. Your surgical risk depends on your age, underlying medical conditions, and past surgical history.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588260784608-OXZ2RGAATBNTI1WMUBZ5/Ambicor+penile+prosthesis+by+Boston+Scientific.</image:loc>
      <image:title>Penile Prosthesis - What is a penile prosthesis?</image:title>
      <image:caption>A penile prosthesis is designed to be a permanent solution for men suffering from Erectile Dysfunction (ED) and can provide an erection whenever and wherever desired. It is usually implanted into the penis on an outpatient basis and is entirely concealed within the body. The user controls the penile implant, which allows for spontaneity and control.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588262069618-TNNGU9W3WLTWIXVGINTL/old-couple-2261495_1920.jpg</image:loc>
      <image:title>Penile Prosthesis - Is a penile implant right for me?</image:title>
      <image:caption>A penile implant is: designed to be a permanent solution for erectile dysfunction (ED) (6) spontaneous (8) once activated, the erection can last as long as you desire (1, 8) entirely contained inside the body - no one knows you have an implant unless you tell them (6) designed to feel natural during intercourse and does not interfere with ejaculation or orgasm (3, 9) broad range of lengths available for a custom fit, depending on your anatomy</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588261932537-URFG4QTPXEA00CV0EKSH/An+older+couple+looks+out+through+binoculars.</image:loc>
      <image:title>Penile Prosthesis - Is a penile implant painful?</image:title>
      <image:caption>Pain associated with the healing process can be expected. You will be provided with pain medication in the post-operative period to control your pain. As you heal, the surgery related discomfort will gradually improve.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589393100416-K0Y86DOT2A5T0KQFWUJF/An+attractive+man+in+his+40s+wears+sunglasses+as+he+stands+shirtless+on+the+beach.</image:loc>
      <image:title>Penile Prosthesis - Do patients and their partners recommend the penile implant?</image:title>
      <image:caption>Yes. 98% of patients reported their erections to be excellent or satisfactory following surgery (2) 97% of patients reported overall satisfaction; not a single patient reported dissatisfaction (5) 96% of partners reported sexual activity with the implant to be excellent or satisfactory (2)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588261432048-8587NBLGOQ0FG8XIIKAX/A+man+in+his+early+thirties+looks+out+over+the+mountains.+He+is+hiking.</image:loc>
      <image:title>Penile Prosthesis - Will my penis look different? Will others notice the penile implant?</image:title>
      <image:caption>Once in place, your implant is fully concealed in your body (6, 10, 11). No one will know unless you tell them - even in the locker room.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588261662364-K8PT0S4C9SXARV883SDQ/A+young+couple+lounges+in+a+wood+cabin.+A+pug+sits+on+the+woman%27s+lap.</image:loc>
      <image:title>Penile Prosthesis - How long is the recovery time after Erectile Dysfunction (ED) surgery, and when can I have intercourse?</image:title>
      <image:caption>Most men return home within a day of penile implant surgery and are back to all their normal activities within a week, typically having intercourse around 6 weeks post-surgery. (6, 10, 11)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588261724160-FKUN0JYG59AFTJABJXZ0/A+healthy-looking+elderly+couple+walked+down+a+dock+with+boats+in+the+background.</image:loc>
      <image:title>Penile Prosthesis - How long does a penile implant last? Will I ever need to replace it?</image:title>
      <image:caption>It is impossible to predict how long an implant will function in every patient. As with any mechanical device, penile implants are subject to wear and mechanical failure over time. A recent study showed that the 7-year mechanical survival is greater than 94% (7). If your penile implant breaks down, it usually requires a simple revision procedure to restore full functionality.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588261874071-8TEXX9W238CZYYCV2DXO/A+man+looks+at+his+computer.</image:loc>
      <image:title>Penile Prosthesis - Are penile implants covered by insurance?</image:title>
      <image:caption>While most insurers cover the diagnosis and medically necessary treatment of ED, it is important to understand that coverage varies if you have insurance that covers penile implant surgery. medicare has a national policy for Erectile Dysfunction (ED), which includes pneile impalnts, although coverage may depend on where you live. There are financial assistance programs available to help cover out-of-pocket expenses or to help cover the procedure if your private insurance will not cover it.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589313268195-JBQI87SEAYX91WK7B440/Coloplast+Big.png</image:loc>
      <image:title>Penile Prosthesis</image:title>
      <image:caption>The Coloplast Logo</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1587841080754-50EU4EX5J2IDEYN0G58U/BSC+BIg.png</image:loc>
      <image:title>Penile Prosthesis</image:title>
      <image:caption>The Boston Scientific Logo. The text is navy blue against a white background, with a matching navy blue outline.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/erectile-dysfunction-penile-prosthesis-coloplast-penile-prosthesis</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589313287331-4D8U0DV9BZDAWWNM9HXE/Coloplast+Skinny.png</image:loc>
      <image:title>Coloplast Penile Prosthesis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589214144322-06MALBRLRGV05RT3RXJL/LowRes-CPUC_Titan_Seductive_01.jpg</image:loc>
      <image:title>Coloplast Penile Prosthesis</image:title>
      <image:caption>The Coloplast Titan Seductive penile prosthesis.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1589313492039-BGMVJ2OA624QD1A5CYSN/Genesis.png</image:loc>
      <image:title>Coloplast Penile Prosthesis</image:title>
      <image:caption>The CPUC Genesis Seductive. It looks like two long tubes.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/erectile-dysfunction-penile-prosthesis-boston-scientific-penile-implants</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1587840923082-OUAUEZXSLXJIHSHV89F5/BSC+Skinny.png</image:loc>
      <image:title>Boston Scientific Penile Implants</image:title>
      <image:caption>Boston Scientific logo. It is navy blue against a white background with a matching navy blue outline.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588271027063-54YR7JZHUD1X1QPTOXXS/Tactra+hi+res.jpg</image:loc>
      <image:title>Boston Scientific Penile Implants</image:title>
      <image:caption>An illustration of The Tractra Malleable Penile Prosthesis in a man’s penis.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588270940677-IS2UFE4RPFP16ZZQI1DM/Ambicor.jpg</image:loc>
      <image:title>Boston Scientific Penile Implants</image:title>
      <image:caption>An illustration of the Ambicor penile prosthesis in the man’s penis.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588270866378-9846M1P2TC8VKTBMPW3N/AMS+700+with+InhibiZone.jpg</image:loc>
      <image:title>Boston Scientific Penile Implants</image:title>
      <image:caption>An illustration of the AMS 700 with InhibiZone in a man’s penis.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-hypogonadism-low-testostertone</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588774074772-4GJ0BF38WWO9K0Z18IPT/sheri-hooley-4Ou3bGMgaW8-unsplash.jpg</image:loc>
      <image:title>Hypogonadism (Low Testostertone)</image:title>
      <image:caption>A beautiful blonde, middle-aged woman looks lovingly upon her handsome middle-aged man. He looks healthy, athletic, and full of life.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588860780257-356MZFOE6EDBZ44AJ37I/Testopol+Big.png</image:loc>
      <image:title>Hypogonadism (Low Testostertone)</image:title>
      <image:caption>The TESTOPEL® logo.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588860894547-Q1C892TNNMTTIU9GV037/Aveed+Big.png</image:loc>
      <image:title>Hypogonadism (Low Testostertone)</image:title>
      <image:caption>The AVEED® logo</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/sexual-health-hypogonadism-low-testosterone-aveed-testosterone-undecanoate-injections</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-05-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588860871219-K0PJ9YD2H8ZHE71KNSVR/Aveed+Skinny.png</image:loc>
      <image:title>AVEED® (testosterone undecanoate) injection</image:title>
      <image:caption>The logo for AVEED® (testosterone undecanoate) injection.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588799240996-LWLRZWAP5IZY7BTBMV2D/rowing-4537704_1920.jpg</image:loc>
      <image:title>AVEED® (testosterone undecanoate) injection</image:title>
      <image:caption>A handsome, fit middle-aged man works out in the gym.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588800420997-W2EI62S9WVRPCSLP2M67/doc.png</image:loc>
      <image:title>AVEED® (testosterone undecanoate) injection</image:title>
      <image:caption>Three illustrated calendars with two dates checked off, one on the first calendar, one on the third.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588800381135-SP25WWVRC5QGOXVLZPRC/timer.png</image:loc>
      <image:title>AVEED® (testosterone undecanoate) injection</image:title>
      <image:caption>An illustrated hourglass.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/1588800339268-4M73JS5QRA2P4VG7PC12/needle.png</image:loc>
      <image:title>AVEED® (testosterone undecanoate) injection</image:title>
      <image:caption>An illustrated syringe.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/bph-holmium-enucleation-of-the-prostate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-06-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/c1c47286-99cf-4db7-9bfe-6b1d6ce981ed/BPH+A.png</image:loc>
      <image:title>Holmium Enucleation of the Prostate - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/c3cf6e00-1ed9-4e9d-9bc7-d7fb03957d24/Moses-prostate-2.png</image:loc>
      <image:title>Holmium Enucleation of the Prostate - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.shupanmd.com/bph-aquablation-therapy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/f9d6ac9d-4367-41fe-a782-6fb766bf5373/Aquablation+Logo.png</image:loc>
      <image:title>Aquablation Therapy</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/334c0a1b-e93d-4c99-867c-8c6b471f1a3a/stats-BPH.png</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e8f57512678004464117f77/8356c8cf-6495-4f23-b961-ea4024fee76a/krakenimages-4l8UH4G2_Dg-unsplash.jpg</image:loc>
    </image:image>
  </url>
</urlset>

