Alvarado La Mesa Urology on Fletcher Parkway in La Mesa's Grossmont area delivers subspecialty urologic care near Sharp Grossmont Hospital, with a Mayo Clinic-trained men's sexual health fellow and a physician who served as past president of the San Diego Urological Society and former Chief of Staff at Alvarado Hospital Medical Center. The practice's sexual health fellowship — completed at the Mayo Clinic in Minnesota following a urology residency at UC San Diego — focuses on erectile dysfunction, Peyronie's disease, and male infertility, while post-prostatectomy patients requiring extended home recovery coordinate through agencies such as Home Instead for medication-reminder and companion-care support. Aquablation therapy using the PROCEPT BioRobotics AquaBeam system provides a robotic, heat-free approach to benign prostatic hyperplasia resection, preserving sexual function at higher rates than traditional transurethral resection. Memberships in the American Urologic Association, the Sexual Medicine Society of North America, and the International Society for the Study of Women's Sexual Health reflect the practice's scope across both male and female urologic conditions. Behavioral and psychological dimensions of sexual dysfunction and incontinence generate counseling referrals to La Mesa mental health providers, with A Counseling Collective addressing the psychosocial impact of chronic urologic conditions. Highest-complexity procedures include robotic Aquablation for prostates exceeding 80 cubic centimeters, penile prosthesis implantation for refractory erectile dysfunction, and microsurgical varicocelectomy with subinguinal approach for male factor infertility.