We are all subject to the disease at any stage of life. In the case of men, some specific illnesses can directly affect the penis. They can be congenital, that is when the baby is born with the condition or acquired when it is developed throughout life. And there are many: from infectious, sexually transmitted to those caused by poor hygiene. It is important to keep an eye on the penis, literally, because the diagnosis of the most common diseases is noticeable from observation. The main symptoms are: discharge, blood, warts, redness and sore in the penile region. As there are many diseases involving the penis, we separated the most common in the offices, in conversation with three specialists in the field. Check the list below. Phimosis What it is: It is the inability to expose the glans (“head” of the penis) because of the foreskin, that skin that covers the organ. Most children are born with this, and 90% are no longer between 7 and 8 years old. Adults may develop phimosis due to other diseases, such as diabetes. Symptoms: Usually itching, redness in the area and pain during erections, which affects men during sexual intercourse. Treatment: In children, phimosis may disappear. If you don’t leave, you can treat it in two ways: specific ointments or surgery (prostatectomy, better known as circumcision). Many children operate as young children. There are even studies that show that circumcised patients are less likely to contract sexually transmitted infections. The surveys even led WHO (World Health Organization), in 2010, to recommend the technique as part of the AIDS prevention strategy. “Phimosis does not allow men to do adequate hygiene in the region due to excess skin. This can lead to the development of penile cancer and also facilitate the chances of contracting a sexually transmitted disease”, explains urologist in Noida. Diagnosis: It is done through physical examination, with the evaluation of a doctor. Balanoposthitis What it is: Inflammation of the glans and/or foreskin. It can originate in several ways: inadequate hygiene, over-cleaning, irritant contact dermatitis, local trauma, bacterial or fungal infection ( candida Albicans ). It is not a disease considered to be sexually transmitted. Symptoms: Redness, itching and burning in the penis area. Pus and an unpleasant smell may also occur in some cases. Treatment: As it can have several causes, in most cases the change of habit is already sufficient, such as drying the region well to avoid the fungus, wearing cotton underwear, avoiding spending too much time in swimming trunks during the summer and not overdoing the cleaning. In some cases, there is an indication of ointment to treat the disease. Diagnosis: It is clinical, without the need for exams. When necessary, they aim to identify the causative agent and establish a more appropriate treatment. Peyronie’s disease What is: It is a deformity in the normal curvature of the penis when it is erect. In some more serious cases, the curve can reach 90 degrees. It is more common in men aged 45 to 60 years. There are no facts to prove the causes yet, but urologist in Ghaziabad believes that it originated due to micro-trauma in the region (such as a scar that is raised on the skin – a hardened calcium plaque) and, with that, the penis torsion occurs. Symptoms: A lot of pain in the region and difficulty in sexual intercourse, since depending on the degree of curvature it can cause pain in the man and the partner. In severe cases, it can cause sexual impotence. The patient may experience lumps, which are rigid calcium plaques, on the side or top of the penis. Treatment: As it is benign, it does not pose any risk to the health of its patients. If the curvature is below 30 degrees and does not cause discomfort in sex, there is no need for surgery, because eventually the disease stops developing, and the penis has a stable curvature, but does not return to what it was before. In other cases, if the curvature exceeds 30 degrees, there are surgeries that resolve the disease, but only if the curvature stops evolving, with six months, more or less, of stability. Diagnosis: Physical examination includes palpation of the nodules and observation of the curvature of the penis during an induced erection, if necessary. Erectile Dysfunction What it is: Although there are several types of sexual dysfunction, the most common in offices is erectile dysfunction, which is when a man is unable to have an erection during sexual intercourse. It is common for men, from the age of 40, to have erection problems. In India, it is estimated that 50% of men have the disease after the age of 40, according to sexologist in Noida. The erectile dysfunction can be divided into organic and psychogenic, as well as mild, moderate and severe. The organic can be caused by problems in the nerve or in the vascularization of the penis; in patients with diabetes; men who have had a prostate operation; hormonal disorder, among others. In psychological cases, it may have to do with possible trauma and the type of sexual intercourse. Symptoms: Inability to have normal sexual intercourse. Treatment: There are currently many erectile dysfunction treatments in Noida available. It is an area of medicine that has advanced a lot, according to the sexologist in Ghaziabad. In mild and moderate cases, the use of drugs that help erection, such as Viagra, may be indicated. In severe situations, penile prosthesis or local injections are indicated. In men with psychological blocks, in addition to drug treatment, the monitoring of sex specialist in Delhi is indicated. Diagnosis: The patient knows, but it is important to talk to the sexologist in Delhi to understand the causes, but erectile dysfunction can be a symptom of other health problems, so blood glucose tests, total testosterone and lipid profile are recommended by sexologist in Greater Noida. HPV (human papillomavirus) What it is: Among the various sexually transmitted infections (STIs), this is one of the most common and, according to urologist in Greater Noida, extremely frequent in offices. The problem with this disease is that, in most cases, it has no symptoms. Men even play an important role in this, as they transmit the virus, which increases the chance of cervical cancer in women. There are more than 150 types of viruses, 6 and 11 responsible for warts and 16 and 18 for cervical cancer. Symptoms: Most HPV infections are asymptomatic. In men, when symptoms show, it is common for warts (“cock’s crest”) to appear on the penis area. In some cases, it may also be accompanied by itching. Treatment: When warts appear, it is possible to remove them through cauterization or medications. The treatment of warts does not eliminate the virus so the lesions can reappear and the man remains a vector of transmission, even for the partners. Infected persons and their companions should return to the doctor if they identify new injuries. Prevention: Using a condom in any sexual relationship, including oral, however, its use, despite preventing the disease, does not completely prevent HPV infection, lesions are often present in areas not protected by the condom (vulva, pubic, perineal region) or scrotum. In addition, vaccines are indicated for girls aged between 9 and 14 years and boys aged 11 to 14 years. The vaccine can also be considered in adults up to 30 years, for example, since it can protect against possible subtypes of the virus. Diagnosis: It is currently performed through clinical and laboratory tests. Penile Cancer What it is: The disease is related to low socioeconomic and information conditions, poor intimate hygiene, infection by the HPV virus and men who have not undergone circumcision. Symptoms: The main symptoms are wounds, tumors on the glans, on the skin that covers the penis or on the organ’s own “body”. There may be white discharge and abnormal enlargement of the penile head tissue. In addition, the presence of inguinal ganglia (groin tongue) may be a sign of disease progression. Treatment: It depends a lot on the stage. Radiotherapy and chemotherapy are indicated in cases of cancer recurrence or as palliative treatment in cases that are not considered surgical. In more advanced cases, partial or total amputation of the organ occurs. Prevention: It is mainly the hygiene of the penis, with soap and water, in addition to the use of condoms during sexual intercourse. Diagnosis: When detected at an early stage, penile cancer has a high cure rate. However, more than half of patients take up to a year after their first injuries to seek medical attention. As a result, the disease can spread to other parts of the body, which increases the chances of death. In the case of lesions, they must undergo biopsy (removal of a tissue fragment) for analysis, when the diagnosis will be made. Hypospadias What it is: Considered relatively rare, but among congenital diseases, it is one of the most common in offices. In this case, the child is born with the disease, which is characterized by malformation of the urethra, in which the opening of the penis may end before the tip or in other lower regions of the male organ. Hypospadias occurs when the organ does not develop normally while the child is in the womb. It may be linked to genetic factors, but, in general, the cause is unknown. Symptoms: Deformity in the penis, especially in adult cases, because they undergo several surgeries throughout their lives; abnormal urinary flow and sexual dysfunction. Treatment: Surgery is indicated to correct the problem. In children, the ideal is before the age of two to avoid emotional trauma. There are several types of intervention, so the technique is at the discretion of the best urologist in Noida. Diagnosis: The condition is usually detected at birth, by the best urologist in Ghaziabad himself, without the need for a specific examination. We are all subject to the disease at any stage of life. In the case of men, some specific illnesses can directly affect the penis. They can be congenital, that is when the baby is born with the condition or acquired when it is developed throughout life. And there are many: from infectious, sexually transmitted to those caused by poor hygiene. It is important to keep an eye on the penis, literally, because the diagnosis of the most common diseases is noticeable from observation. The main symptoms are: discharge, blood, warts, redness and sore in the penile region. As there are many diseases involving the penis, we separated the most common in the offices, in conversation with three specialists in the field. Check the list below. Phimosis What it is: It is the inability to expose the glans (“head” of the penis) because of the foreskin, that skin that covers the organ. Most children are born with this, and 90% are no longer between 7 and 8 years old. Adults may develop phimosis due to other diseases, such as diabetes. Symptoms: Usually itching, redness in the area and pain during erections, which affects men during sexual intercourse. Treatment: In children, phimosis may disappear. If you don’t leave, you can treat it in two ways: specific ointments or surgery (prostatectomy, better known as circumcision). Many children operate as young children. There are even studies that show that circumcised patients are less likely to contract sexually transmitted infections. The surveys even led WHO (World Health Organization), in 2010, to recommend the technique as part of the AIDS prevention strategy. “Phimosis does not allow men to do adequate hygiene in the region due to excess skin. This can lead to the development of penile cancer and also facilitate the chances of contracting a sexually transmitted disease”, explains urologist in Noida. Diagnosis: It is done through physical examination, with the evaluation of a doctor. Balanoposthitis What it is: Inflammation of the glans and/or foreskin. It can originate in several ways: inadequate hygiene, over-cleaning, irritant contact dermatitis, local trauma, bacterial or fungal infection ( candida Albicans ). It is not a disease considered to be sexually transmitted. Symptoms: Redness, itching and burning in the penis area. Pus and an unpleasant smell may also occur in some cases. Treatment: As it can have several causes, in most cases the change of habit is already sufficient, such as drying the region well to avoid the fungus, wearing cotton underwear, avoiding spending too much time in swimming trunks during the summer and not overdoing the cleaning. In some cases, there is an indication of ointment to treat the disease. Diagnosis: It is clinical, without the need for exams. When necessary, they aim to identify the causative agent and establish a more appropriate treatment. Peyronie’s disease What is: It is a deformity in the normal curvature of the penis when it is erect. In some more serious cases, the curve can reach 90 degrees. It is more common in men aged 45 to 60 years. There are no facts to prove the causes yet, but urologist in Ghaziabad believes that it originated due to micro-trauma in the region (such as a scar that is raised on the skin – a hardened calcium plaque) and, with that, the penis torsion occurs. Symptoms: A lot of pain in the region and difficulty in sexual intercourse, since depending on the degree of curvature it can cause pain in the man and the partner. In severe cases, it can cause sexual impotence. The patient may experience lumps, which are rigid calcium plaques, on the side or top of the penis. Treatment: As it is benign, it does not pose any risk to the health of its patients. If the curvature is below 30 degrees and does not cause discomfort in sex, there is no need for surgery, because eventually the disease stops developing, and the penis has a stable curvature, but does not return to what it was before. In other cases, if the curvature exceeds 30 degrees, there are surgeries that resolve the disease, but only if the curvature stops evolving, with six months, more or less, of stability. Diagnosis: Physical examination includes palpation of the nodules and observation of the curvature of the penis during an induced erection, if necessary. Erectile Dysfunction What it is: Although there are several types of sexual dysfunction, the most common in offices is erectile dysfunction, which is when a man is unable to have an erection during sexual intercourse. It is common for men, from the age of 40, to have erection problems. In India, it is estimated that 50% of men have the disease after the age of 40, according to sexologist in Noida. The erectile dysfunction can be divided into organic and psychogenic, as well as mild, moderate and severe. The organic can be caused by problems in the nerve or in the vascularization of the penis; in patients with diabetes; men who have had a prostate operation; hormonal disorder, among others. In psychological cases, it may have to do with possible trauma and the type of sexual intercourse. Symptoms: Inability to have normal sexual intercourse. Treatment: There are currently many erectile dysfunction treatments in Noida available. It is an area of medicine that has advanced a lot, according to the sexologist in Ghaziabad. In mild and moderate cases, the use of drugs that help erection, such as Viagra, may be indicated. In severe situations, penile prosthesis or local injections are indicated. In men with psychological blocks, in addition to drug treatment, the monitoring of sex specialist in Delhi is indicated. Diagnosis: The patient knows, but it is important to talk to the sexologist in Delhi to understand the causes, but erectile dysfunction can be a symptom of other health problems, so blood glucose tests, total testosterone and lipid profile are recommended by sexologist in Greater Noida. HPV (human papillomavirus) What it is: Among the various sexually transmitted infections (STIs), this is one of the most common and, according to urologist in Greater Noida, extremely frequent in offices. The problem with this disease is that, in most cases, it has no symptoms. Men even play an important role in this, as they transmit the virus, which increases the chance of cervical cancer in women. There are more than 150 types of viruses, 6 and 11 responsible for warts and 16 and 18 for cervical cancer. Symptoms: Most HPV infections are asymptomatic. In men, when symptoms show, it is common for warts (“cock’s crest”) to appear on the penis area. In some cases, it may also be accompanied by itching. Treatment: When warts appear, it is possible to remove them through cauterization or medications. The treatment of warts does not eliminate the virus so the lesions can reappear and the man remains a vector of transmission, even for the partners. Infected persons and their companions should return to the doctor if they identify new injuries. Prevention: Using a condom in any sexual relationship, including oral, however, its use, despite preventing the disease, does not completely prevent HPV infection, lesions are often present in areas not protected by the condom (vulva, pubic, perineal region) or scrotum. In addition, vaccines are indicated for girls aged between 9 and 14 years and boys aged 11 to 14 years. The vaccine can also be considered in adults up to 30 years, for example, since it can protect against possible subtypes of the virus. Diagnosis: It is currently performed through clinical and laboratory tests. Penile Cancer What it is: The disease is related to low socioeconomic and information conditions, poor intimate hygiene, infection by the HPV virus and men who have not undergone circumcision. Symptoms: The main symptoms are wounds, tumors on the glans, on the skin that covers the penis or on the organ’s own “body”. There may be white discharge and abnormal enlargement of the penile head tissue. In addition, the presence of inguinal ganglia (groin tongue) may be a sign of disease progression. Treatment: It depends a lot on the stage. Radiotherapy and chemotherapy are indicated in cases of cancer recurrence or as palliative treatment in cases that are not considered surgical. In more advanced cases, partial or total amputation of the organ occurs. Prevention: It is mainly the hygiene of the penis, with soap and water, in addition to the use of condoms during sexual intercourse. Diagnosis: When detected at an early stage, penile cancer has a high cure rate. However, more than half of patients take up to a year after their first injuries to seek medical attention. As a result, the disease can spread to other parts of the body, which increases the chances of death. In the case of lesions, they must undergo biopsy (removal of a tissue fragment) for analysis, when the diagnosis will be made. Hypospadias What it is: Considered relatively rare, but among congenital diseases, it is one of the most common in offices. In this case, the child is born with the disease, which is characterized by malformation of the urethra, in which the opening of the penis may end before the tip or in other lower regions of the male organ. Hypospadias occurs when the organ does not develop normally while the child is in the womb. It may be linked to genetic factors, but, in general, the cause is unknown. Symptoms: Deformity in the penis, especially in adult cases, because they undergo several surgeries throughout their lives; abnormal urinary flow and sexual dysfunction. Treatment: Surgery is indicated to correct the problem. In children, the ideal is before the age of two to avoid emotional trauma. There are several types of intervention, so the technique is at the discretion of the best urologist in Noida. Diagnosis: The condition is usually detected at birth, by the best urologist in Ghaziabad himself, without the need for a specific examination.
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Prevention and well-being Often, when prostate cancer is detected early, it is not necessary to proceed to aggressive prostate cancer treatment in Noida by opting only for close surveillance. The prostate is a small gland in man, the size and shape of a walnut. It is located below the bladder and in front of the rectum and surrounds the urethra (the tube that carries urine from the bladder to the outside). Its function is to produce a white fluid that is part of the sperm. With advancing age, the prostate tends to increase in size (it is not known exactly why) and, when it becomes too big, it can cause health problems, explains the urologist in Noida. Talk to your doctor if you notice … If you notice any of the following symptoms, you should consult your urologist in Noida to assess the presence of a prostate problem.
The most common prostate problems Consult your urologist in Greater Noida to see if your symptoms are due to any of the following problems: Benign prostatic hyperplasia Very common in men over 55, it occurs when the prostate enlarges. Annual check-up by the urologist in Greater Noida may be sufficient; if treatment is needed, it may include the prescription of medications that help to reduce the size of the gland or to relax the muscles that are close to it, or even surgery. Acute bacterial prostatitis It has its origin in a bacterial infection and appears suddenly. If you develop fever, chills or pain in conjunction with the above symptoms, especially difficulty passing urine, consult your attending physician. Most of these cases are treated with antibiotics and medications to relieve pain or discomfort. Chronic bacterial prostatitis This infection is recurrent: it is always appearing and disappearing and can be difficult to treat; prolonged antibiotic use may be indicated. Chronic prostatitis It can cause pain in the lower back, groin or penis. Its treatment may involve a combination of drugs, surgery and lifestyle changes. Prostate cancer The likelihood of developing prostate cancer can be influenced by several factors:
Through a prostate exam, your urologist in Ghaziabad will be able to assess whether your symptoms are due to possible cancer and prostate cancer treatment in Ghaziabad will be decided on a case-by-case basis. Tips to prevent prostate problems To some extent, prostate problems are naturally associated with aging. There are, however, some strategies that urologist in Ghaziabad suggests that you can adopt to keep this gland healthier, such as:
Prostate cancer is the most common malignancy in men worldwide when we exclude the cancers originate in the skin. It is estimated that approximately 1,300,000 new cases are diagnosed each year worldwide. In industrialized countries, most cases are diagnosed at an early stage. In developing countries, on the other hand, the disease is usually discovered in more advanced stages. The sexual impotence is a major concern for men with prostate cancer, and the doctors responsible for prostate cancer treatment in Delhi. In the medical literature shows a wide variation in the occurrence of this side effect, going 7-90% of cases treated with surgery or radiotherapy. This wide variation in results occurs due to several factors that hinder the comparison between groups of patients. The amount of information collected in each study differs greatly from one to the other, as do the characteristics of each man, the disease and the degree of experience of the medical team with a particular type of prostate cancer treatment in Noida. It is clear that the occurrence of sexual impotence (erectile dysfunction) is a multifactorial event and that the risk of its occurrence must be discussed individually in each case. In infrequent situations, sexual impotence can be the initial symptom of prostate cancer, says sexologist in Ghaziabad. This occurs when the disease breaks through the boundaries of the prostatic capsule and infiltrates the nerves that pass around the prostate gland and drive the erection stimulus to the penis. The decrease in sexual performance can occur naturally with the male ageing process and most of the time it is not related to the presence of prostate cancer. Since the nerves that drive the erection are either compromised by the infiltration of the disease or destroyed during prostate cancer treatment in Ghaziabad, naturally driving the stimulus to the penis is no longer possible. In this situation, the use of oral medications does not produce the desired effects. Treatments such as injectable vasodilators in the penile tissue, or even the use of artificial prostheses, appear as treatment alternatives. Erection performance can also be influenced by decreased libido or sexual desire. This is a relatively common effect and can occur at any point of treatment or even before it. Libido can be influenced by psychological issues related to the diagnosis of prostate cancer itself, as well as being a direct consequence of the use of medications that decrease testosterone levels in order to slow the growth of prostate cancer cells, explains sexologist in Noida. These medications are usually used only in cases of advanced prostate cancer or metastases. Soon after the treatment of prostate cancer with surgery, radiation therapy or other methods, the medical team will start a protocol for rehabilitation of sexual function. This involves psychological monitoring of the couple, as well as the use of oral medications that facilitate the arrival of blood flow directly into the penis. This protocol is called first-line rehabilitation for erectile dysfunction treatment in Noida. When first-line measures are not effective, treatments considered second-line, such as the injection of vasodilator medications into the penis and even the use of vacuum devices can be useful tools in the rehabilitation of erectile function. Finally, when the two initial measurements do not show satisfactory results, there is the possibility of implanting an artificial device known as a penile prosthesis, suggests sexologist in Greater Noida. There is a wide variety of penile prosthesis models, as well as the possibility of implanting malleable or inflatable devices. The procedure is considered definitive and requires surgical intervention. To better understand the risk of sexual impotence occurring after prostate cancer treatment, it is important to keep in mind 5 fundamental factors in the evaluation:
There is a group of men who fall into a high-risk category for the occurrence of permanent sexual impotence after treatment for prostate cancer. This group includes men over 65 years of age, with diabetes, obese, smokers, with heart problems, who use antidepressants and in which the disease has been found to have an advanced stage of nerve involvement that drive erection stimuli. Men who do not have any of the aforementioned characteristics are those at the lowest risk of presenting with permanent sexual impotence. Another variable that must be taken into account is the experience of the attending medical team. In the case of surgery for the removal of the prostate, there are studies in the medical literature indicating an equivalence in the probability of cure of cancer, regardless of the method of surgery used (open laparoscopic or robotic). However, the results of a recently published meta-analysis indicate that the robotic surgery technique showed better results in terms of faster recovery of urinary continence and erection, less blood loss during surgery, less pain in the postoperative period and fewer days of hospital stay. But it is important to keep in mind that most comparative studies between surgical techniques come up against methodological problems that prevent an effective comparison. This is because there is great variability in the degree of experience of the urologist in Noida involved, as well as their stage in the procedure’s learning curve. What seems clear is that regardless of the method, the more experienced and familiar with the technique, the surgeon achieves better functional results. Treatment modalities such as radiotherapy and other focal therapy methods also have their results influenced by the team’s level of experience urologist in Ghaziabad. It is clear that maintaining the quality of sexual function involves psychological aspects, health conditions prior to cancer treatment, type of treatment employed, the stage at which the disease was discovered, the treatment modality used and the degree of experience of the medical team. In order for you and your urologist in Greater Noida to have an open and enlightening conversation about your risks of presenting this or other sequelae after treatment, it is important to keep in mind all aspects that involve the prostate cancer treatment in Delhi and its rehabilitation. |
AuthorDr Shailendra Goel is consultant urologist at Max Hospital, Noida. He is one of the leading urologist in Noida. He performs all type of uro-onco surgery including kidney cancer, kidney transplant in Delhi, Noida. Archives
November 2020
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