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Penile Prosthesis

How much does a penile prosthesis cost?

Being a definitive treatment for erectile dysfunction, the penile implant still raises many doubts and uncertainties. Knowing how much a penile prosthesis costs is a

The text reports on the most common questions and answers about the penile prosthesis, among these questions are: what is it, what is it for and what are the types of penile implants. In addition, it is possible to understand how the surgery to implant this device is performed and how the postoperative period works.

Penile prosthesis: questions and answers

A penile prosthesis is a device implanted inside the corpora cavernosa of the penis to allow a man to have an erection with sufficient rigidity.

The text reports on radical prostatectomy and penile implant. In the course of the paragraphs it is possible to know if between one procedure and another, it is necessary to have a break. In addition, it is reported what types of radical prostatectomy exist.

Radical prostatectomy and penile implant: do you need a break between surgeries?

Radical prostatectomy is a procedure in which there is a total removal of the prostate, seminal vesicles and vas deferens. In some cases, this surgery may

Many men come to the office and ask, “Dr. How does a penile prosthesis work? The doubt is very common, especially in relation to the inflatable penile prosthesis. If you have questions about how the penile prosthesis works, and how it will look when you put one of these devices, clarify everything here in this post. What is a penile prosthesis and for whom is it indicated? The penile implant is an alternative for patients who have problems with the functionality of the penis due to the lack of firmness of the member, which can make sexual intercourse difficult or impossible. It is a method indicated when less invasive ones, such as the use of drugs for sexual impotence, for example, do not have the expected effects. It is also indicated for older men, who usually have conditions that do not allow treatment of erectile dysfunction by other alternatives. However, there is no minimum age limit to start, some men from the age of 40 may already need to understand how to improve their erection, as they are having constant episodes of failure in rigidity at the time of sexual intercourse. In many cases, only the prosthesis will be the definitive solution. What is a penile prosthesis for? The penile prosthesis is the device that will enable the patient who had no erections or only poor quality erections to satisfy his desire to penetrate when he wants to have sex. There are three types of penile prosthesis: inflatable, semi-rigid or malleable and the articulable, the latter is falling into disuse. For those men interested in penile prosthesis, how it works is an important aspect to understand. In the inflatable type, if the patient is about to have sexual intercourse, he activates the device to trigger the erection discreetly. The device can be “semi” activated before the encounter as well. Patients who opt for this prosthesis are trained to use the device within seconds. The report in the office is that in a casual relationship, the partnership does not even realize that the man has a prosthesis. Often, these patients are even praised for their sexual performance because they will stay with a full erection after placement of the prosthesis for as long as they want. They can even have ejaculation and orgasm and still remain with a rigid penis to satisfy the partnership. How satisfied are you with using the penile prosthesis? According to scientific studies, the use of penile prosthesis usually brings a lot of satisfaction to men and their sexual partners. Those who use the inflatable prosthesis speak of up to 98% satisfaction, while those who use the malleable one reveal a liking that varies between 78% and 85%. What helps determine this degree of satisfaction is a well-performed first surgical procedure. If this does not occur and other procedures are needed to review the surgery, this level of satisfaction may drop. For men who want to get out about the penile prosthesis, how it works and results, it is important to know that this process must be very careful in its three phases: preoperative, intraoperative and postoperative. Before placement of the prosthesis, it is very important that the man has realistic expectations in order to have greater satisfaction with the use of the prosthesis. For this, you must clarify all the details of the procedure and results with your surgeon. For this, it is also important to choose a surgical team that has great expertise with this procedure. It is necessary to align these expectations, asking important questions to the surgeon, such as: What is the expectation of the sexual partnership? How does a penile prosthesis work? How should the choice of prosthesis be? How is the measurement of the penis made for choosing the prosthesis? Will any exercise be required prior to surgery, such as vacuum therapy? Inflatable Penile Prosthesis: How does it work? How does a malleable or semi-rigid prosthesis work? How will your erection be after the prosthesis? Will curvature correction surgery be needed? What will be the type of incision? Scrotal or subcoronal? Are there risks in this surgery? Which are they? Can patients with comorbidities undergo this surgery? Can the prosthesis thicken or thin the penis? How long of surgery and hospitalization? How is the post-op? How long will it take to adapt? Will there be residual erection? How should you act at the time of sexual intercourse from the type of prosthesis? Etc There are several factors that will help the medical team to analyze the penis, to indicate the correct model, incision and align the results. In addition, it is also very important to hear testimonials from other patients, videos and photos can also help to clarify more about the penile prosthesis and how it works. In addition, it is very important to understand the sexual partner's opinion on the decision to implant the penile prosthesis. In many cases, patients put on these devices to try to save a relationship that has no solution. The sex life, of course, can be better, however, this cannot not be the main factor of the relationship problem. See more in this video: Satisfaction with the use of penile prosthesis https://www.youtube.com/watch?v=XT36U3d8cA0 What is a prosthesis and how does an inflatable penile prosthesis work? For those who want to understand how the inflatable penile prosthesis works, this is a device that is among the three options offered for the treatment of erectile dysfunction. The device has 3 parts: Reservoir It is placed in the retropubic space (near the bladder), it is internal to the body. This reservoir is filled with approximately 90 ml of serum, which can vary according to the size of the prosthesis. Pump This part of the inflatable prosthesis is popularly known as a bombinha and is located in the scrotum (bag). The pump has two parts, one of which serves to inflate, then the patient squeezes and transfers the liquid from the reservoir to the cylinders, to leave the penis in an erect state. When sexual intercourse is over, and the man no longer wants the penis to be in an erect state, there is another part of the pump that he will press for the serum to come out of the cylinder and return to the reservoir. Then, the penis will be in the flaccid, natural, resting state. The erection with the inflatable penile prosthesis will be very similar to the physiological one, that is, very similar to the natural one. This pump manipulation does not cause pain or discomfort, as it is located between the testicles and a little further back, it is discreet (almost imperceptible) and easy to manipulate. Cylinders It is the third part of the device, which is inside the cavernous bodies of the penis, which is made up of erectile tissue. Filled with saline, these cylinders will produce the same effect as an erection, allowing you to achieve rigidity in the penis. How does malleable penile prosthesis work? Now that you've met the inflatable prosthesis, which is the most implanted in the US, it's time to get to know the other two types of penile prostheses that are available in the clinical world. Check it out: 1- Malleable prosthesis The malleable penile prosthesis is the most implanted in Brazil. In many cases, it is available through the SUS and through the health insurance plan. The malleable (semirigid) penis implant consists of the use of two metal rods that are coated with a layer of silicone, being able to leave the penis in a permanent state of erection. However, this type of penis prosthesis has a certain malleability and accommodates the member in clothing with some discretion. It's as if you always have an erect penis, you can somehow accommodate the patient's choice in the pants. 2- Articulating prosthesis This is a prosthesis for the penis that can be bent more easily than the malleable one because of the joints it has. In this way, it can be hidden more simply. It is little used and is “out of line” because it has restricted rigidity and concealability that does not justify its use in the face of malleable. Is it possible to have an erection after implantation of an inflatable, malleable or articulable penile prosthesis? A frequent question from patients is: “Dr., will I be able to get a little erection? I had a little erection before putting the prosthesis. Will this erection still exist?” Yes, residual erection will still exist after placement of penile prostheses. In the implantation of the penile prosthesis, as much cavernous tissue is preserved as possible, so that the patient has a supplementary erection. Penile prosthesis surgery: how does it work? Penile prosthesis surgery is performed in a hospital environment, with a stay of 12 to 24 hours. The duration of the procedure is around 45 minutes to 1 hour. At Instituto Cavalcanti, to maximize the results, a more aggressive measurement is carried out, measuring the penis at the maximum, in order to be able to place larger prostheses and optimize the size of the penis. In some cases, a tunica albuginea expansion procedure is also necessary, when necessary. The indication is also to preserve the cavernous bodies as much as possible, to preserve the residual erection, if the patient still has circulation in the penis. Another measure when the patient puts on the inflatable prosthesis is to make the inflatable component as big as possible, to give more rigidity, caliber and functionality to the implant. During surgery, the patient can also undergo aesthetic procedures, for example, such as the removal of fat from the pubis. But in some cases, these procedures can be performed 2 or 3 months after implant surgery. In order not to have too much swelling after the surgery, a drain is used to reduce the possibility of infections and pain. In the post-surgical period, the patient is also prescribed analgesics and antibiotics, which must be ingested at the right times, with dressings and rest. If the patient puts on the inflatable prosthesis, he/she must be instructed to inflate the prosthesis after 30 days of operation, daily for a certain period. This protocol will promote a gain of caliber in the penis. Return to sexual activities can take approximately 30 to 45 days. And as already discussed, it is very important that the team that will perform the penile surgery is specialized in this type of procedure to maximize the good results. Also read: ➤ Penile prosthesis: advantages and disadvantages ➤ How does Viagra work? ➤ Injection for erection Conclusion The man who has erection problems and is thinking about having surgery should seek to know more about penile prosthesis, how it works and all the questions that involve this decision. But, above all, you must decide for yourself, and not do the surgery just to please a sexual partner, it must be a joint decision. The decision about the use of the prosthesis must be conscious and very well evaluated, which is the result of the desire to have a satisfactory sex life and a resumption of well-being and self-esteem. If the patient correctly follows the pre- and post-operative guidelines, he will have a high level of satisfaction with the prosthesis. We hope that the text has clarified the doubt of many men.

How does penile prosthesis work?

Many men come to the office and ask, “Dr. How does a penile prosthesis work? The doubt is very common, especially in relation to the inflatable prosthesis. if

The text comprises the most asked questions and answers about Peyronie's disease, among the questions are: what it is, what causes it, how to treat it and the types of surgeries that exist for Peyronie's disease.

Peyronie's Disease: Questions and Answers

Peyronie's disease can be defined as a disorder of the connective tissue of the penis, which involves the growth of fibrous plaques under the skin,

There are many reasons that can lead a man to perform penile surgery to repair functional or aesthetic issues. In this text, see what surgeries are performed on the male genital organ. Why does a man need penile surgery? Since ancient times, the penis has been held in great reverence because of its important role in human reproduction and also because it is a symbol of male virility. Thus, it is not uncommon for penile surgery to be a way that many men find to be satisfied with the functionality of the organ or even seek procedures for medical advice. There are several surgeries dedicated to improving the conditions of the sexual organ, such as surgery for excess skin on the penis (phimosis) or even surgery on the penis frenulum. In modern times, even aesthetic aspirations have become part of this universe related to sexuality, which has also started to include terms such as plastic surgery on the penis in the male vocabulary. These are procedures that can give an impression of greater caliber and appearance. In this field that encompasses male satisfaction with their own sexual organ, issues such as size and performance, which are highly valued, also end up entering. Get to know the different types of penile surgery now: Penis frenulum In medical parlance, the penis frenulum is called the balano-preputial frenulum. It is a fibrous band that connects the foreskin to the glans. Due to lack of knowledge, many young people believe that they need to break this structure, which is not correct. When some men want to remove the frenulum, they must resort to surgery on the penis performed with great care by a surgeon, because by breaking the frenulum at home, they can be at the mercy of heavy bleeding and other complications. This penis frenulum surgery can be either a frenulotomy, which is a simple cut, or a frenuloplasty, which requires a few stitches to reconstruct the region in a more functional way. The indication for this surgery on the penis is when the man has a short frenulum, which causes a ventral tortuosity below the glans, or when the organ suffers a lot of trauma in all sexual relations, causing fissures and constant pain. Peyronie's Surgery Peyronie's surgery is indicated for men who have Peyronie's disease, which causes deformities in the penis, which impair and even make sexual intercourse unfeasible. In some cases, the curvature also causes thinning of the sexual organ. This pathology can also cause erectile dysfunction. Peyronie's disease occurs in two stages: acute phase and chronic phase. Surgery is indicated in the chronic phase, when the curvature is settled. The surgery techniques in the bent penis to correct the curvatures are plications and grafts. Surgeries with the plication technique are for curvatures less than 60 degrees, and consist of performing stitches to shorten the organ on the opposite side of the deformity. In the grafting technique, the surgeon will remove the scar area caused by Peyronie's disease and use grafts to replace it. In some cases, Peyronie's disease may also require penile prosthesis implantation. Penile prosthesis Men who have severe erectile dysfunction and have not achieved good results with other approaches such as medication, penile rehabilitation, penile injection, shock wave therapies, etc. have the option of performing this penile surgery. The penile prosthesis consists of placing a device inside the cavernous bodies of the penis, which will allow the rescue of the erection. The prostheses can be inflatable or semi-rigid or malleable. In the inflatable type, erection is very similar to the physiological process: the man inflates the device whenever he wants to have sexual intercourse, after the end of the activity, he deflates it so that the penis is in a resting state. In the semi-rigid type, the silicone rods implanted in the penis make the organ constantly erect, but there are tricks to disguise it. Penile prosthesis surgery is the ultimate solution for men who have erectile dysfunction. Penile surgery (phimosis) Postectomy or circumcision is a penile surgery known as phimosis surgery, which is the difficulty or impossibility of exposing the glans. It is a surgery to remove excess skin on the penis (foreskin), usually indicated in childhood (primary phimosis), however, it can also be performed in adulthood, when an acquired phimosis occurs (secondary phimosis), for other medical reasons, such as diabetes, recurrent balanoposthitis, presence of HPV in the foreskin and other pathologies. In these cases, men may have symptoms such as local swelling, pain in erection and sexual intercourse, injuries, diaper rash, difficulty urinating, skin problems, bleeding, lesions and redness on the penis. The surgeon will make incisions for partial or total removal of the foreskin to allow exposure of the glans. Removing Tyson's Glands Tyson's glands are small, skin-colored or white balls that are located in the region known as the coronal sulcus. These small bumps may encircle the glans in one or two rows. They are natural and benign structures, which serve to promote local hydration and lubrication in the sexual act. However, many men don't like the way they look and feel embarrassed by their presence on the penis, because they fear they might be mistaken for HPV warts. It is not necessary to remove them, however, some men insist on it. The procedure that makes the removal is electrocauterization, which must be performed by a professional experienced in genital aesthetics, so that it is performed accurately, and does not cause other scars in the region. Cauterization of HPV Warts HPV is a virus transmitted by sexual contact that affects the genital area and oral mucosa. Transmission is by direct contact with infected skin or mucosa. The most common presentation of HPV is verrucous lesions on the foreskin and glans, but it can also appear in the perianal region, groin or suprapubic region. To treat these warts, cauterization is possible, which requires special needles and anesthesia, depending on the location and number of lesions. Internal urethrotomy When the patient has short strictures and strictures of the urethral canal, making it difficult to urinate, a penile surgery that can be performed is internal urethrotomy. In this endoscopic procedure, the urologist will insert a device with a microcamera into the urethral canal and make a laser or blade incision in the area where there is stricture, to return the canal to its normal size. The procedure must be performed with the patient sedated, discharge is on the same day and the patient leaves with a catheter in the urinary channel. Urethroplasty Urethroplasty also aims to correct strictures, however, it is a more complex procedure for reconstruction of the urethra canal. In these cases, resection and suture alone are not enough, requiring the use of more techniques. To remake the urethra, it may be necessary to use other body tissues, such as the mucosa of the cheeks or even patches of the penis itself. With this surgery, the patient is left with a tube for up to 3 weeks. Meatoplasty This surgery on the penis is indicated for those patients who have suffered total closure of the urinary orifice due to inflammation or infection. This problem will cause urinary obstruction. In this case, a small incision is made to reconstruct the meatus. Local anesthesia is required. Corporoplasty This surgery on the penis is considered when the man has what is called a micropenis. The sexual organ is considered a micropenis when it is up to 4 cm in a resting state or 7,5 cm in erection. Men who suffer from this problem can perform surgery on the penis to enlarge the organ. In this case, the procedure is considered functional. Corporoplasty relaxes the tunica albuginea, usually associated with a penile prosthesis implant. With this technique it is possible to gain 2 or 3 centimeters. Suspensory Ligament Section Suspensory ligament section is also a technique that can be evaluated for those with micropenis. It is an incision in the suspensory ligament, which connects the penis to the pubis, and allows an average gain of 1,5 cm to 3 cm, with the association of traction techniques. This structure serves to maintain the pubic-penile angle upward, stabilize the penis, and protect the vascular-nervous bundle of the sexual organ. Surgery can be performed in two ways: The first is infrapubic, in which an incision is made in the pubis and deepened to section the ligament; It can also be performed as a phimosis surgery, known as subcoronal, in which it is possible to descend to the base of the penis to gain access to the suspensory ligament. When an incision is made in this ligament, there is an impression that the penis has become a little larger, but it is not that there has been an increase. In fact, the surgeon moves the skin from the abdomen to the shaft of the penis, which creates this impression of a larger penis. In some cases, liposuction on the pubis and grafting of the removed fat on the penis is also indicated to make the organ appear larger. Men are not always completely satisfied with this surgery, so it is worth having a very honest conversation with the surgeon to understand the pros and cons of the procedure. Bioplasties Bioplasties are surgeries that aim to promote penile enlargement with different techniques, whether fat grafts, hyaluronic acid, botox and collagen stimulators. In the case of penile botox, the application of botulinum toxin to the corpora cavernosa of the penis has also been used for erectile dysfunction. In addition, a study revealed that the use of botox applied to the fascia of the penile musculature can also improve the appearance of the sexual organ when it is in a flaccid state, that is, without any sexual activity. Conclusion Currently, medicine brings numerous surgical procedures that aim to improve men's self-esteem in relation to the appearance of their own sexual organ or even bring about recovery from certain penile conditions.

Penis Surgery: Learn all about the procedures

There are many reasons that can lead a man to perform penile surgery to repair functional or aesthetic issues. In this text, see which

$Have you noticed that you have a lump on your penis? Many men feel certain changes in the sexual organ, but they do not know if it is something serious or commonplace. Read in this text that this lump on the penis can be a problem known as Peyronie's Disease and what you can do to treat it. Lump in the penis: what could it be? Many men manifest a kind of lump in the penis at some point in their lives. In some cases, they do not always realize when the problem has arisen, in fact, it is their partners or their partners who feel something different in the inner tissue. However, not everyone pays attention to the issue. Know that in any case it is necessary to seek medical help, because for whatever reason, lumps on the penis may need more serious treatments, because they can develop into conditions that will make sexual intercourse difficult or even trigger sexual impotence. Now let's see what a lump in the penis can be: Peyronie's Disease In Peyronie's disease, an internal fibrosis in the sexual organ can look like a lump in the penis, which can be felt both at the time of erection and at rest from sexual activity. This fibrosis is a repair tissue, which will lead to penile curvature, because scar plates are formed that modify the anatomy of the organ when erection occurs. The most likely causes of these fibrosis are the microlesions that occur during the sexual act, but also during sleep, when the patient turns over on the erect penis. Over time, these fissures will heal and become a plaque, which will bend the penis. However, penile fractures, as discussed below, can also trigger Peyronie's disease. The prevalence of Peyronie's disease varies from 3 to 9% of men, and the highest incidence is above 40 years of age. The most common symptoms of Peyronie's disease are: Penile nodule - Peyronie's plaque: the patient reports that it feels like a lump in the penis; Pain in erection (initial phase); Acquired penile curvature: the patient reveals that the penis was straighter and curved out of nowhere; Thinning / indentations / acinturation of the penis; Decreased size of the penis; Erectile Dysfunction. In general, Peyronie's disease is marked by two phases: acute and chronic. In the first, the man may feel pain during erection or penetration, when the lump is already perceived in the erect penis, because an inflammatory procedure has been triggered from the fissures. He will also notice that your penis is bent, different from its original anatomy. In the chronic phase, when these fissures have already formed the scar plate, which is sedimented, if the patient is not careful, he may have curvatures so intense that they prevent sexual penetration, it may be dorsal, ventral or lateral curvature, or the penis too may have an hourglass shape when erect. Penis Fractures Although the penis is boneless, it can suffer a fracture, which most often occurs during more vigorous intercourse or intense masturbation, when the penis is filled with blood and stiffened. However, penile fracture can also occur during a sports practice or even a vehicle accident. It is a case of medical emergency, because it hurts a lot and needs surgery to fix the fracture within 24 hours and even if this deadline is exceeded, operating is the best solution. The purpose of surgery is to restore erectile function earlier and avoid sequelae such as penile curvatures, deformities and fibrosis. When the patient does not seek this medical help, the tear suffered in the tunica albuginea of the penis will heal on its own, but it may cause a lump to appear on the penis, which will also lead to Peyronie's disease or other sequelae such as erectile dysfunction. What can be done to treat? In this acute phase, treatments aim to oxygenate the penis, improving circulation. At this early stage, changing lifestyle habits will also help, such as quitting smoking, having a better diet and practicing physical activities can help. For those cases in which the lump on the penis has evolved into the acquired curvature, but is not yet above 30 degrees, treatment in the acute phase may involve traction devices, medications, and shock wave therapy. In addition, the doctor may also indicate that the patient takes more care to prevent new fissures in the penis, such as taking care with the vigor of masturbation and even avoiding certain sexual positions that favor the escape of the penis, in addition to not forcing penetration when the organ is not fully erect. In the chronic phase, which can be considered from 6 months to 1 year after the beginning of the inflammatory process, when the curvature is already settled, the best approach will be penile correction surgery, to reconstruct the shape of the penis. In some cases, the sexual dysfunction triggered by Peyronie's disease is so severe that, in addition to corrective surgery, penile prosthesis implantation is also necessary to restore the patient's satisfactory sex life. Doctor's Word Men need to develop awareness of taking care of their health, not only to treat existing pathologies, but also to avoid certain problems, including sexual ones. Taking care of sexual health is extremely beneficial, because sex is synonymous with life! Men who take care of the vascularization of the penis through healthy habits tend to live longer and with better quality. It is ideal to go through consultations with a urologist or andrologist in a preventive way to get to know your own body and avoid certain male health problems of a sexual nature.$

Lump in the penis and Peyronie's disease: what is the relationship?

Have you noticed that you have a lump on your penis? Many men feel certain changes in the sexual organ, but they do not know if it is something serious or

Do you have a lump on your penis? Many men have and already associate it with a malignant disease, but this hardened tissue perceived in the male sexual organ could be Peyronie's Disease. Read here what this disease can mean, what the signs are and how to treat it. Lump on the penis: what could it be? Often, when a man feels a lump on his penis, he thinks he has HPV. In general, the papillomavirus appears in the form of bumps or bumps that are rough to the touch on the outside of the penis, while the nodules that cause concern are on the inside of the penis. When a man notices this hardened area somewhere along the length of the penis, it may be Peyronie's Disease. In this pathology, internal fibrosis in the sexual organ can even look like flat lumps on the penis, which can be felt when the organ is erect or at rest. In many cases, those who identify this fibrosis are sexual partners during moments of caressing the penis. This lump on the penis is a scar tissue that ends up getting hardened and forming fibrosis. From this, the man may notice that the penis starts to get crooked. This curvature occurs because plates are formed that modify the anatomy of the organ when erection occurs. Those who have a lump on the penis due to Peyronie's may have symptoms such as: Pain in erection (initial phase); Penile nodule (which is Peyronie's patch), reported by patients as a lump on the penis; Acquired penile curvature; Thinning/indentation or cinching of the penis; Decreased size of the penis; Erectile Dysfunction. Why do lumps appear on the penis? These penile fibrosis are caused by microlesions that occur during sexual intercourse, especially when the penis is not completely rigid and ends up bending during sexual movements. This is not a process that occurs with a single relationship, it emerges from countless sexual relationships throughout life. That is why the prevalence of Peyronie's disease is higher after the age of 40. About 3 to 9% of men from that age may suffer from the problem. In diabetic men, the prevalence of the problem is up to 20%. Over time, these fissures heal and become a plaque, which makes the penis crooked. This pathology needs to be treated because it can lead to more serious consequences, such as sexual impotence, loss of penile size and caliber and even impossibility of sexual intercourse, since the nodule on the penis prevents the elasticity of the organ, which can become so crooked that it practically becomes penetration is impossible, that, moreover, the new anatomy of the penis can also cause pain in the sexual partnership. Treatment of Peyronie's disease Peyronie's disease has two phases, the first is known as the acute phase, when the fissures become inflamed and can cause pain in the man at the time of erection and even penetration. At this stage, the penis begins to bend, but it is not yet a definitive curvature. When Peyronie's disease is in the acute phase, the doctor may recommend treatment that involves anti-inflammatories and even the use of traction devices, or approaches such as low-intensity shock wave therapy. The second phase of Peyronie's disease is described as chronic, when the curvature has already settled, usually occurring about 1 year after the onset of symptoms. Then, the traction techniques will no longer work and the option of penile correction surgery for penile reconstruction may be considered. Surgery will be indicated in 3 cases: associated erectile dysfunction, impossibility or difficulty of penetration and when partners complain of pain during penetration, because the bent organ reaches other internal areas. Is it possible to fix the lumps on the penis? In penile correction surgery, the lumps will be “dissolved” through a surgical technique that will straighten the penis again. To define which procedure will be used, clinical evaluation and Doppler ultrasound will be necessary to understand which is the best option for the patient. The techniques used can be plications, incisions/excisions of the plate with or without graft. Various techniques for tunic expansion with penile prosthesis implantation. The choice of surgical technique will depend on the degree of curvature, axial instability and size of the penile shaft. In Peyronie's surgery, in the case of grafts, the opening of the fibrotic plates in multiple parts can be performed to restore the caliber and size of the penis at the limit of the nerve bundles, vessels and the urethra. Therefore, the penis will theoretically be elongated. Adjustments will also be made to ensure an expansion of the circumference of the penis, also restoring the caliber. In addition, curved penis disease will often cause several fibrosis that will require all the nodes of the penis to be opened for alignment of the sexual organ during surgery. The plication technique is simpler. To correct the curvature, stitches are performed in the healthy area and the penis will be shortened on the opposite side of the curvature, allowing it to become straight again. With this technique, patients lose some length of the penis, about 1 to 3 cm. Thus, it is important that they have a longer penile shaft. The surgeries have good results, making the patient return to normal penile anatomy and improving his erectile and penetration functions. Postoperative After surgery to correct the nodules on the penis, the patient will have the organ bandaged for 5 days, and will take analgesic and anti-inflammatory drugs. The resumption of work can be between 7 and 10 days, and physical activities after 30 days. Sex life can be resumed in 45 to 60 days. Conclusion If you have lumps on your penis, seek help from a professional who specializes in male sexual medicine, which may be a urologist or andrologist. The sooner you seek medical help, especially if you are still in the acute phase, the more treatment options you can offer.

Lump on the penis: what could it be?

Do you have a lump on your penis? Many men have and already associate it with a malignant disease, but this hardened tissue perceived in the sexual organ

What happens when a man doesn't get up?

What happens when a man doesn't get up? The truth is that this expression is used to refer to moments when the penis

Is erectile dysfunction caused by diabetes curable?

“Is erectile dysfunction caused by diabetes curable?” Well, sexual impotence has a cure and can be reversed if treated in advance. It is worth highlighting that

What is the best remedy for erectile dysfunction?

For those of you who are wondering about the best medication for erectile dysfunction, the truth is that the ideal medication is the one that

How to get erections again?

Do you know how to get erections again? Treatment to treat this condition must be carried out by a specialist, preferably an andrologist. In

The text reports on what andropause is and how men recognize that they are in this phase. In the course of the paragraphs, we can see what are the main symptoms of andropause and what are the benefits of hormone replacement.

Andropause: how does man recognize that he is in this phase?

When many men arrive at a urological office, they end up knowing a very surprising term for them: andropause. This condition, which is quite common and

There are many reasons why a man will experience a decline in testosterone and start hormone replacement therapy, but did you know that treatment can lead to temporary male infertility? See in this text what male infertility is, what causes the problem and what should be done when men need to replace hormone, but still want to have children. What causes male infertility? Male infertility can be characterized by a man's inability to produce enough sperm to fertilize an egg. Among the important causes of male infertility are hormonal changes, especially when related to testosterone levels. Testosterone is the main male hormone, fundamental to men's physical characteristics, sexual desire and fertility. It is produced in the testes in 95% of cases, where sperm are also produced. The regulation of this production comes from the pituitary gland, which is in the braincase, and is carried out by the two hormones LH (testosterone secretion) and FSH (sperm). This work is carried out daily in the body. If the pituitary gland senses that testosterone is low, it sends a message to the testicle to increase its production. But, for some health problems or for other conditions that may arise, such as aging; Testosterone levels can drop dramatically, causing men to experience changes in their behavioral, physical and sexual characteristics. When the man notices these changes and seeks a specialist in male sexual medicine, he may hear a diagnosis that points to the need for hormone replacement. However, this treatment can lead to temporary male infertility. Other Causes Affecting Male Reproductive Health Some causes of male infertility can also range from poor lifestyle habits such as smoking and alcohol and drug use; aging itself, obesity, constant exposure to toxins and high temperatures. But did you also know that mumps can cause male infertility? This is among the other causes that impact reproductive health, which are inflammation of the testicle (prostatitis, orchitis and mumps), varicocele (a condition in which there is a dilation of the testicle veins, which interferes with the production of sperm), problems with transport (eg, retrograde ejaculation) and cancer (it is often the treatment that causes male infertility). In addition, some drugs that cause male infertility are also arthritis drugs, antihypertensives, tricyclic antidepressants and the use of anabolic steroids. Why does the natural production of testosterone decrease in hormone replacement? When the man starts taking hormone replacement treatment, with injections, gel or testosterone chip (pellets), in a very short time, all the symptoms of low testosterone begin to improve. You will probably feel more physical vigor, more disposition, improve mood, cognitive aspects and sexual desire if the optimal and individualized dose is taken. However, the replacement makes testosterone levels normal, so the pituitary “understands” that it is not necessary to send messages to the natural production of testosterone nor to sperm, so LH and LSF stop being secreted. Thus, this natural production is stopped, while the hormone is being introduced into the body synthetically. So the testicle is not stimulated. In addition to the possibility of a small reduction of the testicle itself, this hormone replacement will also decrease male fertility. So, men who have low testosterone and are trying to get their partners pregnant cannot take hormone replacement and will need another type of treatment. Although replacement is much more effective and practical in improving symptoms that arise due to low testosterone production. Testicular stimulation is a way to prevent male infertility When a man has low testosterone and is suffering all the discomforts that come with the condition, but wants to have children, the indicated treatment is testicular stimulation. Testicular stimulation, unlike hormone replacement, will produce an increase in endogenous (natural) testosterone production and therefore will not cause male infertility. Therefore, in general, it is a treatment indicated for younger men. Treatment is based on the use of a set of medications that will further stimulate the testicle to produce testosterone. Know in which cases the option for testicular stimulation treatment can be made: When the patient has symptoms of low testosterone (cognitive and memory problems, sleep and mood changes, chronic indisposition, lack of sexual desire, erectile dysfunction, etc.) ; When the patient is diagnosed in the laboratory with low levels of the hormone; How much does a man want fertility. How does testicular stimulation work? The treatment of testicular stimulation is a little more expensive than hormone replacement, and the result will also depend on the “behavior” of the testicle in relation to these stimuli. There are 4 classes of medications that are performed to increase testicular production of testosterone: The first alternative for endogenous production is to indicate the synthetic ingestion of LH and FSH hormones, to simulate pituitary stimuli, and increase testosterone production and sperm. Another option is to indicate the use of HCG (human chorionic gonadotropin), which is a hormone that also stimulates the thyroid gland and the production of testosterone. The third alternative is the prescription of Serm (Selective Estrogen Receptor Modulator) which allows the pituitary gland not to perceive that testosterone is rising exogenously (synthetically), and will continue to give positive stimuli for a natural production by the testis, that is, this line of medications will “deceive” the pituitary gland. The last option is aromatase inhibitors, which are substances that convert testosterone to estradiol. Then, the pituitary is more free to stimulate the testicle. Conclusion If the patient has signs of male infertility and also low testosterone, the first tip is to seek the help of a doctor specializing in male sexual medicine. The doctor can either recommend tests to prove the drop in testosterone levels or a male fertility test.

Male infertility: can hormone replacement influence it?

There are many reasons that lead a man to suffer a decline in testosterone and start hormone replacement, but did you know that the treatment precisely

Testosterone gel is one of the forms of treatment that men can choose when they need hormone replacement therapy.

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When a man loses his desire for his wife, what can it be? Before thinking that he may be in a relationship outside of marriage or that the husband no longer loves his wife, it is important to consider hormonal and psychological factors. These factors directly influence libido and if they are not investigated, they can put the relationship at risk. Read the article and learn how they influence sexual desire and see tips for dealing with the situation. When a man loses his desire for his wife: hormonal cause Did you know that low testosterone can be responsible for a man's lack of libido? When this hormone is below normal levels, it is natural to feel a lack of sexual desire. This often explains when a man loses his desire for his wife. But what is acceptable? For the American Urological Association (AUA), when testosterone levels are below 300 (ng/dL) it is already possible to feel a lack of sexual desire. Therefore, having a medical follow-up with a specialist is essential, not only to assess whether testosterone levels are normal, but also the relationship with estradiol and other hormones, such as TSH, T4 and T3. Stay tuned! After age 40, men have a natural decline in sex hormones such as testosterone. So if you feel tired, irritable and have low sex drive, it may be time to take hormone replacement. Stress and Anxiety Stress and anxiety are other factors that explain when a man loses his desire for his wife. This is because, when worrying about everyday problems, such as bills to pay, work, endless meetings, there is little time to relax, and also, to think about sex. Therefore, finding a form of relaxation is necessary if the couple wants to maintain an active sexual routine. Taking a walk together, watching a movie together, or having a glass of wine helps to relax and is great for strengthening the bond between the couple. Depression About 50% of patients with depression report reduced sexual desire. This is another factor that can explain when a man loses his desire for his wife. After all, those who live with the disease experience a lack of natural interest in activities that they used to consider pleasurable, such as sex, for example. Another factor that influences the lack of desire are antidepressants, such as duloxetine, fluoxetine and sertraline. So, if you suspect that lack of desire may be associated with depression, look for a specialist. Attending psychotherapy sessions and using specific medications to treat depression is the first step towards improving sexual desire and ending the problem “when a man loses his desire for his wife”. Chronic Illness You know what else can explain when a man loses his desire for his wife? Chronic diseases. Among the most common are: Type 2 diabetes; Obesity; High pressure; High cholesterol; Chronic pulmonary, cardiac, renal and hepatic insufficiency. Therefore, if a man suffers from any of these conditions, he may experience a lack of sexual desire. In these cases, the best way to improve sexual desire is to invest in a nutrition program. For this, consult a nutritionist, this professional will propose a diet that does not worsen the conditions of the disease, and at the same time, helps to improve sexual performance. Changes in sleep Have you ever thought that a bad night's sleep can influence sexual desire? And we're not just talking about the lack of mood or irritability, so common after a bad night's sleep. Poor sleep can bring down testosterone levels and this could be another factor that explains when a man loses his desire for his wife. This study, published in the Journal of Clinical Sleep Medicine, showed that men who suffer from obstructive sleep apnea have lower levels of testosterone. In another study, those who slept five hours a night for a week had a 10-15% drop in testosterone levels. So, if you don't understand why you have low sex drive, assess how your sleep is. He may be putting your relationship at risk. To rule out the possibility, make an appointment with a specialist and take the necessary tests. Read more: Good sex Erection Flabby penis Problems in the relationship Problems in the relationship can also be the reason when a man loses his desire for his wife. The lack of communication between the couple or fights regarding the education of the children can cause estrangement and this can contribute to the lack of sexual desire. In these cases, the best way to resolve the situation is to talk. But if you find that you can't carry on a conversation with your partner without fighting, you can enlist the help of a sex therapist. Couples therapy is an effective option to resolve relationship issues that are impacting a couple's sex life. How can sex therapy help? Sex psychotherapy is used to treat sexual problems that may have a psychological origin. It is carried out by psychologists or specialist doctors who will analyze, identify and guide the patient through conversations, to deal with their sexual problems. What are the goals of sex psychotherapy? Sexual psychotherapy can help patients to recover the quality of their sex life, which may be hampered by concerns, anxiety and difficulty in performing in a sexual relationship. What to expect from sex psychotherapy? Through psychotherapy, the patient can learn to express his/her concerns, understand his/her sexual needs or the needs of his/her partner and the best way to meet them. Seeking Medical Help As you can see, several factors can explain when a man loses his desire for his wife. And although hormones are the main factor for this, we cannot rule out psychological factors. So, before you think that your partner has lost sexual interest because he doesn't love you anymore, make an appointment with a specialist. Know that there is a specific area of medicine to deal with male sexual health: urology and andrology. Professionals who specialize in this area can help treat from the simplest problems, with the help of therapy, to more serious cases, such as neurological ones. If you are going through a situation like this, or know someone who is suffering from a lack of sexual desire, get to know Instituto Cavalcanti. Discover Instituto Cavalcanti de Andrologia e Performance We are a center specialized in male health and sexual performance and a national reference in the treatment of sexual dysfunction. Our mission is to offer multidisciplinary care for the recovery and optimization of the physical, mental and sexual capacity of men. Our specialists are highly trained to offer solutions in the different areas of medicine with the greatest discretion. All in a modern and cozy atmosphere, with private valet parking for your convenience. The first thing to do when a man loses his desire for his wife is to seek medical advice.

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