Men's Problem

MALE GENITAL DISORDERS

PENILE

  1. Phimosis:

  • Inability to retract the foreskin over the glans penis.

  • Natural/Secondary to Infection/STD’s/Cancer

  • It can be treated by cosmetic Circumcision (or) by other surgical methods.

  1. Paraphimosis:

  • Retracted foreskin and cannot be pulled over the tip of the penis & gets stuck there. It is a medical emergency and should be treated immediately.

  1. Peyronies Disease:

  • Plaques segments of flat scar tissue form, under the skin of the penis. It can cause the penis to bend and also be painful. It can be treated depending upon the cause.

  1. Penile Cancer:

  • Penis Cancer is a disease in which, malignant cells form in the tissues of the penis. Penile cancer is usually found on the glans or foreskin of the penis, but can also occur on the shaft of the penis.

  • Surgery is the most common treatment for all stages of penile cancer. Other options include radiation and chemotherapy.

  1. Penile Fracture:

  • It is an emergency condition.

  • Penile fracture is a rupture in the two areas of the penis, responsible for erection, the corpora cavernosa, and the tunica albuginea.

  • It usually occurs when there is trauma to an erect penis and during sexual intercourse.

  • It can be treated medically/surgically based on the extent of the damage.

  1. Chronic Penile Pain:

  • Pain arising from the penis is often a result of sexually transmitted infection and can be associated with burning, itching, painful urination, discharge or blood in the urine.

URETHRAL & PROSTATE

  1. Urethral Stricture:

  • Narrowing of the urethra caused by injury, instrumentation, infection and certain non-infections form of urethritis.

  1. Prostatitis:

  • Inflammation of the prostate gland. It can be acute or chronic. Common in diabetics & STD patients, can be managed medically/ surgically.  

  1. Enlarged Prostate:

  • Enlargement of the prostate gland.

Symptoms:

  • Straining to void

  • Increased frequency 

  • Post void Dribbling

  • The feeling of Incomplete Urination 

Treatment can be either medical/surgical



SCROTAL

  1. Orchitis:

  • Inflammation of the testicles. May be acute or chronic. Usually due to bacterial or viral infections.

  1. Hydrocele:

  • Accumulation of fluid inside the layers of tissue covering the testis.

  • Can be treated conservatively or if needed surgical correction.

  1. Torsion Testis:

  • Testisular torsion is an emergency condition.

  • When a testicle rotates on this cord, it is referred to as testicular torsion. It causes the flow of blood to stop, causing sudden, often severe pain, and swelling. Prolonged testicular torsion and loss of blood flow can lead to the death of the testicle and surrounding tissues. 

  1. Testicular Pain/Chronic Orchialgia:

  • Intermittent or constant testicular pain for more than 3 months.

OTHERS

  1. Hernia:

  • Protrusion &abdominal contents into a defect, in the abdomen wall

  • Congenital (or) Acquired

  • Can be treated by open surgery (or) Laparoscopic Surgery

  1. Chronic Pelvic Pain

  1. Interstitial Cystitis/Bladder pain:

  2. Anorgasmia/Problems with Orgasm:

  3. Late-Onset Hypogonadism:

  • When there is no enlargement in testicular volume as well as size by 14 years of age, then it is suspected of some hormonal imbalance and hence it should be evaluated properly.

  1. Gynaecomastia:

  • Enlargement of the breast tissue in males, due to the proliferation of glandular tissue rather than fatty proliferation.

Causes:

  • Genetic Problems

  • Kidney Failure

  • Liver Failure

  • Steroids and other certain drugs

It can be treated based on Etiology.

  1. Old Age Sexual Problems

MALE SEXUAL HEALTH

MALE SEXUAL HEALTH

  1. Pre Mature Ejaculation:

  • Ejaculation occurs nearly or always prior to or within a minute of vaginal penetration.

  • There are 2 types:

  • Primary PE

  • Secondary PE 

can be treated with

  • Behavioural Therapy

  • Psychological Counselling

  • Pharmacological Therapy

  1. Erectile Dysfunction(Impotency):

  • Inability to get and keep an erection firm enough for sex.

             Usually associated with

  • Heart Disease 

  • Clogged Blood Vessels

  • High Cholesterol

  • High Blood Pressure

  • Diabetes

  • Kidney Failure

  • Obesity

  • Parkinson’s Disease

  • Multiple Sclerosis 

  • Certain Prescription medications, Antidepressants

  • Tobacco Use, Alcoholism, Substance Abuse

  • Peyronie’s Disease

  • Mental Disorders

  • Trauma

  • Increasing Age

  1. Small Penis Problem, Penile Length & Girth Problems:

  • Length of the erect penis under 10cm

  • Can be treated with hormone therapy or surgical correction.

  1. Andropause:

  • Andropause (Male Menopause) is a common disorder which increases in prevalence with advancing age.

  • Usually associated with a reduction in testosterone, can be treated with properly monitored hormone replacement therapy. 

  1. Spermatorrhoea:

  • Excessive, involuntary ejaculation

  • Can be treated based on the Aetiology.

  1. Sexual Weakness

  2. Androgen Insufficiency-Low Libido

  3. Sexual Orientation Disorders

  4. Gender Identity Disorders:

  • These individuals have an incorrect self-perception of their gender.

MALE FERTILITY DISORDERS

MALE FERTILITY DISORDERS

Causes: 

  • Sexual Problems

  • Hormonal Problems

  • Abnormalities in sperm Production/Sperm Transport/Testicular Dysfuction 

  • Immunity related Problems

SPERM ABNORMALITIES:

  1. Oligozoospermia

  2. Asthenozoospermia

  3. Teratozoospermia

  4. Azoospermia

  5. Varicocele

  • A Varicocele is an enlargement of veins within the scrotum (Pampiniform Plexus of veins). Usually asymptomatic but may present with dull aching pain.

  • Can cause infertility, testicular atrophy

  • Can be treated surgically

  1. Cryptorchidism

  • A condition in which one or both of the testes fail to descend from the abdomen into the scrotum. It is the most common birth defect of the male genital tract.

Treatment:

  • It can be treated depending upon the cause.

  1. Hypogonadism