Penis Problems and Conditions
As with any organ in the body, the penis can
have its share of physical problems. When it comes to your
penis, it doesn't matter whether you're young, old, black,
white, or even green, almost every man at some point in
his life will experience some kind of penis dysfunction.
Learn a little more about your 'package' today
so that you know what to watch for and can help try to prevent
any future problems.
Fertility
In about 40% of infertile couples, the cause of the infertility
lies with the males. There are many reasons for male infertility.
Quick Fact: It takes approximately
72-90 days to produce mature sperm. Sperm is produced 24
hours a day, 7 days a week.
There are many factors that can decrease or
stop sperm production. Here are a few:
- Illness
- Excessive Caffeine
- Stress
- Street and certain Prescription Drugs
- Some over the counter medications
- Injury to the testicles
- Blockage in the Vas Deferens (see our Penis Anatomy
page)
- Varicocele
- Excessive Heat
- Vitamin Deficiencies
There are also natural ways to increase sperm count and
quality. One excellent way to increase sperm production
is to try an interesting product called Volume Pills. Volume
Pills are penis enlargement pills with a difference, they
predominantly focus on increasing the amount of sperm produced
during ejaculation. Click here to visit their website for
more information.
Ways to Improve Fertility:
1. Limit or eliminate caffeine intake.
2. Stop smoking
3. Stop Recreational Drugs
4. Wear Loose Underwear (boxers)
5. Stay out of Hot Tubs
6. Natural Enlargement sites
Impotency
Impotence is the inability of a man either
to have an erection or to keep the penis erect long enough
to have sexual intercourse. This is a common problem affecting
as many as 30 million men in the United States. By the time
most men are 40 they have already experienced impotence
at some time in their lives.
When just a single incident occurs, the best
thing to do is forget about it. Problems arise when this
difficulty starts occurring regularly.
According to an article published in early
1993 (review: Morley, 1993), approximately 10 million men
in the U.S. had problems with impotence at that time. This
figure is now reported to be 30 million as more men have
been willing to approach their medical professional for
assistance. We're sure the development and release of Viagra
by Pfizer® has contributed to a greater understanding
of just how many men suffer from this difficult problem.
Men afflicted with repeated impotence tend
to be middle-aged and older, with this condition being most
common in men 60 years of age and older. Regardless of the
age, however, many men who have this problem can be treated
successfully.
Impotence can result from a wide variety of
problems. As with any other ailment, when a person begins
having this problem repeatedly, he needs to see a doctor.
The doctor will want to rule out the possibility of disease,
injury, or side effects from medicine.
For example, cardiovascular problems, diabetes,
injuries to the spinal column, and side effects from high
blood pressure medicine are among the physical conditions
that can lead to impotence.
An erection occurs when the nervous system
activates a rapid increase in blood flow. The vascular muscle
in the spongy area becomes engorged with blood and the outflow
of blood is cutoff. An erection can be elicited by the so-called
reflex erection as we see in spinal cord patients, or can
be caused by psychogenic stimulation. Numerous sexual stimuli
are processed by the brain and transmitted to the penis
via the nervous system. In order to get an erection, the
blood flow must increase and, at the same time, the blood
has to be prevented from leaving the penis.
Possible Treatments:
Natural Enlargement sites offer exercises
which can increase blood flow in the penis for a longer
period of time. With practice and in a short period of time
your erections can come back no matter your age.
Penis Pumps & Vacuums - The vacuum erection
device is a plastic cylinder that is placed around the penis.
When negative pressure is applied the penis becomes rigid.
A rubber ring traps the blood in the penis and keeps the
penis rigid for periods up to 30 minutes. It still allows
ejaculation. These devices are made by a number of manufacturers
and have very variable levels of sophistication, from manual
pumps to battery operated devices. The devices are reusable
and have a very high satisfaction rate. The major drawback
is the cumbersome device is likely to cause loss of spontaneity.
One of the more common partner complaints
that we have seen is the fact that, after using a pump the
penis is cold and the rigidity is less than a normal erection.
In older female partners because of vaginal dryness and
stenosis, penetration may be difficult. However, overall
these devices are an excellent first choice and are widely
used and recommended by doctors.
Peyronies Disease
Peyronie's disease is a severe curvature of the erect penis.
It's named after an Italian physician to King Louis XIV
of France. This physician was the first to note the disorder
back in the 1700s. While it is somewhat common, it is not
often mentioned.
A minor bend in the erect penis is perfectly
normal, as few penises are straight as an arrow. In some
cases of Peyronie's, however, the penis can form a "J"
or a corkscrew, making intercourse impossible.
What causes a curved penis?
The cause of Peyronie's disease is unkown. Some physicians
theorize the cause of the curvature may be from trauma to
the penis, perhaps if the penis is bent backward during
rough sex. The injury causes an inflammation in the tunica,
and subsequently leads to scarring.
There are other theories, and some reports
suggest that men who take beta-blocking medications for
high blood pressure develop Peyronie's.
How is the penis constructed?
The penis is composed of three cylindrical cavities. The
two on top are called the corpus cavernosa, and the one
on bottom the corpus spongiosum, which contains the urethra
(the tube that urine flows through).
The two top corporal cavities expand to trap
and hold the blood that produces an erection in the male.
The bottom body, corpus spongiosum, functions mainly for
the passage of urine. Each of these corporal bodies is surrounded
by a very elastic covering called the tunica albuginea.
On top of the two corporal cavernosa are the
superficial nerves and blood vessels of the penis.
Why does the penis curve?
In Peyronie's disease, the normal elastic tissue of the
tunica is replaced by scar tissue. Normally with an erection
the elastic tissue of the penis expands and elongates smmetrically
resulting in a straight erection. Because the plaque, or
scar tissue, is not elastic, but rather hard, it will not
stretch with an erection.
The disease starts as a small bump or constriction
on the shaft of the penis below the skin, which expands
to form a flat deposit that's sometimes as large as the
diameter of a silver dollar. This "plaque" invades
and replaces the elastic covering of the penis with inflexible
material. When a man with Peyronie's has an erection, the
plaque does not expand, so the penis curves to one side.
How does a curved penis affect sexual intercourse?
A third of men with Peyronie's have pain with their erections.
A few men with Peyronie's become impotent. In some cases,
the head of the penis does not fill with blood.
Because inflammation is initially associated
with the scar tissue, there can be some discomfort with
erection and distension. Many patients complain not only
about the curvature of the erection but the loss of length
and girth. These are all results of the inelastic tissue
and lack of distention that results.
Most patients with Peyronie's disease can
continue to function sexually with the curvature in the
penis. Rarely, some patients with greater distortion are
unable to have satisfactory sexual intercourse.
Treatments
Some enlargement sites claim to help with this disease but
there is not a single cure recognized by the medical authorities,
within 6-12 months the condition should go away but frequent
trips to the doctors is reccomended.
Testicular Cancer
What is testicular cancer?
Testicular cancer occurs in approximately 1 in 25,000 men
per year. It is 4 times less common in African-American
men compared to Caucasian men. The risk of developing testicular
cancer in a mans lifetime is approximately 1 in 500.
It occurs most commonly between the ages of 15 and 40 years.
It can also occur in infancy and late adulthood (e.g. over
60 years old). Individuals who have had an undescended testicle
are at higher risk of developing testicular cancer.
How is testicular cancer diagnosed?
The best way to diagnose testicular cancer is through self-examinations.
The usual initial finding is a painless lump in or on the
testis, a hardness or enlargement of the testis. Less commonly
there is associated pain and tenderness. If problems do
occur and an individual is concerned due to tenderness,
bloody discharge or a lump for some symptoms they should
see a urologist. The urologist will do a physical examination
and possibly order a testicular ultrasound.
Non-cancerous masses found around the testicle
can be fluid collections or cysts. In addition, dilation
of some of the veins in the scrotum (varicocele) or cord
leading to the testicle can create a mass effect. If there
are any abnormalities that can be palpable, a visit to a
physician may be required to establish the significance
of the findings.
How is testicular cancer treated?
Surgery-After the diagnosis of a solid testicular mass has
been made, the initial management is removal of the testis
and its associated cord, orchiectomy. This is done through
a small inguinal incision. The testis and abnormal tissue
present is then examined under the microscope to determine
the type of cancer. Depending on the cell type of the cancer
present, other therapies such as additional surgery, radiation
therapy or possibly chemotherapy may be indicated.
Using a combination of these therapies, testicular
cancer has one of the highest cure rates of all cancers.
This has been achieved using a combination of surgery and
chemotherapy as well as radiation in certain instances.
Cures from testicular cancer can even be achieved in individuals
who have had spread of the cancer into other parts of the
body.
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