Interesting articles
Pandemic Covid-19: Impact and rapid reaction of the
Urology
The Covid-19 pandemia caused by the SARS-COV-2 virus has caused dozens of
Thousands of deaths in Spain and managed to collapse hospitals in the healthcare network in the Community of Madrid, due in large part to their particular tendency to cause severe pneumonias in need of ventilatory support.
This fact has caused the collapse of our Central Colony
coming to have an occupation of 130% of its beds for patients Covid-19, and causing
therefore the absolute cessation of activity of the urology service, the practice disappearance of
The teaching of residents and the incorporation of a good part of the Urology Template to
Group of medical personnel serving these patients.
for recovery of this high
amount of suspended activity will be necessary a prioritization of the pathology based on
Purely clinical criteria, for which tables that collect the relevance of each pathology within each area of urology are proposed. Tools provided by technology such as online training or surgical simulators may be useful for the necessary restitution of resident training.
See Complete Article
What is Fimosis?
Fimosis consists of a tightness of the foreskin (skin that covers the tip of the penis) that prevents from retracting said skin down and discovering the glare completely.
The presence of phimosis favors the appearance of the following complications:
Balanitis (skin infections of the tip of the penis)
lack of hygiene
paraphymosis
Urine infections
Fissures and bleeding by having sex
Night cancer in adulthood
POr these complications Many doctors advise the realization of a systematic circumcision in all newborn males.
How are phimosis about?
Fimosis is solved with a simple local surgery that is called circumcision.
With regard to circumcision surgery I would like to indicate that it is simple surgery, but you must perform a urologists with extensive experience in penis surgery. My teacher in Boston (Prof. Goldstein) said that the best penis surgery is the first. If the circumcision is wrong, more skin is cut off, then it is complicated to repair the damage.
What other diseases can appear on the skin of the penis and genitals?
In addition to phimosis, on the skin that covers the penis, multiple diseases can appear, sometimes difficult to diagnose and require a treatment specialized by an expert doctor.
Different diseases can arise on the penis. Some injuries appear only on the skin of the penis. In addition, the penis and the skin that covers the testicles (scrotum) can participate in multiple skin diseases.
Next, we expose a summary of the most frequent and important diseases that affect penis and scrotum skin:
Minor injuries
People papules
Sebacean granulomas.
Sclerosing lymphangitis of the penis.
moluscum contagiosum.
Trombosis Dorsal Vein of the penis.
Traumatic injuries about the penis
Ulcers in glans and in penis
Genital herpes.
syphilis.
Chancroide.
venéreo lymphogranuloma.
Accuminated condylomas (papillomavirus).(See you)
Balanitis and Balanopostitis.
Balanitis Xerotica obliterans.
Gangrene de Fournier.
Benign tumores of the pen
Leiomioma
Neurofibroma
Cutaneos Quanters
Seborrheic keratosis (Senile verruga)
Premalignian injuries of the pen
Acuminated condyloma
Balanitis Xerotica obliteranas
Balanitis Micacea
leucoplasia
Malignant penis tumors
Kaposi Sarcoma
Queirat Eritroplasia
Bowen disease
Screen pencil carcinoma
Cheerful carcinoma
Bascellular carcinoma
What are the pearl papules?
They are small dots that appear in the coronal groove or in the glans.They are not associated with malignancy or infection.Do not require treatment.
What are the heterotopic sebaceous glands?
They are small yellowish white spots or granules.They appear in submucosa and in foreskin.The treatment is not necessary.
When does it appear in a penis what can it be?
The most frequent ulcerative diseases are:
Genital herpes.
syphilis.
Chancroide.
venéreo lymphogranuloma
In the section of sexually transmitted diseases, these injuries are exposed
What are the accuminate condylings?
They are warts from a diameter of 1 to 10 mm that tend to be associated. They are multiple. They can be ruling or brown. They usually appear in penis leather, in foreskin and glans.
It can affect urethra, scrotum, English and skin of anus. The urinary meatus (hole where the urine comes out) is affected by 20-25%.
They are transmitted with great ease by sexual contact and are produced by the papillomavirus. Infection by some types of papillomavirus is frequently associated with cervix cancer in women and penile cancer in men.
How accuminated condylomas are treated?
We must explain that papillomavirus is very contagious and that simple rubbing with a couple injury can transmit the disease. If there are two or three condylomas, treatment with an ointment (imiquimod, podofilotoxin) can be used.
If condylomas are numerous at the Institute of Urology and Sexual Medicine, we made with local anesthesia and a special and fine electrocoagulator the exeresse of all condylomas. The elimination of all condylomas is fast and resolutive treatment.
What symptoms does a fungal penis infection produce?
It is called candidage balanitis. It initially produces itching and redness in glans shortly after sexual contact. Subsequently, small pustules are produced that erode and converge with each other. Finally, these injuries are descended.
How do you diagnose a fungal penis infection?
For an expert doctor, in these diseases, the diagnosis is simple through a good clinical history and the observation of injuries. In difficult cases it may be necessary to perform a culture of the material obtained from the lesions.
How is a fungal penis infection?
Initially, the skin should be well washed with water and soap and a specific cream (antifungal) on penis skin should be applied for 2 to 3 weeks, until injuries disappear. The treatment of both members of the couple must be performed. In the woman they are usually vaginal employees.
If the infection is reproduced, in addition to local treatment (cream in penis) a treatment with pills must be associated to eradicate the infection.
What is Balanitis Xerotica Obliterans?
It is a chronic process that causes atrophy of the skin of the foreskin and the glans. Initially they are raised white papules, indurated, which produce an alemented atrophy. Subsequently, injuries usually confer to form large plates.
They can be fissures in the prepucial ring they can bleed. When it affects urethral meato (hole where urine comes out) tends to produce a narrowing and difficulty to urinate.
It is also called: sclerotic and atrophic lichen. It can rarely cause a penis cancer.
How are the Balanitis Xerotica Obliterans?
Initially, in mild cases a treatment with a soft corticoid ointment can be applied.
In more advanced cases, it is advisable to eliminate atrophic and retracted skin through surgery. If there is a phimosis, a circumstision must be made and if a narcies of the urinary meatus have occurred, a meatotomy should be performed.
Given the trend of the skin to be atrophied and produce retractions, this surgery should be carried out by an expert urologists in penis surgery.
What tumors can appear on the penis?
In the penis and male genitals, a wide variety of benign, premalignant injuries and malignant tumors can grow that, due to their great resemblance to the little expert physician in this topic.
In the face of an injury or tumor in this area, it is advisable to consult as soon as possible with an expert urologists in penis diseases.
The most frequent benign tumors are:
Leiomioma
neurofibroma
Cutaneous cysts
Seborrheic keratosis (Senil Wart)
In the penis can appear injuries that can become malignant, such as:
Accuminate condyloma
Balanitis Xerotica Obliterans
Balanitis Micacea
leucoplasia
The most frequent malignant tumors are:
Kaposi Sarcoma
Queirat Eritroplasia
Bowen disease
Screen penis carcinoma and scrotum
Cheerful carcinoma
Bascellular carcinoma
It is easy to differentiate between a malignant and benign penis tumor?
For a doctor with little experience in these diseases is difficult since there is great similarity between them.
A professional expert can easily be diagnosed by observing and exploring the injury. An expert urologist-andrologist knows in what cases he must perform a biopsy of the injury to specify whether it is benign or malignant
How the penis tumors are treated?
Initially there should be an extirpation of the profound lesion or biopsy with local anesthesia.
If the tumor is benign enough with the removal of the injury.
If the biopsy confirms that it is a malignant tumor, an exeresis surgery should be carried out in the hands of an expert urologists in penis surgery.
Tips:
If you have pimosis the treatment is the surgery performed by an expert in penis surgery.
If you have a penis injury you should consult, wait, do not lead to anything.
You should consult with an expert Urologists-Andrologist who diagnoses it accurately and offers you the best treatment.
At the Urology and Sexual Medicine Institute we are experts in the diagnosis and treatment of penile and genital diseases, with the strictest confidentiality.
The cumulative condylomas (warts) are very contagious and the most resolutive treatment is exeresis with local anesthesia.
Varicocele
Some experts consider that surgical treatment is not effective as infertility treatment. In case the natural pregnancy is not achieved after the intervention, assisted reproduction offers treatments, such as the donation of semen, so that these patients may have children.
Users' Questions
What happens if the varicocele is not operated? Will I be a father?
Depending on the grade of varicocele, it may require or not surgery. There are males with mild / moderate varicocells that manage to have children without problems. On the other hand, the most severe will have a significant impact on the fertility of the male.
is the same to have varicocele that varicures in the testicle?
Yes, the varicocele is the presence of varicose veins or veins in the testicle.
The libido has been reduced due to varicocele?
There are some cases of varicocele in which the male has expressed a reduction of libido, probably caused by the alteration of testosterone production. Therefore, yes, it is possible, although it is not usual.
In the same way, this decrease in testosterone derived in some cases of varicocele can be cause for sexual impotence, but only in very severe cases.
Can the varicocele derive in cancer?
No, it is not common for varicocele to cause the growth of a malignant mass or tumor.
How can Varicocele be prevented?
Unfortunately, unlike what happened with the varicose vehicles, the varicocele or the appearance of varicose varices can not be prevented.
is the same to have varicocele than Hydrocele?
No, although both alterations are cause for infertility because they affect the normal function of the testicle, they are not the same.
Varicocele is the increase in the size of the testis veins due to a malfunction of blood circulation. On the contrary, the hydrocele is the increase in the liquid from the scrotal bag, whose function is to allow the mobility of the testicle and cushion the blows. Hydrocele is caused by testicular inflammation.
Can I have sex if I have varicocele?
Yes, you can keep relationships as long as you do not hurt.
The varicocele influences the erection or can it be a cause of impotence?
No, in principle the varicocele should not affect erection.Only in cases where the decreased levels of testosterone is very severe there may be erectile dysfunction, but it is not very frequent.
Varicocele can cause premature ejaculation?
No, the varicocele is not a cause of premature ejaculation.
Penis cancer
If you detect any or several of the previously exposed symptoms, you should consult a doctor, who will first make a physical examination of the penis to evaluate injuries and check if you have inflamed inguinal ganglia. In case of doubts about a possible penis cancer, you will perform any of the following tests:
Magnetic resonance of a penis cancer
Magnetic resonance imaging
A penis biopsy. This is a procedure that consists of extracting a small piece of tissue from the penis. Sometimes, it is also extracted woven from the lymph nodes of the groin. The results of the biopsy can take two weeks.
A magnetic resonance of the penis, to evaluate the size of the cancer.
A computed tomography of the chest, the abdomen and the pelvis. These analyzes can provide details on the structure of internal Los Organa.
Stages of penis cancer
Penile cancer can be detected in different stages, depending on how it has spread, from stage 1, where cancer is stoned to the skin of the penis, up to stage 4 where there is extension to the deep lymph nodes of the Pelvis or other parts of the body.
Cancer cells can also be in different phases when analyzing them by a biopsy. When looking at certain characteristics of the cells under the microscope cancer can be classified in:
Grade 1 (low-grade). Cells are reasonably similar to normal cells. The cancer cells are said to be & quot; well differentiated & quot; they tend to grow and multiply very slowly and are not so and quot; aggressive & quot;.
Grade 2 (middle grade).
Grade 3. Cancer cells look very abnormal and are said that they are & quot; little differentiated & quot; they tend to grow and multiply very quickly and are more & quot; aggressive & quot;.
Knowing the stage and the degree of cancer helps doctors advise on the best treatment options.
Treatment of penis cancer
A surgical operation is recommended in most cases. The type of operation depends on the size of the tumor and its position on the penis. If the carcinoma is small and is still only to the skin of the penis, then the tumor can be removed and a small amount of normal tissue. However, if the cancer is larger it may be necessary to eliminate part of the penis or even amputate the full penis.
Reconstructive surgery is an option for many men. Its surgeon will be discussing the different types of reconstructive surgery in more detail. The lymph nodes of the groin are usually eliminated during the operation.
In addition to surgery, it can be subjected to chemotherapy and radiotherapy, to ensure you remove the remains of cancer cells.
If the cancer is an initial stage and only the head of the penis (glans), sometimes doctors prescribe a cytotoxic cream (kill-cells).
Prognosis of penis cancer
There is a good chance of cure if penile cancer is diagnosed and treated when they are an early stage (confined to the penis and not disseminated to lymph nodes). In general, the more it is late and higher, the degree of cancer, the worse the prognosis. Even if a cure is not possible, treatment can often slow down cancer progression.
Most treatments for penile cancer do not affect the ability to have sex, even if you need an operation.
Penis cancer, in general, is rare in men from Europe and North America, but relatively common in men from Asia, South America and Africa. It is presented in less than one of every hundred thousand men every year in Europe.
What is Andrology?
Andrology is the part of the medicine responsible for the study, exploration and research of physiology (normal functioning) and physiopathology (abnormal functioning) of man's reproductive functions.
The main problems of which andrology is responsible are male infertility, sexual dysfunctions, diagnosis and treatment of hormonal changes that occur in man and diseases of male genitals.
As a specialty, the Andrology is relatively young, with only a few decades of history, starting the first clinical reports in 1951. During the 60s & rsquo; and 80 & rsquo; The first national and international scientific societies of Andrology appeared: in 1975, the German Society of Andrología; In 1981, the International Society of Andrology; In 1992, the European Academy of Andrology (European Academy of Andrology: EAA).
Currently, the Andrology is present as a specialty in most of the countries of Europe, existing 21 centers accredited by the EAA for the training of clinical andrologists.
Enlargement of prostate
The sick prostate may be to many medical conditions. What is the prostate? It is a small gland that only men have, and is located between the penis and the bladder. It is responsible for producing the liquid that will help transport sperm in semen. Enlargement or inflammation of the prostate, or cancer, can affect its operation.
Prostate enlargement is a common condition associated with age: almost all 50-year-old men have symptoms of a prostate enlargement.
Among the symptoms we can find a lot of problems when urinating, since the urethra crosses the prostate to the penis, and if the prostate is inflamed does pressure on the urethra and makes it difficult to urinate. If you feel difficulties to start urinating, if the flow of urine is weak, you have to make an effort to urinate, get up several times at night or you go very often, you must be careful.
It is important that you avoid drinking a lot of fluid before going to sleep and consult your doctor to consume some home remedy that deflates the prostate and relax the muscles of the area.
PROSTATITIS
In this condition the prostate becomes inflamed and reddened, as if it were the answer to an infection that is generally not found. The pain in the pelvis and the testicles, pain when urinating and ejaculating and the pain in the perineum when sitting on hard surfaces, are points to consider.
Prostatitis affects three out of every twenty men, and is common between thirty-fifty years. In case we have some of these symptoms, it is important that we contact the head doctor immediately and make the decision for conventional or natural medicines.
Prostate cancer
It is usually one of the most common types of cancer among men and the probability of developing it increases with age: it occurs in men of fifty years old or older. While the causes are unknown, it can also influence ethnicity and family history.
Among the symptoms of prostate cancer we find: the need to urinate more frequently, difficulty when you start urinating, which takes a long time to empty the bladder and feel that you have not emptied it completely, and a weak flow.
Urinary incontinence
Urinary incontinence is the loss of bladder control and implies an important psychological and social impact and can seriously affect the patient's lifestyle.
Although it is common for the affected patient of incontinence, it does not give it the importance it deserves, without trying to clarify the type and determine if it is passenger, reversible or simply search for a specialized opinion.
The causes are multiple, including detrusor instability (spastic bladder), overflow incontinence, by effort, fecal impaction in advanced patients or simply a false (functional) incontinence.
can also be secondary to anatomical abnormalities, physical effort, cystocele, Emergencies AT-related infections or diseases of the nervous system, or the drip that accompanies a flaccid bladder distended in excess
Urinary Infections
It is an infection that is presented in the bladder, the kidneys and in the urethra. When it is in the bladder, it receives the name of cystitis and when it is in the urethra it is called urethritis. In case the kidneys are moving, take the name of pyelonephritis.
Urinary infections are caused by bacteria, produce inflammation in these areas and can affect any part of the journey that runs through the urine.
It is very common among women, especially in young adults, since the urethra (conduit through which the urine comes out) is a few centimeters from the anus. It is estimated that 20% of the feminine will suffer at least one episode of urinary infection in his life.
There are specific periods in life in which there is greater incidence of infections:
Children: You have a direct relationship with hygienic habits.
Start of active sex life and occurs because of the colonization or acquisition of germs during sexual relationship.
Menopause, determined by hormonal changes, which involve modifications in the pH of the genital area.
Third age, stage in which hormonal changes are accentuated and their own pathologies are added, such as incontinence and prolapse.
Symptoms
The classic symptoms of urinary infections are:
Pain, bond and burning when urinating.
Polaquiuria (evacuate followed and in small quantity).
Inability to endure the desire to go to the bathroom.
feeling not having emptied the bladder.
Turkish liquid or bad smell.
In some cases there may be bleeding.
The germ that is most often related to these infections is Escherichia coli. The vast majority affects only the bladder, but if they reach kidney they can produce a pyelonephritis that includes back pain and fever.
Treatment
is with antibiotics, always prescribed by a specialist and after having made a urroculture.
In some cases of acute pyelonephritis, hospitalization and antibiotic treatment is required by endovally.
should never be automated.
Genital infections
Many of the male and female genital infections are caused by Chlamydeas, Mychoplasmas, herpes, among others. These diseases are of a difficult diagnosis, so specialized examinations are required.
The most related to urinary infections are chlamydeas and mychoplasmas, which in turn are associated with infertility.
Prevention
Do not delay the urination when I feel like urinating.
Calm and unpurred urinating until the bladder completely emptied.
Drinking daily abundant liquid.
urinate before and after having sex.
Maintain a stable pH on the skin, avoid continuous change of soaps and bath gels.
Perform genital toilet adequately.
Make the needs every day, preferably in the morning before the shower.
Consult your doctor at the first discomfort you have when urinating.
Find the best Urologists in Merida
Do you want to be part of the Urologists community in Merida?
See more
Consultations for Urologists at Merida
Privacy Policy
The information presented here is the responsibility of the advertiser, Directory of directorio de Urologists en Merida It drops from any claim or problem with any of the advertisers.
Do You Have Any Questions about Urologists in Merida?
Contáctanos
