eSA6n2oOX19a2kMsg9xDKSlbP2ZH08/7zydY3WTcc6vtwSzRVG7brQ== When to see a Urologist: December 2021

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Friday, December 17, 2021

WHAT IS THE TRUTH ABOUT STRANGE STORIES OF MASTURBATION?


What perspective does a urologist have about masturbation or solo sex? Does it affect sex life in a good way or a bad way? Let’s see. 

This article discusses the benefits and drawbacks of masturbating, as well as some of the most common masturbation misconceptions. More than ninety out of a hundred males and seventy-five out of a hundred females reveal frequently doing solo and it is hardly surprising given its numerous advantages since despite pleasure, many people inform better temperaments, nice naps at night, and, shockingly, higher mental clarity doing that. Masturbation causes the production of several beneficial hormonal chemicals such as serotonin, oxytocin, dopamine, and endorphins. It is a kind of absolutely safe sex. It helps you to feel pleasure as well as learn what excites you and offers you pleasure so that you may share it with your spouse. Similarly, for a few individuals it enables them to have enjoyment by avoiding any additional burden of closeness with someone or having to perform under pressure. Let us now examine the myths and truths surrounding masturbation. 

 

A flash card with the words "6 Masturbation Myths Exposed"

1. Hairy Palms …. "Masturbation causes either hairy palms or blindness." It simply is false. If ninety percent of people go with solo sex, there would be a majority of blind individuals and an equal number of hairy hands. So it is inaccurate. Mostly it is all spread by opinion makers who have faith that it is a bad immoral habit or signifies an individual losing their body control. Because we are not to evaluate other people’s beliefs, such myths are simply false.  (@ chhanno blogspot com 17122021) 

2. Masturbation & ED …. Inspired by these myths or otherwise people ask many questions like, "Would daily masturbating be destroying my sexual health?" "Would it be damaging my chances of having a regular sexual life?" Masturbation, on the other hand, does not cause erectile dysfunction. The truth is just the contrary. As masturbation achieves its climax or orgasm, it induces the squeezing of certain muscles, which are crucial for experiencing climaxes and achieving the capability to sense sexual delight. These muscles lie on the pelvic floor. Hence, an efficiently done exercise of the pelvic floor would be helpful to get you stronger climaxes resulting in improved sexual activities. Anyway, this practice has two warning issues that should be taken notice of. 

 

Pornographic material is the most serious warning. Erection problems in today’s youth have comparatively increased and it is linked to greater access to adult content which is widely available. It is so because, any place you go, you may stumble upon porn content in case you have an intention as well. Viewing porn can dose up a man or woman from feeling everyday sexual arousal and it can put them in an impractical world about sexual experience differing from what it should be in reality. This may result in too much distress or a type of “stage fright” that may contribute to erection problems. Many young adults with erection issues suffer from stage fright or performance anxiety. In such a situation when one focuses on sex, the anxiety of failure or nonperformance causes him to have a limited capacity to produce adequate erections during sexual intercourse. It then increases his nervousness, and he continues to be trapped in this vicious cycle. Assuming that one is good enough for going solo, or his erections are satisfactory that would boost his confidence substantially. When he advances towards intimate sex experience he will be much more confident realizing that he is safe from any erectile issue or he can have a satisfactory and adequate erectile function. 

 

The guilt is the next warning. If you feel guilty about solo sex due to your private or religious convictions, it may be extremely damaging to your sex life since it will be leading to nervousness and distress. It is OK to avoid solo sex in case you are feeling guilty about it. Yet, to cope with the situation, you may seek the help of a sex specialist physician to guide you deal with the guilty feelings directly related to solo sex. 

 

3. Masturbation Lowers Sensitivity….. The myth is that "excessive masturbation lowers sensitivity," which is not entirely accurate. There are several possibilities. If you go solo in an average and ordinary way, as opposed to using a specific gadget or a specific movement, your body might become accustomed to it or develop an addiction to experiencing the same specific thrill to reach climax and as soon as anything unusual is tried, it might become more difficult for you to reach the climax. Thus it's critical to use approaches comparable to those usually used for a normal act of lovemaking, alternately you may think about applying typical movements or gadgets which are not different from what can be anticipated during an ordinary sexual experience. Similarly, exerting too much force on the penis for pressing, bending, or rubbing in any way might influence and modify the feeling of the male or female sexual organs. Thus, you should be cautious and mindful about the way of masturbating. 

4. Excessive Masturbation….. "You can have too much masturbation."  It’s false for most individuals. It is fine to go solo every day but either for sexual enjoyment, reducing tension, or self-satisfaction. It becomes an issue when it causes a hindrance in your daily routine. When your desire to masturbate is so high that you feel compelled to do so or when your daily routine is get interrupted or when you postpone going to bed with your spouse solely to go solo that’s something indicating your possibly have too much involvement in masturbating. Although too many statistics are not available to back it up, certain men with the discomfort of pelvic muscles or balls for a long time are advised to masturbate at least twice on weekly basis as a tension-reducing approach. It can occasionally assist persons suffering from pain for a long time to reduce tension. 

5. Masturbation in a Relationship….. "Masturbation implies that your association with your partner is terrible." That’s just incorrect. Many couples adopt such practices either individually or jointly, which does not replicate how much love and affection your spouse has for you or you have for your spouse. In reality, it’s an exercise that has the potential to significantly strengthen the sexual relationship between you and your partner on the whole and must not have any bearing on the degree of closeness or relationship as partners. (Note: This article is copyrighted property of chhanno.blogspot.com) 

6. Testosterone and Masturbation….. "Your level of testosterone reduces if you masturbate." There is no evidence to imply that it reduces the level of your testosterone. When you attain climax while masturbating, it gives a rise in the level of your testosterone and when the climax is fully attained, the level of your testosterone returns to the average. The testosterone level available in your blood does not significantly reduce. This tale gained a lot of momentum during the period of ancient Romans. They were of the view that male soldiers and athletes must avoid having intercourse and masturbation while taking part in important competitions since that would make them more violent when in a condition of sexual dissatisfaction. Sportsmen also practice this thing however there aren't a lot of statistics to back it up. Therefore there's no need to make yourself a subject of such anguish. 

Alright, God bless you and please take care everywhere and always.

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Title of Time magazine with the word "PORN"

(Updated on 23-02-2023) 

Wednesday, December 15, 2021

DOES MALE CIRCUMCISION AFFECT SENSITIVITY AND PERFORMANCE?


This article will provide a urologist's perspective on circumcision by answering several queries and dispelling some myths about it. 

Adult circumcision, like all operations, carries the well-known threat of infection. Each procedure, including circumcision, is crucial. It is a common medical operation that is typically conducted quite easily, but everyone desires to know about the threats and hazards. One of them is the danger of hemorrhage, and you may get some bruises as a result of this procedure. The chance of infection is very low. The chance of damage to neighboring organs such as the urethra, penis, or glans is negligibly low. It is also risky if the excessive or otherwise inadequate foreskin is removed. If too much skin is removed, the results might be visually disagreeable, while removing insufficient skin may cause uneasiness in the erect position. So, you should be aware of these possible main threats and hazards. There may be some variation in the sensitivity of the penis, which is a significant matter of concern. After circumcision, a few guys will certainly feel that their glans have become extremely touchy since it has remained protected under the skin for a long time but now suddenly are uncovered and have become highly sensitive. However, this sensitivity generally fades away with time.  (Note: This article is copyrighted property of chhanno.blogspot.com). 

A diagram showing anatomy and parts of the penis

Circumcision is often performed by using anesthesia locally, during which the patient remains fully awake while only the penis is numbed. The patient can sense only the prickle of the needle that injects the drug to numb the penis. Patients frequently fall asleep during the operation. It's safe and simple, and the patients don't feel anything except perhaps some pulling. After that, the penis is wrapped by putting a dressing over it. It is commonly left on for a couple of days before getting removed on its own or removed at the doctor's office. Following that, the patients must refrain from any intense job or strenuous activity for a couple of weeks, with no lovemaking or love toys or whatever for six to eight weeks, as suggested by the physician.  (@ chhanno blogspot com 15122021). 

 

A few research studies were conducted to see what happens to sexual activities and behavior following adult circumcision to analyze the impact of circumcision on one's sex life. Some twenty years ago American Research examined individuals with a circumcised penis. A questionnaire was sent to 123 guys, and 43 answered. "Did they feel a difference in their sexual function?" one of the queries inquired. “Did their feminine feeling, sexual fulfillment, or pace of sexual performance change?" According to the findings of this survey, patients who underwent an adult circumcision had a worse erectile function and penile sensitivity, but they had higher fulfillment which originated from persons who experienced less discomfort at the time of intercourse after circumcision. Those who received circumcision had been experiencing this discomfort previously, but that has since gone away, and additionally, they can see more of their penis now. When we look at the statistics of the group as a whole, 63% reported an improvement in their sexual activities in general. On the contrary, 20% reported it as a kind of injury resulting from circumcision. That’s a comparatively big proportion. A significant number of people encountered modifications and thought that there was some damage following circumcision. So you must think over it and be careful to decide whether you want to do it for a beauty care item or whether your intention is for some betterment in overall health conditions. 

 

You need to think about all these studies with some reservations since many adult men may experience an erection problem but it’s not clear whether that's the result of circumcision or whether it was developed afterward as far as they recollect. 

 

Another research looked at certain female university students about what was their inclination or choice for men who had undergone circumcision versus those who hadn’t, as depicted in photographs. 87% of these ladies supported circumcised penises. Many guys of the younger community go see a doctor or urologist to undergo their circumcisions since that was what their female spouses desired. Yet, the advice is to undergo this procedure only if one is truly motivated to do so for a better health condition. It should not be done on the desires of others since the outcomes may be unsatisfactory, as already seen above up to 20% of the time.

Another research, released nearly sixteen years ago, was undertaken in South Korea where several men get circumcised usually. In this survey, nearly 370 men participated. 260 of them had undergone circumcision while the remaining110 were without circumcision. Their data was analyzed to see if circumcision has affected their sex lives. In this specific survey which is a more powerful survey since circumcised males were compared to uncircumcised males, there appeared to be no changes in erection quality, libido, climax, delayed climax, and feelings. It was observed that a certain number of males, nearly 48%, experience less pleasure while masturbating after undergoing circumcision. On the other hand, 6% of men reported more pleasure with masturbation after undergoing circumcision. While studying the whole group of participating men it came out that most of them had seen no fundamental transformation in their sexual activities. Six percent reported having better sexual practices, and twenty percent reported having a horrible love life after circumcision.  (@ chhanno blogspot com 15122021). 

The foreskin fully covers the glans in uncircumcised condition but when the foreskin is removed it uncovers and reveals the glans to the undergarments or any other thing. Thus the glans is incredibly sensitive at first, however, according to one idea, it desensitizes over time, which might produce a shift in its feelings. Similarly, another idea, and it is supported by some data, shows that the inside of the foreskin contains some delicate sensory receptors which are cut off following circumcision, causing a shift in feelings. Ordinarily, it’s quite secure and harmless to get circumcised in a precise way by an expert hand; nonetheless, certain variations in feelings are not checked realistically since very few patients return later after their first post-operative visit, presuming it’s not required anymore. Therefore, it's noteworthy to realize that these are the available numbers, and anybody who desired to undergo it for the sake of beauty and cosmetics, please check these figures carefully. 

OK, God bless you and please take care everywhere and always. 

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An illustration of how circumcision surgery is done

 

(Updated on 19-02-2023)

Monday, December 13, 2021

WHAT ARE TESTICULAR CANCER, ITS SYMPTOMS, AND TREATMENT OPTIONS?


Diagram of testicles with healthy and testicular cancerous conditions
Supposing that you get up one morning and discover that there is something bad with your scrotum since there is a mass, swelling, or pain in it, you will certainly be anxious about it and try to find a way out immediately. This article is all about such a situation and here you will get sufficient information about what are the things to be taken notice of in case you find a mass, swelling, or pain in the scrotum. 

There is a Latin word “testis” meaning testify. The word testicle has been originated from that word. When ancient Romans vowed or swore before a court, they used to risk or bet their testicles. This appeared to be more real for them than shaking hands. Testicles were commonly associated with courage. In the ancient Romans and Greeks, it was presumed that bravery and testicles are directly interconnected. According to the paradox in classical craftsmanship the heroic character, particularly courage, is linked with smaller testicles, implying willpower. (Note: This article is copyrighted property of chhanno.blogspot.com)  

Is there a link between testicles and bravery? Well, according to a fascinating report which was duly recorded, human parts that were for the first time in history transported or traded were testicles, indeed, and not any other part like the heart, kidneys, or lungs. The rationale was that some patients needed testosterone through alternative medications but they preferred to try grafting of testicles in their bodies to overcome the shortage of testosterone. At the beginning of the twentieth century, a specialist urologist transplanted a corpse's testicle onto his own body and thereafter informed his colleagues about it. Similarly, he removed very small tissues of testicles and grafted them into various parts of his body. Strangely enough, his experiment proved quite successful in principle to enhance the level of testosterone, and that was quite intriguing. So, let’s return to the original question: "Are testicles truly valorous?" Well, testicles are just body parts and animal studies have proven these parts to be connected with violent behavior. Animals with high testosterone levels have shown more violent behavior while human research has shown mixed or vague results. It has however been observed that those who contest in sports tend to have greater testosterone levels. This hypothesis has been supported by the fact that sportsmen prepare for more hazardous actions, have a competitive edge, and have slightly higher mental clarity and attention. Furthermore, it helps to purify the mind and perception. So, while there may be some advantages of high testosterone for people who are surrounded by an atmosphere of competition, it is unclear if it yields bravery, in reality. 


The reason that the testicles which are quite a delicate organ, are not inside the body but hang in a pouch outside of it is very interesting. Let’s first look at the main function testicles have. Testicles are primarily responsible for two functions. Their first and fundamental role is the creation of sperm to maintain fertilization. The other important purpose is to create a hormone called testosterone. Both genders can produce it and in men, it plays a significant part in the creation of sperm, the development of genitalia, becoming an adult from a kid, and a variety of various good effects such as intellect, masculinity, and so on. Thus, it's an incredibly significant part of the body that generates highly essential hormones. In producing healthy sperm, testicles require the most ideal temperature which must not be equal to the normal inner temperature of the body but lesser by two or three degrees Celsius as compared to the inner body temperature. That is why testicles have evolved to be put outside the body to assist create normal good-quality sperm.  (@ chhanno blogspot com 13122021).  


Now, young men between the ages of 15 and 35 are more likely to get balls cancer. Most often, this is noticed as a protrusion in the testicle. As a result, some individuals will come forward if they discover that their is a testes lump or stiffness in their testicles. They might complain of discomfort in the back or overgrowth or softness of the breast in more advanced stages. They may also show their concerns with low intellect that can be otherwise a symptom of brain problems but nowadays, it manifests as a result of a simple mass in testicles. Testicular cancer lump develops due to some testicular cancer risk factors. One such factor is that one may have a testicle that could not be moved to the scrotum at birth time. Testicles are created within the belly when the child is in his mother's womb, and they begin descending to the scrotum when nearing birth time. However, due to some unexplained reasons, like the growth of the fetus being unsatisfactory or some organs could not fully develop during the pre-birth period, he may have testicles that are not descended to the scrotum during that gestational time, and remain in the belly. So these testicles may develop cancer in them which is a threat again. Similarly, in case one testicle is affected with cancer still it may be another risk factor for the second one for developing cancer in it. 

 

An injury of the testicles does not raise the chance of developing testicular cancer. It has not been demonstrated in any research so far. People may detect some swelling or a mass therein when they get hit and have their testicles get injured since they didn’t have noticed it previously nor they were performing self-analysis of their testicles. They hold the notion that being struck is what caused their condition. However, it’s just a misconception. 

 

A malignant growth commonly known as cancer in the testicles is not the same as other types of cancers. A standard ultrasonogram of the testicles is used to locate the testicular cancer how to diagnose

testicular tumor. The cancerous cells of the testicles have a unique look. It is often diagnosed easily. It is possible to say with a hundred percent certainty about its being a malignant growth of the testicles. Orchiectomy, which means testicular ejection through surgery, is used frequently for the treatment of this cancer. A testicular biopsy can be performed in case of any doubt, but reluctantly without any encouragement because it is something that spreads the disease and affects the skin around the testicles due to which the treatment becomes more difficult in case the malignant growth is later identified.

 

Self-examination of the testicles is quite important. It is highly significant in identifying this type of cancer. The purpose of self-analysis or testicles check by one's own self is to inspect or touch them physically. It is advised to gently grasp them one by one using your thumb and first finger and touch or fondle round of it. Feel for a cord-like structure known as the epididymis, which is generally present on the rear side. This should be done and repeated every month, preferably during taking bath with warm water, otherwise, if it is cold and chilly the testicles will be pushed up in the scrotum. This occurs because a linked muscle pushes them up when it's cold. This must be done also to become aware of their normal shape and condition. It does not need much time and effort. You simply have to do it briskly every month since you would be able to save one life at least.  (@ chhanno blogspot com 13122021).  

 

Testicular cancer is mainly treated through surgery removing testicle which process is known as an orchiectomy. Pathologists analyze the testicle under a microscope after it has been removed to determine the type of malignant growth. The next thing they do is to take photographs of microscopic images and identify whether the malignant cells have reached other parts or whether there are some lymphatic tissues and other similar things. Whether or not further therapy is necessary, is decided after it is determined how far the disease has spread and primarily what kind of malignant growth it is. Further therapy includes radiation or chemotherapy depending on the situation. 

 

The size of both testicles is not always equal. One testicle, which is often the right one, is usually bigger. Its position in the scrotum is slightly below the smaller testicle. The rationale is that arranging the testicles symmetrically close to each other might be extremely inconvenient in the already tight area between the legs. It seems logical that the body of men has evolved in such a manner that these two critical elements of the anatomy do not collide and allow the tiny one to keep aside together with the larger and lower testicle. According to some scientists, this happens since it is helpful for the two of them to adjust their body heat to the optimum level without affecting one another in this process. 

 

If one testicle is removed during therapy for testicular cancer, the second one has the capacity of creating enough testosterone, allowing for normal sexual desire. Production of testosterone decreases considerably, and sex drive suffers as a result thereof if both testicles are removed. In this scenario, testosterone substitution treatment can be used to help restore typical sex drive or libido. 

What about reproduction? Does it suffer a little? What are the side effects of having one testicle removed? Once one testicle is removed, a man retains the ability to father children since he will have typical sperm qualities and the second testicle will continue to produce sperm. But, if he is getting advanced treatment of chemotherapy or radiation, the surviving testicle's sperm parameters may be impacted. Regardless of whether only one testicle is to be removed, it is critical to consider sperm banking before having additional testicular cancer therapies. It is so because one cannot predict if he will need to have children again, and in case he does, this might rescue him in the future. As a result, testicular removal or orchiectomy may be psychologically disastrous for males as well. Undergoing all of the surgery and therapy, and thereafter having to go through more treatments if necessary, may be quite painful and traumatic for guys. There are several support organizations for guys who have had orchiectomy or testicular removal. In case of undergoing emotional or sad or nervous sentiments, it is essential to go see a nearby psychiatrist as it may be quite beneficial for your health. Seeking assistance and receiving support for psychological well-being is not a sign of weakness. 


All right, God bless you and please take care everywhere and always. 

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A banner describing guide lines on how to self-examine the testicles and scrotum for any abnormal condition

(Updated on 17-02-2023).

Saturday, December 4, 2021

HOW TO TREAT CURVATURE OF THE PENIS OR PEYRONIE'S DISEASE?


This article mostly comprises a few words from a urologist regarding Peyronie's disease, also known as penile curvature. Please read this article all the way through since it describes the most recent treatment choices for Peyronie's disease out of new research.

This disorder is a condition of inflammation and it creates penile curvature as well as a few more penile defects and even erection problems in case of more serious problems. This abnormality was originally recorded in medical literature some three hundred years ago and it is believed it afflicts one to thirteen percent of the male population. This percentage could be higher however many individuals do not report and avoid to go see a doctor for treatment due to feeling awkward and humiliated and thus remain unnoticed. 

The penile curvature may be to the left or right side and it may be upwards or downwards or there may be a defect of penile shape that resembles an hourglass. There may be some discomfort during penile arousal at the beginning of the disorder and it happens in critical stages. This problem is caused due to micro bruises of the tough fibrous layer of connective penile tissues also known as the tunica albuginea, which sometimes occur at the time of intercourse. These bruises heal up after a few days yet, in certain cases, it forms plaques instead of normal healing, especially in men who are highly susceptible to responses of inflammation. This occurs more frequently in those men who have a hereditary background of Dupuytren's cramps of hands and fingers. (Note: This article is copyrighted property of chhanno.blogspot.com). 

A sketch of long baloons similizing Penile Curvature

During the period of severe pain, it is often suggested to take Motrin or Ibuprofen, which are non-steroidal anti-inflammatory medicines, or get help from over-the-counter medications. Alternatively, according to some research statistics “extra-corporeal shockwave lithotripsy” may be quite helpful to overcome the pain and discomfort of the penis during that period. Extra-corporeal shock wave lithotripsy is a non-surgical approach for treating kidney and ureter stones. High-energy shock waves are sent through the body to smash stones into bits as tiny as grains of sand. Because of their tiny size, these fragments can travel through the body with urine. In any case, despite all these measures, penile curvature cannot be prevented to form however these are quite helpful for the patient to get rid of the discomfort that happens during that period. It takes nearly 6 months to one year for the discomfort and pain to subside and after that, a penile curve is what is left to remain. Now, this stage is termed as stable and all therapy of penile curvature is centered there.


Penile curvature can be treated through medicines as well as surgery. Medicinal therapy mainly includes an infusion of a variety of certain specific medicines below the skin and into the plaque formed in the penis. Three very commonly used medicines for such infusions include Verapamil, Interferon Alpha 2b, and Collagenase. Nearly all such medicines have after-effects which may comprise edema, discomfort, and bleeding from where the infusion is made. There is a wide range of such after-effects based on each medicine used for the purpose. One more thing to keep in mind is that a very rare trauma situation may arise during treatment through penile infusions and it is known as corpus cavernosal fracture or rupture. It is a traumatic situation and the patient has to go to the trauma center for immediate surgical treatment if it ever occurs. The statistics regarding infusions into the penis reveal a possible reduction in curvature up to nearly seventeen degrees following the infusions. The degree of curvature is calculated by assuming that it is 0° when there is no curve at all or if the penis is quite straight. Surgical alternatives are also available if the bending of the penis is quite high. One is the “plication” of the penis. Plications are surgical procedures in which tiny surgical sutures are placed on the outer side of the curve where there is a plaque in the penis, to straighten it. A few more procedures are also used to correct curvature of the penis, for instance, excision procedures as well as grafting operations that include removal of the tissues of the plaque using a scalpel and grafting corrective tissues to straighten the curvature.  (@ chhanno blogspot com 04122021). 

Another treatment for penile curvature introduced recently is known as traction therapy and it was quite interesting and encouraging. It was introduced in a research report released in 2020. This research report was about a survey in which patients with penile curvature participated. They were categorized into three different groups to get this therapy. They were asked to use a specific gadget for thirty, sixty, and ninety minutes daily consistently over 12 weeks. This gadget is known as “RestoreX”. After three months of this therapy progress in the position of their penile curvature as well as the penile size and erection were measured. It was observed that the condition of penile curvature of patients who used the RestoreX gadget for just thirty minutes daily improved from 18% to 22% while their penile size enhanced from 2.0 cm to 2.3 cm. Overall, the majority of the participants were not too much concerned about the use of this gadget. However, it caused slight pain and occasional redness while in use but generally, the participants appeared to have no difficulties utilizing it. Thus it is an exciting alternative for individuals with penile curvature and in case you have this illness you can give this therapy a chance. 


OK Thank you. God bless you. Take care everywhere and always. 

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Picture of a Resterex Device used for penile traction in peyronie's disease


Traction therapy using a gadget called "Restorex"

 


 

A Picture of a Resterex Device used for penile traction in peyronie's disease

 


 

 

 

 

 

 

 

 

 Updated on 14-02-2023.