Penile Prosthesis Implant Surgery
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We are pleased to answer your queries. But it is noticed that the same questions / doubts are being repeatedly asked. Answering a large number of questions will be difficult due to time constraints. So I humbly request you to kindly glance through the Frequently Asked Questions (FAQs) before posting your queries. FAQs contain most of the commonly asked questions and its answers in detail. There are also brief write ups in this website about most of the sexual problems and its treatment. Going through these sections will help you to solve most of your doubts. If you are not satisfied with the answers and write-ups please ask your query.
Answers
Doctor can u treat for prostate Enlargement.If no, can u give me the best place for treatement of prostate in cochin
Yes. We have all facilities including surgery to treat all the prostate problems
Dear Dr,
I am 27 years old and married for 3 years. My husband has Azoospermia(Non-obstructive). He was subjected to various procedures and found that there is no sperms. Donor sperm option was suggested. I could t digest this idea. We were on a break after that since I had to stay back in my home town to tend to my sick mother and he was in another state. .In the meanwhile, I got into an affair with another person. After sometime I understood that he is married and got a son. But he is willing to give moral support to me in the situation and he wanted to make me happy.I happily accepted it foolishly without understanding that he was simply exploiting me.We never had sexual intercourse.We met only twice.But, we had lot of "webcam misuse" and some oral sex when we met.I was passionate about him and didnt allow my husband to touch me while I was involved with him.I was completely turned off by my husband and turned on by the friend. After almost 7 - 8 months, he confessed that he was only exploited an opportunity he got. I was shattered and now, although i realized i acted impulsively and I actually love my husband a lot, I cant seem to think of having sex with my husband due to guilt feelings. It is terrible. Once when I became mad and lost control I told everything to my husband about all this. Though he got terribly upset, willing to forgive me. He told me it is partially his mistake too as he never used to initiates sex. Now even if he initiates, I am completely repelled to have sex with him or anyone. Rarely, I get orgasms from thinking about other men or even the old friend.What can i do to solve this only problem in our happily married life otherwise? I cant imagine that, we are wasting away our most active years without sex.I haven t had an intercourse since last one year.
Your problems can be solved. There is marital discord which need to be corrected first. It may the reason for developing an affair with another person. Both of you need the help of a marital therapist to solve tha adjustment problems. It is great that your husband is willing to forgive everything. After solving the marital discord your sexual problems can be treated. About the infertility if your husband is azoospermic the only way is to have child by ICSI / IVF with a donor sperm or adoption. You need the treatment of a marital therapist and sex therapist.
iam 19 yrs old.. my problem is i cant produce the sperm (some time produce a 1 or 2 drops i think that is cleaning the penis tube like sperm it is water white color..)dr plz help me...ican possible the sexual reproduction...? wat can i do for this..?
One or two drops may be the pre ejaculatory fluid form the cowpers gland. Sperms may not be coming out. You must consult a doctor and get it investigated.
sheegra skalanam
There is effective treatment
my husband have penile implant surgery 5months back semirigid type.afther that he have discomfort &pain afther that semen is not coming out he is so much depressed ,before surgery he have no problem for the semen is coming out .sir the implant is removeable?.sir please give a correct answer for our problem.
An: Penis got 3 cylindrical structures two copora cavernosa and a corpus spongiosum. Implant is placed in the corpora cavernosa. Urethra is situated in the corpous spongiosum. Urine and semen discharge through the urethra. So there should not be any problem for ejaculation. We have done penile implant surgery for young men with unconsummated marriage due to erectile dysfunction. All of them were able to engage in normal sexual intercourse with ejaculation. Two of them had first sexual intercourse in their life only after the implant surgery. These patient’s wives conceived through normal intercourse after the implant surgery. Usually penile implant operation will not cause any ejaculatory problems. A remote theoretical possibility is that during the surgery if the bulbo spongiosum had a major injury it may be possible. Another possibility is that your husband had undergone radical prostatectomy or radiation therapy prior to implant surgery that cause erectile dysfunction and loss of ejaculatory ability. Therefore an implant in that scenario will result in a patient that has an erection and orgasm but no ejaculation.
There may be certian causes for pain and discomfort. It needs to be investigated. Implant can be removed. But he will lose erectile ability if the implant is removed. You must consult the doctor who has done the implant operation and discuss the problems.
Hi Sir, I am a 35year old male from Alappuzha District, currently working at Africa in the Oil & Gas Industry. The problem I am facing for more than 3 years is that I can not have a good errection for more than 5minutes. Even I am feeling loss of errection during intercourse with my wife. About three years ago both of us got infected after an intercourse during the last day of my wife s menstruation period. The foreskin of my pennis got infected and severe cracks on the skin has observed, my wife got itching sensation inside the vagina. We had consulted a doctor and took some medication including oinments. After some days the infection had heeled by the medication. But my scare is that whether the cause behind my errectile dysfunction is due to that infection. I am working in a rotational basis (5 weeks at work 4 weeks vacation). Before I masturbate almost everyday when I am away from home, but now I am trying to control myself from doing that regularly. I am very tensed about my problem. I have one daughter of 5 year old. I would like to consult you in my next vacation starting from second week of Jan, 2012. Looking forward to hear from you soon.
Dear Mr.Pillai,
You had an infection and it was cured with treatment as I understand from your letter. If a man is having uncontrolled diabetes he can get reccurent fungal infections. Usually fungal infection doesn t cause Erectile dysfunction. It may be due to some other cause. From your description a venous leak can be suspected. What ever may the cause it can be found out form the investigations.There is effective treatement for your problems. So you need not worry about it.
This is for my sister who is divorced and presently in love with her collegue who is from another religion and also divorced due to this affair.my sister has a 12 year old son and i would like to know whether this marriage will be successful and is there any test /counselling to check whether it wil be successful and please advice
The success or failure of a marriage depends upon various factors such as the genuinness of their relationship, personality patterns, ability to adjust with each other, circumstances etc. There is no test to predict the success rate. But with the help of psychological tests their personality charecterestics can be evaluated. To certian extent it can give some information about whether they can get along well. Tests will help to detect if there is any signs of mental illness. Though it is not 100% fools proof defenitly it is helpful. Both of them should undergo complete medical and psychological evaluation. We use sort of tests when a couple with marital adjustment problems come for consultation and the results are good and very helpful to identify the cause of the problems and to correct it.
sir i am suffering from azoospermia ,whay are your treatments
There are various causes like absence of spermatogenisis, maturation arrest, absence of vas deference, any obstruction, severe varicocele etc. A few are correctable causes. You need investigation to find out the cause. Only after that an opinion can be given. You can consult an andrologist.
dear, is oversensitive penis a cause of PE? If so how it is treated. Am experiencing PE problem, but a very rare times can last for the time i desire. plz tell what may be the reason. I always feel a sensation similar to orgasmic pulsation at the penis tip. Is this a nerve problem? Can u help me.
Hypersensitivity of the penis is one of the causes of PE. There are other causes also. I don t understand your feeling of something pulsating in the penis. It may be due to some infection or just a feeling. It need to be investigated. Consult a doctor and discuss your problems.
Doctor, I am 46 yrs old, married, two kids. Last one year suffering from ED. Last three months I am really struggling. Erection only 30-50% of what I experienced earlier. Also, unable to sustain that. A second attempt after a rest of even several hours not in my dream now a days. Working outside India. Consulted a Urologist here. Tests for Testosterone, TSH & lipid profile done. As per Dr only triglyceride is slightly above the limit. Advised regular exercise. Others are normal.He says I am normal and said there are some unexplained cases like this. He prescribed Sildenafil 50 mg to take one hr before.I tried and there is a difference. I mentioned to my Dr that this is not the cure I am looking for. As I am not happy with not finding any root cause for the problem, he suggested for a detailed check up in your clinic. For me leave will be only after one year. Kindly advice what I can do in the mean time. Awaiting your valuable advice. Thanks and best regards, Geo.
First thing to be done is to have full evaluation of the problem and to identify the cause. Then to treat depending on the investigation findings. Till that time you can continue the medicines prescribed by your doctor. You must consult the doctor periodically and to take his advise. These type of medicnes should be taken under strict medical supervision. I think your doctor has done what ever possible with his limited facility.
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Erectile Dysfunction (Erectile Problems / Psychogenic Impotence / Impotence / Sexual Weakness / Male erectile dysfunction/ ED) / Male Sexual Desire Disorder (Loss of Sexual Desire / Lack of Sexual Desire), Premature Ejaculation (Early Ejaculation / Early Orgasm / Fast Ejaculation / Quick ejaculation / PE), Male Orgasmic Dysfuntion (Delayed Ejaculation / Retarded Ejaculation / Anejaculation / Ejaculatory incopetence / Anorgasmia), Dyaspareunia (Pain during Sexual Contact), Female Sexual Desire Disorder (Loss of Sexual Desire / Lack of Sexual Desire), Female Sexual Arousal Disorder (Lack of Lubrication / Loss Of Lubrication), Female Orgasmic Dysfunction, Dyspareunia, Vaginismus, Fear of sexual intercourse/ Fear for sexual contact / Fear of pain during sexual contact, Unconsummated marriage / Infertility (Male Infertility / Female Infertility) / Marital Discord (Marital Problems / marital Conflict)
Medical Treatment / Surgery / Penile Prosthesis Implant Operation / Venous Ligation Surgery / Microscopic Microsurgical Varicocelectomy / Laparoscopiic Surgery / Endoscopic Surgery / Sex Therapy / Marital Therapy / Cognitive Behavior Therapy / Sexuality Education / Sexuality Counselling / Family Therapy/ sexologist
Laboratory Investigations / Radiological & Sonological Investigation / Tests for Penile Erection / Laparoscopic Investigations / Endoscopic Investigations