Urology is widely known as part of health care which is involved in the treatment of the diseases that affect the urinary tract of male and female i.e. the kidney, ureter, bladder, and urethra. Urology also deals with the male reproductive organs such as the penis, testes, scrotum, and prostate among others.
Physicians who specialize in the disease of the urinary tract and male reproductive system are referred to as urologist.
The attention of a urologist is needed if a physician suspects that their patients need treatment for a condition related to bladder, urethra, ureters, kidneys and adrenal glands.
In men, urologists cure disorders associated with epididymis, penis, prostate, seminal vesicles and testes. Some treatments can be related to plastic surgery – body category when concerning penis lengthening or widening questions.
1. Peyronie's disease
Peyronie’s disease is the development of fibrous scar tissue within the penis which leads to curved and painful erections. Penis differs both in size and in shape, and the occurrence of a curved erection shouldn’t be a major concern. However, Peyronie's disease results in a visible bend and pain in some men.
This can serve as a disturbance during the course of sexual intercourse you can lead to inability achieving an erection known as erectile dysfunction. Peyronie's disease can also be a contributing factor to the development of stress and anxiety.
Peyronie's disease sometimes disappears alone. But in most cases, it will remain stable or worse. Treatment may be necessary if the curvature is serious enough to thwart successful sexual intercourse.
What are the causes of Peyronie's disease?
The main cause of Peyronie's disease still remains unknown. A lot of scientists are of the opinion that fibrous plaque can start as an aftermath of trauma (hitting or bending) which leads to bleeding inside the penis. The injury or trauma might not be noticed. Other cases that develop as time goes on may be related to genes. In some people, injuries and genes both could be responsible. There are some drugs which mention Peyronie's disease as possible side effects. But there is no evidence that these drugs cause the disease.
How do doctors diagnose Peyronie's disease?
Get in touch with your doctor in case of anything such as an injury that occurs earlier before the symptoms surface. You will be subjected to an examination where your doctor will feel the hardened tissue which occurs as a result of the disease. This is not always necessary, but in the event that there is a need for the penis to be erect for the exam, a drug that will initiate that would be injected by the doctor.
You may need to have an x-ray or ultrasound of the penis. This is not common, but in some cases where the medical examination has not confirmed the Peyronie's disease, or if the disease is developing rapidly, your doctor may do a biopsy. This involves removing a little bit of tissue from the affected area for laboratory testing.
2. Penile/penis implants
Penile implant surgery is a procedure which has been found to be helpful for men suffering from erectile dysfunction who has failed to respond to other types of treatment. Penile implants surgery involves inserting a prosthetic device inside the penis and scrotum. The device inserted assists a man to achieve an erection and gain sexual function again. Men that have erectile dysfunction (ED) which occur as a result of a specific medical problem are the ideal candidates for a penile implant.
But in most cases, before putting a penile implant into consideration, physicians give simpler and less invasive treatment first into trial. In the event that these treatments prove abortive, a penile implant can be considered.
Penile implant surgery is usually performed at a surgical center or hospital. Your doctor may prescribe medication that will make you unconscious during the surgery (general anesthesia) or medicines that prevent pain in the lower part of the body (spinal anesthesia).
Your doctor will give you intravenous antibiotics to prevent infection. In order to reduce the risk of infection, it is important to shave the surgery site before surgery.
Penile implants surgery is quite invasive. Although the implant can be an effective treatment for erectile dysfunction, it can also reduce the natural reflex for getting an erection. For some men, this is an indication that they will never have natural implants without using implants. However, most men and their partners are very satisfied with the implant and are very effective for them. The specific device used determines the life expectancy of the Implant. About 60 to 80% of the device will continue to work for 10 years.
This is a simple operation which can be performed by a physician at the office, hospital or clinic. This involves the cutting of the small tubes in the scrotum that carry sperm, this stops the movement of sperm out of the penis thereby halting the occurrence of pregnancy. The procedure is very fast and the patient can return home on the same day as the surgery. And it is extremely effective in preventing pregnancy - almost 100%.
Vasectomies are of two types: the incision method and the no-scalpel (no cut) method. The no-scalpel methods reduce the risk of infection and other complications and generally have less time to cure.
Vasectomies are meant to be permanent, for this reason, it is usually not reversed. You just need to have a vasectomy if you are 100% positive and you do not want to be able to impregnate a woman for the rest of your life.
The term "vasectomy" is coined from the name of the tubes found in the scrotum which are blocked during the course of the operation known as vas deferens.
With a vasectomy, do not expect an instant protection against pregnancy. Use another form of birth control until your doctor has confirmed that there is no sperm in the semen. Before engaging in unprotected sex, it will be required of you to wait for a few months or more and ejaculate 15 to 20 times or more to get rid of sperm from your semen.
Vasectomy is an effective form of birth control but will not protect you or your partner from sexually transmitted infections, such as chlamydia or HIV / AIDS. Therefore, you should use other forms of protection, such as a condom, if you are at risk of contracting sexually transmitted infection even after vascular surgery.
4. Prostate Treatments
Prostate Treatments: Benign prostatic hyperplasia (BPH) which is also referred to as prostate gland enlargement is common in men as they age. An enlarged prostate gland can lead to uncomfortable urinary symptoms, such as blockage of the flow of urine out of the bladder. It can also result in a bladder, urinary tract or kidney problems.
There are many effective treatments for prostate gland enlargement including drugs, minimally invasive therapies, and surgery. To choose the best option, you and your doctor will consider symptoms, prostate size, other health problems, and your desires.
When to visit a doctor
In the event that you have urinary problems, contact your doctor. Even if your urinary symptoms do not bother you, it is important to identify or remove any root cause. If left untreated, urinary problems can lead to urinary tract obstruction.
For enlarged prostate, a wide range of treatments, including medicines, minimally invasive therapies and operations, are available. The best choice for treatment depends on several factors, including:
- The size of your prostate
- Your age
- Your general health condition
- The amount of discomfort or inconvenience you feel
If the symptoms are tolerable, you may decide to postpone treatment and monitor the symptoms. For some men, the symptoms may disappear without treatment.
This is a surgical procedure which is performed in order to remove one both testicles. Usually, it is used to treat or prevent the spread of prostate cancer.
Inguinal orchiectomy can also treat or prevent testicular cancer and breast cancer in men. This is also often carried out before sexual reassignment surgery (SRS) if you are a transgender woman who goes from one male to female.
Who is a good candidate for Inguinal Orchiectomy?
This surgery can be done for the treatment of breast cancer or prostate cancer. Without the testicles, your body could not produce so much testosterone. Testosterone is a hormone which is responsible for the rapid spreading of prostate or breast cancer. Without testosterone, cancer can develop at a slower rate, and some symptoms, such as bone pain, may be more tolerant.
Orchiectomy can be recommended if the overall health of the patient is good and if your cancer cells have not spread out of your testis or out of your prostate gland.
You may want to do an orchiectomy if you are going from a male to a female and want to reduce the amount of testosterone your body produces.
Orchiectomy is done as an outpatient surgery and it only takes a shorter time for full recovery fully. This is much less risky than hormone therapy for the treatment of prostate cancer or testicular cancer.
Be open to your doctor if you are undergoing this operation as part of a transition from a male to female. Your doctor may be able to work with you to reduce the scar tissue in the area so that the future SRS will be more effective.
In conclusion, urology is a part of health care which is involved in the treatment of the diseases that affect the urinary tract of male and female i.e. the kidney, ureter, bladder, and urethra. Urology also deals with the male reproductive organs such as the penis, testes, scrotum, and prostate among others. Urologist is the name given to physicians who specialize in the disease of the urinary tract and male reproductive system. Inguinal Orchiectomy, Prostate Treatments, Penile/penis implants, and Peyronie's disease among others are some of the disease treated by urologists.