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Penile Problems

Penile Problems: Understanding and Addressing Common Conditions

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The penis is an essential organ for urination, sexual function, and reproduction. Various penile problems can impact a man’s health and quality of life. This guide provides an overview of common penile conditions, their causes, and treatment options to help men make informed decisions.

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Balanitis

 

What Is Balanitis? Balanitis is an inflammation of the glans (head) of the penis. It often presents with redness, swelling, itching, pain, and sometimes discharge.

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Causes:

  • Poor hygiene in uncircumcised men

  • Fungal or bacterial infections

  • Allergic reactions to soaps, lotions, or latex

  • Underlying medical conditions like diabetes

 

Treatment:

  • Improved hygiene practices

  • Antifungal or antibiotic creams, depending on the infection

  • Avoiding irritants such as harsh soaps

  • Topical steroids for allergic reactions or inflammation

 

Balanoposthitis

 

What Is Balanoposthitis? Balanoposthitis is inflammation of both the glans and the foreskin. It shares many of the same causes as balanitis but involves a broader area.

 

Treatment:

  • Similar to balanitis, including hygiene improvements and topical medications

  • If recurrent or severe, circumcision may be considered

 

Phimosis

 

What Is Phimosis? Phimosis occurs when the foreskin becomes too tight to retract over the glans. It can lead to hygiene challenges, discomfort, and increased infection risk.

 

Treatment:

  • Topical steroid creams to loosen the foreskin

  • Manual stretching exercises

  • Circumcision or dorsal slit procedure in persistent cases

 

Paraphimosis

What Is Paraphimosis? Paraphimosis occurs when a retracted foreskin becomes trapped behind the glans and cannot return to its normal position. This condition is a medical emergency as it can impair blood flow to the penis.

 

Treatment:

  • Immediate manual reduction by a healthcare provider

  • Lubricants or ice to reduce swelling

  • Circumcision or dorsal slit to prevent recurrence

 

Peyronie’s Disease

 

What Is Peyronie’s Disease? Peyronie’s Disease is characterized by the formation of fibrous scar tissue (plaques) in the penis, causing curvature during erections. Symptoms can include pain, erectile dysfunction, and difficulty with sexual intercourse.

 

Causes:

  • Minor trauma to the penis, often during intercourse

  • Genetic predisposition to scar formation

  • Side effects of certain medications

 

Treatment:

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  • Non-Surgical Options:

    • Xiaflex (collagenase clostridium histolyticum): FDA-approved injections to break down scar tissue. Treatment cycles include injections and manual stretching.

    • Vitamin E and Potaba: Used by some patients, though evidence is limited.

    • Verapamil: Applied as a gel or injected directly into plaques.

  • Surgical Options:

    • Plaque excision and grafting for severe cases

    • Penile prosthesis in cases with significant erectile dysfunction

 

Adult Circumcision

 

When Is Circumcision Recommended? Circumcision is a surgical procedure that removes the foreskin. It is often recommended for:

  • Recurrent infections (balanitis or balanoposthitis)

  • Severe or recurrent phimosis or paraphimosis

 

Procedure Details:

  • Performed with IV sedation and a nerve block

  • Outpatient procedure lasting about 30 minutes

  • Absorbable sutures that dissolve naturally

  • Recovery involves avoiding erections for about a month; most men recover quickly

 

Take Control of Your Penile Health

 

Penile problems can be uncomfortable and impact your overall well-being. Early diagnosis and treatment can prevent complications and improve quality of life. At PeeDoc, we provide expert care and tailored treatment options to address your unique needs.

Contact PeeDoc today to schedule a consultation and regain confidence in your health.

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