Penis Health: Identify and prevent problems

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sm pecahkan isu ni ya.yg benang ni tenatng masalah2 berkenaan penis,bukan akibat mandai2 mcm td.


Penis health involves more than erections. Find out the most common penis problems and strategies to promote penis health.Penis health is an important part of your health — and it goes beyond your ability to get and keep an erection, ejaculate, and reproduce.

Penis problems can be a sign of an underlying health condition. Ongoing health issues affecting your penis also can impact other areas of your life, causing stress or relationship problems and harming your self-confidence. Know the signs and symptoms of penis problems and what you can do to protect your penis health.

What affects penis health?

Various factors can affect penis health — some modifiable and some not. For example:

• Unprotected sex. You can contract a sexually transmitted infection if you have unprotected sex.
• Heart disease and diabetes. Many conditions that lead to heart disease, such as diabetes and high blood pressure, can also cause erectile dysfunction.
• Certain medications and treatments. Certain medications and treatments can affect your penis health. For example, surgical removal of the prostate gland (radical prostatectomy) and surrounding tissue as treatment for prostate cancer might cause urinary incontinence and erectile dysfunction.
• Smoking. Along with other health risks, smoking also increases your chances of having erectile dysfunction.
• Hormone levels. Hormone imbalances, especially testosterone deficiency, have been linked to erectile dysfunction. Obesity can also result in lower testosterone levels.
• Psychological problems. If you experience an erection problem, you might be concerned that it'll happen again — causing anxiety or depression. This can lead to further problems with erections.
• Neurological conditions. Stroke, spinal cord and back injuries, multiple sclerosis, and dementia can affect the transfer of nerve impulses from the brain to the penis, causing erectile dysfunction.
• Getting older. Erectile dysfunction and other sexual dysfunctions become more common as you age. Testosterone levels also decline normally over time.
• Piercings. A penis piercing can cause a skin infection and also disrupt urinary flow. Depending where the piercing is placed, it might also worsen your ability to achieve an erection or orgasm.
• Aggressive or acrobatic sex or masturbation. If your penis is bent suddenly or forcefully while erect, rarely the trauma can cause a penis fracture. It might also lead to permanent curvature, even if the penis doesn't fracture.
  

What are the most common penis problems?

Conditions that can involve your penis include:

• Erection or ejaculation problems. These might include the inability to get and keep an erection firm enough for sex (erectile dysfunction) or, uncommonly, a persistent and usually painful erection that isn't caused by sexual stimulation or arousal (priapism). Other concerns include the inability to ejaculate, premature ejaculation, delayed ejaculation, painful ejaculation, reduced ejaculation or retrograde ejaculation, when semen enters the bladder instead of emerging through the penis.
• Anorgasmia. In some cases, men might not be able to achieve an orgasm despite adequate stimulation. This might reflect hormonal problems, such as low testosterone, or indicate an underlying problem with the nerves. Medications or diseases such as diabetes might make this condition more likely.
• Changes in libido. Reduced desire for sex (libido) can be due to several conditions, including a hormonal imbalance, relationship issues or even depression. Significant and abrupt increases in libido, particularly in older men, might be due to substance use or conditions affecting the brain. Discuss an abrupt change in libido with your doctor.
• Sexually transmitted infections. Various sexually transmitted infections can affect the penis, including genital warts, gonorrhea, chlamydia, syphilis and genital herpes. Common signs and symptoms include painful urination, penis discharge, and sores or blisters on the penis or in the genital area.
• Problems with the foreskin. A condition known as phimosis occurs when the foreskin on an uncircumcised penis can't be retracted from the penis head. This can lead to infections, as well as cause painful urination and erections.
  
  
  Paraphimosis occurs when the foreskin can't be returned to its normal position after being retracted. This condition can cause painful swelling of the penis and impaired blood flow.
• Other diseases and conditions. A yeast infection can cause a reddish rash and white patches on the penis. Inflammation of the head of the penis (balanitis) might cause pain and a foul discharge. Peyronie's disease, a chronic condition that involves the development of abnormal scar tissue in tissues inside the penis, might result in bent or painful erections.
  Penile cancer — which might begin as a blister on the foreskin, head or shaft of the penis and then become a wartlike growth that discharges watery pus — also is a rare possibility.
  
  

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zakar bengkok @ peyronie

Peyronie's disease is penis problem caused by scar tissue, called plaque, that forms inside the penis. It can make the penis to bend upward or to the side.

Most men with Peyronie's disease can still have sex. But for some, it’s difficult or painful.

There are treatments, but it’s not always needed because the condition can fade on its own.

What Causes Peyronie's Disease?

Doctors don’t know exactly why Peyronie's disease happens. Many researchers believe the plaque can start after trauma (hitting or bending) that causes bleeding inside the penis. You might not notice the injury or trauma.

Other cases, which develop over time, may be linked to genes. In some men, injury and genes could both be involved.

Some medications list Peyronie's disease as a possible side effect. But there is no proof that these drugs cause the condition.

How Do Doctors Diagnose Peyronie's Disease?

Tell your doctor about anything, such as an injury, that happened before the symptoms started.

You’ll get an exam in which your doctor will feel the hardened tissue caused by the disease during an exam. It’s not always necessary, but if the penis has to be erect for the exam, the doctor would inject a medicine to make that happen.

There’s a chance you may need to get an X-ray or ultrasound of the penis.

It’s rare, but in some cases where the doctor's exam does not confirm Peyronie's disease, or if the condition develops rapidly, your doctor may do a biopsy. That involves removing a little bit of tissue from the affected area for lab tests.

Can Peyronie's Disease Be Treated?

Yes, but you might not need it.

Since the condition improves without treatment in some men, doctors often suggest waiting 1 to 2 years or longer before they try to correct it.

Mild cases of the condition rarely need treatment. Also, the pain that comes from Peyronie's disease happens only with an erection and is usually mild. If it’s not causing a problem with your sex life, treatment may not be necessary.

What Treatments Are Available?

If you need treatment, your doctor will consider surgery or medicine.

First, your doctor will probably prescribe a pill, such as pentoxifylline or potassium para-aminobenzoate (Potaba).

If those don’t work, you may get a shot of verapamil or collagenase (Xiaflex) into the scar tissue of the penis. If nothing else works, your doctor may consider surgery, but usually only for men who can’t have sex because of their Peyronie’s disease.

The two most common operations are:

• Remove the plaque and get a tissue graft in its place.
• Remove or alter the tissue on the side of the penis opposite the plaque, which counters the disease's bending effect.
  

Unfortunately, these procedures aren’t a sure solution. With the first method, you could have some erection problems. The second method, which doctors call the Nesbit procedure, shortens the erect penis.

In some cases, it may be an option to get a penile prosthesis implanted. This treatment is only for men who have both Peyronie's disease and ED (erectile dysfunction).

Most types of surgery help. But because of the possibility of complications that can’t be corrected, most doctors prefer to operate only on the small number of men with curvature so severe that it prevents sex.

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http://www.hadisehat.com/hadi/img/diseaseimg/10.jpg

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zakar patah @ Penile Fracture

DI Bandar Jinhua, China seorang lelaki yang dikenali sebagai Xu, 40, terpaksa menanggung kesakitan selepas zakarnya patah semasa melakukan hubungan seks dengan isterinya.

Insiden itu berlaku gara-gara dia terlalu ‘bersemangat’ selepas dua minggu tidak berasmara dengan isterinya kerana terlalu sibuk menonton perlawanan Piala Dunia di televisyen.

Memetik Shanghaidaily, pasangan itu sudah berkahwin selama tujuh tahun dan dikatakan mempunyai hubungan yang cukup baik.

Kejadian disedari selepas Xu merasa sakit dan terkejut melihat zakarnya berdarah dan bengkok kira-kira 30 darjah.

Bagaimanapun, dia bernasib baik kerana doktor yang merawatnya memberitahu kecederaan itu tidak akan menganggu kehidupan seksnya selepas ini.

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It’s not just an urban legend—you really can break your penis. But since there aren’t any actual bones in your boner, it’s not quite the same injury as, say, fracturing your arm.

The condition is known as a penile fracture, and it occurs when your erect penis sustains some kind of force.

First, a refresher on what makes up your erection: Your penis consists of three cylindrical tubes. The two larger tubes are called the corporeal bodies—think of them as “balloons”—that fill up with blood when you become hard.

The “skin” of these balloons is the tunica albuginea, a tissue that expands both length- and width-wise during an erection, says Jacob Rajfer, M.D., professor of urology at the David Geffen School of Medicine at UCLA.

The third, smaller tube—located on the underside of your penis—is your urethra, from which you urinate.

When you get aroused, blood rushes into those two larger tubes, and the pressure grows. That makes your penis rigid and hard to bend. So if it experiences some kind of force—like if you accidentally hit your girlfriend’s perineum during sex while thrusting, or she moves it too much when grinding on top—it can lead to pressure overload.

“The surrounding tissue that’s holding the pressure inside can’t withstand it anymore,” says Dr. Rajfer. “And that’s when the rupture occurs.”

Penile fractures happen only when you have an erection. When you’re soft, the pressure inside your penis is low, so it’s more able to bend and withstand unexpected forces.

What Are the Symptoms of Penile Fracture?

If you’ve fractured your penis, you’ll usually know immediately. One of the most telling symptoms is a cracking or popping sound—that’s actually the tissue tearing.

You’ll also probably lose your erection right away, similar to what happens if you stick a pin in a blown-up balloon. Then comes swelling, black-and-blue bruising, and, of course, pain. Lots and lots of pain.

If the injury also affects your urethra, you might notice blood when you urinate. This means your urethra has ripped, says Dr. Rajfer.

What Should You Do If You Fracture Your Penis?

Any of those symptoms during sex should tell you that something’s not quite right below your belt. And while it might be embarrassing to hit the emergency room with your penis problem, that’s exactly what you need to do.

The doctors at the ER can confirm your penile fracture through a clinical exam and also by tests like an urethrogram, an MRI scan, or a cavernosogram, which is an X-ray of the penis.

Occasionally, you may need a cystoscopy—a procedure in which a hollow tube equipped with a lens can look directly inside your urethra—to determine whether it’s actually torn.

You’ll usually require surgery to repair the tear in your penile tissue. And it’s important that you go under the knife within 3 days of the injury. This isn’t a wait-and-see condition—if you put it off too long, you can raise your risk of complications down the line.

“It becomes much more difficult to repair it, and scarring can start to form,” says Dr. Rajfer.

This scarring can lead to a curve in your penis when you get an erection, or you might find yourself unable to even get hard in the first place. That’s because the tissue that holds the blood in with an erection is damaged, resulting in erectile dysfunction (ED).

If you see a doc in a timely fashion and get the surgery within 72 hours of the injury, your prognosis is pretty good, says Dr. Rajfer. You should even be able to have sex again about 4 to 6 weeks post-op.

How to Avoid Breaking Your Penis

The good news: Penile fracture is a relatively uncommon condition, so you don’t need to brace yourself for that pop each time you get busy in bed.

But there are some sex positions that seem to be a bit more risky for your penis. In a Brazilian study, half of all penile fractures that occurred during sex were from the woman-on-top position. In comparison, only 21 percent of cases stemmed from missionary.

That might be because when she’s on top, she controls the movement, and her entire body weight is landing on your erect penis. Plus, if there’s a slip, she might not be able to interrupt it in time, says study author Leonardo Reis, M.D., Ph.D.

Reduce your risk by making sure you’re fully erect before penetrating her. If you’re not, your penis may be more likely to torque or twist, which could raise the risk of penile fracture, says Dr. Rajfer.

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PRIAPISM @ereksi tak berhenti


Seorang pria di India terpaksa di operasi karena mengalami ereksi selama 21 hari tanpa henti. Di curigai ereksi pria tersebut di sebabkan karena pengaruh obat tetapi Dokter mengatakan tidak, ereksi tanpa henti bisa terjadi karena ada gangguan pada sistem syaraf. Si pria akhirnya di operasi, meski nyawanya bisa diselamatkan, tetapi pria tersebut harus merelakan dirinya menjadi impoten di sisa hidupnya.

Seorang ahli bedah di sebuah rumah sakit di Kolkata, India terpaksa melakukan operasi darurat terhadap seorang pengusaha berusia 55 tahun karena mengalami ereksi yang tak kunjung henti hingga 21 hari.

Pembedahan ini dilakukan untuk membantu pengusaha tersebut keluar dari kesengsaran yang hampir membunuhnya. Meskipun operasi yang berlangsung selama 1 jam ini berhasil, tapi laki-laki tersebut kini terpaksa harus mengalami impotensi.

“Waktu selama 3 minggu sudah sangat terlambat untuk mencari bantuan. Seharusnya pengobatan segera dilakukan setelah mengalami ereksi tak kunjung henti selama 6 jam, jika tidak bisa mengakibatkan kematian atau degenerasi dari penis,” ujar Dr Avishek Mukherjee, seperti dikutip dari The Sun, Jumat (5/3/2010).
Dokter mengungkapkan bahwa ayah dari dua anak ini tidak menggunakan obat viagra untuk meningkatkan hasrat seksualnya. Tapi dokter meyakini bahwa laki-laki tersebut mengalami suatu kondisi yang disebut dengan Priapism yang dipicu oleh gangguan sistem saraf.
Penyakit Priapism adalah kebalikan dari ereksi yang lemah. Jadi penis mengalami ereksi terus menerus. Hal ini disebabkan karena darah pada penis tidak mengalami pergantian. Normalnya ketika ereksi, setiap tiga menit darah akan terganti dengans endirinya.
Darah yang terjebak dalam penis ini menyebabkan ereksi yang terus menerus. Beberapa obat penenang bisa menurunkan ereksi penis tetapi jika ereksi berlangsung lebih dari 6 jam, anda harus mendatangi dokter sesegera mungkin. Jika ereksi bisa bertahan selama lebih dari 1 jam, maka pasokan darah ke penis akan berkurang dan hal ini dapat memicu rusaknya organ.

“Jika pasokan tetap terhenti untuk waktu yang sangat lama, maka bisa saja menyebabkan penyakit gangren yaitu penyakit kematian jaringan akibat berhentinya aliran darah ke daerah tersebut,” ungkap Dr Mukherjee.
Hingga kini identitas dari laki-laki tersebut masih disembunyikan dan diketahui telah dipulangkan dari rumah sakit.



Priapism adalah kondisi ereksi yang berlangsung selama lebih dari 4 jam tanpa adanya rangsangan seksual dan biasanya bersifat menyakitkan.
Kondisi ini terjadi jika darah di penis terjebak dan tidak mampu mengalir. Kondisi ini dapat terjadi pada semua kelompok umur termasuk bayi yang baru lahir. Jika tidak segera diobati maka bisa menyebabkan jaringan parut dan disfungsi ereksi permanen.
Terdapat dua kategori dari Priapism, yaitu:


Low-flow
Sering terjadi pada pria yang sehat tanpa diketahui sebabnya, tapi biasanya mempengaruhi orang yang memiliki penyakit sickle-cell, leukemia atau malaria.

High-flow
Disebabkan oleh arteri yang pecah akibat cedera pada penis atau perineum (daerah antara skrotum dan anus) sehingga mencegah sirkulasi di penis berlangsung normal.

Sekitar 42 persen penyebab Priapism akibat penyakit sickle-cell. Namun penyebab lainnya diduga akibat pengobatan terutama obat untuk penyakit mental tertentu, trauma pada saraf tulang belakang atau daerah genital, gigitan laba-laba hitam, keracunan karbon monoksida, penggunaan obat terlarang seperti kokain atau ganja dan pada kasus yang jarang terjadi akibat kanker yang dapat mempengaruhi aliran darah di penis.
So, untuk para pria. Kadang penis begitu susah mengeras tetapi kadang juga saking kerasnya penis tidak bisa melemah. Perbanyak olahraga dan senantiasa konsultasi dengan Dokter jika ada sesuatu yang tidak biasa terjadi pada penis.

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• Balanitis, an inflammation or infection of the head of the penis
  

What is it?

[size=1.5]An unpleasant, irritating but seldom serious inflammation of the head of the penis.

What are the main symptoms?

• The head of your penis (glans) is inflamed — red, sore and itchy.
• White or red blotches or lumps may appear.
• The glans may also look shiny or waxy.
• In severe cases it may also be swollen.
• The foreskin may become pale and thickened and stick to the glans (known as balanitis xerotica obliterans)..
• A foul-smelling discharge.
  

What's the risk?

[size=1.5]Balanitis is a common condition in uncircumcised men and is usually associated with poor hygiene. It is unusual in circumcised men.

What causes it?

• Poor personal hygiene: if you don't wash under the foreskin, a cheesy substance called smegma accumulates. This can become infected and cause irritation. This problem is more likely to occur when the foreskin is too tight to allow it to be retracted over the end of the penis to enable the glans to be washed thoroughly.
• Thrush (candida): a milder form of balanitis is caused by an allergy to thrush in a woman's vagina.
• Psoriasis: this skin disease can occur on the penis without you having it anywhere else. On the glans it looks red and shiny, while elsewhere it is usually white and scaly.
• Irritation: balanitis can sometimes be caused by sensitivity to perfumes in soaps and detergents.
• Bacterial infection: streptococcal bacteria in a woman's vagina can be transmitted during sexual intercourse.
• Rough handling: strenuous sexual activity, particularly masturbation, can make the penis sore and prone to infection.
• Allergy: some men are allergic to rubber, spermicides, deodorants and topical medications (those applied to the skin).
• Medication: some drugs, such as penicillin, can cause balanitis.
• Diabetes: disturbs your blood sugar level which can lead to an ideal environment for bacteria to grow which in turn can cause your penis to become inflamed
  

How can I prevent it?

[size=1.5]Your best bet is to wash your penis thoroughly every day, especially if you are uncircumcised.

Should I see a doctor?

[size=1.5]You should see your doctor, not least because severe balanitis can be a sign of diabetes, a serious illness that needs to be treated as soon as possible. You also need to be sure that the problem hasn't been caused by a sexually transmitted infection which produces similar symptoms.

What are the main treatments?

• If your balanitis is caused by thrush, an anti-fungal treatment can help.
• Antibiotics can clear up balanitis caused by bacterial infections.
• If it is caused by psoriasis, your doctor can prescribe a steroid cream.
• Your doctor can arrange a test to identify the cause of your allergy.
• If the problem is recurrent, and due to a tight foreskin, then circumcision may be advised.
  

How can I help myself?

• Use a mild, unperfumed soap.
• Put two handfuls of salt in the bath, but nothing else such as bubble bath, bath oils, or disinfectants
• Wash your underwear with non-biological washing powder or liquid.
• Heterosexual men should ask their partners to visit a doctor or a genitourinary medicine (GUM) clinic to check whether they have thrush.
  

What's the outlook?

[size=1.5]Balanitis is usually mild. Once the cause has been identified, it can usually be cleared up easily.

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PHIMOSIS




phimosis merupakan suatu penyakit atau gangguan pada penis pria berupa penyempitan atau perlengketan kulup penis sehingga kepala penis tidak bisa terbuka sepenuhnya. Akibat dari phimosis ini akan dapat menyebabkan penumpukan smegma (kotoran hasil sekresi kelenjar kulup) di sekitar kepala penis. Penumpukan smegma tersebut akan mendukung penyebaran berbagai bakteri penyebab peradangan, dan bila tidak segera diatasi maka akan menyebabkan kanker penis. Jika phimosis tersebut menyebabkan kesulitan buang air kecil sehingga urin tertahan di saluran kencing (uretra), maka akan dapat menyebabkan terjadinya infeksi uretra. Biasanya anak laki-laki yang baru lahir akan menderita phimosis fisiologis. Namun, biasanya akan menghilang sendiri ketika anak sudah berusia tiga tahun. Apabila di usia enam atau tujuh tahun phimosis masih ada sehingga menyebabkan masalah penis pada anak, maka dibutuhkan penanganan untuk mencegah hal yang lebih parah terjadi yaiut dengan melakukan sunat anak. Dari seluruh kasus phimosis yang terjadi adalah disebabkan karena bawaan lahir. Pada kasus yang lebih jarang, phimosis terjadi karena kulup kehilangan kemampuan merenggang, biasanya dihasilkan karena peradangan atau luka akibat pembukaan paksa kepala penis. Pembentukan jaringan parut dari bekas luka itu mencegah peregangan kulup.

Penyebab phimosis

Ada beberapa faktor yang menjadi penyebab muncul atau timbulnya penyakit phimosis ini. Namun beberapa yang umum menjadi penyebab phimosis adalah:
1. Kegagalan kulup untuk melonggar selama proses pertumbuhan.
2. Infeksi seperti balinitis.
3. Cacat yang disebabkan oleh trauma.
4. Penyakit pada alat kelamin.
5. Infeksi pada penis yang terjadi kemungkinan timbul dari ketidakmampuan melakukan pembersihan yang efektif sehingga menyebabkan pembengkakan, kemerahan dan rasa sakit di daerah tersebut.
6. Selain rasa nyeri dan sakit saat buang air kecil, phimosis ini juga sering disertai dengan gejala:
7. Bagian depan penis yang menggelembung.
8. Anak menangis saat buang air kecil karena timbul rasa sakit.
9. Urine yang keluar tidak lancar.
10. Kadang disertai dengan demam tinggi atau iritasi pada penis.

Mengobati Phimosis

Ada tiga cara untuk mengobati Phimosis, yaitu sebagai berikut:
1. Para dokter sepakat dengan menyarankan khitan anak sebagai solusi utama untuk menghilangkan masalah phimosis secara permanen. Rekomendasi ini diberikan terutama bila phimosis menimbulkan kesulitan buang air kecil atau peradangan di kepala penis (balanitis). Selain untuk mengatasi phimosis juga banyak manfaat lain yang didapat dari sunat.
2. Biasanya pemberian obat yang digunakan berupa salep untuk meningkatkan elastisitas kulup. Pemberian salep ini harus dilakukan secara teratur dalam jangka waktu tertentu agar diperoleh hasil yang efektif.
3. Proses peregangan dilakukan dengan mereggangkan secara bertahap kulup setelah mandi dengan menggunakan air hangat selama lima sampai sepuluh menit setiap hari. Peregangan ini harus dilakukan dengan hati-hati untuk menghindari timbulnya luka.

Namun, berdasarkan pernyataan para peneliti kesehatan, metode sunat adalah solusi yang paling efektif mengobati phimosis. Selain mengobati phimosis, masih banyak Manfaat sunat yang lain yang dapat diperoleh, termasuk mempermudah proses pembersihan atau perawatan penis anak. Pasca sunat, orangtua baiknya serius mengawasi luka pasca khitan yang menjadi bekas proses tindakan sunat. Perawatan pasca sunat bisa dilakukan dengan secara teratur membersihkan kepala penis anak. Hal ini bertujuan untuk menghindari sang anak dari terjadinya infeksi akibat kotoran dan bakteri.

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• Paraphimosis only affects uncircumcised males. The condition occurs when the foreskin of the penis can no longer be pulled forward over the tip of the penis, leading to swelling and pain.
• Paraphimosis typically happens when a healthcare provider fails to return the foreskin to its normal position after an exam or procedure. Other causes include having an infection, experiencing physical trauma to the genital area, or having a foreskin that’s tighter than normal.
• You doctor must move your foreskin back into its proper position right away to treat paraphimosis. When it’s left untreated, paraphimosis can result in a serious infection or the loss of the tip of the penis.
  

Paraphimosis is a condition that only affects uncircumcised males. It develops when the foreskin can no longer be pulled forward over the tip of the penis. This causes the foreskin to become swollen and stuck, which may slow or stop the flow of blood to the tip of the penis. The condition can lead to serious complications if it isn’t treated.

Paraphimosis most often occurs when a healthcare provider handles the foreskin improperly. They may not return the foreskin back to its normal position after a physical exam or medical procedure.

Paraphimosis shouldn’t be confused with phimosis. Phimosis is a condition in which the foreskin can no longer be pulled back from the tip of the penis. It typically occurs in younger children, and it usually isn’t a serious condition. Paraphimosis, however, is an emergency condition. Contact your doctor or go the hospital immediately if you’re experiencing symptoms of paraphimosis.


What Are the Symptoms of Paraphimosis?

The main symptom of paraphimosis is the inability to return the foreskin back to its normal position over the tip of the penis. The foreskin and the tip of the penis may be swollen and painful. The tip of the penis may also be dark red or blue due to a lack of blood flow.

Call your doctor right away if you discover any of these symptoms.

What Causes Paraphimosis?

Paraphimosis most commonly occurs when a healthcare professional forgets to pull the foreskin back to its normal position after a medical examination or procedure.

Other causes of paraphimosis include:

• having an infection
• experiencing physical trauma to the genital area
• pulling the foreskin back too forcefully
• having a foreskin that’s tighter than normal
• having a foreskin that has been pulled back for an extended period
  

ipes2

alamak, sorry tak rate articles yg SM letak
nah, dah bagi tacang