Men’s erectile

According to the United States, Massachusetts Male Aging Study 1 results show that in 40 to 70-year-old crowd, moderate and severe ED, the incidence rate was 35% or so. It is estimated that hundreds of millions of men worldwide suffer from varying degrees of ED, China, and about 0.5 ~ 100 million, indicating ED is a very common and affect a wide range of diseases, and age of onset of ED, there is dropping. If the man was a failed penetration of the vagina by the penis known as the primary ED; have had successful experiences, followed by ED occurs, known as secondary ED; some only in specific occasions and only for specific objects occurred ED, encountered another occasion or object but also the success of sexual intercourse, known as situation of ED. In the past people because of social prejudice or ashamed, but also because there is no effective medical treatment, the number of treatment is very limited, only silently endured unspeakable suffering.
From the cause of sense, ED can be divided into three kinds of properties
Organic - from the blood vessels, nerves, endocrine, or sponge, or lesions caused by abnormal;
Psychological - there is no organic damage by the erection mechanism, caused by central inhibition;
Mixed - from the organic and psychological factors common cause.

ED risk factors and diagnosis of

● age;

● systemic chronic diseases (atherosclerosis, diabetes, cardiovascular disease, kidney failure, liver failure, Alzheimer’s disease, multiple sclerosis, Peyronie’s disease, depression, anxiety and other mental illness, hyperthyroidism, A is low, hypogonadism, hyperprolactinemia

● surgery and trauma (prostate and other pelvic surgery, spinal cord injury, pelvic fracture, etc.);

● drugs (antihypertensive drugs, antipsychotics, sedatives, hypoglycemic agents, etc.);

● unhealthy lifestyle (smoking, alcohol, excessive stress), etc..

Routine diagnostic method for erectile dysfunction include general medical history, sexual history, physical examination, psychological evaluation and laboratory tests.

So how to determine whether the ability of their erection normal? Or if there is an erection difficulties, but also how to determine the severity of the disease do? Clinical erectile difficulties usually classified into the following four grades:

0 degrees (normal): normal sexual desire, erection rapid, continuous time can be to the completion of ejaculation, hardness sufficient to freely into the vagina, sexual pleasure good high frequency of sexual intercourse, masturbation erectile response to normal.

Ⅰ degree (mild): normal sexual desire, erection relatively quickly, and sometimes can not be sustained erection, hardness of erection and sometimes decreased, and occasionally can not be inserted, sexual pleasure remain, to reduce the frequency of sexual intercourse, masturbation can erection.
from

Ⅱ degree (moderate): decreased sexual desire, erectile reaction is slowed down, often can not be sustained erection, erection hardness, are often inadequate penetration of the vagina, sexual pleasure subsided significantly reduced the frequency of sexual intercourse, masturbation erectile response reluctantly.

Ⅲ degree (severe): disappearance of sexual desire, erection or no response is extremely difficult, almost unable to insert the vagina, asexual pleasure, near-zero frequency of sexual intercourse, masturbation no erectile response.
from

So, look at a person whether or erectile dysfunction, can be from erectile response speed, duration, hardness, and several other parameters to determine where these aspects can be a problem that is not normal. Furthermore, it should observe whether the incidence of erectile difficulties suddenly appeared by the situation of the impact of good times and bad, and psychological factors such as anxiety, fear, and if at night or early morning erections can be a normal occurrence, then their problems are mostly psychological in nature ; if erectile difficulty is that there unknowingly, the problem persisted and increased, not the situation of influence and psychological factors such as anxiety, fear has nothing to do at night or early morning erections disappear, are much more organic. With some of the following factors: whether the inhibitory function of long-term use of certain drugs, such as antihypertensive drugs; whether there is likely to affect the sexual function of other disorders, such as hypertension, heart disease, diabetes mellitus; whether alcohol, smoking and excessive fatigue, long-term trouble, severe depression, there career or personal relationships or economic crisis. The longer duration of erection problems are more severe the disease, the greater the possibility of organic; and time is short or occasional problems may just be temporary, you do not have to stress and anxiety because of psychological stress and anxiety in itself is the cause of ED.

Erectile Dysfunction Treatment principles: effective, safe, non-invasive and money.

Treatment
Non-invasive treatment: removal of causes, psychological counseling and / or psychological treatment, oral medication, vacuum ring contraction device; invasive treatment, urethral administration, intracavernous injection of vasoactive drugs, penile prosthesis implantation , penis vein / artery surgery.

Synchronous or simultaneous orgasm

Before there were clocks, existed only reliable way to synchronize the meeting - to appoint her at dawn or dusk. Now that the year bought 300 million hours, there is nothing easier synchronicity - otherwise how could 20 million Brazilians knew that at 8 pm it’s time to finish all the things to see the most popular soap opera in the country Tudo por Amor (All for love)? Sometimes, however, it does not matter how accurate your clock, and how well you use time. So, here is our devyatietapny plan to achieve the highest expression of synchronization - the simultaneous orgasm.

Pull!

75% of male ejaculation occurs within two minutes after beginning intercourse. Premature ejaculation is the first obstacle to the achievement of simultaneous orgasm. First, turn your attention to what happens to the scrotum during intercourse: it is gradually pulled to the base of the penis. Gently pulling her down before ejaculation, a man can control himself, not yet too late.

Passing!

Now learn how to determine where in the area between the anus and the scrotum is Jen-Mo point, the effect of which, according to Taoist reflex, leads to the fact that seminal fluid is not spewed out and remains in the groin area, acting directly in the blood stream, which allows a man to have an orgasm without ejaculation. It should, however, be careful: too intense Push, can lead to thrown semen into the bladder, the formation of muddy sediment in the urine and eventual development of inflammation.

Squeeze!

If you do not work none of these tactics, time to charging. If properly reduce pelvic floor muscles, in particular, small pubococcygeal muscle (pubo-coccyqeus), this will lead to a narrowing of the seed channel and delay ejaculation. Start with 25 cuts, for 5 seconds each, daily. Every man must be reduced, which is held by urination. (Pubokoktsigiya is just to monitor this function.) For their efforts you will be rewarded with all the wonderful sensations that gives orgasm but without ejaculation.

Get going!

As the depth of the vagina is not enough nerve endings, one of only vaginal stimulation may be less likely to cause a woman to climax. In other words, mindless movement back and forth - it is useless. Better take care of the clitoris - highly sensitive organ, located at the entrance of the vagina. Do it one by one: a man could easily cope with this task during intercourse, but a woman should not be embarrassed to masturbate during lovemaking.

Do not hurry!

For men, complaining that their partner takes too long to reach orgasm, should know the following: after measuring the time necessary to members of married couples in 1000 that, individually masturbiruya to reach the finish line, it was found that men outperform women for a few seconds . Conclusion: it does not slow woman - a man’s soul.

Explore!

In 1994, German obstetrician Ernest Grafenberg discovered the G-zone, an extremely sensitive area in the male and female anatomy. In women, this gritty area on the front wall of the vagina. To find out where this zone is located in men, should enter his thumb in the anus and push towards the center of the body. Stimulation of the G-band is more intense in women during sexual intercourse in a situation where a man is behind. Apparently, that is why our ancestors (and most animals) clearly preferred this posture all the rest. Despite thorough research, scientists and can not explain why men, this point is in the anus.

Dream!

Anal sex can give the exclusive enjoyment. A little exercise, and can achieve simultaneous orgasm, and in this way. Just as in the ordinary intercourse, start with small game. Imagine that your partner’s anus or female partner - a clock, with an arrow in position 12 indicates the head. Now you can easily find the most sensitive point for manual stimulation: the outer edge of the anal opening, corresponding to 6 and 8 hours.

Train!

And now we have reached the most important part of the program. Discard sexual prejudices of Western culture: sex necessarily need to learn! Boys tribe Manga of the Cook Islands are the first sex lessons at the age of 13 experienced adult women who taught them masturbation, cunnilingus technique and how to bring your partner to orgasm by two or three times before most reach ejaculation.

Sucks!

And the last advice to standing partners, intending to have kids. Biologists say that simultaneous orgasm promotes fertility. While reducing the discharge, vaginal muscles act like a powerful vacuum cleaner, pulling the semen up to meet the egg. This phenomenon, called the “suction effect”, greatly increases the chances of women getting pregnant.

NEW IN EUROPE: Viagra for the week-end

Sexology reported new developments in Europe and the United States - Viagra at the weekend. Every self-respecting gentleman finds it necessary to take the magic pill, sent to hunt. ” Because Viagra is valid for 36 hours, conqueror of hearts and beds can feel safe throughout the weekend. Moreover, drug use, people who do this do not need, and use it just in case, to always be at a height. ”

And forcing them to do so, of course, women. Today’s girls, who are accustomed to speak openly about their sexual needs and desires, as it turned out, these men make the most uncertainty in their own strength and the fear of oploshat at the moment. Although the true cause of them, believe sexuality. Heard stories of friends of the extraordinary sexual exploits, and knowing that all of this concoction, a man nonetheless, regardless of age, by the way, consider themselves bound to always be ready - anywhere, with anyone, anytime.

But the results can be very poor. Like many other drugs, Viagra is addictive, therefore, creates a situation in which a healthy and normally functioning man, in need of constant medication support. According to the American Institute of Health, since in 1998, Viagra appeared in the sale, it purchased 16 million men. 10% of prescriptions were issued to males under the age of 39 years. Only a small portion of them actually suffered from impotence, the result of the operations or any disease.

And in Israel, estimated that every second used 5.1 pill Viagra. Well, hot Israeli guys are known worldwide.

Viagra And Women

Even before Viagra really “went on-line marketing space, can easily anticipate: the drug, developed by men and for men, of course, be in demand and women. Why? Difficult to identify the main reason - for the reasonably long, and they are all very skillfully intertwined with each other.

Perhaps the major role played by rage in this century, the spirit of emancipation - it Zadornov provokes an excellent half of humanity to the “development” almost all the expensive and high-tech “toys”, men selfishly think only for yourself, loved ones. A selfish in this regard the sons of Adam and really does not hold. Including - and in the medical field. The amounts that are invested in projects designed to deal with “typical male” problem - say, baldness or erectile dysfunction - can impress any man. While over the past decade, all medical science had not made one, and any significant step to victory over a very common problem, as premenstrual syndrome. As you know, they are only ladies, but because a strong half of mankind, have seized all the dominant heights in science and farmindustrii, all as the “nedosug” take this matter up. Insulting? You bet! And then another man, having no definite “try out” the blue pill, began to dismiss rumors of miraculous properties of a new drug, attributing to him directly, the effects are fantastic. For the modern woman, not devoid of adventure - it is a direct challenge. “A lodge here Lyapkin-Tyapkin …” - And thousands of the beautiful sex went for a recipe for Viagra … the World Wide Web.

However, online Viagra drink - it is the realities of life overseas, as tamoshnyaya sensitivity does not sell drugs without prescriptions. We have it - as much simpler: the prescription form, in most cases soydut bright paper, called bank note. And the great American privacy in Russia today blyudetsya steeper than that of “them” - no one would ask - why would a young girl medicine oriented to the needs of men “over 50″.

The result of all these superlative degrees of freedom will not be slow to occur in the Fatherland through a few months after the appearance of Viagra on the U.S. market - and the result is, of course, also quite predictable. If a lady, named Express-poll site Doktor.Ru “Katen’ka, succinctly commented on his experience with Viagra” as “Wow … this is just cool …”, then a popular women’s magazine Cosmopolitan broke an entire article to the intriguing title “I tried Viagra.” In this opus, subject to all laws of the genre “tells about the impact of such power of blue pills, which can be compared perhaps only with the full force of the impact of the moon on the reverse. From the article naturally to the conclusion that taking Viagra gives a woman vsesokrushayuschim libidonoznym pressure, just makes it a besnuyuschuyusya nymphs, and even - for some reason it gives some typical characteristics of male sexual physiology. Against this background, in the text warnings look like something hollow.

Such comments can “punish” the top ten experts: Is sildenafil, tritely fosfodiesterazu-5 inhibition in the tissues of the penis and thus improves the impact of nitric oxide at the level of cyclic guanozinmonofosfata, except for natural relaxation of smooth muscle fibers may also stimulate some mysterious brain centers? It is easier to forgive if the description of biochemical steps Viagra caused your lung irritation, but in terms of pharmacodynamics sildenafila, the effects described in the “Cosmo”, is almost impossible to explain. But just remember a scene from “Taming stropivogo” where the hero in the performance of A. Chellentano, bought heroin in the performance of O. Muti samokrutkoy with supposedly grass, dropped manifestnoe bliss Ladies phrase: “And I did not know that a simple chicory has the effect “.

Autosuggestion (autosuggestiya) - a powerful thing. Especially if the object is a man of nature “inspires.” And if the “stimulus” - to an extraordinary, one might say, legendary. Yes, and yet its value is that, compared with the “just relax” even gold and platinum - the way, a kilogram of Viagra is as much - more than 200 000 dollars! So in this respect, sensation does not seem to be: sildenafil should never raze is not suitable for the company, which has long been prescribed Spanish fly, cocaine, dry snake blood and other “love exotics.”
However, not all too bad in “The Kingdom of Denmark - Viagra, and it is still able to play any positive role in the treatment of sexual dysfunction in women. At least, the reason for this is: sildenafilom caused by the inflow of blood to the genitals of women could benefit the two major factors affecting the quality of women’s sexual sensations - lubrikatsii genitals and clitoris erection. Lack lubrikatsii (wetting of the reproductive tract) during coitus leads to what has been termed “dry sex” - say, the last is very popular among the African people, well yes, and … OK, but the majority of women from other ethnic groups were of the opinion that this thing malopriyatnaya. Dr. Arthur L. Burnett of Johns Hopkins University, and his colleagues cautiously say that Viagra could help here. As for the “erection” clitoris, it shall in no small measure upon the possibility of a woman of so-called klitoralnogo orgasm - and thus determine the strength of physical experiences during sexual intercourse. Panel doctor Burnett believes that there sildenafil may be useful - in fact the mechanism of erection clitoris to a certain extent, it reminds erection of the penis of men.

Note that these views are worth listening very attentively: Dr. Burnett - a very well-known specialist, to the same - one of those who stood “in the cradle of” Viagra. In 1992, he and his colleagues drew attention to the medical community to the role of nitric oxide in the origin of erectile dysfunction in men. The publication in the journal Science, where scientists believe the statement that gave rise to a steep turn in the fate of future Viagra - because on the original intent of the developers of sildenafil, the prototype had to fight not with impotence, but … ischemic heart disease. And as such, the product entrusted to him the expectations are not justified. But the improvement of erection observed in patients during clinical trials, seen as weird side effect sildenafila. Until the above-mentioned publications. So that now is a Viagra - a considerable achievement Baltimore researcher.

However, the same doctor Burnett does not recommend routine use Viagra for women - the risk of adverse and even dangerous side effects of the drug can not be justified by any hypothetical “testimony” of his reception. Today in Baltimore to continue to closely study the effectiveness of therapy sildenafila female sexual dysfunction - evaluated the qualitative changes that spanned dosage and mode of introduction of the drug. The results of this work, no doubt, will be published. And we, of course, try to inform our readers about them. According to the “old (but very good) song on the main” - “We should just learn to wait, you must be calm and stubborn …”. And yet Viagra without a prescription to take is still not worth it.

Aphorism

Hurry to apply the new tool, as it all helps!

Viagra - the triumph of the blue pill

In March 1998, the FDA formally approved one of the latest pharmaceutical giant Pfizer Inc. - Tablets commercial name Viagra. The experts agree - the appearance of Viagra has marked the transition to a qualitatively new level of treatment of erectile dysfunction in men.

The little blue pill has become yet another gift of scientific and technological revolution conferred upon the altar of consumption - because of the opening behind the development of Viagra, three American scientists (R. Ferchgott, L. Ignarro and F. Myurad) in the same way in 1998, received the Nobel Prize for medicine and physiology! Two words in defense of scientists. Award received for many years and the successful study of the role of nitric oxide in the circulatory system, rather than the development of Viagra, as some local magazines. For all the relevance of the problem of impotence - for the Nobel Prize Viagra still has not drawn. ”

But the newly “amplifier erection” immediately established itself seriously in the market of medicines. Only in the United States for only five months, it was issued more than 3 000 000 prescriptions for this drug! In the retail cost of one pill in the $ 15 - $ 20 there can be no doubt - Viagra is a breakthrough not only in the therapy of impotence, but also in the pharmaceutical business.

Once America and Europe, the magic blue pill invaded the markets of Asia, and seems to have a good chance of winning. But in the Far East, almost every man considers himself an independent expert in the field and the potency of art “control of erection.” Viagra to be a brutal war with the present (not grown in Odessa), Tibetan herbs and roots, serpentine blood and other exotic animal extracts, ancient cults, terrible prejudice and the brainchild of high technology. The recent call took only Japanese erectile panacea Love Jet, and then as the uncertain, and only in the domestic market of Japan. It seems, Pfizer-ovsky blitzkrieg will look spectacular even than the notorious “browser war” between Microsoft and Netscape. We will return to this subject.

The fact that Viagra is a lot written in the popular press. Recall only that this “name” of the drug - sildenafila citrate, it is introduced into the body through ingestion banal (and more recently - and a simple injection spreya sildenafila directly into the nasal passages, as any “nazola).

The mechanism of action of the simple (like all brilliant): With the help of nitric oxide in the penis enhancing blood flow occurs. This provides a nearly physiological erection without anguish. It is very effective: 7 out of every 10 men who have had problems with potency, the most successfully resolved these problems by using Viagra! In doing so, managed not only to reach a persistent and prolonged erection, but also improve the quality of sexual sensations and emotions! Incidentally, this information and its “people’s Echo” persuaded not only to healthy men, but also the most advanced representatives of “weak sex” to experiment with Viagra. Not so long ago, a popular women’s magazine posted an article “I have tried Viagra!”, Which apart from pharmacological effects sildenafila easy to learn and psychogenic effects - ie the effect of self (of course it caused not by the drug, and advertising “noise” around onogo). Clearly, this op would fuel the already neslaby excitement surrounding the blue pill.

All would be nothing, but now Viagra in fact - not a symbol of layfstayla, a drug that has side effects, sometimes very serious. Mechanism of action sildenafila based on the ruthless suppression of the specific human proteins - mainly fosfodiesterazy 5. But now this last time and is responsible for side effects of Viagra is not without the help of which have already parted with life nearly 7 dozen. Unwanted effects of drugs may include lowering blood pressure and headaches, disturbance of color vision, etc. has already been described zhizneugrozhayuschego case of pulmonary complications. With great care should be taken this drug for patients with diseases of cardiovascular system, liver and kidneys. It can not be combined with Viagra protivoishemicheskimi nitrate - nitroglycerin, sustakom, nitrongom etc. There is still a mass of points that should be discussed with a good doctor before taking Viagra for.

In general, Viagra - are not vitamin supplements, and to prescribe her own in most cases should not be, because it may be unsafe. American experts have insisted on only leave this prescription drug and a large number of warning labels and notes on the package. There can be no doubt that law-abiding capitalists do so and all will be done. But on us - there is no such confidence. Viagra has had on the domestic drug market, are sold without prescriptions, and, judging by the comments of pharmacists, is in demand. Form this azhiotazhny demand normal process of aging citizens, the economic crisis, official and unofficial advertising rumors and more … Tax Police (judging by her last year’s spot). One can only optimistically hope that our naturalists both sexes not affected in their experiments with Viagra.

By the way, Pfizer has made that have not yet managed to anyone - was able to measure in monetary terms is truly priceless as the erection phenomenon. At first glance, the cost is low - $ 18-20. However, the lack of demand for Viagra to maintain a normal sex life “saves” the man, depending on its activity, from $ 2000 to $ 5000 per year! As with the current exchange rate is very good.

Bravo, Pfizer!

Anecdote:

- Doctor, ginseng root may help to sexual impotence?
- Can only bind stronger.

Piercing the penis

How piercing?

His birth piercing should be grateful not marginalized seventies. In Egypt, women pierce their belly button. Unlike today’s time, while wearing a ring on this part of the body is permitted only approximate pharaoh and priestess. In ancient India, the representative of the weak sex wore earrings in one of the nostrils that is a sign of marriage. Roman war preferred pink nipples. For commoners, it meant that the owner of earrings in nipples has pretty bravery and courage. While there may be daring, men have used the ring on his chest for more mundane tasks - So to her cloak.

Who invented the piercing of the penis?

One of the offsprings royal dynasty, Prince Albert, lyubivshy be close trousers, offered an original solution to the problem of “excess” genitals that do not want to fit in the allotted amount of clothes their masters. Sir Albert put his penis in the ring with which to affix to the genitals pants. According to the Prince, after the establishment of “fixing stores his organs is not prevented him from walking and horse riding. Hard to say whether the royal scion gift of persuasion, or indeed the penis is convenient to pin pants or hip, but the Victorian gentlemen, this type of genital piercing was very popular and the name of Prince Albert has been used to describe the punctured penis.

What kind of piercing of the penis there?

There are several varieties.

1. Piercing the flesh and the skin of the penis

2. Prince Albert - puncture the head of the penis through the urethra and goes out through the head of the penis

3. Apadrayva vertical puncture head of the penis

4. Ampallang - horizontal puncture the head of the penis

Is piercing dangerous?

Yes dangerous, although not all types of piercing dangerous. For example, Ear piercing is an innocuous procedure. The most dangerous was the oral and genital piercing. Let us at last. We are confident that doubt in people, unencumbered medical education, in good krovosnabzhaemosti no genitalia. Puncture the head of the penis poses not only the risk of bleeding, and infection. Advocates piercing strongly argue that the urine is sterile, so healing is fast. Unfortunately, this is, to put it mildly, incorrect. Microbes may be present in urine, although this is not the norm, but they live in the mucous is legitimate. To form a channel, which begins in the urethra and ending at the bottom surface of the penis head, requires 4-6 weeks and that time is enough to raise fester. Another unpleasant effect of “Prince Albert” is the transformation of the once former jet spray hose in the chaotic, which requires “female status” needed to cope with a small need. Of course, over time, the jet can be restored, however, any inflammation or allergic to the metal can again deny the possibility of a man to write his name in the snow.

Ampallang and apadrayva respectively horizontal and vertical puncture the head of the penis by cutting the intersection of the urethra, pose a similar danger, and that “Prince Albert”. It must be remembered that the damage to the urethra and emerged followed by suppuration may permanently deprive “punctured” joy urinating.

Do I have it for you?

According to eyewitnesses ampallang, apadrayva and “Prince Albert” and women have fun, stimulating during sex erogenous zone. Sexology argue that stimulation does not occur in the depth of the vagina, but from the outside. Therefore, every device enabling the cervix have no special meaning. They can injure women genitals, they prevent the use of a condom.

But catkin, prodetaya comb through the head of penis or through the flesh, could easily cling to the small labia and deliver unpleasant feelings “punctured” and his partner. Rings of carnations on the scrotum and usually does not bring discomfort to sexual partners, but they should not be those who love too much to walk. In addition, should always monitor the integrity of cowards, otherwise chivied around the jewelry threads will suddenly felt sharp pain.

If you’re determined to make a hole, let imprisonment give some tips.

1. We strongly do not recommend piercing types, accompanied by puncture the urethra. Relatively safe is to wear bells on serezhek or foreskin.
2. Please only in licensed salons, body art and do not in any case, do not use the services of master domushnikov “, which in the case of” unforeseen “circumstances it would be difficult to find.
3. Not bad to ask how to master sterilized instruments. The Association recommends that a professional piercing for the exclusive use of an autoclave. So, if you do not see this device in the cabin, the issue of HIV and hepatitis B remains an open question.
4. The master must be to inform you about the complications and make recommendations for the postoperative period.

Shortening bridles foreskin

What is a bridle in the flesh?

Bridle the flesh of this band, which stretches to the bottom (rear) surface of the penis and connects the flesh with the head of the penis.

What is a bridle penis?

In the bridle pass blood and lymph vessels, which partly comes from the blood supply of the penis head. The value of keeping a bridle on the foreskin of the penis during intercourse.

Why is there a bridle shortening of the penis?

Shortening of the penis bridles - congenital anomaly of development of the penis. There is a condition in adolescence, with early sexual activity (masturbation, sexual activity).

As evident shortening bridles of the penis?

The main manifestation of bridles shortening of the penis is the pain at coitus. Short bridle prevents the skin of the penis to move with sufficient amplitude. The characteristic symptom is a small deviation of the head of the penis with the drawing in the flesh. Often the bridle of the penis breaks. When you break a bridle is bleeding, which may be abundant.

What treatment shorter bridles of the penis?

The only way to treat short bridles of the penis is its plastic. The operation involves dissection of a bridle in the transverse direction, and staple it in the longitudinal direction. Wound healing usually takes place through the 10-14 days.

Balani and balanopostit

What is Balani and balanopostit?

Balani - is an inflammation of the head of the penis. Post - it is an inflammation of the internal leaf of the flesh (inner surface of foreskin). Typically Balani and post meet together, that is termed balanopostit.

Why is there Balani and balanopostit?

The main cause of inflammation of the head of the penis and foreskin is smegmy cluster, which is a breeding ground for microorganisms. Also balanitu balanopostitu and contribute to inflammatory diseases of the urethra (urethritis), purulent diseases of the skin of the penis, soft and hard chancre, disintegrating tumor of the penis.

The most common factor that leads to balanita and balanopostita is phimosis - the narrowing of the flesh.

As seen Balani and balanopostit?

The main manifestations of balanita and balanopostita are:

* Itch in the flesh
* Burning sensation in the head and foreskin
* Redness and swelling of the head of the penis and foreskin
* Purulent detachable from the bag preputsialnogo
* White caseous allocation or attacked with kandidoznom balanopostite
* Difficulty and pain in the exposure of the head of the penis

Treatment

Usually with balanitom and balanopostitom can cope with the help of local actions:

* Hygiene of the penis
* Washing the head of the penis in the bath with antiseptics
* If you spend phimosis circumcision.

Precancerous disease of the penis

There are several precancerous-, ie, those that can turn into cancer, diseases of the penis:

* Cutaneous horn is a formation caused by enhanced cornification of epithelium, which covers the head of the penis and the flesh. Most cutaneous horn occurs in the place of small lesions. Outwardly cutaneous horn is a dense (density nail) growth of 2-3 cm, yellow or whitish in color.
* Obliterating kserotichesky Balani arises because of the allocation smegmy. The main manifestation of this disease is the appearance of white spots, which are located on the foreskin and head of the penis. Such education often leads to a narrowing of the external openings of the urethra.
* Leukoplakia - is a defeat even the head of the penis due to enhanced epithelial cornification head of the penis and foreskin. There leukoplakia due to constant irritation. Leukoplakia rarely reborn in cancer.
* Pointed kondilomy is a viral disease that is caused by human papilloma virus (HPV). These viruses cause warts, the erosion of the cervix in women. Pointed kondilomy can affect both the head of the penis, and scrotum, as well as perianalnuyu area (area of skin near the anus), mocheispukatelny channel. Genital warts, also called a pointed kondilomy appear in the form of pink, grozdevidnyh widening of the size of 2-4 cm When feeling these entities easily.
* Bovenoidny papulez is also a manifestation of viral infection. However, until now, scientists only assume some connection between bovenoidnym papulezom and HPV infection. This disease often leads to cancer of the penis. Outwardly manifested in the form of papular rash (pimple - low education, rise above the surface of the skin, containing no liquid).
* Tumor Bushkov - Levinshteyna or giant kondiloma looks like a pointed kondilomy, but, unlike them, the tumor may penetrate the deep layers of the epithelium of the penis.
* Kaposi’s sarcoma is a dark, bleeding, sensitivity dotragivanii papule in the skin of the penis. Kaposi sarcoma usually appears in patients with HIV infection at the stage of AIDS.

Treatment of precancerous diseases
The main method of treatment of precancerous diseases of the penis is their removal. Running removal to prevent cancer of the penis. Removal of precancerous diseases can be performed by various methods. This simple excision, and circumcision in the flesh, as well as electrocoagulation, laser effects, the use of chemically active substances (podofillin, TRICHLOROACETIC acid solution). In each case, the method of treatment chosen individually, based on the type and extent of lesions.

Cancer of the penis

How often and why a cancer of the penis?
Cancer of the penis is relatively rare in Europe and the United States. Approximately 1% of all cancers are cancer of the penis. In Asia, Africa, Latin America, cancer of the penis occurs much more frequently.

When asked why a cancer of the penis, there is no answer. We know that men, in the flesh, which is not circumcised, penis cancer occurs more frequently. But there are conflicting data, say that circumcision does not lead to a reduction in the risk of cancer of the penis. The golden mean is probably located in the premise that if uncircumcised foreskin and disregard for personal hygiene cancer occurs more frequently. This is due to the fact that stored smegma may irritate the mucous membranes of the penis, which in turn can lead to inflammation, the emergence of precancerous diseases and, as long during the process - to cancer.

Cause cancer and precancerous diseases may, as explained above.

Symptoms of cancer of the penis

The main symptom of cancer of the penis is the presence of a tumor. There are ekzofitnuyu and endofitnuyu growth forms of cancer. The first involves the growth of tumors in more outward, and the second involves the growth inside. When ekzofitnoy the cancer tumor has the mushroom shape. When endofitnoy - a tumor in the node is located inside the penis or in the form of anthrax. Most often, the tumor arises in coronal furrow penis, rarely in the flesh.

The tumor gradually increased in size, can pass from the head of the penis in the cavernous body. Tumor cells spread to the lymphatic vessels in the inguinal lymph nodes. As the blood cells can be distributed in the internal organs and infect them.

The basis of diagnosis of cancer of the penis - examination. Mandatory to establish a diagnosis is biopsy - lifetime study of tissues, котрое held under a microscope. Without a microscopic examination of tumor tissue surgical treatment is impossible.

Treatment

The main method of treatment of cancer of the penis is surgical. In small tumors (1 stage), it is possible organ treatment, which removed the tumor in the healthy tissue. In this part of the penis remains. In small tumors foreskin excision it is possible with full penis. In common tumors of the full removal of the penis (penektomiya). When you defeat inguinal lymph node removal surgery complement these sites. When you remove the penis in the perineum form external urethra orifice. Results of treatment of cancer of the penis can not be described as satisfactory. More than half of patients do not survive after treatment of 5 or more years.

Phimosis

What is phimosis?

Phimosis - this is the narrowing of the flesh, which does not expose the head of the penis. Foreskin is called the skin covering the head of the penis. It has two leaves - the inner, which is a mucous membrane and the outer, which is a continuation of the skin of the penis.

What types of phimosis are?

Phimosis is a physiological and pathological. Physiological phimosis observed in newborn boys. Head of the penis they can not reveal and it is normal, which is not difficult urination, not a possible cause of inflammatory diseases. Over time, foreskin increases, it increases the hole, and the head can be naked without any effort.

Pathologic phimosis occurs as a result of inflammatory processes occurring in the foreskin. Typically, these inflammatory processes are the two diseases - Balani and balanopostit - inflammation of the head and / or foreskin.

What is dangerous phimosis?

Phimosis is not a danger to life, but for the penis danger it represents. The inability to uncover the head of the penis can lead to the following:

* Continuous inflammation foreskin and head of the penis until an expanded picture of the disease, when the temperature increases, the increase in lymph nodes
* Udavleniyu head of the penis. If sex can denude head violently. As a result sdavleniya penis intended flesh swelling occurs, but in the absence of timely assistance provided may develop gangrene of the penis.

Diagnosis of phimosis

Phimosis Diagnosis is based on determining complaints and inspection of the patient. Well-conducted survey of the patient, as phimosis may contribute to such diseases as diabetes mellitus.

Treatment of phimosis

The main and the only method of treatment of phimosis is circumcision - an operation to eliminate in whole or in part the flesh.