Category Archives: Penile

ERECTILE DYSFUNCTION TREATMENT DELHI

Erectile Dysfunction Treatment Delhi (ED) is fast becoming hub of globe, as best andrologists like Dr. Gautam Banga are available at affordable cost with world class facilities.  It is commonly known as impotency isn’t uncommon. The incidence of ED increases as man ages, over the age of 50 almost half of men population has ED.

Erectile Dysfunction Treatment Delhi wherein a male is not able to achieve or maintain an erection during a sexual act. It also may be associated with a low sexual desire or low libido. The condition is not limited to a certain age; it can affect men at any time.

Erectile Dysfunction Treatment Delhi

Commonly found causes for Erectile Dysfunction Treatment Delhi are stress, fatigue, apprehension, performance anxiety, relationship problem, too much of alcohol drinking and smoking. A man is diagnosed with ED if the symptom last for days and few months.

The standard protocol of the treatment is medicines, implants, vacuum pumps and surgery in few cases.

What Exactly Causes Erectile Dysfunction Treatment Delhi (ED)?

Let us understand the process of how an erection happens:

When the muscles in the penis and the walls of the blood vessels relax, it helps in increase in blood flow to the spongy tissue of the penis. This spongy tissue is present in the erection chambers after which there pressure increases and aids in erection. Valves present in the veins prevent the backflow of the blood and this helps in maintaining the hardness of the penis. The hardness loses when the stimulation to the penis is stopped or after ejaculation. The nervous and hormonal triggers the increase in the blood flow in veins around the penis. Touch or any stimuli triggers the brain to release the hormones. This brain signals are also suppressed when there is nervousness or anxiety for performance causing Erectile Dysfunction Treatment Delhi Delhi.

There are various factors which increase the risk of Erectile Dysfunction Treatment Delhi Delhi. The entire process of erection depends on the main system- brain, chemicals (hormones), muscles, nerves and blood vessels in male genitals. Any disruption of these components affects the erection.

Psychological factors cause Erectile Dysfunction Treatment Delhi Delhi:

This is usually the primary Erectile Dysfunction Treatment Delhiwhere there is no structural or functional abnormality of the penis. Following are few of the factors

  • Ejaculatory disorders include ejaculation happening too early, too late or none at all.
  • Men with guilt
  • Fear of becoming intimate
  • Depression
  • Poor or lack of communication with female partner also causes ED

Most of the psychological factors only cause temporary ED.

Apart from the psychological symptoms (performance anxiety), few disease conditions also causes ED. The common diseases include:

  • Vascular causes of Erectile Dysfunction Treatment Delhi:

Atherosclerosis which means narrowing of the arteries and hampers the circulation can be one the causes. The small arteries in penis are damaged in atherosclerosis. The arteries are restricted from dilating and hence there is no blood flow in the penis and no erection.

High blood pressure also damages the arteries and impairs the circulation to the penis and there is difficulty in maintaining the erection.

  • High cholesterol
  • Thyroid diseases, testosterone deficiency
  • Peyronie disease where there is anatomical disorder of the penis
  • Cocain consumption
  • Post-Surgery complications such as prostatectomy, transurethral resection, rectal cancer surgery, cystectomy
  • Trauma to the pelvis or spinal cord where the nerves are damaged grossly
  • Radiation therapy for any cancer in pelvic area
  • Various prescription medicines for any organic disease conditions also are one of the many causes of ED. Following is the list of the medicines:
  • Antihypertensives (beta-blockers) to control high blood pressure
  • Digoxin prescribed for heart diseases
  • Diuretics given in kidney conditions
  • Sleeping pills which affects the brain and spinal cord
  • Medicines prescribed for anxiety (anxiolytics)
  • Antidepressants
  • Painkillers with opioid
  • Chemotherapeutic drugs
  • Medicines given for prostate diseases
  • Anticholinergics (block a neurotransmitter) which affects the muscle tone
  • Hormonal medicines with estrogens and which acts on LH releasing hormoneCimetidine for peptic ulcer
  • Diabetes
  • Heart disease
  • Parkinson’s disease
  • Enlarged prostate gland

It has also been found that seventy-two percent of men who have continuous consumption of alcohol suffer with some kind of sexual dysfunction. Premature ejaculation and ED being one among them.

ERECTILE DYSFUNCTION TREATMENT DELHI

Along with treatment protocol men are advised to modify their lifestyle as well. It is said that regular physical activity (not vigorous), losing weight if obese, discontinuing smoking and alcohol reduces the occurrence of ED.

Erectile Dysfunction Treatment Delhi can create havoc in relationship. There are few natural forms of treatment which have been studied and found beneficial to overcome Erectile Dysfunction Treatment Delhi.

Get going:

Simple exercises improve blood circulation which is vital for achieving and maintaining the erection. Weight bearing exercises stimulates the production of prime sex hormone- testosterone which increases the sexual desire.

Plan a balanced meal:

Healthy diet rich in minerals, vitamins from fruits, vegetables, fish, meat (ideal size) decreases the occurrence of Erectile Dysfunction Treatment Delhi. It will also keep in check the weight as obesity is the leading cause of ED.

Sleep and wake up on time:

Set a schedule where you set sleeping and waking time. Regular sleep pattern stimulates the normal hormonal production. It has been studied that less sleep in men reduces the level of testosterone.

Monitor your prescriptions:

Do not gulp down prescription medicines for long run. Always consult the physician for its continuous use.

 

Medications used for ED are called as PDE-5 inhibitors.

Viagra being the popular medications for Erectile Dysfunction Treatment Delhi, others are Cialis or Levitra. These medicines increase the blood flow to the penis and helps in maintaining the erection.

There are always few side-effects when it comes to intake of medications. Few are:

  • Headache
  • Stomach complaints
  • Change in the vision
  • Nasal congestion or nose block
  • Feeling dizzy
  • Facial flushing

 

Patients who do not respond well by medicines may have to undergo surgical process to fit an implant in the penis.

Medical technology has invented not less than a revolution by creating penile implants.

WHAT EXACTLY IS A PENILE IMPLANT?

They are devices implanted in penis in men with Erectile Dysfunction Treatment Delhi. The 2 main types of penile implants are inflatable and semi-rigid. Both types of implant surgery and have pros and cons.

  1. Three piece inflatable penile implant: It is a device with a 3-piece mechanism.

2. Non-inflatable penile implant: This implant is easy to use as the person or the partner just has to bend it up to achieve the erection and down when not in use.

HOW IS IT DONE?

  • One piece is placed inside the abdomen, and there are two cylinders fluid-filled concealed inside the penis.
  • When the pump in the scrotum is squeezed, the saline is transferred to the 2 cylinders inflating them. This mechanism helps in erection.
  • To bring back the flaccid state of the penis, there is a deflation valve in the pump which when pressed deflates the cylinders.

BENEFITS OF PENILE IMPLANT:

  • Penile implant controls the time as well as duration of an erection.
  • Mostly importantly it does not affect the orgasm or ejaculation; hence sex life is not disturbed.
  • It is easy to use and an ideal for arthritis patients or the ones who have difficulty in using hands due to certain disease conditions.
  • The implant being completely concealed inside the body it saves the embarrassment in men with Erectile Dysfunction Treatment Delhi.

Penile implant is considered as a boon for the patients who do not respond to conservative treatment for long.

For further information on Erectile Treatment in Delhi reach us at :

 

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com

 

Hypospadias Treatment Case Study

Hypospadias Treatment is done in Delhi. Dr. Gautam Banga relives an old case of Hypospadias.  

It was August 2013 and like everyone it was the happiest moment of Mamta & Suraj’slife(changed Names) as they were blessed with a baby boy but they were not aware that this happiness will last only for the next few hours. 

The next morning, as a usual process in maternity hospitals, Specialist came to check their son. He was noted immediately at birth that he is suffering from Hypospadias which is an innate Urological disorder in males. Hypospadias is the disorder in which the urinary opening is not present at the usual site, it is present somewhere below the usual site along with curvature of penis.Fortunately both his testis were descended normally and were of normal size. He passed urine well and was recommended to have a paediatric urologist/ surgeon evaluation.

The specialist also informed them that this surgery needs to be done at an age of 12-18 months and it might take at least operative sessions. They were also informed about the complications if surgery is avoided.

The parents got scared for their son as it is really difficult for any parents to get their infant operated. They were not able to sleep for next few nights. They decided not to tell this to anyone in their family but they failed to hide their real emotions and everybody got to know about infants’s disorder. They all were so worried, they all had a fear in their mind whether their child will ever be able to get treated or will lead his whole life like this.

Hypospadias

They started researching about Hypospadias specialists in their region through internet portals and through some references. They found plenty of qualified and experienced specialists also they consulted few of them but still they didnot get confidence on any.

Child was now 3 years old .3 years passed in research and fear. But Suraj (Father)did some more research and found centre of Urethra and Penile surgery at SCI International Hospital in Delhi.

Suraj read about the profile of Dr.Gautam Banga who heads the department of Genito-Urinary Reconstructive surgery. Dr.Gautam Banga is a Genito-Urinary Reconstructive Surgeon. He has done his fellowship in Reconstructive Urology. Dr.Gautam has treated more than 500 cases of Hypospadias in his 09 years of experience with an excellent success rate.

Suraj had a telephonic conversation with the staff who coordinates for department of Urology at SCI Hospital. He was informed about the doctor, about the facilities, was briefed about the surgery and also shared certain success stories. Suraj was convinced with half an hour conversation and planned to visit the Centre of Urethra and Penile Surgery.

Carrying a huge backlog of negativity about hypospadias surgery the parents visited centre for urethra and penile surgery and met Dr.Gautam Banga. They had a lot doubts and questions to ask. They were answered for each query by Dr.Gautam. He guided them about the disorder, the surgical procedure and its outcome and success rate.

They were answered for many valid questions like Will he be completely normal after the hypospadias surgery?

Will he be able to stand and pee/urinate like other Male child?

Will his penis look normal like others?

Will he be able to have a normal sexual life and can father a child ?

Dr.Gautam tried his best to answer them using last decade of his experience in treating children with Hypospadias. The parents were confident about the consultation done by Dr.Gautam. They found someone whom they could rely on to handover their 3 years old son to perform a surgery.

Dr.Gautam examined the child physically and reviewed his history. He noted that the child had not undergone any kind of surgical intervention before. He noted that the child was a case of midpenile Hypospadias with penile curvature (cordee). He explained the parents that surgery might be accomplished in two stages also made them comfortable by assuring for good results. Complications are much less if operated by a surgeon or at a centre where there is a focused practice in treating children with Hypospadias.

He reassured that the anatomy can be reconstructed, the surgery is safe and well tolerated, and a good outcome with a normal or near normal penis appearance and function can be achieved.

So parents decided to get their son operated after a week.

Now the day had come when the child was to be operated. As the child was taken into Operation theatre, parents were worried as well as were happy with a hope to see their child getting rid of the Hypospadias.

Surgery lasted for 2 hours and was done in a very professional way and successfully with no issue.A catheter was placed for 12 days.He was hospitalized for 2 days, their stay was made comfortable by our supporting staff. He was discharged after 2 days and all the precautionary measures were explained to his parents. They were advised to come for follow up after 2 weeks.

After the discharge parents were pretty relaxed. The child recovered in few weeks and the healing was complete in next 3 months.

The child is now able to pee from his normal urinary passage like a normal kid. He was treated successfully in one stage.

We UPS Team wish him a great future ahead. Also a check-up is mandatory later on after puberty at about 13-24 years of age and after 2-3 years of sexual life/ marriage to ensure that the urethra is functioning well.

Dr.Gautam Banga appeals and recommends the parents whose kids are having Hypospadias should consult the doctor early and discuss about the options and procedures.

Delaying the decision of surgery would not be the best option, as this could increase the risk of infection and improper healing.

Every year we treat more than 50-60 kids from all over the world and few of them are referred from other centres and have undergone first hypospadias repair surgery elsewhere and have had some complications of hypospadias repair or a failed hypospadias surgery. We have treated virtually kids from most states of India and from more than 10 countries and counting”

 

For further details on Hypospadias. You may reach out to

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com