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Can Enlarged Prostate Cause Erectile Dysfunction (Sexual Impotence)?

The relationship between an enlarged prostate (called Benign Prostate Hyperplasia – BPH) and erectile dysfunction (sexual impotence) is one of the topics that raises more questions and uncertainties.

After all, one thing is certain: both problems affect the quality of life of patients, so their combination results in even greater concern.

However, over time, several myths emerged about this relationship that it is important to clarify.

What is Benign Prostate Hyperplasia?

This is a pathology that is characterized by an increase in the number of prostate cells, resulting in an increase in its volume and size. This change occurs especially in a region called the transition zone, around the urethra.

In general, the incidence of this problem tends to increase with age: it is estimated that it affects around 20% of men over 40 years of age and one in three over 65 years of age.

Among the main risk factors that seem to increase the probability of developing a benign prostate growth is testosterone, which is responsible for cell proliferation in this organ that causes the pathology, explains the best urologist in Pitampura.

Main Symptoms of BPH

As the increase in volume develops mainly around the urethra, causing its compression, it is common for some urinary complaints to appear, known as LUTS (Lower Urinary Tract Symptoms, which means Lower Urinary Tract Symptoms).

Some of the most common symptoms are:

  • Decreased urinary stream;
  • Inability to urinate;
  • uncomfortable or painful urination;
  • Frequent feeling of a full bladder;
  • Urinary incontinence (inability to retain urine).

What is Erectile Dysfunction (Sexual Impotence)?

Erectile dysfunction is often known as impotence, which is characterized by the inability to initiate or maintain an erection strong enough for satisfactory sexual intercourse, explains the sexologist in Rohini.

As there is often a lot of shame in admitting this problem, the truth is that this problem is much more common than you think.

Having difficulty getting an erection is natural at some point in life, for both younger and older men – so it doesn’t necessarily mean there is a problem.

However, when it occurs frequently it is important to understand the reason so that the condition can be resolved.

Despite being a non-life-threatening disorder, in most cases it has undesirable consequences for many men: it affects not only their personal and sexual life, but also their self-image and self-esteem, negatively influencing interpersonal relationships, states the sexologist in Pitampura.

What is the relationship between BPH and Erectile Dysfunction?

There are several myths that associate the prostate and its function with the ability to erection – and they are not true.

In fact, they represent different mechanisms: the prostate plays a fundamental role in the ejaculation process but not in the erection process.

Male sexual function depends on the normal interaction between the following systems:

  • hormonal;
  • Neurological;
  • Vascular (arterial and venous);
  • Psychological.

So, a change in any one of them can cause some sort of dysfunction, resulting in impotence.

Although some prostate diseases can interfere with sexuality, they usually do not represent direct causes.

An enlarged prostate by itself does not cause impotence, unless there is compression of the nerves responsible for an erection. Some of the treatments for diseases of this organ, however, can cause impotence, explains the Best Urologist in Delhi.

What Treatments Can Cause Erectile Dysfunction?

BPH is a pathology for which, nowadays, there is a wide variety of therapies that, although they resolve the condition, may have some sexual side effects, namely in terms of the ability to erection.

Furthermore, they can also affect libido (sexual desire) as well as the ejaculation mechanism.

Medical therapy is one of the treatments with the most side effects of this type, especially 5 alpha-reductase inhibitors (finasteride and dutasteride).

  • Finasteride was associated with erectile dysfunction in a high percentage of treated men, so they are not first-line drugs for BPH.
  • Alpha-blockers can decrease the volume of ejaculated sperm.

As for prostate surgery in Pitampura, whether open or endoscopic, they present very rare risks of erectile dysfunction, although they carry risks in terms of ejaculation.

Early Diagnosis and Expert Counselling

Prostate treatment in Pitampura for an enlarged prostate can increase the risk of impotence.

Even so, it is sometimes possible to avoid these consequences thanks to an early diagnosis.

When it is discovered at an early stage, it may not even be necessary to resort to medical or surgical therapies, but to actively monitor the evolution of the disease.

This is an attempt to reduce the risk of developing sexual consequences from the treatments carried out.

But the first step is up to you.

Look for a specialist urologist in Delhi to have complete and personalized advice, which will show you the most favorable path to follow.

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Testicular Pain Treatment

When Should We Worry About Testicular Pain?

Most men, on more than one occasion, may present localized pain in the testicles, which, with the passing of hours or days, improves spontaneously or, on the contrary, persists or progressively worsens.
As indicated by the urologist in Rohini, pain can be understood as an alarm sign that warns of a problem with an organ and from this point of view it is not normal for testicular pain to exist, although sometimes the cause of this ailment originates from a mild or transitory alteration. The specialist adds that “the testicles, unlike other organs housed in the abdominal or pelvic cavity, are more exposed in the scrotum, without many anatomical barriers to protect them, so that, most of the time, the presence of Mild, transient and occasional testicular pain originates from small compressions or local trauma.

What are the main causes of testicular pain?

The urologist in Rohini tells us that there are various causes for cases of pain, including:

  1. Presence of varicocele (varices of the spermatic cord): it usually produces pain of mild or moderate intensity, associated with exercise or some movements.
  2. Inflammation or infection (orchitis or epididymitis) caused by viruses that circulate in the environment, bacteria that cause urinary infection or others that are acquired during unprotected sexual intercourse.
  3. Torsion of the testis. In this case, the testicle rotates and the testicular blood supply decreases or is completely interrupted, putting the vitality of the tissue at risk. It occurs mainly in children, adolescents and young adults.
  4. Tumor pathologies: although testicular cancer can cause pain, it must be taken into account that testicular pain is often mild or even absent.
  5. Trauma: a blow or compression in the genital area can cause pain and serious damage, depending on the magnitude of the injury.
  6. Pathologies of a benign nature, such as cysts or hydroceles of significant size, can also cause pain.
  7. Spreading or radiating pain: there are conditions that, without directly compromising the testicle, can be associated with testicular pain, for example renal colic, due to stones in the urinary tract, or inguinal hernias.

What happens when one testicle is larger than the other?

The urologist in Pitampura points out that it is normal for there to be a slight asymmetry in the size and position of the paired organs. Such is the case of the kidneys, the ovaries in women and the testicles.

“However, the difference in size in the testicles should be minimal and any rapid variation in testicular volume (either growth or decrease) should prompt an urgent consultation with a urologist in Pitampura. The vast majority of testicular tumors or cancer initially manifest with an increase in the volume of the testicle (rapid growth and increased consistency) before pain”, emphasizes the specialist.

The best urologist in Pitampura is emphatic in stating that “men should not be afraid to consult a urologist in Delhi if they have pain or other alterations in their testicles, because the timely diagnosis of some of the pathologies that cause these symptoms is essential to maintain sexual and sexual health. reproductive. And in the case of testicular tumors it can mean the difference between life and death.”

What are the consequences of not treating the causes that lead to testicular pain?

It is essential to specify the specific problem that causes testicular pain, through the interview and physical examination during the consultation and laboratory tests or imaging tests (particularly testicular ultrasound).

“All this must be done quickly and in a timely manner, since there are pathologies that require immediate treatment to avoid damage to the testicle (torsion of the spermatic cord), long-term sequelae that decrease or alter fertility (infectious orchiepididymitis or varicoceles) or, in the worst-case scenario, that put the patient’s life at risk (testicular cancer)”, adds the best urologist in Pitampura.

What are your treatments?

The treatment can start at home with some general measures recommended by the best urologist in Rohini:

  • Use of a scrotal suspender or somewhat tight underwear.
  • Cold compresses or local ice intermittently, in periods of 20-30 minutes.
  • Take a dose of common pain reliever.

If with these measures the pain does not subside or worsens, it is essential to consult a urologist in Delhi on a scheduled basis or to the emergency service, or if in addition to the pain there are other warning signs: fever, nausea, vomiting, increased volume, etc.

Treatment Options

Once the diagnosis is made, treatment will be indicated according to the probable cause.

  • Analgesics/anti-inflammatories in the appropriate dose and period, according to each patient.
  • Specific antibiotics in proven or highly suspected cases of bacterial infections.
  • Urgent surgery in cases of testicular torsion, testicular tumor or infectious complications (abscesses) or derived from local trauma (hematomas, wounds).
  • Deferred or scheduled surgery: in cases of benign pathologies that do not endanger the life or functionality of the organ and that, therefore, can give a waiting period, or be initially treated with drugs to reduce symptoms (varicocele, hydrocele, cysts, testicular hydatid torsion, etc.).
  • Pharmacological or surgical treatment of other pathologies that can secondarily produce testicular pain: renal colic, inguinal hernias, “elevator” testicle, diabetic neuropathy, chronic idiopathic testicular pain (without apparent cause).

What care must be taken in the treatments?

In general, the main recommendations can be summarized as follows:

  • Do not self-medicate. Avoid taking medications without a medical prescription.
  • Follow your doctor’s instructions exactly. Go to the controls.
  • Consult the best urologist in Delhi in a timely manner. Remember that not only pain is a warning sign (abrupt change in size or consistency of the testicle can be an indication of serious pathologies, such as testicular cancer).
  • Take into account the possible consequences derived from the consultation or late treatment: infertility, irreversible damage to testicular tissue, chronic pain, etc.

What measures are useful to prevent this problem?

Symptoms cannot always be prevented, however, the best urologist in Delhi points out that the following measures are very important:

  • All men should perform a self-examination on a regular basis to be able to detect changes related to the size or consistency of the testicles.
  • They must be protected during the practice of risky activities or contact sports.
  • Practice safe sex (single partner, condom use).
  • Mumps vaccine: This viral infection can cause orchitis (inflammation of the testicle) and infertility in some cases. The vaccine is included in the mandatory childhood vaccination plan (at one year and at 6 years of age), and a booster dose can also be applied between 20 and 30 years of age.


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Benign Prostatic Hyperplasia

Understand what Benign Prostatic Hyperplasia is

Before we talk about benign prostatic hyperplasia (BPH) it is important that you know what the prostate is. The prostate is a male-only organ.

It is found in the pelvis, close to the bladder and involves the urine channel. Its function is to produce a large part of the liquid that forms the sperm and that liquid, in turn, has the function of ensuring that the sperm survive.

Now that we know a little more about the prostate, let’s talk about benign prostatic hyperplasia (BPH).

As a man ages, the prostate enlarges. It is something so frequent that, at the age of 90, 90% of men will present this picture.

This is NOT prostate cancer; cancer is another disease. The 2 diseases can happen at the same time, but they are different diseases.

But if BPH is not cancer, what problem does it cause? As the urine channel (urethra) passes inside the prostate, as the prostate enlarges, it can compress the urine channel, making it more and more difficult to empty the urine through the bladder.

Symptoms of benign prostatic hyperplasia:

  • Thin and weak stream of urine.
  • It takes time to start pee.
  • Persistent drip at the end of the urination.
  • Interruption of the urine stream, making it necessary to “exert force” to restart it.
  • Frequent desire to urinate, causing the sensation of not having been able to completely empty the bladder.
  • Sudden and intense urge to urinate.
  • Pain when urinating.
  • Waking up at night more than once to urinate.
  • Presence of blood in the urine.

Only the best urologist in Delhi has adequate education and training to diagnose and treat this disease. After all, complex health problems require specialist treatment.

It is up to the urologist in Delhi, together with the patient, to decide which treatment is most appropriate for each case. But for this, we evaluated the intensity of the described symptoms and how much these symptoms are affecting your quality of life.

In addition, the test results requested by the urologist in Rohini may also influence the choice of treatment.

What are the most common treatments used to treat Benign Prostatic Hyperplasia?

Drug Treatment: The best urologist in Rohini prescribes medications that help the patient to urinate more easily. The medications can be alpha-blockers, which relax the muscles of the prostate, decreasing the obstruction of the urine channel and / or 5-alpha-reductase inhibitors, which decrease the size of the prostate.

The Urologist in Pitampura looks for other treatment options when the patient does not show improvement or good response to drug treatment. Whether due to the lack of results, intolerance to side effects.

Main surgical treatments for benign prostatic hyperplasia

Transurethral Prostate Resection (TURP)

T rata up procedure we put a small camera in the channel of urine and “scraped the prostate” internally. This is the standard surgical procedure.

Enucleation of the prostate

It would be something similar to RTU, using, however, the laser for removal of bloc. That is, in a single “piece” of the inner portion of the prostate that compresses the urine channel.

Prostate vaporization

This procedure is also surgery through the urine channel. The difference is that instead of removing the tissue from the prostate, we “evaporate” it, destroying that tissue, with no need for removal. We can use different energy sources like plasma or a special type of laser. It presents results similar to the techniques described above, but the major criticism is that there is no tissue sent for analysis.

Needle transurethral ablation of needle

It is a device inserted in the urine channel, which uses radiofrequency, generating heat and ablation (destruction) of the prostate tissue.

Prostatic stents

A stent is placed in the region of the urine channel compressed by the prostate, “arming” the urine channel and reducing this obstruction. The mechanism partly resembles coronary stents.

Embolization of the prostate arteries

This is an exceptional treatment, in which catheterization of the femoral artery is performed, by inserting a very thin tube, which is guided to the vessels that carry blood to the prostate. Through this tube, a material is injected to block the arrival of blood in the prostate, leading to a reduction in the arrival of oxygen and food to the prostate and a decrease in the organ.

Consult with a specialist beforehand to treat benign prostatic hyperplasia

It is important to note that if any symptoms of Benign Prostatic Hyperplasia are felt, you should seek a Urologist in Pitampura as soon as possible. Any treatment is more likely to succeed when the patient consults a urologist in Delhi in the early stage of the disease.