We are all subject to the disease at any stage of life. In the case of men, some specific illnesses can directly affect the penis. They can be congenital, that is when the baby is born with the condition or acquired when it is developed throughout life. And there are many: from infectious, sexually transmitted to those caused by poor hygiene.
It is important to keep an eye on the penis, literally, because the diagnosis of the most common diseases is noticeable from observation. The main symptoms are: discharge, blood, warts, redness and sore in the penile region.
As there are many diseases involving the penis, we separated the most common in the offices, in conversation with three specialists in the field. Check the list below.
What it is: It is the inability to expose the glans (“head” of the penis) because of the foreskin, that skin that covers the organ. Most children are born with this, and 90% are no longer between 7 and 8 years old. Adults may develop phimosis due to other diseases, such as diabetes.
Symptoms: Usually itching, redness in the area and pain during erections, which affects men during sexual intercourse.
Treatment: In children, phimosis may disappear. If you don’t leave, you can treat it in two ways: specific ointments or surgery (prostatectomy, better known as circumcision). Many children operate as young children. There are even studies that show that circumcised patients are less likely to contract sexually transmitted infections. The surveys even led WHO (World Health Organization), in 2010, to recommend the technique as part of the AIDS prevention strategy. “Phimosis does not allow men to do adequate hygiene in the region due to excess skin. This can lead to the development of penile cancer and also facilitate the chances of contracting a sexually transmitted disease”, explains urologist in Delhi.
Diagnosis: It is done through physical examination, with the evaluation of a doctor.
What it is: Inflammation of the glans and/or foreskin. It can originate in several ways: inadequate hygiene, over-cleaning, irritant contact dermatitis, local trauma, bacterial or fungal infection ( candida Albicans ). It is not a disease considered to be sexually transmitted.
Symptoms: Redness, itching and burning in the penis area. Pus and an unpleasant smell may also occur in some cases.
Treatment: As it can have several causes, in most cases the change of habit is already sufficient, such as drying the region well to avoid the fungus, wearing cotton underwear, avoiding spending too much time in swimming trunks during the summer and not overdoing the cleaning. In some cases, there is an indication of ointment to treat the disease.
Diagnosis: It is clinical, without the need for exams. When necessary, they aim to identify the causative agent and establish a more appropriate treatment.
What is: It is a deformity in the normal curvature of the penis when it is erect. In some more serious cases, the curve can reach 90 degrees. It is more common in men aged 45 to 60 years. There are no facts to prove the causes yet, but urologist in Pitampura believes that it originated due to micro-trauma in the region (such as a scar that is raised on the skin – a hardened calcium plaque) and, with that, the penis torsion occurs.
Symptoms: A lot of pain in the region and difficulty in sexual intercourse, since depending on the degree of curvature it can cause pain in the man and the partner. In severe cases, it can cause sexual impotence. The patient may experience lumps, which are rigid calcium plaques, on the side or top of the penis.
Treatment: As it is benign, it does not pose any risk to the health of its patients. If the curvature is below 30 degrees and does not cause discomfort in sex, there is no need for surgery, because eventually the disease stops developing, and the penis has a stable curvature, but does not return to what it was before. In other cases, if the curvature exceeds 30 degrees, there are surgeries that resolve the disease, but only if the curvature stops evolving, with six months, more or less, of stability.
Diagnosis: Physical examination includes palpation of the nodules and observation of the curvature of the penis during an induced erection, if necessary.
What it is: Although there are several types of sexual dysfunction, the most common in offices is erectile dysfunction, which is when a man is unable to have an erection during sexual intercourse. It is common for men, from the age of 40, to have erection problems. In India, it is estimated that 50% of men have the disease after the age of 40, according to sexologist in Delhi. The erectile dysfunction can be divided into organic and psychogenic, as well as mild, moderate and severe. The organic can be caused by problems in the nerve or in the vascularization of the penis; in patients with diabetes; men who have had a prostate operation; hormonal disorder, among others. In psychological cases, it may have to do with possible trauma and the type of sexual intercourse.
Symptoms: Inability to have normal sexual intercourse.
Treatment: There are currently many erectile dysfunction treatments in Delhi available. It is an area of medicine that has advanced a lot, according to the sexologist in Rohini. In mild and moderate cases, the use of drugs that help erection, such as Viagra, may be indicated. In severe situations, penile prosthesis or local injections are indicated. In men with psychological blocks, in addition to drug treatment, the monitoring of sex specialist in Delhi is indicated.
Diagnosis: The patient knows, but it is important to talk to the sexologist in Delhi to understand the causes, but erectile dysfunction can be a symptom of other health problems, so blood glucose tests, total testosterone and lipid profile are recommended by sexologist in Pitampura.
HPV (human papillomavirus)
What it is: Among the various sexually transmitted infections (STIs), this is one of the most common and, according to urologist in Rohini, extremely frequent in offices. The problem with this disease is that, in most cases, it has no symptoms. Men even play an important role in this, as they transmit the virus, which increases the chance of cervical cancer in women. There are more than 150 types of viruses, 6 and 11 responsible for warts and 16 and 18 for cervical cancer.
Symptoms: Most HPV infections are asymptomatic. In men, when symptoms show, it is common for warts (“cock’s crest”) to appear on the penis area. In some cases, it may also be accompanied by itching.
Treatment: When warts appear, it is possible to remove them through cauterization or medications. The treatment of warts does not eliminate the virus so the lesions can reappear and the man remains a vector of transmission, even for the partners. Infected persons and their companions should return to the doctor if they identify new injuries.
Prevention: Using a condom in any sexual relationship, including oral, however, its use, despite preventing the disease, does not completely prevent HPV infection, lesions are often present in areas not protected by the condom (vulva, pubic, perineal region) or scrotum.
In addition, vaccines are indicated for girls aged between 9 and 14 years and boys aged 11 to 14 years. The vaccine can also be considered in adults up to 30 years, for example, since it can protect against possible subtypes of the virus.
Diagnosis: It is currently performed through clinical and laboratory tests.
What it is: The disease is related to low socioeconomic and information conditions, poor intimate hygiene, infection by the HPV virus and men who have not undergone circumcision.
Symptoms: The main symptoms are wounds, tumors on the glans, on the skin that covers the penis or on the organ’s own “body”. There may be white discharge and abnormal enlargement of the penile head tissue. In addition, the presence of inguinal ganglia (groin tongue) may be a sign of disease progression.
Treatment: It depends a lot on the stage. Radiotherapy and chemotherapy are indicated in cases of cancer recurrence or as palliative treatment in cases that are not considered surgical. In more advanced cases, partial or total amputation of the organ occurs.
Prevention: It is mainly the hygiene of the penis, with soap and water, in addition to the use of condoms during sexual intercourse.
Diagnosis: When detected at an early stage, penile cancer has a high cure rate. However, more than half of patients take up to a year after their first injuries to seek medical attention. As a result, the disease can spread to other parts of the body, which increases the chances of death. In the case of lesions, they must undergo biopsy (removal of a tissue fragment) for analysis, when the diagnosis will be made.
What it is: Considered relatively rare, but among congenital diseases, it is one of the most common in offices. In this case, the child is born with the disease, which is characterized by malformation of the urethra, in which the opening of the penis may end before the tip or in other lower regions of the male organ. Hypospadias occurs when the organ does not develop normally while the child is in the womb. It may be linked to genetic factors, but, in general, the cause is unknown.
Symptoms: Deformity in the penis, especially in adult cases, because they undergo several surgeries throughout their lives; abnormal urinary flow and sexual dysfunction.
Treatment: Surgery is indicated to correct the problem. In children, the ideal is before the age of two to avoid emotional trauma. There are several types of intervention, so the technique is at the discretion of the best urologist in Delhi.
Diagnosis: The condition is usually detected at birth, by the best urologist in Pitampura himself, without the need for a specific examination.