Male Urology

Several urological problems only occur in males. Male urologists are experts in diagnosing and managing urological issues specific to males, along with common urinary system problems. Common urological disorders in males are erectile dysfunction, premature ejaculation, male infertility, benign prostatic hyperplasia, penile trauma, and Peyronie's disease. As most male urological issues have stigma linked to them, there is a need to counsel the patients to make them understand that urological diseases are just like other diseases, and timely and appropriate treatment improves the overall quality of life.

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Diseases and conditions

  • Erectile Dysfunction: Erectile dysfunction is characterized by the inability to achieve and maintain an erection during sexual activity in males. The other symptoms include reduced libido or sexual desire. Patients with erectile dysfunction may experience male infertility. People with underlying medical conditions, such as diabetes, cardiovascular disease, obesity, injuries to the nerves controlling erection, depression or anxiety, prostate surgery, cancer treatment through radiation therapy, and tobacco, drug, and alcohol use, are at increased risk of developing erectile dysfunction.
  • Male Infertility: Male infertility is a health disorder characterized by the inability of the male partner to make a fertile female partner pregnant, despite unprotected sex for a year or longer. Risk factors contributing to male infertility include testicle overheating, use of tobacco, alcohol, and illicit drugs, history of undescended testicles, exposure to toxins, trauma to testicles, obesity or overweight, chronic diseases, such as sickle cell disease, and underlying infection.

Procedures and Treatments

  • Medical Management: Non-invasive management of erectile dysfunction includes medications, exercise, and counseling.Doctors may also recommend vigorous aerobic exercises to manage erectile dysfunction. If the doctor believes erectile dysfunction is due to anxiety and depression, he may advise the patient to seek psychological counseling. Penile pumps are also used to manage erectile dysfunction. Management of male infertility is by treating its cause. It includes treating premature ejaculation and erectile dysfunction, infections, and correcting the hormonal deficiency.
  • Surgical Management: Invasive treatment options for erectile dysfunction include penile implants. The surgeon places devices on both sides of the penis. These devices have bendable and inflatable rods. While the inflatable rod controls the erection, the bendable rod keeps the penis firm and bent. Surgical interventions are also advised in managing the diseases that cause male infertility. It includes surgical treatment of varicocele or reversal of vasectomy. Sperm retrieval techniques and assisted reproductive technology may also be recommended for managing infertility.