Services for Men
When The Foreskin Doesn’t Retract – Phimosis
On occasion there are men who are not circumcised and unable to retract their foreskins. This condition is referred to as phimosis. The condition usually results when the man fails to retract his foreskin and a few drops of urine collects under the foreskin and sets ups an infection resulting in scarring and tightening of the foreskin making retraction difficult and sometimes impossible.
Phimosis may be detected in males who report painful erections, blood in the urine, recurrent urinary tract infections, or a weakened urinary stream.
Patients with phimosis may require an emergency intervention and should be referred to a urologist prior to development of irreversible penile damage.
If the foreskin cannot be retracted and hygiene will be a continued problem., then a surgical procedure needs to be performed. This is a last resort, to be performed by a urologist, to achieve the necessary reduction in infections and allow the man to have optimal penile hygiene.
Surgical methods range from the complete removal of the foreskin to more minor operations to relieve foreskin tightness:
- Circumcision is sometimes performed for pathological phimosis, and is effective.
- Dorsal slit is a single incision along the upper length of the foreskin without removing any tissue.
- Preputioplasty, is a limited dorsal slit with a relaxing incision is made on the constricting scar tissue of the foreskin can be an effective alternative to circumcision. It has the advantage of only limited pain and a short time of healing relative to circumcision, and avoids cosmetic effects.=
Bottom Line: A tight foreskin is a condition that requires medical attention and the man should be referred to a urologist for further treatment.
WHAT PATIENTS ARE SAYING...
You turned my life around
Dr. Baum has taken care of my elderly father for many years. He has an elevated PSA level but Dr. Baum has explained the concept of "wacthful waiting" and I and my father appreciate this plan of management.
Drip, Drip, Drip-When the Prostate Gland Causes Constant Dribbling
Some men have a blockage to the flow of urine and the bladder no matter how much it contracts or squeezes cannot fully empty the urine contents residing in the bladder. As a result, there may be a constant dribbling of urine. This is referred to as overflow incontinence. Overflow incontinence is more common in older men and is often due to an enlarged prostate.
5 Things Men Should Know About Benign Prostate Gland Enlargement
Benign enlargement of the prostate gland is natural consequence of aging. Benign prostatic hyperplasia (BPH) will be present in about one quarter of men by the time they reach the age of 55. This figure reaches 50% of all men age 75 and older. The prostate gland that produces fluid for the transport of sperm and surrounds the urethra that carries urine from the bladder to the outside of the body, can have a tendency to grow with age for reasons not entirely known and results in compression of the urethra resulting in symptoms of decrease in urine flow, dribbling after urination, and getting up at night to urinate. Here are 5 facts men should know about their prostate and benign enlargement of the prostate gland:
3525 Prytania St, Suite 614
New Orleans, LA 70115
In The News
Sex & Seniors