WHAT IS PHIMOSIS? WHAT COMPLAINTS DOES IT CAUSE? WHAT IS THE TREATMENT?

PHIMOSIS (tight foreskin of penis)

The end of the foreskin is too narrow. There is an opening up to a pinhead. The inner surface of the skin is attached to the head portion of penis. Skin can not be drawn behind of the head. This happens from birth or develops later after an inflammatory event. If it is too narrow, patient cannot urine. Even if the collection of urine under the skin occurs, foreskin swells like a balloon. Urine flows dropwise. If it is untreated at the end of the penis inflammation, irritation, inflammation develops in the urine, and this will cause wounds in the head. Treatment is circumcision.

WHAT IS PARAPHIMOSIS? WHAT COMPLAINTS DOES IT CAUSE? WHAT IS THE TREATMENT?

The foreskin cannot come forward again after back draw of the head of the penis. Usually it consists of strictures of the foreskin. The skin pulled back by the child or parents his father with the aim of cleaning, and then the skin swells and reddens and strangles the glans. If it is the early stages of treatment, the skin derives to forward. But if it is too late, there is no choice without circumcision.

HOW DOES PENIS INJURIES AND PENIS FRACTURES OCCUR?

The penis is a mobile organ protects itself against shocks. Completely break occurs after the cessation because of accidents or deliberates (because of jealousy and revenge). Blood comes from the penis on impacts. Breakage of the penis occurs as a result of bending of the hardened penis suddenly and sharply. Early treatment is important in order to avoid erection problems.

WHAT IS BALANOPOSTITIS (INFLAMMATION OF THE PENIS)?

It becomes because of stenosis in children and cleaning problems in adults. It takes the form of the foreskin and / or inflammation of the glans.

WHAT IS THE DEFINITION FOR PEYRONIE’S DISEASE?

It occurs because of connective tissue the formation of plaque within the tunica tissue under the skin of the penis. The cause is unknown. It is thought to be rheumatic or autoimmune disease. Usually this disease occurs after age 40 and may be on the back side of the penis or both sides. Regardless of where hardened penis stands bent in the opposite direction. There is pain in the late period. Sometimes it is not possible merger. It is possible to feel these masses of rigid plates during manual examination.

Although it is a harmless disease, the patient’s complaints should be treated. Rarely does it disappear on its own.

HOW IS PEYRONIE’S DISEASE TREATED?

Treatment: Real treatment is unclear. The patient is stabilized within the first 6 months. Bu bakımdan ciddi bir tedavi yapmadan önce 6 ay beklemekte (fayda mı vardır? Yüklem eksik) ve bu süre zarfında faydası olduğu kesin ispatlanmamış olan E vitamini , Potaba ( potasyum paraamino benzoat ) , Tamoksifen ve kolşisin gibi ilaçları kullanımı ve veya plağın içerisine kireç giderici ilaçların( verepamil , interferon , kollanejazlar ve kortizon benzeri ilaçlar ) injeksiyonu yapılabilir. Special tools which provide application of some medications over the penis via the skin by using direct current have been developed instead of these injections which are very painful and successful results have been reported.

Surgery should be done in delayed cases. There are different surgery techniques.

The main objective is not to shorten the size of the penis and make a penis preserving erectile function properly as a cosmetic look.

WHAT IS PRIAPISM? WHAT ARE FACTORS FOR OCCURRENCE?

spontaneously painful hardening of the penis:

Long-term hardening of the penis without sexual desire or can be defined as a state prevent the loss of hardness even after orgasm.

It needs to have an erection longer than 6 hours for the separation from prolonged hardening (erection).

It can occur at any age and it is seen the most frequently between the ages of 5 and 10 and also between the ages of 20 and 50.

When it is detected in young patients, the cause is “sickle cell anemia”, a hematologic disease or some malign diseases in general.

The cause in elder patients is generally “idiopathic”.

In a special case, it may develop as a complication of injection into the penis and synthetic drugs which hardening (like papaverine) eliminating the problem of hardening or used to research the problem

Other than that, this situation may also occur after the use of drugs “After the genital area trauma” or “in antidepressant and some antipsychotic”.

HOW IS PRIAPISM TREATED?

Within the first 12 hours destruction begins in “cavernöz corpuscles” of erectile bodies, after 48 hours even if the penis is softened and returns to normal, in the end, impotence (impotence) occurs.

Therefore, it needs emergency response in the first 12 hours.

In treatment clotted blood is drained through the injector. Inside the cavernous bodies are washed with serum. If not enough; drugs which overcome clotting are given into the penis. Spinal anesthesia may be tried. However, if still not enough; inside of the cavernous bodies drains with some specialist surgical techniques.