Archive for May, 2008

posted by brandonkelly on May 30

The prospect of having an uncircumcised penis is growing more popular in the United States these days as circumcision rates have fallen dramatically since the seventies. But even the medical establishment cannot state categorically that having an uncircumcised penis is better or worse than having a circumcised penis.

These days, having an uncircumcised penis has become popular enough to actually spawn a movement towards foreskin restoration. Backed by a group of disgruntled American men who felt that they were mutilated against their will when they were circumcised as infants, foreskin restoration, which has actually been practiced for centuries, has once again gained a following.

Some men have even taken the task of championing an uncircumcised penis to the extreme by launching their own so-called genital integrity movement. The members of this movement condemn all kinds of infant circumcision, including those that are medically recommended, because they regard it as male genital mutilation. However, their numbers are few and their beliefs largely unpopular.

Nonetheless, today, there are a number of non-surgical (as well as surgical) restoration techniques that can successfully restore an uncircumcised penis as well as a number of restoration devices that provide men with the do-it-yourself option of foreskin restoration.

The logic and need for male circumcision has been a topic of debate in the medical profession for decades. Many doctors feel that the only valid reasons for male circumcision are religious and medical. In fact, the medical association of the USA, Canada and Australia have all ruled against “non-therapeutic” circumcision or circumcision that is “non-religious, non-ritualistic and not medically necessary.”

In spite of that, an American Medical Association review in 1999 said that if American parents “chose elective circumcision for their child, it is largely because of social or cultural expectations, rather than medical concerns.

On the other end of the circumcision debate are those doctors who strongly endorse circumcision, pointing to the fact that an uncircumcised penis is more prone to sickness and disease such as penile cancer and sexually transmitted diseases as well as urinary tract infections in babies. In some cases, male circumcision is a necessary procedure such as in the treatment of phimosis and chronic inflammation.

Penile cancer is a key concern for any man with an uncircumcised penis. According to a study by Kochen and McCurdy in the seventies, penile cancer “exclusively” affects those over the age of 70 with an uncircumcised penis. Their study cited an occurrence rate for penile cancer to be 1 in 600 among uncircumcised men with a median age of 67. Their study also concluded that, “Since the uncircumcised male is uniquely susceptible, virtually all of these cancers are preventable by neo-natal circumcision.”

In 2005, the American Cancer Study came out with a study that acknowledged that circumcision “may reduce the risk of more invasive forms of penile cancer, it is important to concentrate on the main risk factors: poor hygiene, having unprotected sex with multiple partners, and cigarette smoking.” Overall, their consensus was that “circumcision should not be recommended as a prevention strategy for penile cancer.”

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posted by brandonkelly on May 30

Testicular cancer is the most common disease among males age 15 to 35 and it has claimed the lives of millions. For this reason, doctors recommend regular testicle self-examination - monthly, if possible - to make sure that you don’t have any unusual lumps or bumps.

A monthly testicle self-examination will make you familiar with the normal state of your testicles and make it easy for you to note of any changes in the future.

Lumps and bumps are usually the first sign of testicular cancer. Other symptoms include pain and tenderness in either testicle, a notable increase in the size of your breasts, and the sensation of fluid or bloatedness in you scrotum.

A little blood in your sperm during ejaculation is no cause for alarm and rarely indicates testicular cancer. If you notice a sudden enlargement in one testicle, see your doctor, although bear in mind that having different-sized testicles is normal. It is usually the right testicle that is larger than the left.

Doctors recommend that men undertake a testicle self-examination following a hot bath because the heat will loosen the scrotum and make self-analysis easier. Focus on one testicle at a time. Feel for lumps and compare the size and shape of the two testicles. Larger or odd-shaped testicles may mean something so examine further by visiting a doctor. The same goes for any sudden discoloration of the testicles.

To examine your testicle, roll it in your fingers and thumb as you press gently, using both hands as you check for symptoms. Are there any swellings or lumps or changes in firmness? These may not mean anything but they are reason enough to visit a doctor.

At the top of each testicle, you will feel the epididymis, so don’t be alarmed. The epididymis is the tube that carries sperm from the testicles to the penis. It’s soft, feels like rope and is tender to the touch. It may feel like a lump but it’s normal.

The size of the lump you are looking for is small, about the size of a pea or a grain of rice.

If you do find a lump, do not be alarmed. Testicular cancer is a curable disease. The main thing is that you catch it in time and get treatment early. If you do, the odds are very much in your favour as more than 90% of testicular cancer patients recover fully and that includes 100% of cases where the disease has not yet begun to spread. And even in those cases where it has spread, the chances of recovery are still at a healthy 50%

Undertake testicle self-examination the next time you take a shower. There are only two instances when you will become aware of testicular cancer: when you discover it yourself through a testicle self-examination or when it has spread throughout your body and has become a genuine health risk.

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posted by brandonkelly on May 30

The penis implant is an effective recourse to impotence. It is usually a last resort for men whose erectile dysfunction stems from to medical causes that likely cannot be resolved through other medical treatments.

There are typically two types of penis implant. One involves inserting plastic bars into the penis while the other uses an inflatable prosthesis. The difference is that the first one produces a permanent (although not 100% hard erection) while the second allows the man to get an erection any time he wants by simply inflating the prosthesis.

During the operation for implanting the plastic bars, the surgeon makes an incision on the underside of the penis and inserts the penis implant on each side of the urethra. He then closes the skin with sutures which the body will absorb naturally.

During the operation for inflatable prosthesis, the surgeon makes an incision at the top of the penis and stretches the penile tissue to accommodate the prosthesis. In some cases, the inflatable prosthesis replaces the two corpora cavernosa. A fluid reservoir is placed under the skin at the base of the pelvis just above the bladder. The pump can be manipulated by hand so that the cylinders of the plastic prosthesis are filled with fluid and inflated to cause an erection.

Once the prosthesis is inflated, the penis resembles a natural erection in both stiffness and thickness. Some men observe that the inflated erection is somewhat smaller than their normal erection. Recently, however, newer models have been introduced in the market that have cylinders to make the erection longer and thicker.

In terms of sensitivity, a penis implant feels the same way and does not affect the patient’s capacity to reach orgasm. However, it can disrupt a man’s normal erection reflex such that he can no longer achieve an erection without first inflating the penis implant.

The entire procedure usually takes a hospital stay of three to seven days and a recovery period (without complications) of four weeks. The sensitivity of the penis and its ability to be aroused also return after that time.

Several factors that may increase the risks during penis implant surgery, including smoking, poor nutrition, obesity and stress. Being overweight or suffering from a chronic illness are other factors that increase surgical risks. Other risk factors include the use of drugs such as insulin, sedatives, tranquilizers, muscle relaxants, sleep inducers, etc. as well as mind-altering drugs such as cocaine, hypnotics, hallucinogens, psychedelics and marijuana.

Among the possible complications that can stem from such a procedure are mechanical failure, an infection of the surgical wound, erosion of the skin or urethra and the body’s rejection of the synthetic implants.

Surgery typically only leaves a very small scar that is hardly noticeable. In fact, a penis implant is usually not noticeable at all even from up close. There is little or no reason to be embarrassed in the bedroom, restroom or locker room.

During the recovery period, the patient will notice a hard ridge where the surgeon made the incision. This will recede gradually as the wound heals and should not cause any discomfort. To relieve any pain from the incision, a warm compress, heating lamp or electric heating pad is recommended.

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posted by brandonkelly on May 30

Among all mammals, man apparently is the only one who has a kind of consuming concern about the size of his penis. The fact that average penis size among men is remarkably larger, longer and thicker than the average penis size of other primates, including the bigger primates like the gorilla, should be good enough for men. But no, this is obviously not the case.

There are no official figures for average penis size. Hence, the measurements of the average penis size will naturally vary from source to source, depending on whom you ask. Researchers have undertaken numerous studies that seek to determine average penis size of men. Their results provide some insight about how you measure up.

In September 1996, the Journal of Urology published a study that pegged average penis size (length) at 12.9 cm or 5.0 inches. In December 2000, the International Journal of Impotence Research came out with its own study that placed average penis size (length) when erect at 13.6 cm or 5.35 inches.

Meanwhile, Lifestyle Condoms conducted its own study during Spring Break 2001 among college students frolicking in Cancun, Mexico and their findings revealed an average penis size when erect of 14.9 cm or 5.9 inches.

Two other surveys were conducted online recently and their findings are totally different from the rest: Sizesurvey pegged average penis size at 16 cm or 6.4 inches while TheConfidentPenis pegged average penis size when erect at 15.6 cm or 6.1 inches.

The Lifestyles Condom study also measured average penis size (girth) when erect and found an average of 12.6 cm or 5.0 inches.

For flaccid length, the Journal of Urology placed average penis size at 8.8 cm or 3.5 inches. Several studies stressed that the length of a flaccid penis is not proportional to its length when erect. Some studies cite instances when a below-average flaccid penis would grow to five times its length and twice its girth when erect. Meanwhile, an above-average flaccid penis might only grow 1.5 times when erect.

A word of caution here: many of these studies could be unreliable depending on the manner that the survey was conducted. For instance, if there was self-selection bias involved, which means that men could choose to either be measured or not, the results would likely be biased. The likelihood is that men who felt they had small penises would refrain from being measured while those with larger penises would readily subject themselves to measurement. There are no studies that have taken into account this self-selection bias.

In addition, those studies which require self-reporting of penis size (the online studies for instance) will likely have flawed results given the inclination of men to exaggerate their penis size or measure the penis incorrectly. For instance, the two online studies on average penis size mentioned above reported significantly higher measurements than the other studies.

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posted by brandonkelly on May 30

A penis rash is actually quite common in men, but that does not mean that you should take it for granted. The wise thing to do is visit your doctor to get a clean bill of health. This article discusses some of the most common causes of penis rash but it is still no substitute for getting a professional medical diagnosis. Besides, you don’t want to give your sex partners any cause for alarm now, do you?

There are generally three types of penis rash based on their appearance. These are ulcers, papules and plaques.

Ulcers are craters on your skin that are usually filled with a clear liquid or pus. They are thick around the edges and usually have a crust.

Papules are spots that are less than a centimeter in diameter and are characterized by lumps or lesions on the surface of the skin.

Plaques are lesions that are bigger than a centimeter in diameter and are raised and flat-topped.

If there is only one ulcer in your penis area, that’s usually a sign of something serious. It may be syphilis, a highly contagious STD. If it’s painless and foul smelling, it could be a tropical disease such as chancroid, granuloma inguinale or lymphogranuloma venereum. Penile cancer also appears as a single, painless ulcer (or may also appear as a papule). Early diagnosis is critical before it becomes life-threatening.

Having several ulcers is more common and less serious. They can be acute (lasts less than two weeks) or chronic (lasts more than two weeks).

Herpes simplex is the most common cause of penile ulcers and it is acute. The penis rash consists of many small blisters that break easily into painful ulcers. It can be transmitted through sex and is very contagious. The first herpes simplex attack normally comes with a fever.

Chronic ulcers such as Pemphigus and Behcet’s disease usually infect other parts of the body such as the mouth, skin, nerves and joints, but may also be confined to the genital area.

Most papules in the genital area are harmless but some can be very, very serious. One such papule, molluscum contagiosum, is considered a red flag for unsafe sexual practices. This disease appears as numerous dome-like papules with a plug in the middle that produces a curd-like discharge when squeezed. Patients with this ailment are normally screened for HIV. This penis rash tends to disappear even without treatment.

One common penis rash is known as pearly penile papules and they usually appear as multiple papules around the crown area of the glans. About 10% of all men are affected by pearly penile papules, which are often mistaken for warts. They do not require any treatment and are not contagious.

While penile plaques are not a serious penis rash by themselves, they can sometimes develop into something more severe. For instance, such plaques as Erythroplasia of Queyrat, lichen sclerosis and balanitis xerotica obliterans can lead to penile cancer if left unattended.

A penis rash in plaque form may cause inflammation of the glans (balanitis) and of the foreskin (posthitis). Both are characterized by red rashes and a burning sensation as well as a peeling off of the skin.

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