MEN'S HEALTH

AWARENESSLETS TALK BALLS!!!!

By Dr PZ Buthelezi-Mlambo

CRYPTORCHIDISM Under scented testis occurs on 30% of premature

and 4% term born babies 6/12 tend to descent on its own

in half of babies if spontaneous descending

doesn’t occur the surgical treatment is indicated because the undescended testes may be damage which could affect fertility later or lead to medical problems

Retractile testes is normal condition in which testes reside in scrotum but temporary retract or pull back into the groin

SCROTAL SWELLINGCauses: Injury Underlying medical condition:eg

---testicular cancer

-vericocel (abnormal enlarged veins in scroutum,

- orchitis( inflammation of testes)

-congestive of heart failure Accumalazation of

fluid(Hydrocele)

May be painless or very painful which is serious and needs emergency treatment mainly caused by

=testicular torsions: injury that causes testicles in scrotal sac to twist which cuts off blood circulation

Treatment: (Depends on causes)

For example: Infection: antibiotics If vercocele, hernia

or hydrocele: surgery

Testicular cancer: will depend on severity of cancer . Eg. chemotherapy or radiotherapy

SCROTAL SWELLING

PHIMOSISAND PARAPHIMOSIS

Phimosis-> Inability to retract the foreskin behind the glans

Types: 1.Physiological phimosis in which children are born with a tight foreskins and separation occurs during late childhood and early adolescence

2. Pathological Phimosis occurs due to infection, inflammation or scarring usually found in uncircumcised adult men

Causes: Physiological phimosis is present at birth and resolve without interventions.

-Patholgical is caused by: scarring, balanitis , underlying medical risk factors

Symptoms: inability to retract foreskins which leads to difficult in cleaning the area which can cause balanitis which is painful urination, painful erection, itchy glans

Paraphimosis: occurs when the fore skin once retracted cannot return to its original location, the skin is trapped behind the groove of the coronal sulcus

Treatment: Circumcision it can reduce the risk of caner of

penis it can reduce the risk of urinary

track infection lower the risk of certain sexual

transmitted disease eg HIV lower the risk of cancer of cervix

in sexual partners

PHIMOSIS AND PARAPHIMOSIS

ERECTILE DYSFUNCTION Definition: Regular or repeated

inability to obtain or maintain an erection

Causes

1. Psychological causes:-

- performance anxiety

-stress

-mental disorder

2. smoking is the key cause of impotence and erectile dysfunction, it causes arterial narrowing

3.Hypertension

4.Diabeites Mellitus

5.Cholesteremia

6. Obesity

7 Trauma from prostatectomy surgery

6. Hormonal insufficiency (hypogonadism)

7. Drugs side Effect eg: antidepressants and, nicotin

8. Aging- four times higher in man in the 60’s

9. Ascernic poisoning –from contaminated water

Complications:-relationship difficulties ending in divorcing/Adultery, low self- esteemTreatment: eg -1.Viagra, - Dynafil, Cialis 2.njections(mans clinic) 3.Penile prosthesis 4. Reconstructive surgery

ERECTILE DYSFUNCTION

PROSTATE CANCER

Definition: Second most common form of cancer that develops in the prostate which is slow growing .

Prostate is a gland in the male reproductive system that makes and store seminal fluid. Signs and Symptoms: 1.Difficulty initiating and stopping urine stream2.Frequent urination3. Pain or burning urination4.Nocturia (increase urination at night)5. Haemturia6. Pain on ejaculation6. Bladder obstruction – not urinating or urinating very little despite drinking enough fluids7.Backache pains eg. Hips or thighs

Risk factors: Age 50 yrs and older- undergo a yearly digital rectal examination and blood testing for Prostatic specific antigen- Family history of prostate cancer…. Start

screening at age 40yrs- Obesity- High blood pressure- African( black)- STI( Gonorrhoea, syphilis)- prostatis

Nutritional Recommendation:

Soya, Vegetables, fish and low in calories or fat food, fruits, garlic, tomatoes, olive oil

Treatment: depends on the stage of cancer

-watchful waiting or active surveillance

-Surgery - radiation therapy

-Hormone therapy – biologic therapy

-Bisphosphonate therapy - targeted therapy

PROSTATE CANCER

TEN POINTERS TO MEN'S HEALTH Know your health status with an annual

medical check-up Know your ideal weight and maintain Watch your salt Do not smoke Take medicines as prescribed by your

doctors see your doctor regularly Exercise regularly Live a healthy life

STAY BLESSED