Diabetes and Erectile Dysfunction

Risk factors

The one between diabetes and erectile dysfunction is a long-known pairing, confirmed by numerous epidemiological studies. It is precisely the statistical data that tell us that:

• the erectile deficit is three times more frequent in the diabetic patient than in the healthy control population. The prevalence of this disorder in the diabetic population varies from 30% to 60% of subjects and increases:
  • with aging:
  • in case of poor glycemic control expressed by high values ​​of glycated hemoglobin
  • as the duration of the diabetic disease increases
  • in case of microvascular complications and neuropathy
  • in case of arterial hypertension associated with diabetes, and taking antihypertensive drugs (beta-blockers, methyldopa, and especially diuretics)
  • if the subject is a smoker
  • as alcohol consumption increases
  • in case of obesity-associated with a sedentary lifestyle
• Diabetes and erectile dysfunction are so closely related that erection problems are the presenting symptom in 12% of male patients.

Causes

To explain why diabetes is so often associated with erectile dysfunction, various etiopathogenetic elements have been identified, that can complement each other:

• causes of a psychogenic nature: the awareness that diabetes is a chronic disease often associated with erectile dysfunction and other complications, can trigger performance anxiety in men. Fear of failure during sexual intercourse is a common cause of erectile dysfunction and contributes to erectile deficits of another nature.
• macro-vascular alterations: in the presence of diabetes not adequately controlled by drug therapies, excess glucose binds to the wall of blood vessels making them less elastic and altering their functionality. Diabetes is often associated with atherosclerosis, which reduces the patency of the great arteries by limiting the blood supply to the corpora cavernosa of the penis. Atherosclerosis can also directly affect the penile arteries.
• nerve alterations and endothelial dysfunctions: the alterations of the small blood vessels that carry blood, oxygen, and nutrients to the nerves, cause damage to the same (neuropathy). This reduces the synthesis of nitric oxide by the endothelium and nerve endings (nitric oxide is the fundamental mediator of erection)

Treatment

Identifying the causes of erectile dysfunction in the diabetic is the first step in establishing a suitable treatment for satisfying sex life. For his part, therefore, the diabetic patient with erectile deficit should, first of all, consult a sexologist in Noida, avoiding the spontaneous use of commonly used drugs for the erectile dysfunction treatment in Noida.

Beyond the additional risks deriving from a possible supply through channels other than the pharmacy, considering that among diabetics there are common complications affecting the heart, liver, and kidneys, which among other things require specific therapies with possible drug interaction, the drugs used for the erectile dysfunction treatment in Ghaziabad (such as Viagra, Cialis, or Levitra) may be contraindicated in the presence of diabetes. We, therefore, recommend that you consult the best urologist in Noida to establish the nature of this unpleasant sexual problem and remedy it through the numerous medical and pharmacological treatments available.

PENILE CANCER: KNOW THE CAUSES, SYMPTOMS AND TREATMENTS

Do you know what penile cancer is? What can increase the risk of developing penile cancer? What are the main symptoms and signs of penile cancer? How is penile cancer diagnosed? What tests to perform to detect penile cancer? How is penile cancer treated? What is the importance of early diagnosis in the fight against penile cancer? What is the risk group for developing penile cancer? We created this blog post with the main information about penile cancer, in order to raise awareness and help everyone about this disease. Follow until the end!

Penile cancer is a tumor with sporadic cases, with its highest incidence in men over the age of 50 years, but nothing prevents it from also being developed in male citizens under the age of 50 years.

In the large portion of penile cancer records, the main potentiators are lack or poor intimate hygiene, as well as human pipolma virus (HPV) infection and failure to remove the foreskin from the glans of the penis. In view of this, early diagnosis is essential in order to prevent the development of penile cancer and, in serious situations, amputation of the genital, producing numerous negative effects, both psychological, sexual and physical for the patient, explains the best urologist in Noida.

Want to know more about penile cancer? Below we list the main topics that we will cover on the topic.

1. What is Penis Cancer?

Characterized as an infrequent tumor, penile cancer can manifest itself in the organ or in the skin that covers it, causing noticeable changes in the color and texture of the skin, as well as wounds with difficult healing.

The group that most affects penile cancer is male individuals aged over 60 years. However, nothing prevents some cases in young people. In addition, the main factors that contribute to the emergence of penile cancer are poor organ hygiene, smoking and sexual intercourse without the use of condoms.

Despite this, penile cancer is curable, reaching high rates when diagnosed early on, says the urologist in Noida.

2. What causes Penis Cancer?

As mentioned earlier, penile cancer is a disease that can have negative consequences for men. In view of this, it is necessary to know which are the main factors that cooperate for the development of penile cancer. They are:

• Lack of education and awareness on the subject.
• Poor or lack of organ hygiene.
• Narrowing of the foreskin. For men who have not removed the foreskin, that is, the skin that covers the glans, the risk of developing penile cancer is higher.
• HPV virus infection.

3. What are the symptoms of Penis Cancer?

Now that you know what it is and what are the main factors that increase the risk of developing penile cancer, you need to be aware of the first signs in order to seek medical advice as soon as possible. So, pay attention to the following symptoms:

• Difficulty healing wounds;
• Sores present on the glans or foreskin;
• Unpleasant-smelling secretion originating from the urethra;
• Bleeding from the penis;
• Pain and swelling in the groin area;

It is necessary to be very attentive to these symptoms and seeking specialized medical help is essential, as some of these signs may be signs of other diseases, such as herpes or syphilis. Because of this, when you present the symptoms mentioned above, schedule an appointment with the urologist in Ghaziabad to obtain the correct diagnosis of your case.

4. How to diagnose Penis Cancer?

In general, the diagnosis of penile cancer is performed through biopsy, that is, an incision is made at some point that is injured and that is under suspicion of the tumor, in order to understand what stage, it is in, if it is malignant., among others.

After the biopsy points out the appearance of the tumor, the specialist doctor will make an analysis in order to understand the best treatment for the situation. Remembering that cases of penile cancer, when diagnosed early, have high cure rates. However, the reality is that, because penile cancer is a tumor that develops slowly, most men do not pay due attention to the first signs of the disease, allowing the tumor to spread throughout the body.

5. What is the treatment for Penis Cancer?

To perform the penile cancer treatment in Delhi, the patient should seek a specialist in oncology or urology. Doctors commonly perform the initial treatment procedure to remove all or as much of the tissue that is affected as possible. After this procedure, the patient may be referred for chemotherapy or radiotherapy sessions, in order to expel all the tumor cells that remained.

It should be noted that, after the surgical procedure and the stage of the tumor, the patient may have some complications, such as erectile dysfunction.

6. What is the difference between Penis Cancer and Prostate Cancer?

As a rule, according to the best urologist in Ghaziabad, penile cancer can be easily diagnosed, as it presents detectable and visible penile lesions and is associated with sexually transmitted diseases, while prostate cancer develops silently, being related to several factors., such as genetics, race, age, physical inactivity and inadequate diet. Remembering that for the diagnosis of prostate cancer, it is necessary to perform characteristic tests, such as digital rectal examination and PSA.

Get in touch and schedule your consultation with the best urologist in Noida!

Know the 6 Main Causes of Urinary Tract Infection

Urinary tract infection can affect three parts of our body: the urethra, the bladder, and the kidneys. When the problem occurs in the urethra, the infection is called urethritis. In the bladder and kidneys, it is called cystitis and pyelonephritis, respectively, explains the Urologist in Noida.

Usually, the urinary tract infection is caused by bacteria that live peacefully in our intestines. E. Coli is part of the intestinal microbiota and only becomes pathological when it leaves its natural habitat.

According to the Best Urologist in Noida, in women, the chance of an infection settling in the urethra is much greater than in men. This is because the woman’s urethra is short, that is, the path that the bacteria travel to the internal environment is shorter.

The female urethra measures about 5 cm and is completely internal, while the male urethra can measure up to 20 cm and has a large part of its extension outside the body.

In addition, the urethral orifice in women is located in the vagina, which is very close to the anus. The short distance facilitates contamination, especially after incorrect intimate hygiene.

The most common symptoms are pain and burning when urinating, constant urge to go to the bathroom, bad smell in the urine, feeling of heaviness in the bladder and urgency to urinate.

Low back pain and fever will more severe symptoms and is indicative of pyelonephritis – as the kidneys are organs later, says the Urologist in Noida.

Find out what are the main causes of urinary tract infection and change your habits!

1. Drink little water

According to the Urologist in Greater Noida, when we drink little water, little urine is formed. The formation of urine depends on the work of filtering blood through the kidney. If the kidney detects that there is little fluid in the body, the rate of water reabsorption is increased.

Thus, the urine is concentrated, and the body maintains acceptable levels of fluids. This mechanism is important for maintaining stable blood pressure.

However, when the flow of urine is small, bacteria have the free path for longer and can reach organs such as the bladder.

This is because the continuous flow of urine clears the walls of the bladder, ureters, and urethra. The ideal is to drink about 2 liters of water during the day, suggests the best urologist in Greater Noida.

2. Do an incorrect intimate cleaning

Our gut has a microbiota formed by several bacteria. There, they do not cause disease and are important for the balance of the body.

However, several bacteria come out in the stool and can reach the urethra when intimate hygiene is done incorrectly.

The correct thing is to pass the toilet paper from front to back, thus avoiding the contact of feces with the vagina, suggests the Urologist in Ghaziabad.

3. Do not urinate after sex

During sex, the body comes into contact with various bacteria.

Eliminating urine after intercourse helps to eliminate pathogens that clumped in the urinary tract during the act, says the Sexologist in Noida.

4. Holding urine in the bladder

Some people have a bad habit of holding pee for a long time. Whether due to lack of time at work or out of habit, this attitude damages the health of your urinary system.

The accumulation of urine inside the bladder favors the growth of bacteria, since the urinary tract is not cleaned regularly.

In addition, as the urine reaches the bladder, it expands to accommodate all the fluid. When urinating, the bladder cannot contract completely and there may be some fluid left inside, which also causes infection.

5. Do not change absorbents frequently

During the menstrual period, the body eliminates various residues that can serve as a culture medium for bacteria.

When a woman stays with a dirty pad for a long time, these microorganisms can reproduce there and ascend to the urethra.

The ideal is to change the pad every 4 hours – or whenever you notice a decrease in menstrual flow, suggests the Urologist in Vaishali.

6. Wear tight underwear

Underwear stuck to the body increases the temperature of the region, favoring the proliferation of bacteria. In addition, other microorganisms can benefit from the increase in temperature, such as fungi.

To prevent one of the causes of urinary tract infection, the ideal is to wear comfortable underwear and sleep without panties to ventilate the area, advices the urologist in Noida.

If you have recently experienced the above symptoms or have infections repeatedly, seek medical help and schedule an appointment with a urologist in Delhi.

Prostate Cancer: Risk of Erectile Dysfunction

Prostate cancer is the most common among males. According to a study, more than 1,30,000 new cases appear worldwide. It is also the third in mortality, behind lung and colorectal cancer, with some 5,841 deaths, in 2018. The positive thing is that the survival rate is high: it is estimated to be 90%. That is why prevention and early diagnosis is very important, says the urologist in Noida.

But there is an essential issue that usually occurs when a man suffers from this type of cancer that is usually irrelevant to many oncologists, not for those who suffer from it: erectile dysfunction.

WHAT IS PROSTATE CANCER?

The prostate is a gland in the male reproductive system, located under the bladder and in front of the rectum. It is the size of a walnut and surrounds a part of the urethra (the tube that conducts urine to the outside from the bladder). It is in charge of semen production.

Prostate cancer originates when the cells in this organ begin to grow out of control. Although there are different types of prostate cancers, the most common is adenocarcinoma. It occurs mainly in older males: 90% of cases appear in people over 65 years of age. Prostate cancer should not be confused with benign prostate hyperplasia, which is a noncancerous enlargement of prostate hyperplasia, and occurs as men age, when the prostate can enlarge and block the urethra or bladder, which can lead to difficulty urinating or interfering with sexual function, explains the sexologist in Noida.

While the causes of prostate cancer are unknown, there are risk factors such as advanced age, genetics, family history, obesity, tobacco, and high testosterone levels that could increase the risk.

At first, prostate cancer has no obvious symptoms, but in more advanced stages some such as the frequent need to urinate (feeling not emptying the bladder well), involuntary loss of urine, pain and stinging when urinating, difficulty starting to urinate, and urinary retention if the urethra becomes clogged by the tumor, states the best urologist in Noida.

HOW CAN IT AFFECT MY SEX LIFE?

Once prostate cancer is diagnosed through a rectal touch, a PSA (PSA) test — a protein that is produced in the prostate and increases in various diseases — and a biopsy of prostate tissues, your oncologist will recommend the treatments to follow.

What you need to know is that prostate cancer treatment in Delhi, such as surgery, radiation therapy, chemotherapy, and hormone-decreasing medications) can cause side effects on your sexual function. Although these are not necessarily the only culprits: anxiety and depression can also contribute negatively.

The most common (and most feared) sexual problem in prostate cancer patients is erectile dysfunction, which is the inability to get or maintain an erection to maintain a satisfactory sexual relationship, but there are others such as difficulty ejaculating, retrograde ejaculation (ejaculating “inward”) or urinary incontinence during intercourse, explains the best sexologist in Noida.

In the case of surgery, if the nerves near this gland, which control blood flow to the penis, were damaged when the prostate is removed (radical prostatectomy), erectile dysfunction may occur. Currently, laparoscopic surgery and robotics have reduced this problem, although it is estimated that there is a possibility of more than 60% postoperative erectile dysfunction.

If you have radiation therapy, you may also have erection problems. The higher the radiation dose and the wider the irradiated area, the greater your chances of suffering them. Radiation damages the arteries that supply blood to the penis.

For chemotherapy, chances are you’ll retain your normal erection capacity. However, you may experience problems after receiving a session, although you’ll recover right away. Chemotherapy can sometimes affect sexual desire and erection ability by slowing down testosterone production, explains the sexologist in Ghaziabad.

CAN ERECTILE FUNCTION BE RECOVERED?

It will depend on several factors such as the type of treatment, the patient’s age and erectile function before cancer. Generally, recovery time is around 18 to 24 months. 

The main treatment to recover erections aims to improve blood flow to the penis. But psychological therapy can also help. Anxiety and stress can be the most harmful elements when it comes to an erection, says the sexologist in Greater Noida.

Treatments include:

• Medications: They are usually effective in most men. They are drugs that improve blood flow to the penis. However, they are not effective if the prostate nerves were not preserved after surgery.
• Injection into the penis: It is a very effective treatment that works within a few minutes of administration. It can cause pain in the penis and a prolonged erection.
• Vacuum device: It is effective in 66-71% of patients, but can cause numbness or bruising. It is a plastic tube that is placed on the penis, a manual pump, and a band that is placed around the base of the penis once it is erect (constriction ring).
• Penile prostheses: Its introduction requires surgery and consists of 2 cylinders that are introduced into the cavernous bodies of the penis and by placing a device inside the scrotum (between the testicles), the patient may cause the erection at his discretion.

Urological Ages of Men: Most Frequent Problems And Prevention

During the life of man, different urological pathologies associated with each stage manifest. Precisely for this reason,  Dr. Shailendra Goel, urologist in Noida, reviews the main urological conditions of men in order to encourage knowledge of them and their prevention.

The most frequent problems in men’s urology can arise from the age of 20, which is when shadows such as premature ejaculation tend to come to the fore, which can affect almost 40 percent of the male population.

Faced with such a problem, urologist in Ghaziabad is blunt. “The man should not look the other way when he has problems of this nature, the ideal is to consult a specialist. Urologists are repetitive but men must get used to the idea that going to the urologist in Vaishali should be as normal as it is for women to go to the gynecologist. This pathology is usually one of the main causes of dissatisfaction of the couple”.

If this problem is not solved, it can be prolonged for life, adding other pathologies since, from the age of 30, a man begins to experience an enlarged prostate. This happens naturally and does not usually show symptoms until years later.

Even so, during the decade of 30 years and up to 40, urologist in Greater Noida highlights the most common pathology, infertility, something that worries many couples: “Male infertility is increasing, being responsible for 50% of the couple’s fertility problems. There are many causes that can alter the number or quality of sperm, genetic, congenital, hormonal, vascular (varicocele), infectious, obstructive, toxic. Whenever possible, specific treatments are applied, medical (antioxidant, hormonal treatment) or surgical (varicocele, epididymis, deferent or ejaculatory duct surgery) ”.

From the age of 40, the urology of men will be marked by erectile dysfunction. The best urologist in Noida affirms that “it is more frequent than you think and at least one in four 40-year-old men suffers from it. This figure increases over time, but it is important here to consult the sexologist in Noida, because there are highly satisfactory treatments. In addition, erectile dysfunction is often caused by underlying diseases that have not yet faced, such as high blood pressure, diabetes, arteriosclerosis, ischemic heart disease, and it is important to recognize this first symptom in order to correct the contributing factors and prevent its progression to further pathologies. serious ».

Once a man reaches 50 years of age, in addition to the aforementioned lack of erection, he usually experiences the symptoms inherent to an enlarged prostate or, what is the same, benign hyperplasia. It is at this time that you may begin to have symptoms such as an urge to urinate, getting up to urinate at night, having less intensity in the “stream” of urine and discomfort during bladder emptying, which are a consequence of benign hyperplasia of prostate.

Despite the discomfort, men in our country do not usually go to the best urologist in Ghaziabad until the condition is quite advanced. Dr. Goel comments “Benign prostate hyperplasia today has very effective, fast and simple treatments, such as laser prostate enucleation, which allows the individual to return to normal life a few days after the intervention with minimal risk. This intervention, besides being minimally invasive, allows the man to preserve erectile function, which is already diminished by age”.

Finally, the other pathology that most worries men in our country and that usually occurs after the age of 60, is prostate cancer, a disease of which 60,000 cases are diagnosed annually. In this case, Dr. Goel encourages you to continue going to the best urologist in Greater Noida from the age of 50 “if a patient has a family history, the determination of PSA is essential from the age of 40. The urologist must decide for each patient the periodicity of subsequent check-ups. Our only chance to cure prostate cancer is early diagnosis of the disease. The use of PSA has recently been questioned but it remains a useful tool when used appropriately”.

CAN UROLOGICAL PROBLEMS BE PREVENTED?

There are diseases inherent over time, such as benign prostatic hyperplasia and there are even pathologies that are given in themselves. Even so, delaying the time of appearance of some diseases is possible. A high-fat diet has recently been shown to be a fierce enemy of prostate health. Dr. Goel explains: “Eating a healthy diet and practicing frequent exercise can be a favorable preventive measure. The Mediterranean diet and avoiding being overweight, tobacco and alcohol are a good way to eliminate possible risk factors for the appearance of prostate problems”.

Finally, before the appearance of news such as that coffee is a friend of the prostate, the Dr. comments: “of course, a diet rich in foods that contain omega 3 fats (they correct prostate defects), lycopene (helps to stop the aging of the prostate), selenium (helps to reduce inflammation of the prostate) and zinc (fundamental mineral in the sexual function that helps to prevent prostate lesions) can be of great help in the prevention of frequent pathologies ”.

The Dr. confirms “A varied and balanced diet, in which tobacco is eliminated and to which sport is added, can be a great source of urological health”.