Η νόσος Mondor’s είναι η θρόμβωση της επιπολής ραχιαίας φλέβας του πέους. Είναι σπάνια και καλοήθης νόσος. Εμφανίζεται ως μία επώδυνη σκλήρυνση της ραχιαίας φλέβας του πέους σε συνδυασμό με οίδημα της ραχιαίας επιφάνειας του πέους.
- Έντονη σεξουαλική δραστηριότητα
- Χειρουργικές επεμβάσεις, όπως για παράδειγμα μετά από κιρσοκήλη.
- χορήγηση μη στεροειδών αντιφλεγμονωδών φαρμάκων,
- τοπική κρέμα ηπαρίνης,
- αποφυγή σεξουαλικής δραστηριότητας για 4 – 6 εβδομάδες.
Πρέπει να τονιστεί οτι η νόσος δεν επηρεάζει τη στυτική λειτουργία και τη γονιμότητα.
Λίγους μήνες μετά την εμφάνιση των συμπτωμάτων ακολουθεί πλήρης υποστροφή των συμπτωμάτων.
Θρόμβωση της επιπολής ραχιαίας φλέβας.
Φυσιολογική αγγειακή ροή.
Orgasmic disorder is the persistent or recurrent delayed (or lack of) ejaculation that follows a perfectly normal phase stimulation during intercourse.
In DSM-IV-TR, male difficulty to ejaculate is classified into orgasm disorders. It is often referred as hindered or delayed ejaculation, meaning that the man ejaculates with great difficulty, during intercourse. The man with primary orgasmic disorder, has never managed to ejaculate during intercourse.
The disorder is diagnosed as "secondary" when the man manages to ejaculate some times without apparent difficulty. Some researchers believe that it is necessary to distinguish between orgasm and ejaculation, especially for men who ejaculate. However, little or no underlying sense of pleasure is reported during orgasmic function (orgasmic anhedonia).
Orgasmic disorder is in sufficiently lower frequency relative to that of premature ejaculation.
According to the diagnostic criteria, male orgasmic disorder is divided into:
It may be:
May be due to:
-> Psychogenic factors;
-> Combination psychogenic and organic factors;
A strict religious upbringing and a conservative family environment may contribute to a distortive perception about sex and genitals, while the belief that sex is sinful or that their genitals are dirty may be favored. There may also be unconscious conflicts and desires that result in orgasmic difficulty.
Men with this disorder are likely to face greater proximity difficulties, which are not limited to their sexual relations. It is equally important to remember that in lasting love relationship, secondary orgasmic disorder may reflect interpersonal difficulties, and may be the management way of real or imaginary relationship changes, such as the desire for pregnancy. Secondary orgasmic disorder may also be due to relationship plans for which a man may feel ambivalent, loss of sexual interest for his partner or even partner's demands for greater commitment.
In some cases, man's inability to ejaculate, is the result of unconscious hostility towards the female partner.
Male orgasmic disorder treatment requires collaboration of an expertised urologist-andrology professional with a mental health professional. Thus, detection of all possible parameters that may congregate the disorder will be allowed. Combined therapy will lead to better treatment and cure.
Andropause - Male menopause
This term is used to describe the reduced and inhibited production of testosterone, i.e. an androgenic hormone.
Major symptoms of this sexual disorder, include:
Decreased sexual desire (i.e. libido)
Reduced orgasm intensity
Increased adipose tissue
Difficulty achieving orgasm
Reduction of muscle mass
Reduction of bone mass
Reduction of mental abilities
Immune system inhibition
In contrast to female menopause, male reproductive capacity though reduced still exists. However, andropause consists one of the main causes of male sexual dysfunction.
Genital organs' plastic surgery
In recent years more and more men and women undergo cosmetic surgery of the genitals. Better information of this type of surgery helped to problem solving methods, which were considered taboo until recently and led to antisocial behavior and decreased self-esteem.
These surgical interventions are sometimes used for purely aesthetic (without underlying anatomical specificity), but often to correct congenital, traumatic or after surgery abnormalities.
The most popular procedure in men includes the various forms of phalloplasty.
-> Solution of penile suspenders' ligament and mobilization of "buried" penis, with or without concomitant mobilization of the skin of the scalp, with the art Y-V.
-> Use of materials for increasing the volume (perimeter) of the penis, with newer data using "biodegradable scaffolds" (cell culture of the patient and into specially treated absorbable material).
-> Use penile prosthesis (see erectile dysfunction).
-> Use flaps adjacent areas, with recent data using segment latissimus dorsi muscle with vascularisation. (Lattissimus dorsis flap with vascular pedicles).
Popular surgeries in women, include vaginal plastic surgery and vulvo plastic surgery.
Sex change consists a special category of surgery.
-> Desire of the patient, after a detailed briefing.
-> Most often multidisciplinary.
-> Psychiatric evaluation.
-> Especially in sex change, long-term psychiatric care, and possible hormonal manipulations along with individual corrective cosmetic procedures in the rest of the body.
The reproductive axis in men consists of five main elements:
1. Outer-hypothalamous central nervous system
2. Hypothalamus (produces the hormone GnRH which acts on the pituitary gland)
3. Pituitary gland (produces hormones FSH and LH and prolactin, which are transported in the testes)
4. Testes and
5. Target cells
A couple is characterized as infertile when one is unable to conceive with free sex (i.e. without a condom) after a period of one year. This definition is a fact that has some "gaps" since many times the couple make love or long periods of time or even not trying in the days of ovulation.
Concerning the causes, 40% involve the male factor, 40% the female factor and the remaining 20% "responsibilities" of both. As far the male factor is concerner, exams are carried by semen analysis, scrotal ultrasonography, hormonal tests and testicular biopsy where deemed necessary.
The causes of infertility can be divided into: congenital and acquired.
These, are also classified as:
- Idiopathic - in this case we can not determine the exact causative agent.
The causes of male infertility are classified into:
- Pre - testicular