What happens if my sex drive libido is low What causes it can it be treated

Your interest in sex is governed by sex hormones, primarily testosterone, and by psychosocial factors. Low testosterone levels are associated with decreased libido. Stress, depression, or anxiety may also affect your libido. In men with erectile dysfunction, interest in sex may be diminished as a result of their inability to achieve an adequate erection. Any man with decreased libido should have his serum testosterone level checked. Normally, there is a feedback loop between the brain and the...

How is prostatitis diagnosed

The patient's clinical history, general appearance, and uri-nalysis are often suggestive of acute bacterial prostatitis. A urine culture is commonly positive for a urinary tract infection. A digital rectal examination will usually identify a very tender prostate. In rare cases, fluctuance may be palpable in the prostate, if there is a prostatic abscess. In men who appear toxic or who fail to improve with antibiotic therapy, a transrectal ultrasound may be obtained to rule out a prostatic...

What is electrovaporization of the prostate

Electrovaporization of the prostate (TUVP) is, similar to a TURP. Rather than a resecting loop, the urologist uses a roller ball to heat and desiccate the prostate instead of actually resecting tissue (Figure 24). Electrovaporization of the prostate has been used in patients with a history of bleeding disorders or in cases in which it is desired to minimize blood loss. Electrova-porization of the prostate tends to be used in patients with small- and medium-sized glands. Like TUIP, in properly...

What is microwave therapy of the prostate

Microwave energy has been used to treat BPH using both transrectal and transurethral approaches, but most modern machines use the transurethral route. Current machines deliver microwave energy to the prostate via a transurethral catheter, and a transrectal balloon monitors rectal temperature simultaneously. The treatment is delivered under local anesthesia on an outpatient basis and typically takes about one-half hour. The patient will go home with an indwelling urethral catheter for a period...

What is intraurethral alprostadil MUSE and how do I use it

Muse Alprostadil

Intraurethral alprostadil (Vivus's MUSE) is an intraurethral medication (i.e., a drug that is injected into the urethra) that was approved by the FDA in June 1998. Alprostadil is a synthetic form of a normal body chemical, prostaglandin E1, that causes increased blood flow into the penis. MUSE works differently than sildenafil (Viagra), the oral therapy for ED. That is, the prostaglandin in MUSE stimulates the production of a chemical called cAMP, which, like cGMP, can cause the relaxation of...

What are the side effects of surgical treatment TURP of BPH

The side effects associated with TURP can be divided into intraoperative and postoperative complications. A TURP is performed under either spinal or general anesthesia, Figure 24 Electovaporization of the prostate using a TURP VaporTrode . Courtesy of Gyrus ACMI, Southborough, MA Figure 24 Electovaporization of the prostate using a TURP VaporTrode . Courtesy of Gyrus ACMI, Southborough, MA and the usual complications that are associated with these forms of anesthesia can occur during a TURP....

What are externalbeam and conformal externalbeam radiation therapies What are the side effects of EBRT

External-beam radiation therapy (EBRT) is the use of radiation therapy to kill or inactivate cancer cells. The total radiation dose is given in separate individual treatments, known as fractionation. Cancer cells are most sensitive to radiation at different phases in their growth. By giving the radiation on a daily basis, the radiation oncologist hopes to catch the cancer cells in the sensitive phases of growth and also to prevent the cells from having time to recover from the radiation damage....

What if my testosterone level is low What are the risks and benefits of testosterone therapy

Hypogonadism is a condition in which low levels of testosterone are found in association with specific signs and symptoms, including decreased desire (libido) and sense of vitality, erectile dysfunction, decreased muscle mass and bone density, depression, and anemia. When hypogonadism occurs in an older male, it is referred to as andropause, or androgen deficiency of the aging male. Hypogonadism is estimated to affect 2 to 4 million men in the United States, and its incidence increases with...

What are the risks ofa penile prosthesis

As with any surgical procedure, there are complications associated with the placement of a penile prosthesis. These risks may be subdivided into intraoperative complications (those occurring during surgery) and postoperative complications (those occurring after surgery). During dilation of the corpora cavernosa, the dilating instrument can perforate the urethra. If this occurs, the procedure must be terminated, the catheter must be left in place, and the urethra must be allowed to heal. If one...

What are the 5alpha reductase inhibitors

The 5-alpha reductase inhibitors are a class of medications that inhibit the enzyme 5-alpha reductase. The enzymes 5-alpha reductase are present in two isoforms type 1 and type 2. Type 1 is found predominantly in extrapr-ostatic tissues such as the skin and liver, although it is also found in the prostate. Type 2 is found predominantly in the prostate. The type 2 5-alpha reductase enzyme in the prostate is responsible for converting testosterone to its active form in the prostate,...

What are some of the side effects of hormonal therapy and how are they treated

LHRH analogues and antagonists have side effects that may affect your quality of life over the short and long term (Table 9). Some of the side effects related to these medications, such as hot flashes, erectile dysfunction, anemia, and osteoporosis, can be treated. Erectile dysfunction occurs in about 80 of men taking LHRH analogues and antagonists and is associated with decreased libido (sexual desire). The widely prescribed drug silde-nafil (Viagra) as well as the other oral therapies for...

Are there different types of hormone therapy Do I need to have my testicles removed

Hormone therapy is a form of prostate cancer treatment designed to eliminate the male hormones (androgens) from the body. The most common androgen is testosterone. Androgens are primarily produced by the testicles, under control of various parts of the brain. A small number of androgens are produced by the adrenal glands, which are small glands located above the kidneys and produce many important chemicals. Prostate cancer cells may be hormone sensitive, hormone insensitive, or hormone...

What happens when hormone therapy fails

If the PSA level increases while you are receiving total androgen blockade (LHRH agonist or antagonist plus androgen receptor blocker), first your doctor will stop the antiandrogen, which is called antiandrogen withdrawal (Figure 19). This causes the PSA to decrease in about 20 of patients, and the effect may last for several months to years. The LHRH analogue antagonist therapy is continued. It is not clear why this antiandrogen withdrawal works. When the PSA rises after antiandrogen...

What is the success rate of MUSE

In the initial studies of MUSE's effectiveness, the success rate was 64 . More recent studies have demonstrated its efficacy to be only 30 , however. Attempts to increase this success rate via the use of the ACTIS venous constrictor, a constricting band that is placed at the base of the penis, have helped some men. In some men, an erection rigid enough for penetration may occur in the standing position however, when these individuals change to a supine position, the erection may decrease. In...

Who is a candidate for penile injection

Because the injection requires manual dexterity, it is important that the man be able to perform self-injection. In some men for whom giving an injection may be difficult or who are anxious about pushing the needle into the side of their penis, an autoinjector is available that makes this task easier. Another option is to have the man's partner perform the injection. Similarly, if the man is obese and has trouble seeing his penis, self-injection may be difficult, so he would need to enlist the...

What is the success rate for PDE5 inhibitors

Overall, the PDE-5 inhibitors have a similar success rate. Success rates range from 48 to 81 with the various therapies, depending on the etiology of the ED. Individuals who have failed to respond to one of these medications may, however, respond to a different PDE-5 inhibitor. In one study, vardenafil was shown to be helpful in patients who had previously failed to respond to sildenafil therapy. However, studies have also demonstrated that patients who have failed an initial trial of...

Are there different types of problems with ejaculation What causes them and how are they treated

There are three different types of ejaculatory problems that can occur premature ejaculation, retrograde ejaculation, and anejaculation. What is premature ejaculation and what causes it Premature ejaculation is ejaculation that occurs sooner than desired, either before or shortly after penetration, that causes distress to one or both partners. This condition tends to occur more frequently in younger men. Premature ejaculation is the most common form of sexual dysfunction, occurring in 21 of men...

Prostate Cancer Support

Affiliation Southeast Alabama Medical Center Doctor's Building, SE Alabama Medical Center, 7th Floor, 1108 Ross Clark Circle, Dothan, AL 36301 334-794-3216 Meets the first Thursday of each month at 7 00 PM Gulf Shores, AL 36542, 334-968-1115 Meets the first Thursday of each month, except September Affiliation Fountain Valley Regional Hospital 11250 Warner Avenue, East Tower Cafeteria, Prostate Cancer Survivor's Support Group 200 Mowry Avenue at Civic Center Drive, Freemont, CA 510-657-0759...

Who is a candidate for oral therapy with a PDE5 inhibitor

Nevertheless, there are certain contraindications to the use of these therapies. If these limitations are ignored, serious or even life-threatening problems may occur. Specific contraindications to the use of PDE-5 inhibitors include the use of products containing organic nitrates, such as sublingual nitroglycerin, amyl nitrates, nitro-glycerin patches, and long-acting nitrates such as Imdur (Table 20). Nitrates (e.g., nitroglycerin), which are a form of...

What other disorders can mimic BPH

Other underlying disorders can mimic the symptoms of BPH. A neurogenic bladder, or bladder with impairment of its nerve supply, can cause a patient to void either frequently or infrequently depending on the nature of the neurologic problem. At times, a neurogenic bladder can cause the patient to be unable to urinate or go into urinary retention. Diabetes mellitus can cause frequent urination, as many patients with diabetes make a greater volume of urine per 24 hours. With long-standing...

What is the prostate gland and what does it do

The prostate gland is actually not a single gland. It is comprised of a collection of glands that are covered by a capsule. A gland is a structure or organ that produces a substance used in another part of the body. The prostate gland lies below the bladder, encircles the urethra, and lies in front of the rectum. Because it lies just in front of the rectum, the posterior aspect of the prostate can be assessed during a rectal examination. The normal size of the prostate gland is about the size...

What is a transurethral incision of the prostate TUIP

A transurethral incision of the prostate (TUIP) is exactly that an incision rather than a resection of the prostate. Using a special knife-like instrument, a Colling's knife that is placed through the same resectoscope sheath used for TURPs two incisions are made at 5 o'clock and 7 o'clock through the bladder neck and prostate to the verumontanum where the ejaculatory ducts exit. A TUIP is a quicker, easier procedure than a TURP. TUIPs tend to be used in younger men with smaller prostate...