Causes of Erectile Dysfunction & Treatment Options (Video)

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Erectile Dysfunction or ED in short and the treatment options

First, What is Erectile Dysfunction?

It occurs when a man is unable to get or keep an erection that allows for penetration during sexual activity.

Is Erectile Dysfunction common?

It is estimated that 1 in 4 to 1 in 5 men over the age of 40 have the issue
And it becomes more common as we grow older
So What are the Cause of Erectile Dysfunction?
ED is usually multi-factorial meaning that there are many factors that can cause the issue

  1. Age
  2. Chronic diseases like hypertension and diabetes
  3. Low testosterone levels (See: Andropause)
  4. Certain medicines or drugs like alcohol
  5. Psychological factors like stress, anxiety, new partner

For the let’s discuss what are some treatment options if you have Erectile Dysfunction.

The most common Erectile Dysfunction Treatment option is Medicine

There are tablets, such as Viagra and Cialis you can take or inject prior to your sexual contact that can help with ED
They work by increasing blood flow to the penis.
Treatment option 2 is by using a Penile vacuum device. It Works by creating a vacuum, which forces the blood into the penis; a ring is then used to prevent the blood from flowing out from the penis thus maintaining an erection
A more invasive option is by surgical penile implants can be inserted by surgeons
Another Erectile Dysfunction treatment option is by undergoing Electroshockwave therapy or ESWT in short
One of the causes of Erectile Dysfunction is the poor flow of blood into the penis caused by unhealthy blood vessels.
By shooting multiple low-intensity shockwaves into the penis, new and healthy blood vessels develop. This is known as neo-vascularization.

It works by delivering painless low-intensity shock waves into the penis. This stimulates the penis to make new blood vessels. More blood vessels mean better blood flow into the penis and better erections.
Each treatment session lasts about 15 minutes and is completely painless. A patient can resume his normal activities immediately after the treatment.
Usually, 6 to 12 treatment sessions are recommended.

If you think you may be suffering from ED, please visit your doctor for further assessment and treatment at our men’s clinics.

Watch next: HOW DO YOU INJECT CAVERJECT?

Caverject is a medication that is used for Erectile Dysfunction (ED). Here’s a step by step video on how you can accurately administer Caverject.

Other Reads:

Common Causes of Penile Itching and Pubic Itching

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A myriad of conditions can cause a man to have penile itching or pubic itching. The excruciating urge to scratch and relieve that itch at such an inconvenient part of the body can be a major source of embarrassment to some. When severe, it can result in extreme discomfort in the day, and disrupt one’s sleep at night.

 

Here are some of the causes of Penile Itching and Pubic Itching:

 

6 Common Causes of Penile Itch:

 

1. Balanitis

Balanitis is a common infection of the foreskin and head of the penis. It is caused by bacteria or fungus, or a combination of both.

Symptoms include redness, swelling, discomfort, penile itching, and sometimes pain when passing urine.
(See: Penile Infection, Infection of the Penis)

When fungal infection (candidiasis) is present, a whitish cottage cheese-like discharge can be found under the foreskin. Balanitis is often hygiene related, but can also be caused by STDs. It is more likely to occur in uncircumcised males.  Watch: What are the causes of Foreskin Infection (Balanitis)

2. Genital Herpes

Genital herpes is caused by the Herpes Simplex Virus (HSV). Itching of the penis (penile itching) is usually the first symptom and can occur in other areas such as the scrotum, groin, buttocks and anus.

Shortly after, tiny clusters of fluid-filled blisters or ulcers can develop and these are usually painful. Other symptoms include painful urination, enlarged groin lymph nodes, fever and body aches. The virus can lie dormant in the body for years without causing any symptoms, therefore some people may not even be aware that they are infected.

Read: Genital Blister, Genital Ulcers & Genital Warts & Causes of Oral Herpes (Cold Sore)

 

3. Genital Warts

Genital warts are caused by the Human Papillomavirus (HPV), a sexually transmitted disease. They appear as flesh-coloured growths that can cluster and resemble a cauliflower. Most of the time they do not have any symptoms but can sometimes itch. Bleeding can also occur during sexual intercourse.

Read: Genital Warts Treatment

 

4. Contact Dermatitis

Contact dermatitis is a skin reaction to contact with an irritant. This can happen anywhere on the body, including the penis. When this happens, it is usually caused by latex condom usage. The skin of the penis can turn red and itchy.

Sometimes the skin can break causing serious discharge, and bacterial infection can occur. Mild cases can be treated with a corticosteroid cream. Non-latex condoms can be used if you have a latex allergy.

 

5. Urethritis

One of the causes of penile itching is Urethritis. Urethritis refers to inflammation of the urethra, the tube that carries urine from the bladder to outside the body. This condition most often causes pain or itching in the penis, which worsens when passing urine.

Other symptoms include urethral discharge, urinary frequency or urgency, difficulty urinating, and blood in the semen. Urethritis is most commonly caused by a bacterial infection and can be sexually transmitted. See other STD Symptoms 

 

6. Psoriasis

Psoriasis on elbows.

Genital psoriasis often occurs alongside psoriasis of the skin. Skin cells develop at an extremely fast rate, resulting in the accumulation of skin cells on the skin surface, building up into itchy, red plaques of scaly skin. See Psoriasis Treatment

5 Common Causes of Pubic Itch

 

1. Jock Itch

Also known as tinea cruris, jock itch is a fungal infection of the skin in the genital area, groin and buttocks. The rash is usually itchy, red, scaly and ring-shaped. It tends to occur in people who sweat a lot and/or are overweight.

 

2. Pubic Lice

More commonly known as crabs, these are tiny parasitic insects that attach to the hair and skin in the pubic region. Pubic lice can be easily spread via sexual contact or other forms of close contact, and can spread to other body areas with coarse hair such as beards, armpits and chest hair. It is also possible for pubic lice to spread by using an infected person’s clothes, towels, or bed.

 

3. Folliculitis

This is a condition in which hair follicles become inflamed and is usually caused by bacterial or fungal infection, or inflammation from ingrown hair. Initially, the affected hair follicles may have small red bumps or white-headed pimples, but can swell and become painful and subsequently develop into crusty sores.

 

4. Contact Dermatitis

As mentioned earlier, this condition can also occur in the pubic area.

 

5. Molluscum Contagiosum (mo-LUS-kum kun-tay-jee-OH-sum)

Molluscum Contagiousum is a benign viral infection of the skin and is caused by the molluscum contagiosum virus, resulting in painless, small, shiny pearl-shaped lesions. They can happen anywhere on the body as a result of contact, but when they occur in the genital area, it is usually as a result of sexual contact. They can appear alone or in clusters. They usually do not cause any symptoms, but can sometimes itch.

If you need to speak to our doctors, please visit our clinics.  Alternatively, you can email us hello@dtapclinic.com.sg or call us for an appointment.
Take Care.

Other Read:

Hipogonadisme – Penyebab, Gejala & Pengobatan

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Apakah semua pria mengalami gejala Hipogonadisme (Andropause atau Menopause Pria) atau apakah beberapa pria bahkan tidak menyadari bahwa mereka sedang mengalaminya? Hipogonadisme pria adalah suatu kondisi di mana tubuh tidak menghasilkan cukup testosteron.

English: What are the Causes, Symptoms & Treatment of Hypogonadism 

Doktor yang boleh berbahasa melayu

Hipogonadisme pria Vs. Andropause (Menopause Pria)

Secara teknis, istilah andropause (Menopause Pria) tidak ada dalam bidang medis. Ini karena tidak seperti penurunan besar kadar estrogen pada wanita yang mengalami menopause, tidak ada penurunan tingkat testosteron pada pria sehingga tidak ada “pause”. Lebih tepatnya, itu harus diistilahkan sebagai defisiensi androgen atau sindrom defisiensi testosteron atau hipogonadisme pria.

Mengapa Testosteron Penting?

Testosteron penting sepanjang kehidupan pria mana pun.
Ini menentukan perkembangan karakteristik seksual pria selama perkembangan janin. Tanpa testosteron pada saat yang tepat dari perkembangan janin, genitalia pria eksternal tidak akan membesar.
Selama masa pubertas, pria perlu mengembangkan karakteristik seksual sekunder seperti rambut wajah, rambut kemaluan, pembesaran penis dan testis hingga ukuran dewasa.
Dalam kasus di mana terdapat infeksi pada testis, atau trauma atau cedera pada testis atau testis yang tidak turun sebelum masa pubertas, maka pria tidak mengembangkan karakteristik seksual sekunder tersebut.
Ia diperlukan untuk produksi sperma oleh testis. Testosteron juga diperlukan untuk menjaga kesehatan tulang secara langsung dan tidak langsung karena beberapa testosteron dikonversi menjadi estrogen yang juga membantu menjaga kesehatan tulang.
Ini juga membantu dalam mempertahankan massa otot yang secara tidak langsung meningkatkan kadar lemak tubuh.
Testosteron juga dapat memengaruhi mood dan dorongan seksual pada pria dan juga dapat memengaruhi ereksi.
Ada juga semakin banyak bukti yang menunjukkan bahwa testosteron adalah faktor yang perlu dipertimbangkan untuk kesehatan jantung. Sejumlah penelitian telah menunjukkan bahwa pria yang memiliki penyakit arteri koroner memiliki kadar testosteron yang lebih rendah.
Tingkat testosteron yang rendah juga dikaitkan dengan peningkatan risiko kanker prostat tingkat tinggi.

Apa Gejala Utama Testosteron Rendah?

Gejala umum dari testosteron rendah adalah:

  1. Tingkat Energi Rendah
  2. Perubahan Suasana Hati atau Iritabilitas
  3. Konsentrasi yang buruk
  4. Mengurangi Kekuatan Otot
  5. Libido rendah
  6. Masalah Ereksi (kesulitan ereksi atau mempertahankan ereksi)

Questionaire tentang Kekurangan Testosteron

Anda juga dapat menggunakan kuesioner di bawah ini sebagai alat untuk menilai kemungkinan kekurangan testosteron

  1. Apakah Anda mengalami penurunan libido (dorongan seksual)?
  2. Apakah Anda kekurangan energi?
  3. Apakah Anda memiliki penurunan kekuatan dan / atau daya tahan?
  4. Apakah Anda kehilangan ketinggian?
  5. Pernahkah Anda memperhatikan ‘kenikmatan hidup’ yang menurun?
  6. Apakah Anda sedih dan / atau pemarah?
  7. Apakah ereksi Anda kurang kuat?
  8. Sudahkah Anda mencatat kemunduran kemampuan bermain olahraga baru-baru ini?
  9. Apakah Anda tertidur setelah makan malam?
  10. Apakah ada penurunan kinerja kerja Anda saat ini?

Jika Anda menjawab ya untuk Pertanyaan 1 atau 7 dan 3 pertanyaan lainnya, maka Anda mungkin ingin menemui dokter Anda untuk mendiskusikan kekurangan testosteron.

Apakah Testosteron Rendah Berbahaya Dengan Cara Apa Pun?

(Haruskah pria khawatir tentang penurunan kadar testosteron?)
Ada semakin banyak bukti yang menunjukkan hubungan antara kadar testosteron rendah dan risiko kardiovaskular dan juga kematian (kematian). Masih perlu dijelaskan lebih lanjut, apakah testosteron rendah menyebabkan peningkatan risiko kardiovaskular / kematian atau sebaliknya.
Seperti disebutkan sebelumnya, ada beberapa penelitian yang menunjukkan bahwa ada risiko kanker prostat tingkat tinggi pada pria dengan kadar testosteron rendah. Selain itu, kadar testosteron yang rendah dikaitkan dengan diabetes, obesitas, dan kadar kolesterol tinggi. Ditemukan rata-rata pria sangat gemuk memiliki kadar testosteron 25% lebih rendah daripada pria tidak gemuk.

Apa Pilihan Perawatan untuk Testosteron Rendah?

Jika testosteron Anda rendah tetapi tanpa gejala, konsensus umum adalah untuk tidak diobati. Namun, ada cara non-farmasi untuk meningkatkan kadar testosteron Anda.

  1. Latihan ketahanan atau Resistance training

Latihan ketahanan – ada sejumlah kajian yang menunjukkan bahwa resistance training  bisa meningkatkan kadar testosteron walaupun hanya sementara.

  1. High intensity Interval Training (HIIT)

Pelatihan Interval Intensitas Tinggi (HIIT) juga dapat meningkatkan kadar testosteron hingga 17% dalam kajian setelah 6 bulan latihan.

  1. Mengurangi Lemak Tubuh

Mengurangi kadar lemak tubuh melalui diet dan olahraga yang tepat dapat meningkatkan kadar testosteron juga.

Tanya Jawab tentang Hipogonadisme:

 

1. Apa Perbedaan Antara Hipogonadisme dan Testosteron Rendah?

Anda dapat memiliki kadar testosteron yang rendah tetapi selagi anda tidak memiliki gejala yang disebabkan oleh testosteron, anda tidak memiliki sindrom kekurangan testosteron atau kekurangan androgen.

 

2. Apakah Hipogonadisme biasa?

Satu dari 10 pria yang lebih tua mungkin memiliki sindrom kekurangan testosteron.

 

3. Bagaimana Hypogonadism Diobati?

Ada berbagai cara untuk menggantikan Testosterone yang tersedia di Singapura.

4. Injeksi testosteron:
Ini adalah pilihan bagi mereka yang tidak ingin minum obat setiap hari. Umumnya, suntikan ini diberikan setiap 8-12 minggu tergantung pada keperluan individu. Ada juga suntikan jangka pendek tetapi orang itu harus  nyaman dengan suntikan diri

5. Kapsul Testosteron:
Ini adalah pilihan bagi mereka yang tidak suka jarum dan lebih suka minum obatnya. Penyerapan tergantung pada diet (lebih baik dengan makanan berlemak tinggi).

6. Gel testosteron:
Cara ini memberikan tingkat penyerapan terbaik dan paling stabil dibandingkan dengan 2 pilihan yang sebelumnya. Ini juga merupakan pilihan termudah bagi kebanyakan orang karena hanya perlu mengoleskan gel pada kulit.
Namun, beberapa orang merasa tidak nyaman untuk menggunakannya karena perlu menunggu gel kering .
Ia juga ada risiko transfer testosteron secara tidak sengaja ke pasangan wanita atau anak-anak jika tersentuh.

Jika anda perlu berbicara dengan dokter mengenai Hipogonadisme (Andropause), silakan kunjungi klinik pria kami.
Atau, anda dapat mengirim email kepada kami hello@dtapclinic.com.sg atau hubungi kami untuk membuat janji. Bicaralah dengan dokter Anda hari ini!

6 Common Causes of Penile Discolouration

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Most men tend to not pay regular attention to their general skin condition, but when it comes to matters of the penis, it is almost always a cause for immediate concern; after all, it is the source of our manhood. More often than not, any unusual appearance such as discolouration, dry skin, red spots or bumps may result in considerable anxiety.

It is not uncommon for men, especially those with darker skin, to have slight variations in the colour of the penis. In fact, for men of all races, it is normal for the penis to be slightly darker than the skin on the rest of the body. This applies also to the labia of women.

When an adolescent male or female undergoes puberty, the body produces the sex hormones, testosterone and oestrogen, which results in the development of secondary sexual characteristics. Excess levels of these hormones in the genitals respond to melanocytes, the skin cells that cause pigmentation. These physiological changes are responsible for darker genitalia in both men and women.

Mild penile discolouration is generally nothing to worry about. In fact, during sexual arousal, the penis can take on a reddish, sometimes almost purplish colour, due to increased blood flow to the organ. However, there are other causes of penile discolouration that may be more severe and require treatment.

 

6 Common Causes of Penile Discolouration

1. Contact Dermatitis

Contact dermatitis is a skin reaction to contact with an irritant. This can happen anywhere on the body, including the penis. When this happens, it is usually caused by latex condom usage. The skin of the penis can turn red and itchy. Sometimes the skin can break causing serous discharge, and bacterial infection can occur. Mild cases can be treated with a corticosteroid cream. Non-latex condoms can be used if you have a latex allergy.

 

2. Penile Injury

A penile injury can lead to rapid discolouration due to bruising, in the form of purple, dark brown or even greenish hues. Sometimes, a red patch with prominent blood vessels just under the surface of the skin can occur due to a hematoma. This usually fades after several days and treatment is typically not necessary.

However, if there is severe pain along with the discolouration after a traumatic episode, immediate medical attention is required as this could be due to a penile fracture, which is a more severe issue.

 

3. Lichen Sclerosus

Lichen sclerosus is a lifelong condition that can go through periods of remission and flare-ups, and is characterised by white patches on the penis. It is more common in those who are uncircumcised. In addition to blotchy white spots, the skin of the penis can also become itchy, fragile and tear or bleed easily. Other symptoms include painful sex and an inability to retract the foreskin fully.

The cause of lichen sclerosus is unknown, but an overactive immune system or an imbalance of hormones may play a role. It is not contagious and cannot be transmitted through sexual intercourse. Treatment usually includes a strong steroid ointment applied directly to the affected skin. If only the foreskin is affected, circumcision may be advised.

 

4. Penile Melanosis or Post Inflammatory Hyperpigmentation (PIH)

Penile melanosis, or PIH, is a benign condition simply caused by overproduction of melanin, in which the skin can appear in a wide variety of colors including different shades of brown, grey or even blue.

Overproduction usually occurs after an injury to the skin of the penis, the most common being excessive rubbing of the penis from vigorous sex or self-pleasuring. It will fade over time, or if a man is bothered by it, possible treatments such as topical retinol (vitamin A) every night before bed, laser therapy, or microdermabrasion can help to reduce the discolouration.

 

5. Sexually Transmitted Diseases (STDs)

Purple sores on the penis can occur as a result of genital herpes or syphilis. These STDs can be accompanied by other symptoms such as pain, fever, itchiness, burning, and fatigue. If STD is suspected, it is imperative to head to a clinic to see a physician as soon as possible to be tested and get treated.

Also Read

 

6. Penile Cancer

Penile cancer tends to start on the skin of the penis and spreads towards the deeper tissues. 95% are squamous cell carcinomas, while penile melanoma accounts for 0.7%. Penile cancer is rare and the cause is not entirely known, but risk factors include smoking, HIV and high risk strains of Human Papillomavirus (HPV) infection. Symptoms include changes in the colour and thickness of the skin of the penis, foul smelling discharge under the foreskin, and abnormal non-resolving growths or ulceration of the penis. A diagnosis of penile cancer requires an urgent biopsy.

 

There are other conditions that can cause penile discolouration. It is important to determine the exact cause as treatment varies according to the cause. It is always best to visit a doctor for a physical examination and proper evaluation.

If you need to speak to our doctors , please visit our DTAP Clinics.  Alternatively, you can email us hello@dtapclinic.com.sg or call us for an appointment.

 

Take Care.

 

Other Read:

Also on Dtapclinic.com: HIV Test Singapore, STD Test Singapore, Anonymous HIV Testing

Apa itu Sunat?

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Sunat pada dewasa adalah memotong kulit yang berlebihan dari penis.


Kapan sunat direkomendasikan?

Sunat telah dilakukan selama ribuan tahun di banyak komunitas di seluruh dunia. Secara medis, sunatjuga merupakan bentuk pengobatan yang direkomendasikan untuk kondisi seperti fimosis (kulup ketat), infeksi berulang pada penis, dan ejakulasi dini.

Apa manfaatnya?

Sunat sudahdilakukan ribuan tahun. Banyak agama bahkan mengharuskan anak laki-laki mereka disunat. Ada banyak sebab mengapa ini sangat dianjurkan dan bahkan wajib bagi sebagian orang.

Manfaatnya seperti berikut:

  • Pencegahan infeksi pada penis
  • Kebersihan yang lebih baik
  • Mengurangi risiko HIV dan infeksi penyakit melunar seksuallainnya
  • Mengurangirisiko infeksi saluran kencing
  • Mencegah fimosis(ketidakmampuan untuk menarik kembali kulup) dan parafimosis(kulup ditarik kembali dan tidak dapat kembali ke posisi semula)

Bagaimana cara kerjanya?

Ada beberapa metode yang biasanya dilakukan untuk orang dewasa.

Di klinik kami, kami melakukan metode cincin Shang (Shang Ring).

Deng ananestesi lokal, Shang Ring akan dimasukkan ke dalam kulup. Kemudian, akan dijepit dari bagian luar dengan penjepit. Kelebihan kulit penis (kulup) di bagian atas cincin akan dilepaskan dengan menggunakan gunting bedah.

Cincin akan tetap pada posisinya, kemudian akan lepas dengan sendirinya setelah 3-4 minggu.

Bisakah saya buang air kecil secara normal?

Anda bisa buang air kecil secara normal. Anda juga bisamandi seperti biasa.

Apa ini berbahaya?

Seperti prosedur bedah lainnya, sunat juga memiliki risiko sendiri.

Risiko potensial termasuk perdarahan, nyeri pada penis, luka dan bengkak/ lebam. Namun, risiko ini amat rendah sekali.

Masih bisakah saya melakukan aktivitas normal?

Setelah selesai prosedur, anda bisa berjalan dengan normal. Tidak perlu dirawat inapdi rumah sakit. Namun anda disarankan untuk mulai berolahraga 4-6 minggu setelah prosedur.

Hubungan seksual dan masturbasi hanya dapat dilanjutkan 4-6 minggu setelah prosedur.

Berapa harganya?

Biaya tindakan untuk prosedur sunat adalah SGD 1800.00 sudah termasuk kunjungan follow-up, namun belum termasuk obat.

Untuk informasi lebih lanjut silakan email kami di hello@dtapclinic.com.sg

What is Chronic Prostatitis Symptom & Treatment?

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What is Prostatitis?

Prostatitis refers to a group of conditions that usually cause inflammation of the prostate gland or surrounding structures in men, which results in pain or discomfort around the pelvis and a variety of urinary symptoms.
It can be classified into several categories which include:

  1. Acute Prostatitis,
  2. Chronic Bacterial Prostatitis,
  3. Chronic non-bacterial prostatitis, and
  4. Asymptomatic inflammatory prostatitis.

Prostatitis is very common, with up to 2-10% of men affected at any time. The majority of these cases will fall under chronic non-bacterial prostatitis, also known now as chronic pelvic pain syndrome – these account for about 95% of prostatitis diagnoses.
Chronic Pelvic Pain Syndrome (CPPS) is due to inflammation of the prostate or inflammation in the organs and tissues in the pelvic region.

What are some of the Symptoms of Chronic Prostatitis?

Men with chronic pelvic pain syndrome can present with a number of symptoms, including pain at the perineum, testicles, penis, and lower back, pain while passing urine or after ejaculation, and urinary frequency or urgency.
They may also lead to erectile dysfunction or premature ejaculation.
These symptoms can wax and wane, lasting for weeks to months. Many men can suffer for months at a time with these symptoms without getting the correct diagnosis or treatment.
The exact causes of chronic pelvic pain syndrome are not well known, but it may be triggered by combinations of stress, anxiety, hypersensitive nerves, increased muscle tension, previous infection, or even changes in diet or climate.

What are the Treatments for Chronic Prostatitis?

Treatment options for chronic prostatitis can vary depending on the underlying cause but may include a combination of antibiotics, anti-inflammatory medications, and neuromodulators. There is also evidence that some patients can respond well to Electroshockwave Therapy or ESWT for Prostate Inflammation.
If you need to speak to a doctor in regards to Chronic Prostatitis, please visit our clinics. Alternatively, you can email us hello@dtapclinic.com.sg or call us for an appointment.
Take care.

Also Read,

  1. Erectile Dysfunction Treatment in Singapore
  2. Premature Ejaculation Treatment
  3. What is Prostatitis (Inflammation of the Prostate Gland)
  4. Andrology (Men’s Health Clinic) in Singapore
  5. Are All ESWT Machines for Erectile Dysfunction Treatment the Same
  6. What is Benign Prostatic Hyperplasia (Enlarged Prostate)
  7. What You Need to Know about Prostate Massage
  8. Weak Erection? – How to Treat Erectile Dysfunction without Pills
  9. 7 Ways Last Longer in Bed – Premature Ejaculation

Penile Surgery: Penile Anatomy & Aesthetic Problems

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When we think about men’s health, we recognize the importance of enhancing sexual function and symptom improvement.
Penile anatomy and aesthetic (problems) can affect one’s performance during sexual intimacy, one’s confidence or even one’s partner. These problems may also hinder a couple’s fertility planning.

What are the Conditions & Symtopms?

The symptoms one may experience from penile anatomy or aesthetic problem include painful erections, unable to maintain an erection.
This can also come from problems of a flaccid or soft penis, curved penis or bent penis. Some men may also experience a tight foreskin, inability to retract the foreskin, recurrent foreskin infections (balanitis). Some men may also notice, in the absence of STDs, warts or infections, small bumps on the penis.

Frenulum Breve

Painful Erections can be caused by Frenulum Breve, where the external elastic band of tissue which connects the penis to the foreskin is too short, resulting in the restriction of the foreskin movement. Some people also develop a bent penis during erection as the frenulum pulls down the head.  This condition can also further prevent the full retraction of the foreskin or even tearing of the frenulum causing bleeding and pain during sex or erection.
This problem is treated with a simple painless procedure called a Penile Frenulectomy.

Phimosis

Another cause of a painful erection is Phimosis where the foreskin is too tight and does not allow for a complete retraction to expose the glans penis. This can cause pain during an erection and can cause difficulties during sexual intercourse as well. Furthermore during episodes of pain, one may lose their erection, resulting in an unpleasant sexual experience.

The treatment for Phimosis is Circumcision. There are numerous benefits for Circumcision, such as the prevention of infections, also known as balanitis, and the reduction of sexually transmitted diseases.
Shang Ring is a Circumcision Method that is this painless and quick 15min procedure.

Peyronie’s Disease

Bent or Curved Penis can be caused by a buildup and growth of fibrous plaque tissue in the penis. These scar tissue can also cause pain during an erection. Bent or curved penis is also known as Peyronie’s disease and results in difficult penetration during intercourse.
Peyronie’s disease is treated with Electroshock wave therapy (ESWT) that breaks down these fibrous plaque tissue allowing for a normal straight erection.

Pearly Penile Papules (PPP)

Small bumps around the penis head but without other sexually transmitted disease symptoms can be a cause for concern to men or their partners. The best way to confirm this is through a clinical assessment by our doctors.
If the diagnosis turns out to be benign pearly penile papules (PPP), then there will be no cause for alarm as this is not an STD and does not get transmitted.
However, some men or their partners will be concerned about these spots as they may look “unsightly and unacceptable”. Although this is an “aesthetic” problem, at DTAP clinic, we understand how this can also affect the sex life between a couple or a man’s confidence.
The definitive treatment of PPP is through electrosurgery which is quick painless and takes about half an hour.
Read: Pearly Penile Papules (PPP) Removal

Erectile Dysfunction

Ultimately, Penile curvature and size have a huge effect on penis’ aesthetic aspect; that is a major concern for most men. This may in turn affect a man’s confidence, performance and ultimately enjoyment of sex.
Last but not least, if erectile dysfunction is a concern as a result of any of the above conditions, you can also address it with more than just pills, but also with ESWT for Erectile Dysfunction.
Penile Rejuvenation with a painless, quick and convenient treatment that restores the natural erection mechanism in a man.
We believe in a holistic approach in addressing men’s health concerns both from the inside and also externally. No two treatments are the same for each man, and a tailored approach; understanding your concerns and addressing your worries will always be our priority.

Take the first step and give us a call to get started on your treatment journey.
Our Andrology Clinic in Singapore focuss not just on the inside but also on the outside, a complete picture. One important aspect easily overlooked is penile health and the related problems that are found externally on the Penis.

Take care.

Related Read:

  1. 7 Ways to Last Longer in Bed : Premature Ejaculation
  2. 10 Ways to Improve Sexual Performance for Men
  3. ElectroShock Wave Treatment for Erectile Dysfunction in Singapore
  4. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  5. Weak Erection: Does Size Matters?
  6. What Do You Need to Know about Prostate Massage
  7. Pearly Penile Papules (Bumps On Penis)
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. 5 Ways to Fight Depression

Does Penis Size Matter? Sexual Confidence in Man

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TLDR: Size isn’t everything.

3 Broad Areas Affect Sexual Confidence in Man,

  1. Penis Size,
  2. What to Do in Bed,
  3. Having Lasting and Strong Erections.

Penile Implant?!

Addressing penis size requires surgery or implants, both with surgical risks, learning what to do in bed can be done over time however, without guarantees of success. And lastly what most men can readily address – strong lasting erections.

Erection Problems

Many ways to treat and prevent erection problems – lifestyle changes, pills, shockwave therapy. Not many want to depend on pills, shockwave can prevent and also treat erection problems.
Choosing between shockwave treatment options, choosing a superior product for a superior outcome. What separates famous top brands from daily brands is the value of the product – history and heritage, behind the scenes man hours, craftsmanship, superior product.

Read: Are All Electro-Shockwave Therapy (ESWT) Machine the Same?

So which Electro Shockwave Treatment Should I ask for? Comparing between 2 commonly used shockwave treatment machines for Erectile Dysfunction: between ED1000 and machine A (Other electromagnetic ESWT machines) – the verdict is clear that ED1000 comes out TOP across ALL domains compared.
When it comes to your sexual confidence, don’t settle for anything less than the best.

Does Penis Size Matter?

That is the eternal question that partners think about but may not openly discuss it with each other. A quick google search on this question pulls up many surveys, research and questionnaires.

“Too long and it just ‘hits bottom’ and that hurts, a total moodkill. But too thick and it hurts too.”

“I find that men are far more worried about size than I am. I do kegel exercises on a daily basis, so the size feels good to me no matter what. The important thing for my enjoyment is more what they do with their hands and mouth, rather than the penis being the only sexual effort!”

These are some of the interesting opinions found online, but whilst opinions and research findings differ across the spectrum, one thing they do agree on is that size alone does not guarantee a good time for either or both couples.

Reading a little deeper, one can then infer that having the confidence of knowing what to do in bed, and of course, having the libido and erection to go along with it, are both critically important.

To build his confidence, a man could learn new moves and how to pamper his partner with no guarantee of results, but to alter his penile size, short of surgery or implants, is not something one could easily do. That leaves us with the last pillar that we can easily address and treat.
That’s right, treatment and prevention of Erectile Dysfunction.

What Can I Do For My Sexual Confidence?

This then leads me to my next point, with so many “proven” treatments out there, how does one decide which treatment works? How does one decide which treatment to explore?

The latest treatment modality for this is Shockwave therapy. It is one of the limited treatment options that allow for the improvement of natural erections and furthermore potentially restore and rejuvenate the physiological mechanisms of erection.

What is Angiogenesis & Rejuvenation of Penile Smooth Muscle Tissue?

Angiogenesis allows for more blood flow into the penis and subsequently better achieving and sustaining an erection, where rejuvenation of the penile smooth muscle tissue allows for the inflammatory response repair of any previously or potentially damaged venoocclusive mechanism in the penis, allowing blood to be sustained in the penile tissue.
Read: Penile Rejuvenation with ESWT

This non invasive and painless procedure takes 20 mins to complete and has numerous benefits such as treating  Chronic Pelvic Pain Syndrome (CPPS), Peyronie’s Disease (Bent Curved Penis) and Erectile Dysfunction.
Read: Shockwave Therapy (ESWT) for other Men’s Health Issues

Do speak to any of our doctors to find out if ESWT is suitable for you.

You can drop us an email at hello@dtapclinic.com.sg, or walk-in or call our clinics for an appointment.

Related Read:

  1. 10 Ways to Improve Sexual Performance for Men
  2. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  3. 8 Thing You Didn’t Know About Your Penis
  4. Pearly Penile Papules (Bumps On Penis)
  5. Premature Ejaculation Treatment – What You Need to Know
  6. 10 Causes of Penile Pain
  7. Micropenis – What You Need to Know
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

More useful links: std test singapore, std testing

 

Are All Shock Wave Machines For Erectile Dysfunction The Same?

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Are All Shock Wave Machines the Same?

Not all ESWT treatments are created equal, and not all ESWT treatments will yield the results you expect.

Take for example buying a coat, the quality, craftsmanship of a product from Hermes will far exceed one bought from Giordano. Or buying a car, a Ferrari will outpace a Toyota anytime. Or even buying a timepiece where a Rolex is associated with class, exclusiveness, meticulous engineering, compared to a simpler Casio.

What separates these famous top brands from other brands is its intrinsic and extrinsic value. The history and heritage of the product, behind the scenes man hours, craftsmanship, superior materials, trust of the brand.

ED1000 vs Machine A (electromagnetic ESWT machine)
– Why the Ferrari of Shockwave therapy could be your option for Erectile Dyfunction Treatment

In the same vein, comparing the ED1000 versus Machine A, especially when you want to build your sexual confidence by having strong lasting erections – one will definitely gravitate towards the Hermes, Ferrari, Rolex.

Indulge me as I share both the clinical and technical differences between the Ferrari of shockwave treatment for Erections versus perhaps the Toyota. And of course, if all these technical details bore you, you can skip right to the verdict at the end.

  Large Energy in Large Focal Volume Lower Energy in Lower Focal Volume
RCTS – Clinical Trials (Clinicaltrials.gov) 6 clinical Trials
(2010, 2011, 2012, 2013, 2013, 2013)		 2 Clinical Trials
(2016 and 2018)
– data not fully published
Number of Patients 399 (29+20+20+200+70+60) 77
(23 + 54)
Medical Evidence as Meta Analysis 5 1

Reviewing the technical details, the ED1000 uses an electrohydraulic method for shockwave generation, which gives a true shockwave at all energy settings. Furthermore, this original accepted standard shockwave technology offers long term reliability.  This in turn gives a large energy output in a large focal volume which results in a superior treatment.

If we look at Machine A (other electromagnetic ESWT machines), the generation of the shockwave is akin to a loudspeaker effect and true shockwave is only generated at high energy settings. This, in turn, leads to a lower energy in smaller focal volume, requiring many more pulses to deposit equivalent energy as compared to the electrohydraulic method of shockwave generation by the ED1000.

Apart from the technical aspects, the ED1000 has been studied across 6 clinical trials since 2010, comprising nearly 400 patients. These data were also further published and medical evidence presented in 5 different meta-analysis: the strongest form of medical data evidence. This in comparison with machine A (other electromagnetic ESWT machine), studied across 2 clinical trials, earliest in 2016 and only involving 77 patients, where the results have not been published. However, this has not stopped machine A (the other electromagnetic ESWT machines) from being included in 1 meta-analysis study.

Clearly, the ED1000 has a long proven track record since 2010, studied across more than 4 times the patients of machine A (the other electromagnetic ESWT machines) and data presented more extensively in 5 different meta analysis studies.

*Figure: In hierarchy for medical evidence, meta analysis comes in at the top of the pyramid as the strongest form of medical evidence

The verdict: ED1000 comes out top across the technical comparison, clinical trials and patient studies comparison. It is the recommended option compared to machine A (other electromagnetic ESWT machines).

So yes, you may not know all the latest bedroom moves, or you may even compare yourself with your mates or the online opinions and have doubts… But one thing you can definitely do for yourself is treat yourself right.

Speak to our doctors today, you can call us or drop us an email at hello@dtapclinic.com.sg for an appoinment at our DTAP Clinic in Singapore.

References:

Effect of Low-Intensity Extracorporeal Shock Wave on the Treatment of Erectile Dysfunction: A Systematic Review and Meta-Analysis.
Dong L, Chang D, Zhang X, Li J, Yang F, Tan K, Yang Y, Yong S, Yu X.
Am J Mens Health. 2019 Mar-Apr;13(2):1557988319846749. doi: 10.1177/1557988319846749.

Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials.
Sokolakis I, Hatzichristodoulou G.
Int J Impot Res. 2019 Jan 21. doi: 10.1038/s41443-019-0117-z.

Low-intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: A Systematic Review and Meta-analysis.
Man L, Li G.
Urology. 2018 Sep;119:97-103. doi: 10.1016/j.urology.2017.09.011. Epub 2017 Sep 27

Short-term efficacy and safety of low-intensity extracorporeal shock wave therapy in erectile dysfunction: a systematic review and meta-analysis.
Zou ZJ, Tang LY, Liu ZH, Liang JY, Zhang RC, Wang YJ, Tang YQ, Gao R, Lu YP.
Int Braz J Urol. 2017 Sep-Oct;43(5):805-821. doi: 10.1590/S1677-5538.IBJU.2016.0245.

Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis.
Clavijo RI, Kohn TP, Kohn JR, Ramasamy R.
J Sex Med. 2017 Jan;14(1):27-35. doi: 10.1016/j.jsxm.2016.11.001. Epub 2016 Dec 13.

Low-intensity Extracorporeal Shock Wave Treatment Improves Erectile Function: A Systematic Review and Meta-analysis.
Lu Z, Lin G, Reed-Maldonado A, Wang C, Lee YC, Lue TF.
Eur Urol. 2017 Feb;71(2):223-233. doi: 10.1016/j.eururo.2016.05.050. Epub 2016 Jun 16.

Erectile Dysfunction Treatment in Singapore

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Is Daily Electro Shockwave Therapy (ESWT) for me?

We shared in our previous article on Does Penis Size Matters on how having healthy sexual confidence does not depend on size alone nor what to do in the bedroom. Having a strong and lasting erection is equally important as well.
In this article, I will touch more on this 3rd aspect of building one’s sexual confidence with a strong and lasting erection through preventing and or treating erectile dysfunction.
Erectile dysfunction is also known as ED is the inability to achieve or maintain an erection needed for sexual intercourse. This problem tends to affect men as they grow older, but increasingly younger patients in their 20s are seeking treatment as well.

Traditional Erectile Dysfunction Treatment

In fact, in this age of the internet, more and more patients have been empowered to do their Google searches and seek answers from qualified medical professionals, leading ultimately to more men seeking help for ED.
However, what is alarming is that 1 in 6 men still suffer in silence when it comes to their sex life affected by ED.
There are no 2 treatments similar for preventing or treating erectile dysfunction as everyone’s health, lifestyle and condition is different.
Traditionally, treatment for ED centred around pills. This had varying effects as eventually some men become non-responsive to these pills over time and require injection treatments on their penis, also known as intracavernosal injections.

What is Electro Shockwave Therapy (ESWT) for Erectile Dysfunction (ED)

However, the emergence of Electro Shockwave Therapy (ESWT) for ED has become the treatment modality for patients with ED. It offers an improvement to natural erections and restores the physiological mechanism that controls the erection process. To highlight some of the potential advantages of this treatment:

  • Painless
  • Non invasive
  • 20 mins
  • Significant clinical benefit
  • Safe without complications that may arise from a surgery
  • Natural, moving away from a dependence on pills

The doctor applies a probe which generates the shockwave onto different parts of the groin and penis to deliver the treatment.

Read: ESWT for other Men’s Health Treatment

How Does Electro Shockwave Therapy (ESWT) work?

The ESWT machine creates a shockwave through electrohydraulic means. Here on why ED1000 is the Ferrari of ESWT compared to other electromagnetic ESWT machines.
This shockwave then passes into the penile tissue resulting in
a) Angiogenesis – the creation of new blood vessels and
b) Rejuvenation of the penile smooth muscle tissue.
Read: ESWT for Penile Rejuvenation 

What is Angiogenesis & Rejuvenation of Penile Smooth Muscle Tissue?

Angiogenesis allows for more blood flow into the penis and subsequently better achieving and sustaining an erection, where rejuvenation of the penile smooth muscle tissue allows for the inflammatory response repair of any previously or potentially damaged venoocclusive mechanism in the penis, allowing blood to be sustained in the penile tissue.

Read: ESWT Treatemnt is also used for

How Many Treatment Session is Needed?

More and more clinical and scientific studies are being carried out on the benefits of ESWT for the treatment of ED.  In fact, a new study carried out for a daily regime of ESWT for 5 days and ESWT every other day for 6 days showed good clinical improvements experienced by patients. It is therefore ideal for men who want a quick lunchtime treatment for ED, or expatriates, travellers who want to get Erectile Dysfunction (ED) treatment in Singapore.

Is Electro Shockwave Therapy (ESWT) Suitable for Me?

ESWT has been shown to be a safe and effective treatment for ED. In fact patients who have had a kidney transplant or prostate surgery have received treatment for their ED with ESWT and shown to have good effect.
However, men who have ED and not respond to intracavernosal may not be the best candidates for ESWT as the improvements experienced are more subdued.
Through ongoing and previous research and the patients we have seen, the expected benefits of ESWT are an improvement of one’s erection and the rejuvenation of one’s penis. Furthemore, men who were on pills previously for ED started to regain their natural erections and did not need to depend on pills as well. Also we see men who did not respond to pills or injection therapy, start to become responsive to these treatments after ESWT. Overall, ESWT also improves the outcome of any concurrent or previous ED therapy.

How long does ESWT for ED last?

Currently the biological and molecular effects of ESWT on ED are shown to have a permanent effect at the basic science level. In patients however, there are a multitude of factors which contribute to the success of ED treatment – including lifestyle, dietary, aging and other concurrent health problems. For some patients, treatment success can be diminished and reversed over time if these lifestyle, dietary, concurrent health problems are not addressed. Current clinical studies where the longest period of follow up is 1 year after ESWT treatment, do show that treatment improvements are sustained after 1 year as well.

Conclusion

ESWT with the Ferrari of ESWT treatment is safe and effective.
As men get busier with their lifestyles or increasingly travel abroad for work, ESWT becomes a quick “lunch time” treatment for ED.
Furthermore, with the recent opening of Changi Jewel at the Singapore Airport and further expansion plans of the aviation sector, Singapore continues to grow as a travel hub. For the many travellers coming to Singapore, Erectile Dysfunction (ED) treatment in Singapore and Erectile Dysfunction treatment for travellers or tourists in Singapore become a viable option, especially with the daily ESWT regime for a week or every other day ESWT regime for 2 weeks.
If you are experiencing any symptoms, or have any concerns or questions about ESWT for Erectile Dysfunction, please call or visit any of our DTAP Clinics or drop us an email at hello@dtapclinic.com.sg for an appointment.

References: https://clinicaltrials.gov/ct2/show/NCT03067987
More useful links: erectile dysfunction clinic Singapore, ed treatment Singapore