8 Things You Didn’t Know About Your Penis


8 Things You Didn’t Know About Your Penis

#1 More Than Meets the Eye


Men would be very happy to hear that their penis is actually twice as long as they think it is.
Apparently, more than half the length of the penis is inside the body.
The part of the penis that you don’t see is hidden inside your pelvis and attached to your pubic bone.
If you take a look at an MRI of the penis, you can see that it is shaped like a boomerang.

#2 If the Shoe Fits…

#BigFoot Foot Is Big?!
You know what they say about men with big feet. Is it true though?
A study published in BJU International in 2002 dispelled this myth.
The study found that there is no correlation between shoe size and stretched penile length.
Interestingly, an Iranian study published in the International Journal of Impotence Research in 2007 found that penile length is significantly correlated to age, height and index finger length.

#3 Fracture


We all know that the penis consists of muscle and no bones. And yet penile fracture is a real thing.
Penile fracture happens when in an erect state, the fibrous covering of the corpora cavernosa (erectile tissue) gets ruptured.
It is caused by a rapid blunt force to an erect penis. This usually happens during vaginal intercourse or aggressive masturbation.
When this happens, one might hear a popping or cracking sound followed by a lot of pain and immediate loss of erection.
You will also get a big bruise on the shaft of the penis.

#4 Are You a Grower or a SHOW-er

via GIPHY
I am sure you have heard these terms when describing the penis size. A Grower is one that significantly increases in size compared to its flaccid state.
A show-er is where it already looks significantly big or long when flaccid and doesn’t really change much in size when erect.
A study published in the Journal of Sexual Medicine in 2016 was looking at changes in penile size when flaccid and erect.
They found that there are no correlation of between the length of a flaccid penis and it’s erect size.
Some may start small and end up large (grower) while some are large when flaccid and only grow a little when erect ( show-er).
An analysis of more than a thousand measurements taken by sex researcher Alfred Kinsey shows that shorter flaccid penises tend to gain about twice as much length as longer flaccid penises.

# 5 Don’t Be So Sensitive

via GIPHY
Studies have shown that as men age, the penis steadily loses sensitivity.
The data showed a clear trend that from the age of 25, sensitivity starts to decline. The sharpest decline is seen between 65 to 75 years old.
This may play a part in difficulty with erection and ejaculation at a later age.
#The thing you didn’t know about your penis.

# 6 You Gotta Work It

Just like any other muscle in your body, in order to improve or maintain the muscle strength and function, you need to exercise it.
To maintain a healthy tone, the smooth muscle of the penis must be periodically enriched with oxygen by the rush of blood that engorges the penis and makes it erect.
In other words, it is encouraged that you have erections, a few times a day.
Even if you don’t have the chance to, your body will cause auto erections when you are sleeping during the REM phase of sleep.

#7 G spot

via GIPHY

 Do you know where your g-spot or most pleasurable zone is?

One study done in 2009, published in the British Journal of Urology International, asked 81 healthy men to rate the erotic sensitivity of different areas of their bodies.
The areas in question included the penis, scrotum, anus, nipples and neck.
The results showed that the underside of the glans and the underside of the shaft received the highest rating for a significant majority of the men in the study.

#8 You’re Growing a Whole Ecosystem

Did you know that your penis is home to a diverse community of bacteria?

Researchers from Translational Genomics Research Institute in Arizona used genetic tests to identify the bacteria that are found on the penis.
Their study showed that there were 42 unique kinds of bacteria inhabiting the skin of the penis.
Another important point to note, after circumcision, the kinds of bacteria found on the penis is fewer compared to before circumcision.
This could explain why circumcised men have lower risks of contracting HIV, STDs and urinary tract infection.

Take Care “Bro”!
#The thing you didn’t know about your penis.



Useful links: hiv test, hiv test singapore

 

Penile Surgery: Penile Anatomy & Aesthetic Problems

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 in this YouTube Video: “How Does Shang Ring Circumcision Work

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

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.

via GIPHY

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

Shockwave Therapy (ESWT) is only available at all our Men’s Health ClinicNovena, Somerset, Holland Village, Siglap & Raffles Place branches.

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.comor 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?


What is ElectroShockwave Therapy (ESWT) for Erectile Dysfunction (ED)?

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 should be your choice 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 VolumeLower 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 gold 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 superior choice 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, ESWT Erectile Dysfunction Treatment (ED1000) is Only Available in Our

  1. Novena Branch
  2. Holland Village Branch
  3. Siglap Branch (914 East Coast Road)
  4. Raffle Place Branch

You can call us or drop us an email at hello@dtapclinic.com for an appoinment at our Men’s Health 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

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 Dysfunctionplease call or visit any of our Men’s Health Clinics

  • Novena Medica Center,
  • Somerset (Orchard Building),
  • Raffles Place (PLUS),
  • Holland Village &
  • Siglap (914 East Coast Road)

or drop us an email at hello@dtapclinic.com for an appointment.
References: https://clinicaltrials.gov/ct2/show/NCT03067987
More useful links: erectile dysfunction clinic Singapore, ed treatment Singapore

What is Chronic Pelvic Pain Syndrome?

Vague groin symptoms?

Do you have non-specific or vague groin symptoms like the following?

  • Difficulty starting or stopping urine
  • Frequent urination especially at night
  • Frequency of wetness in the urethra
  • Incomplete emptying of your bladder
  • Cloudy urine
  • Blood in urine or Blood in semen
  • Pelvic pain or discomfort
  • Pain around penis, testicles or perineum (the area between scrotum and anus)
  • Lower back pain
  • Pain while having sex
  • Painful ejaculation
  • Erectile Dysfunction
  • Premature ejaculation

Chronic Pelvic Pain Syndrome

If you have any of the above symptoms but your tests results don’t show any infection, you might have Chronic Prostatitis or Chronic Pelvic Pain Syndrome (CPPS). This is due to inflammation of the prostate or inflammation in the organs and tissues in the pelvic region. Read: Prostatitis Treatment

What is Chronic Prostate Inflammation (In a Nutshell):

Causes Chronic Pelvic Pain Syndrome:

This condition may be triggered by sexual intercourse, periods of stress or even changes in weather or different types of food.
This is commonly under-diagnosed by many physicians. Most patients end up frustrated as they are told by their doctors that there is nothing wrong with them or there is no treatment suitable for their condition. Some have to suffer for many years before getting adequately treated.

How to Treat Chronic Pelvic Pain Syndrome:

Chronic Pelvic Pain Syndrome can be a challenging condition to treat and manage.
Conventionally, it is treated with anti-inflammatory drugs like NSAIDS and patients had to end up taking it for a long time.
Recently, a relatively form of treatment has shown great improvements in men with CPPS. This treatment is by using low-intensity shockwave. The treatment is called Extracorporeal Shockwave Therapy (ESWT).

This therapy has shown tremendous improvements in symptoms in men suffering from CPPS. Men have reported improvements from as early as from a single session. Typically one will require 4 sessions of ESWT for maximal benefit.
ESWT for CPPS/Prostatitis is only available at all our Men’s Health ClinicNovena, Somerset, Holland Village & Raffles Place branches.
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.comor walk-in or call our clinics for an appointment.
Take Care


Related Read:

  1. 10 Ways to Improve Sexual Performance for Men
  2. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  3. Penile Rejuvenation – What you need to know
  4. Erectile Dysfunction Treatment with ElectroShock Wave Treatment
  5. Pearly Penile Papules (Bumps On Penis)
  6. Premature Ejaculation Treatment – What You Need to Know
  7. 10 Causes of Penile Pain
  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?

 

Enlarged Prostate – What you need to know

Have you ever stood in line at the urinal, and wondered why some other males have to stand at the urinal for an unusually long period of time before he is able to start urinating? Or that it might take a while for him to empty his bladder?

While there are a variety of conditions that may cause such a scenario at the urinal, if the person is a middle-aged or elderly gentleman, it is possible that he has Enlarged Prostate – Benign Prostatic Hyperplasia (BPH).

What is an Enlarged Prostate (BPH)?

The prostate is an organ that sits directly under the bladder and surrounds the first part of the urethra (the tube that carries urine) as it comes out of the bladder. It is usually the size of a walnut in an adult.

What are the Signs & Symptoms of Enlarged Prostate (BPH)?

Over the decades of a man’s life, the prostate grows slowly and enlarges. This is Enlarged Prostate (BPH). If the prostate gland enlarges in the areas adjacent to the urethra, it will compress it, resulting in a smaller lumen to carry urine.

As a result, the person may have symptoms of Enlarged Prostate (BPH) such as difficulty in the starting of urination, weak urine stream, dribbling at the end of urination, increased frequency and urgency of urination and multiple visits to the toilet at night. These symptoms usually interfere with the patient’s quality of life and sleep.

If there is chronic obstruction by the prostate, urine can chronically be retained, which can damage the kidneys and bladder. It can also result in urinary tract infections and stones as well. READ: other Signs & Symptoms of Enlarged Prostate

How Do I Know If I Have Enlarged Prostate (BPH)?

If you do go to a clinic for possible Enlarged Prostate (BPH), a doctor will do a prostate examination. The doctor might order some urine studies, an ultrasound and some blood tests to look at the kidney function and the level of Prostate-Specific Antigen (PSA) in the blood.

What Are The Treatment for Enlarged Prostate (BPH)?

 There are certain medications that can be used to alleviate the symptoms of BPH. They include medications to relax the muscles of the bladder neck and prostate, and medications to shrink the prostate size.

Some doctors also use erectile dysfunction medications to treat Enlarged Prostate (BPH) as well. With these medications, most patients do notice improvement of the symptoms. If there are significant side effects from the medication, or if the symptoms do not improve after a period of treatment, then surgery is indicated.

The surgery done is transurethral resection of the prostate (TURP). This surgery is usually done under general anaesthesia and removes the part of the prostate intruding into the urethra. No cuts are made and it is done through the penis.

 

All in All

Most patients do not even realise they have Enlarged Prostate (BPH), and think that these symptoms are part of ageing. Urination should not be so difficult or inconvenient!

As mentioned above, there are a variety of diseases that can cause the above urinary symptoms. Speak to your doctor if you have any of these symptoms and perhaps BPH may be the cause.

If you wish to speak to us about Enlarged Prostate Diagnosis or Treatment you can walk into any of our Men’s Clinic. You can also call us or drop us an email at hello@dtapclinic.com for an appointment.
Take Care.


Related Read:

  1. 10 Ways to Improve Sexual Performance for Men
  2. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  3. Hypogonadism – Causes, Symptoms & Treatment
  4. Andropause (Male Menopause)
  5. Human Growth Hormones (HGH)
  6. Penile Rejuvenation – What you need to know
  7. Erectile Dysfunction Treatment with ElectroShock Wave Treatment
  8. Pearly Penile Papules (Bumps On Penis)
  9. Premature Ejaculation Treatment – What You Need to Know
  10. 10 Causes of Penile Pain
  11. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  12. Pills That Prevent HIV – HIV PrEP & HIV PEP
  13. What are the Causes of Foreskin Infection?

 

7 Ways to Last Longer In Bed – Premature Ejaculation

Many men and their partners wish that they could last longer in bed. Finishing early or earlier than the partner may cause frustration and disappointment.
The main cause of this is a condition called Premature Ejaculation.
Based on a study done on 500 men, men on average lasts around 5 and a half mins. So if you are hitting this number or more, you are fine. However, if you ejaculate within 1 min, then it is considered to be premature ejaculation and you should consult a doctor and seek treatment.
Even though some men may be around the average, they may still want to last longer. So whether you have Premature Ejaculation or not, here are 7 ways that you can do to help you last longer in bed.

7 ways that you can do to help you last longer in bed.

1. Take mental breaks

Premature Ejaculation is usually a psychological issue. When one gets too sexually stimulated, that is when the man cannot control his ejaculation. One way is to distract yourself from the stimulation by thinking of mundane things like mathematical calculations or tomorrow’s grocery list.

2. Control techniques

There are a few exercises or techniques that you can apply to prevent early ejaculation. For eg.

a) The stop and squeeze technique:

Just before ejaculation, withdraw and squeeze the head of the penis. You need to do this at the right time as squeezing too late will still result in ejaculation.

b) Withdrawal technique:

Just before you feel like ejaculating, you withdraw your penis to immediately remove the sexual stimulation. This is not as effective as the one above and you would also have to withdraw at the right time and not a second too late.

c) Stop and start:

You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you actually ejaculate.

3. Masturbate before sex

By masturbating 1- 2 hours before sex, it helps to reduce your sexual urge and the urge to ejaculate hence allowing you to last longer. Generally, after one round of ejaculation, you will need a longer time for the second one.

4. Foreplay is key

Men tend to focus on ejaculation as the only objective of sex. Focus on pleasing your partner and foreplay is a big part of that. With foreplay, it also helps to prolong the duration and heighten the pleasure. Your partner might even get more satisfaction out of this than just penetration. Find out what turns your partner on.

via GIPHY

5. Use thicker condoms

Thicker condoms help to reduce the sensitivity of the penis and hence delay ejaculation. Although most men don’t really like using thick condoms as they might find it difficult to stay aroused or they don’t like how it feels.

6. Communicate

Talk to your partner. Let her know what you’re going through so that both of you can try out different things that can work to delay ejaculation and prolong sex. This will also promote a better understanding between the two of you and improve your relationship. With better understanding, there will be fewer disappointments or frustrations.

7. See your doctor – Erectile Dysfunction Clinic Singapore

If the above still doesn’t help, you should see your doctor and find out if you might have any underlying condition that may cause this issue. If there are any problems like Erectile Dysfunction or Diabetes, your doctor will need to treat that first.
Your doctor also can recommend or prescribe medications to help you last longer in bed. – Erectile Dysfunction Treatment Singapore
Tag: ED Treatment Singapore
Now that you’ve got the 7 tips, you can go out there and try it out for yourself and become the best lover you can be between the sheets.

Take Care!


Also, Read:

  1. Things to do to maintain your penis health
  2. 10 Ways to Improve Sexual Performance for Men
  3. An Overview of STD by an STD Doctor
  4. Anal Warts! What You Need To Know
  5. 8 Thing You Did Know Know About Your Penis
  6. Weak Erection: Does Size Matters?
  7. Sexual Health Advice for Travellers 
  8. What you need to Know about Erectile Dysfunction 
  9. Sex During Period (Sex & Menstruation) What To Know
  10. What You Need to Know about Premature Ejaculation Treatment
  11. What you need to know about Testosterone Deficiency Syndrome
  12. What is HIV / AIDS Signs and Symptoms

10 Causes of Penile Pain – Ouch! Pain in the Penis

For men, the penis is one of the most, if not the most important organ. So if there are any signs of pain or discomfort, it usually causes a lot of worry and anxiety. However, pain in the penis can be due to many different conditions. Some are harmless, others may need immediate treatment.
So I have listed below some of the common causes of penile pain so that you can know when you need to rush to see the doctor or only come in the following Monday.

Top 10 Causes of Pain in the Penis:

Penile Infections

 1) Balanitis

Balanitis refers to inflammation of the foreskin which can be caused by fungal or bacterial infections, and irritants such as soaps, powders or creams that are applied over the foreskin. People that have diseases which compromise the immune system, such as Diabetes and HIV, may be more prone to this condition.
The pain caused by the inflammation is usually not severe but it can be throbbing, itchy and rather uncomfortable. This can be easily treated by treating the cause or avoiding the irritant.
See: Treatment for Penile Infection

2) Herpes

Herpes is one of the most common Sexually Transmitted Diseases STDs. This infection is transmitted through skin to skin contact and is usually caused by 2 different viruses called HSV 1 and HSV 2, which are usually known to cause lesions in the mouth and genital areas respectively. However, during oral sex, the virus can be passed on from the mouth to the penis causing genital herpes.
They usually present with painful blisters or ulcers over the skin and can be painful or at least very sensitive to touch. It can be treated with anti-viral tablets although it will keep recurring throughout a person’s life.
See: Everything You Need to Know about Herpes Simplex Virus

3) Chancroid

Chancroid is caused by a bacteria called Haemophilus Ducreyi and is transmitted through sexual intercourse. It commonly presents with a single large painful ulcer on the penis along with enlarged and tender lymph nodes in the groin region.
Chancroid is an infection that is usually caught via sexual contact. This can be treated with antibiotics once the diagnosis is established by your doctor.
See: The causes of Genital Blister and Ulcers

4) Urethritis

This is an infection of the urinary tract along the penis, through which the urine is passed out from the bladder. When an infection occurs along this tract it results in pain when urinating or discharges from the tip of the penis. Sometimes even when not urinating, one can feel the pain along the urethra itself.
Urethritis can be caused by Chlamydia, Gonorrhea, NSU or Herpes which are very common infections that can be transmitted through sexual intercourse. A simple urine test and sometimes a urethral swab can be performed to found out the exact cause and in most cases, it is easily cured with antibiotics.
See:  What are the causes of Abnormal Penile Discharge

5) Prostate Infections

When the prostate is involved during a urinary tract infection it can cause severe pain during urination and sometimes fever and shivering. This sometimes is difficult to diagnose and may involve the doctor placing a finger up the anus to feel for any tenderness in the prostate gland. Moreover, it usually requires a longer course of antibiotics.
See: The Causes, Testing and Treatment of Prostatitis (Prostate Inflammation)  

Trauma to the Penis

6) Penis Fracture

The penis is made out of erectile tissues and blood vessels. Although there is no bone in the penis, during an erection it can be as hard as bone. The term penis fracture is used when there is an injury to the erectile tissue inside the penis. It usually happens during sexual intercourse when the penis accidentally fully or partially slips out of the partner and the partner sits back down on the penis which injures it.
This will result in a sudden onset of pain and in certain cause you may even hear a snapping sound. When this occurs you should go to the emergency department immediately because it is a medical emergency.

7) Torn Frenulum

The frenulum is a thin strip of skin connecting the head of the penis to the foreskin. This can break during intercourse, especially when it’s rough, and result in pain and a lot of bleeding. The pain can last up to a few days as the frenulum heals. The healing time varies and it may get repeatedly injured during subsequent intercourse. When it started to occur more frequently, a simple surgical procedure may be done to fix the frenulum.
Frenulum breve, or short frenulum, is a condition in which the frenulum of the penis is too short and thus restricts the movement of the foreskin.
See: Frenulum Breve Treatment or Penile Frenulectomy

Others Medical Condiction that Causes of Penile Pain

8) Peyronie’s Disease

Is your penis bent during an erection? At the point where it is bent, can you feel a painful lump?
If it is yes to both questions, you may have Peyronie’s Disease. This happens when a spot along the penis shaft becomes inflamed and as it heals, it leads to contraction of one side of the penis causing it to bend. The pain may arise from the area of inflammation or in certain cases when the curvature is so severe, it causes pain during sexual intercourse.
Please see a doctor if you think you have Peyronie’s disease, and once the diagnosis is established the doctor may suggest several treatment options ranging from shock wave therapy to surgery.

9) Paraphimosis

This is a condition where the foreskin is completely retracted to expose the head of the penis and cannot be pulled forward to cover the head of the penis again. When the foreskin get inflamed and forms a band around the penis, it may affect the blood flow to the tip of the penis and usually causes severe pain.
This is a medical emergency and patients with this issue should see a doctor immediately. Most of the time, the doctor can use special techniques to pull the foreskin back into place.
Learn more about Paraphimosis.

10) Chronic Pelvic Pain Syndrome

This is a condition where there are non-specific symptoms in the groin area including pain in the penis, testicles or even lower back pain. This is due to inflammation either in the prostate or any of the organs in the groin area.
Read more about CPPS here.
Next time you feel pain or discomfort, do consider the possible.
If you wish to speak to our doctor about penile pain, please visit our men’s clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.
Take Care!


Also, Read:

  1. Things to do to maintain your penis health
  2. 11 Causes of Penile Itching & Pubic Itch
  3. 10 Ways to Improve Sexual Performance for Men
  4. An Overview of STD by an STD Doctor
  5. Anal Warts! What You Need To Know
  6. Weak Erection: Does Size Matters?
  7. Sexual Health Advice for Travellers 
  8. What you need to Know about Erectile Dysfunction 
  9. What You Need to Know about Premature Ejaculation Treatment
  10. What you need to know about Testosterone Deficiency Syndrome
  11. What is HIV / AIDS Signs and Symptoms

Micropenis – Does Size Really Matter?

When it comes to penis size, many men always feel that big is better. They sometimes like to compare with other men, or worse with the porn actors they see in videos. When comparing with these actors, most men will definitely feel inadequate. This may lead them to think that there is an unusually small penis. They may think that they have a condition called micropenis.
However, not many realise that there is an actual medical condition where the size of the penis is referred to as a “Micropenis”.
But what causes the condition? how small actually is a Micropenis? And how is it treated?

But how small exactly is a Micropenis?

Micropenis refers to any penis which, when stretched, is below 2.5 standard deviations size for the age of the patient.
In adults, the condition refers to any penis smaller than 7cm ( 2.8 inches ) in length.

What Causes Micropenis?

Micropenis may be caused by

  • Growth hormone deficiency
  • Structural anomaly
  • Testicular disorder
  • Genetic syndrome
  • Abnormal hypothalamic or Pituitary function

What are the Treatments for Micropenis?

1. Hormonal Replacement Therapy

If micropenis is diagnosed as being caused by a testosterone deficiency, testosterone replacement therapy is generally highly effective in treating micropenis.
This hormone treatment usually consists of intramuscular injections.
The main ingredient of these injections is testosterone.
Depending on the results, the treatment may or may not be continued.
In most cases, the treatment induces some penile growth, which in return may stimulate additional penis growth.
Many times, the treatment results in a normal sized penis.
On the other hand, sometimes there is no or very small improvement
In cases when a patient is unresponsive to hormonal therapy for micropenis treatment, surgery remains a last resort treatment for adults.

2. Surgical Treatment

Penile enhancement surgery uses an implant in order to effectively enhance the length and girth of the penis.
You will be referred to a urology surgeon if you require surgical treatment in this case.

Frequently Asked Questions (FAQs) on Micropenis

How do I measure my penis?

The most reliable penis measurement is called the Stretched Penis Length. It measures the penis while it’s flaccid.
Press the ruler tight against the pubic bone at the base of the penis.
Don’t just measure from where the penis separates from the scrotum, or you’ll lose precious centimetres.
Now gently, but very firmly, stretch the penis as far as it will go.
Measure from the pubic bone to the tip of the stretched penis.

Does it mean that there is less chance of getting a child with micropenis?

Although the equipment is smaller, it sexually functions like any other penis.
However, it could be difficult to impregnate a woman since it’s further away from the opening of the womb (cervix). And that makes it harder for the sperm to reach the egg.

My penis length is longer than 7 cm but I want it to be bigger. Is that possible?

Length and girth of a penis are normally fixed at a particular size right after puberty. It doesn’t change in size after the man passes puberty. There are products in the market that promises to enlarge your penis like pumps, oils devices etc.
However, these products are not well studied and clinically proven so you will have to try it at your own risks. If you do want to increase the firmness or have some improvement in your penile girth, you can consider ESWT (Extracorporeal Shockwave Therapy). This therapy is not meant for penile enlargement but it helps to increase blood flow to the penis. Some patients noticed their penis appearing bigger due to increased blood flow and firmer erection.

If you think you have micropenis issues, please visit our men’s clinics or you can call us, or email us for an appointment at hello@dtapclinic.com for a proper assessment.

Take Care!


Also, Read:

  1. Things to do to maintain your penis health
  2. Paraphimosis – My Foreskin is Stuck
  3. 10 Ways to Improve Sexual Performance for Men
  4. Weak Erection: Does Size Matters?
  5. An Overview of STD by an STD Doctor
  6. Sexual Health Advice for Travellers 
  7. What you need to Know about Erectile Dysfunction 
  8. What You Need to Know about Premature Ejaculation Treatment
  9. What you need to know about Testosterone Deficiency Syndrome
  10. What is HIV / AIDS Signs and Symptoms