Preputioplasty and Labiaplasty – Reconstructive Surgery for the Genitals

Men often suffer from a condition called phimosis where it is difficult for the foreskin to retract fully from the penis. This is not only a cosmetic problem but also functional, as it causes difficulty while urinating or intercourse. Similarly, women may face problems of damaged vagina because of childbirth or an enlarged labia causing discomfort. For these conditions, a person consults an urologist who usually recommends preutioplasty and labiaplasty as a correctional surgery. 

Phimosis in men is said to occur during developing years that gets resolved on its own. However, at times, trauma or diseases like developing tissues of white ring on foreskin stops the skin to retract. Though it is not clear what causes it, some believe that is brought on by bacterial or viral infection, or auto-immune disease. In another condition, there is redness and rashes on penis and foreskin along with pain and discharge.

Earlier, phimosis was treated using either steroid creams or circumcision. As circumcision used to cause much pain after the surgery, people started to look for minimal invasive procedure. That’s when they came across preputioplasty, which preserved the foreskin by making small Y-shaped incisions to widen the ring at the end of the foreskin. The whole procedure can be completed in an hour and bring down the recovery time to few days to few weeks.

On the other hand, women wanting to restore their vagina would like to undergo labiaplasty. A labiaplasty tries to improve the appearance of vagina by reducing the labia. They may however be asked to make a choice between labia minora reduction and labia majora reduction. Labia minora reduction reduces the large labia minora that are visible while wearing swimsuits, leotards or any revealing clothes. Moreover, it may cause pain and discomfort during sex, wetness and irritation and discomfort during exercise. Labia majora though common, gets aggravated by estrogen stimulation, childbirth and extreme weight loss. It becomes noticeable while wearing tight-fitting clothes and may get embarrassing. Both labia minora reduction and labia majora reduction are often performed in conjunction with each other for better results.

Labiaplasty is performed sedatives and anesthesia and may take about an hour. After making an outline, excess tissue is removed and sutured allowing the area to heal properly. The scars formed are made to hide between the crease of labia minora and labia majora. The recovery time is of few weeks and requires the patient to stay away from strenuous activity, keep the area clean and take the medicines as prescribed.  

Urologist Los Angeles Can Help with your Erectile Dysfunction

As people age there are problems they have to worry about that may not have been as apparent in their youth.  Many of us feel younger than we are, physically, and it can be quite problematic when there are too many things we are no longer in control of. There may be a number of things we are finding we have problems with as we grow older. Some of these things may be less mobility, more soreness after moderate physical exercises and some of these problems may be more embarrassing like erectile dysfunction, for men and incontinence, for women.

If you are one of these people who feel that you should not have to worry about these types of physical issues because you are just too young or may be experiencing these aging problems prematurely, you may need to speak to a specialist regarding your concerns. There are hundreds of physicians who may have an idea of what kinds of symptoms to look for; however they will not be able to treat any of these conditions like an Urologist Los Angeles. This type of specialist focuses primarily on the urinary tract of males and females. If you are experiencing problems that are related to the urinary tract and you are not sure why, you may want to speak to a Urologist Los Angeles about your Urinary Incontinence.

Urinary Incontinence can be very embarrassing and affects your everyday life. You may avoid certain social settings all because you may have an accident and do not have anything to prevent yourself from having an embarrassing accident. This problem can be very frustrating. This is just one problem that can develop with age although this may develop due other factors. Older women and men may experience Urinary Incontinence and Erectile dysfunction, which are both embarrassing and can dramatically affect the day to day activities you may choose to engage in just because you feel that there is simply no way to deal with these issues.

For men Erectile Dysfunction can be particularly embarrassing when you feel there is just no solution out there that can possibly help you in your particular situation. Erectile dysfunction is actually more common than people think and does not just happen to older men. This can develop in younger men as well and in most cases the reason is purely physical. There is no exact reason for this occurrence and there is no definitive cure; although with the advent of new ED drugs, men have more alternatives for fixing this issue. If you are a man seeking advance or help with you erectile dysfunction and don’t know where you turn you may want to speak to a Urologist Beverly Hills.

Enlarged Prostate and Labiaplasty

A male reproductive system contains a gland called prostate that produces the fluid carrying sperm during ejaculation. When the gland becomes bigger it comes to be known as enlarged prostate. It is a common in men as they grow older. The growing gland presses the urethra causing bladder and urination problems. 

Though the cause of enlarged prostate is not known, it has been linked to aging and the testicles. However, men who have had their testicles removed may not develop enlarged prostate. The symptoms may include

·         Dribbling after urination.

·         Urinary retention.

·         Incomplete emptying of bladder.

·         Incontinence.

·         Urge to urinate frequently at night.

·         Urination followed by pain or bloody urine.

·         Slow or delay the urinary system.

·         Straining while urinating.

·         Weak urinary system.

At Dr. Safir’s, the treatment for enlarged prostate may be based on the severity of the symptoms. The treatment may start with some self-care measures such as the patient being asked to

·         Urinate at the firs urge.

·         Avoid alcoholic beverages after dinner.

·         Avoid drinking fluids 2 hours within bedtime.

·         Avoid medications containing decongestants or antihistamines as they may increase the symptoms.

The patient may be prescribed medications such as 

·         Alpha-1 blockers to relax muscles of bladder neck and prostate. It may help to urinate easily.

·         Finasteride and dutasteride to reduce size of prostate increasing the urine rate. 

Additionally, surgical procedures may also be performed. The two most common surgical procedures are

1.      TURP (transurethral resection of the prostate). The patient is administered a general anesthesia or spinal anesthesia. The surgeon may insert a cystoscope or endoscope through urethra. A special cutting tool may then be inserted that removes prostate n pieces with an electric current.

2.      TUIP (transurethral incision of the prostate). It may be performed on men having smaller prostate. A cystoscope or endoscope is inserted and incisions may be made in the prostate enlarging the urethra opening and bladder outlet.  

Labiaplasty is a cosmetic procedure performed in women to improve the vagina’s external appearance by reducing labia. In some women, the labia may be asymmetrical or big on one or both sides while in others it occurs after childbirth or aging. Labiaplasty may be either labia minora or labia majora.

At Dr. Safir’s, Labiaplasty is performed under local anesthesia and may be performed in 1-2 hours. It is done on an outpatient basis without requiring any need for hospitalization. The after surgery precautions may include avoiding sexual activities and heavy strenuous activities for 6 weeks. It may also be recommended to maintain local hygiene. 

Erectile Dysfunction and Urinary Incontinence

Among the various specializations of medical science is urology that studies urinary tracts of males and females and male reproductive system. The surgeons specializing in the fields of urology are called urologist who may diagnose, treat and manage disorders such as erectile dysfunction in men and urinary incontinence in women.

An erectile dysfunction is a sexual dysfunction where a man is unable to develop or maintain an erection of the penis during sexual activity. Usually, to achieve a normal erection may require coordination between vascular, neurologic, hormonal and psychological factors. Any condition or factor that may interfere with the coordination may cause erectile dysfunction. The causes of erectile dysfunction are generally grouped into either endogenous factors or exogenous factors. The endogenous factors include endocrine imbalances, cardiovascular, other medical conditions and emotional causes. On the other hand, exogenous factors may include medications, surgery, trauma, irradiation, smoking, alcohol and substance abuse.

Similarly, in women, urinary incontinence is the inability of the urine to keep leaking from urethra. Urethra is the tube carrying urine out of body from bladder. Urinary incontinence may be classified as 

·         Stress incontinence. It may occur during coughing, sneezing, laughing or exercise.

·         Urge incontinence. It may create a strong and sudden need to urinate followed by bladder contraction and loss of urine.

·        Overflow incontinence. It may occur because of the bladder not able to empty completely resulting in dribbling.

Urinary incontinence may be caused by neuromuscular disorders, dementia, medications such as diuretics, antidepressants, tranquilizers, antihistamines, etc., pregnancy, infection or inflammation of urinary tract, weight gain, Alzheimer’s disease, bladder cancer and spasms, pelvic prolapse and spinal injuries.

During an initial treatment at Dr. Safir’s the patient may be asked to alter their lifestyle by avoid smoking, reduce obesity and control alcohol and substance abuse. The patient may be prescribed medications such as Viagra that has a longer effect, increases penile blood flow and produces erection. Also, penile prostheses may be used that are semi-rigid or inflatable devices. During the procedure, the patient may be administered general anesthesia and incisions are made in the abdomen and perineum. The device is inserted through these incisions along with fluid reservoir and pump that are placed in groin and scrotum respectively. The devices are connected by tubes and may be tested before closing the incisions.

The treatment for urinary incontinence at Dr. Safir’s follows many approaches. It may involve methods such as bladder retraining and kegel exercises. Both these methods may help to strengthen the muscles of pelvic floor. In some cases, surgeries such as anterior vaginal repair and vaginal sling procedures may be performed. An anterior vaginal wall repair may tighten the front wall of the vagina. It either sinks the bladder into the vagina or sinks urethra into the vagina. On the other hand, in a vaginal sling procedure,  a sling made of mesh tape or tissue graft is used that supports urethra.          

Labiaplasty - Surgery for Women’s reproductive organs

For women these days, in order to achieve vaginal rejuvenation, vaginoplasty and labiaplasty are great surgical ways in which this can be accomplished. Many people are not aware that these procedures are safe, affordable and available to women across the country.

Women seeking these procedures are often trying to gain back the tightness and control that they had in the past. This can be the case for women who have given birth, and their private areas are not as tight or aesthetically the same as before. This can also be the case for women who have never given birth before. Muscles tend to wear out with age.

Many women who seek vaginoplasty are seeking that as part of vaginal restoration and/or vaginal rejuvenation. Which it includes labiaplasty, perineoplasty, vaginoplasty, among other procedures. After this procedure is completed, women can be back to having a sexual life after 5 to 6 weeks. This is a very short period of time to begin enjoying the results and a better quality love life provided by going through these procedures.

While vaginoplasty may be a great option for women looking to having the same conditions as they did when they were young, people seeking a sex change can also turn to vaginoplasty. Men who are looking to have a sex change can now go through a procedure that is not only safe but available. The first sex reassignment was performed in the United States in 1966.

Whether you’re trying to achieve a younger look or a better sex life, vaginoplasty and vaginal restoration are great ways to do this.

               

Problems with Urinary Incontinence and Erectile Dysfunction

The problems men face on a daily basis with these two problems are a cause for much stress and a bad quality of life. These two problems can cause emotional issues and lead to embarrassing and sometimes uncomfortable situations. The men who suffer from erectile dysfunction can sometimes have problems in their love life, as well as their self-esteem being affected.

                In terms of Erectile Dysfunction, among older men, the problems are mostly physical. However, for men under 40, these symptoms may be the cause of psychological problems.  Some of the problems include: unrecognized homosexuality, (performance) anxiety, sense of loss, death in the family or financial problems.

                As for older men, the problems as stated before are physical. Although pills such as Viagra, Cialis or Levitra usually work, they are not the only form of treatment men can seek. Urologists are able to determine which drug or treatment is best. If drugs don’t work, usually urologists may suggest injectable medications, and/or penile implants (or pumps). The injectable medication is called alprostadil, and it is able to produce an erection for men in 10 to 15 minutes. Implants such as “pumps” are implants that are inflatable and make the penis produce an erection in just a few simple pumps.

                As for urinary incontinence, it is a problem that affects older men, usually stemming from an enlarged prostate or urethral stricture. These two problems are different but sometimes lead to the same problems such as urgency to urinate, leakage of urine, waking up several times during the night to urinate, weak or interrupted urine stream, among others.

                Seeing a urologist can be the way to go to figure out what the problem may be. There can be many problems or diseases attributed to these sets of problems. However, if left untreated or worse yet undetected, many other issues can arise and conditions may worsen. The best way to go is to visit a urologist often (especially men after 40), to check on issues and diagnose conditions at an early stage.

Erectile Dysfunction - Men’s Health: Sexual Functions and Aging

As men enter middle age, problems with reproductive organs tend to be more common. These problems include Urinary Incontinence, Erectile Dysfunction, and Enlarged Prostate issues. These are among the most common issues; however, there are other Urologic issues that can threaten men’s health during these years. Some of these problems affect sexual performance among men, which can be embarrassing and uncomfortable.

                Many celebrities and famous people have admitted to having Erectile Dysfunction. One memorable example was Bob Dole’s TV commercial Ad in the mid 1990s for Viagra. With the advances in drugs, such as Viagra, Cialis, and Levitra, many men have turned to these drugs to have better and more lasting erections. Although, many doctors recommend the use of drugs, others tend to focus on physical and emotional issues to finding the solution to this problem. It is widely believed by doctors that men suffer from Erectile Dysfunction due to physical reasons.

                Other issues such as Urinary Incontinence can highly affect the quality of life among middle-age men. This condition can affect men’s sleep, and can make it difficult to perform certain activities. This issue can be caused by many different factors including excessive urine production, drinking certain diuretic fluids, and an enlarged prostate. Although this condition can affect men while they sleep, it is also possible for incontinence to occur during the day.

                An Enlarged Prostate can make the lives of middle-age men uncomfortable, and at times, painful. The causes for an Enlarged prostate can vary and are complex to understand. There are however, many different treatments that are invasive and non-invasive. If left untreated, it can be a progressive disease that can lead to more serious health issues.

                Although incidence in the United States is low as compared to the rest of the underdeveloped world, Enlarged Prostate it is a serious and common issue that affects middle-age men from all ethnic backgrounds.

                For many middle-age men, a Urologist should be one type of physician that should be visited on a constant basis. The best way to treat these issues is through early detection and the right treatment. Men should be aware of these issues after the age of 40.