This is a person's inability to control normal sexual feelings and urges that everybody has but very few act on. These behaviors often are detrimental to the person resulting in serious problems for relationships. If you have any questions you should seek out a PhD therapist for further discussion, As they are the best ones trained to handle this situation.View Thread
My first worry is to at some point get a cystoscopy to make sure that you don't have a bladder tumor that is a common cause of bleeding. Another common cause is simply blood vessels in and around the prostate they can bleed easily, especially with blood thinners. You want to make sure that at some point they should be working you up to prove that you don't have any upper tract Abnormalities such as kidney or ureteral lesions tumors or stones that could be causing the bleeding. Flomax will simply relax the muscles so they can urinate better and will do nothing for the bleeding. Avodart and Proscar have been shown in the past to actually reduce bleeding from the prostate tissues for men in similar situations and you should talk to your doctor about going on this. In the meantime if you can't have any intervention then the solution is dilution so you should be drinking plenty of fluids to keep the blood from clotting. You're smart to wait until you hit that save time after the stent is placed. Unless the bleeding is life-threatening moving ahead too quickly can result in serious complications and heart issues.View Thread
First having more surgery to excise skin because of increased fat pad will probably only be a bad thing. I've seen many men who have this attempted and it leads to serious problems healing, scarring and the penis still remains buried from the extra skin and fat. In my mind the penile issue is not a problem rather than symptom of the extra fat down there and that is what needs to be addressed and treated.
Second, Most men don't realize that the low testosterone is not the cause of the obesity or rather the symptom of the obesity. As it turns out the fat is in and around the intestines is a very hormonally active organ. This fat converts testosterone to estrogen. This extra estrogen is a fat storage hormone and so you end up with more and more weight especially more fat around the intestines and so more conversion of testosterone to estrogen, and so more fat storage and so on. This becomes a vicious cycle, Taking you in the wrong direction. Adding on testosterone does not solve the problem and can actually make it worse. What you should do is get a battery of blood test to include an estrogen level. Most likely it will be quite elevated and then you go on a medication called aromatase inhibitor and this blocks the conversion of testosterone to estrogen. During this several months. You're on this medication you need to aggressively exercise and watch your calorie intake as with this medication aboard most men have a significant weight loss. Any doctor that recommends testosterone when you have significant abdominal weight and does not talk about estrogen suggested they really don't understand what's going on and are simply throwing testosterone at you without really comprehending the problem and appropriate and healthy treatments.View Thread
Prostate massage is an old treatment for congestion of the prostate. I don't know if anyone is still doing that. With that prostate fluid will come out and sometimes men can feel sensation of orgasm, though more often it is not a fun experience. It involves inserting one gloved, lubricated finger up into the rectum to massage the prostate. There is no reason for a doctor to bring you to orgasm by touching anything else. If you feel uncomfortable, or he is doing something that does not seem right, then you absolutely should see a different urologist. And after talking to the new urologist about what has been done, and you have concerns, then you should contact your state board of medical examiners.View Thread
This happens and is seen, and is unavoidable. So yes, your blood vessel disease surely isn't helping at all - with the cholesterol and the heart surgery, as the small vessels that were clogged in your heart are impacted the same as the small vessel that bring blood to the penis. But the nerve sparing prostate surgery, even in the very best of hands, even by the pioneers that developed these techniques, still men can be unable to get erections with medications, oral or injections. For those men the vacuum erection devices are very effective. Sure, it is not as spontaneous or natural, but they do work, they will give you rock hard erections- just with the pump and occlusive ring. Go back and ask about these. You might even see a urologist specializing in sexual dysfunction/ ED. Some men opt for inflatable implants. The biggest complaint I have heard by men that get these implants is why did they wait so long. There are options available. Good luck.View Thread
Sounds smart. You are on maximum medications with a substantial retention. Sounds like surgery is coming your way. Ask about minimally invasive techniques such as microwave and such. They are less invasive which is nice but can be less effective than formal TURP or laser TURP. Think you are proceeding intelligently. Good luck.View Thread
There is truth to that- if you wait too long, then the bladder muscle can become damaged and weakened - but this takes many many years, and is usually obvious because the bladder wall becomes thickened and filled with many outpockets called diverticuli. What you do and need to do depends on how severe is your blockage, your residual urine volume measured after you are done urinating, your general health, and how you responded to more conservative therapies such as alpha blockers like Flomax or Rapaflo, or meds to shrink the prostate like Avodart, or conservative treatments such as microwave, then laser therapies. As this sounds to be elective, I encourage you to seek out second opinions. On the other hand, there are some men that need formal surgery to remove the obstructing tissue and all the conservative approaches above will not be effective.View Thread
Usually after varicocele surgery the testicle grows dramatically. If the testicle on the side of the varicocele repair has shrunk quite a bit, that is not good and sounds like it no longer is producing sperm and minimal testosterone. You should see a urologist, and get your baseline testosterone levels and sperm count.View Thread
Yes, long term cycling can cause serious and permanent damage to the delicate nerves and blood vessels that bring blood to the penis and so can hurt erections. Use only a no nose seat or recumbent bike.
I doubt your issues are psychological. Sadly, many doctors say that when they have no idea what is going on. I can say that worrying about erections, pain with erections or sex, anxiety fear, stress or fatigue all can impact on sex drive. But this is more common in older guys.
As far as testosterone, most of what doctors say and what is written is pure crap. A man's testosterone peaks and troughs twice every 24 hours, which means that a single level is meaningless. Also, it depends on time of day that you get your blood drawn. All we care about is that it is normal range, from mid 200 to 1100. You cannot say that a young man should be high and older men low. Again, the numbers skyrocket and bottom out two times every 24 hours.
There are some medical reasons for a true low testosterone, such as thyroid or liver problems, or prolactin secreting brain growth, or extra abdominal fat with higher estrogen levels. I suggest that you see a urologist. Also remember that taking external testosterone can and usually screws with your normal production, often stopping natural production and making you dependent on supplemental testosterone- plus it can kill sperm production and shrink your genitals. It is not the magic answer to all problems. If not used correctly, and it rarely is, then it can be more of a problem that solution.View Thread