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Penis Disorders

The penis is the male genital organ, important for male sexual and reproductive health. In addition, it works as a conduit to eliminate urine.

But the virile member can also get sick and cause pain. In some cases the solution may be adequate hygiene; while in others, the damage is irreversible.

The urologist Max Lazo was in Always at Home of RPP Noticias and together with Dr. Elmer Huerta they explained the main ills that can affect the functionality of the penis, as well as the treatment that the affected person can follow.

Anatomical problems

1. Phimosis. It occurs when the foreskin (skin around the penis) cannot come down and uncover the glans (head of the penis), which can lead to hygiene problems. «It is something you are born with, the head is trapped inside and needs an immediate operation,» explained Dr. Lazo.

2. Paraphimosis. It is when the foreskin cannot rise and is strangling the sexual organ. «It is a urological emergency that can be resolved manually or surgically.


3. Balanitis. The inflammation and / or infection of both the glans and the foreskin, due to fungi, bacteria and viruses, often due to lack of hygiene. Although there is treatment with antibiotics, it is solved with a circumcision (local surgery) to prevent the long foreskin from being a breeding ground for subsequent infections.

«It is common that the first consultation of a man with diabetes is for balanitis. The area smells and itches, due to an infection with pus … Prevention is to teach the child to clean the glans,» said Huerta.

Circumcision at an early age can prevent infections and antomic problems in the virile member. | Source: RPP | Photographer: Getty Images

Functional problems

4. Priapism. It is a painful erection that can last for up to 4 hours. An overdose of viagra or other medicines, as well as alcohol and drug abuse, can induce this.

You can apply the Winter Technique, which consists of making holes in the glans with a scalpel, in order to try to drain the blood and wash with saline soil to lower the erection.

«The risk is that priapism often leads to impotence or definitive erectile dysfunction,» said the urologist. He said that while there are sexual enhancers such as arginine, the most effective would be a penile prosthesis (anatomical silicone cylinders or pumps that generate erections).

Priapism or prolonged erection can lead to impotence or permanent erectile dysfunction. | Source: RPP | Photographer: Getty Images

Traumatic problems

5. Peyronie’s disease. It is when the penis bends not for a congenital reason, but due to sequelae, trauma or micro-trauma during sexual intercourse. Surgery can be done, although there is a risk of a shortening of the penis.

Cancer and tumors

6. Cancer of the penis. It is not as frequent and is closely related to the Human Papilloma Virus (HPV). It can also occur in males with a long, unsanitary foreskin.

7. Erythroplasia of Queyrat. It is a precancerous lesion that affects the surface of the penis in uncircumcised subjects.

8. Giant condyloma (CG) or Buschke-Löwenstein tumor (TBL). It is a rare disease that presents as a warty lesion and is transmitted sexually.

Copyright Dr. José Luis Canto Pérez 2021. All rights reserved.