Urological problems in men can occur at any age. Underlining that some problems are seen in later ages, and some are predominantly seen in young men, Prof. Dr. Saadettin Eskiçorapçı gives important information about penile curvature, prostate cancer, andropause and varicocele, which are the most important urological problems in men.
Andropause, self-forgetfulness, memory loss, concentration difficulties, insomnia, shrinkage of testicles and infertility, decrease in libido and sexual desire, hot flushes, decrease in hair growth, decrease in bone density, osteoporosis and increase in body fat (especially in the belly area) occur due to the decrease of testosterone hormone in men. it shows. Saying "There is no escape from andropause", Prof. DoctorTakvimi.com experts. Dr. Saadettin Eskiçorapçı states that after the age of 30, the male hormone testosterone in all men, without exception, decreases by 1 percent each year. Stating that in the studies conducted, 70 percent of men between the ages of 80-30 had moderately severe deficiency and 50 percent had mild low testosterone levels. Dr. Eskiçorapçı underlines that this situation does not mean that the sperm is over.
Stating that men do not run out of sperm, that even an 80-year-old older man will have enough sperm, Prof. Dr. Eskiçorapçı said, “With age, your testosterone levels and especially your free testosterone levels will decrease. This reduction does not always completely stop sexual functions. However, there will be a decrease in sexual desire and functions. In order to keep this under control, I recommend having the testosterone level checked once a year and getting medical help if necessary, especially for all men after the age of 40 to keep the sexual functions at a reasonable level.
Penile curvature causes loss of erection if left untreated
Penile curvature, which was defined by the French barber-surgeon Francois Gigot de la Peyronie in 1743 and known as Peyronie's Disease after that date, manifests itself with abnormal angulation and bending of the penis, and pain in the penis during erection. Pointing out that as the duration of the disease prolongs, and especially as the 6 months pass, serious and irreversible changes will occur in the anatomical structure of the penile membrane, Prof. Dr. Saadettin Eskiçorapçı said, “If there is a delay of more than 6 months in applying to the doctor, loss of erection may occur. Because the outer membrane of the penis (tunica albuginea) loses its elasticity and its function of compressing the vessels responsible for erection and keeping the blood trapped in the penis after 6 months. This loss of function ultimately causes erectile dysfunction, which is a more serious problem besides penile curvature. In other words, if it is too late to consult a doctor for curvature, the erection may be lost. In this case, patients who lose their chance to be treated with medication have to undergo surgery,” he says.
Explaining that Peyronie's disease is most common between the ages of 40-70 and especially after the age of 50, Prof. Dr. Eskiçorapçı also states that this disease is more common in patients with high cholesterol, diabetes and diabetes, and in men taking hypertension and beta-blocker medication. prof. Dr. Eskiçorapçı, however, states that curvature can be seen rarely after prostate laser surgeries, in penile procedures, catheter insertion and camera-assisted stone surgeries. Reminding that the disease can be treated with medication when diagnosed at an early stage, Prof. Dr. Eskiçorapçı also states that intralesional injection treatments with a needle into the plaque can also show a success rate of 60-70% in the early period.
Varicocele is more common in young men.
Varicocele is one of the most common diseases in men. This disease, which can be explained as the varicose veins of the testicles, is most commonly seen in men between the ages of 15-25. Stating that 80-90% of varicocele is seen on the left, Prof. Dr. Eskiçorapçı explains the reason for this situation as follows: “The veins on the left are connected to the renal vein instead of the jugular vein (venakava). This situation, combined with the gravitational effect, mechanically affects the return of blood and causes the blood to pool in the testicular veins.
Saying that there is no definite cause of varicocele, Prof. DoctorTakvimi.com experts. Dr. Eskiçorapçı underlines that this disease does not affect sperm production and, contrary to popular belief, does not reduce the possibility of having children. Noting that varicocele is very similar to varicose veins that can occur in the leg, Prof. Dr. Eskiçorapçı said, “In some patients, the enlarged veins are so prominent that they look like 'worms in a bag' when viewed from the outside. There is a higher probability of infertility in advanced varicoceles. Even though it is rarer, varicocele can reduce the testicle by impairing blood flow and impair its functions. This situation, which is very rare, such as 1-2 percent, can have serious consequences and requires urgent intervention.
Reminding that there is no drug treatment for varicocele, Prof. Dr. Eskiçorapçı underlines that if there is persistent testicular pain or varicocele that causes infertility, surgery is performed. Stating that most patients can live with varicocele, Prof. Dr. Eskiçorapçı states that before in vitro fertilization treatment, varicocele surgery was also applied to increase sperm and this surgery increased the success of the treatment.
New treatment methods in prostate cancer are also being applied in our country.
Prostate cancer is diagnosed earlier today, often in the late 50s and early 60s. The greatest success in the treatment of prostate cancer, which is the most common type of cancer in men after lung cancer, is achieved by surgery. After the surgery, the risk of urinary incontinence is around 5 percent, and sexual dysfunction can be seen between 30-50 percent despite the protection of the nerves. Radiation therapy, on the other hand, has similar results to surgery in terms of cancer control, but said that sexual function and urinary problems can still be seen. Dr. Eskiçorapçı explains that in recent years, instead of removing or irradiating the entire prostate, only the treatment of the tumor area (focal treatment) has been on the agenda.
Reminding that the High intensity focused ultrasound (HIFU) method is also applied in our country, Prof. Dr. Eskiçorapçı continues: “This treatment is based on the principle of destroying cancer cells by focusing ultrasound waves into the prostate. It is reported that this promising form of treatment may provide advantages in terms of urinary incontinence and sexual functions. It is a localized treatment method for localized prostate cancer treatment, as it is applied only to the prostate area affected by cancer, as a remedy to reduce side effects such as erectile dysfunction and urinary incontinence.
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