Dr. Sammy E Elsamra M.D. discusses management of penile cancer
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Causes of Penile Pain || Treatment For Penile Pain || Dr Rahul Reddy || Androcare Andrology Clinic
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Dr.G. RahulReddy, Andrologist and Men’s health consultant and Microsurgeon, is the first university-certified Indian doctor to practice exclusive Andrology and Men’s health. He is preeminent for his fantabulous and patient ways to conduct puberty clinics, premarital counseling, andropause clinics, psychosexual counseling, and couple counseling. He is presently the director of ANDROCARE Andrology and Men’s health center.
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Edoardo Pozzi, MD, San Raffaele Scientific Institute, Milan, Italy, talks on the findings of a retrospective analysis investigating the long-term outcomes of dynamic sentinel lymph node biopsy (DSNB) for patients with clinically impalpable (cN0) penile cancer. Data from 509 patients with cN0 penile cancer was analyzed. The study reported that the sensitivity of DSNB was 92.5% and the specificity was 100%. Positive histology following DSNB and subsequent radical lymph node groin dissection was also found to be a strong predictor of reduced cancer specific survival and recurrence-free survival. This interview took place at the virtual European Association of Urology (EAU) Virtual Meeting 2021.
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I have never been insecure about my height, pointy ears, big nose, or eye birthmark. BUT I have always been insecure about the size of my package. Apparently, I am not alone, judging from my videos’ views about how to make it bigger. Derek of More Plates More Dates is actually insecure about his as well, which he talks about in a recent video about Connor Murphy and Johnny Sins. While Connor’s and Derek’s videos are packed full of information, one point stuck out. Derek thinks I am wrong about L-Arginine; however, the point I was trying to make is the same as Derek’s. The point is that L-Arginine makes it better (rock-solid) rather than actually bigger.
I want to review some of the options to make Big Al bigger and better. I also want to cover some natural and healthier mental and physical ways. Regarding Derek’s video, he talks about how he has tried techniques to make his junk jacked, and they worked. Derek also said Johnny Sin was wrong (Sin said you can’t make Big Al bigger), that you can make it bigger. The truth is that some of these techniques come with side effects and consequences. Plus, the techniques take commitment; if you stop, your gains will go away or reduce.
I want to clarify that average is alright! The average is between 5 to 7 inches, and I am an average dude. Most of us fall into this realm. We have been conditioned to think that we must have a monster to satisfy a spicy senorita when this is not the case. Remember, take care of her first and you second, then everyone wins. Roman Swipes are also a game-changer, turning you into a rock star in the sack. Get 20% off your first order + free 2-day shipping. Set the mood, be attentive, and get her excited. Also, eat a healthy diet and exercise to keep Big Al at peak condition.
Options to make Big Al mas grande!
Lengthening surgery — the suspensory ligament is cut to Big Al hangs lower. The downside is that Big Al won’t point north again.
Thickening surgery — harvested cadaver tissue is wrapped around Big Al. Note that post-surgical satisfaction is low.
Fat injections — harvested fat tissue is injected, possibly making Big Al lumpy and misshapen.
Restylane — this substance is traditionally used to plump women’s faces. The downside is the injection will eventually be absorbed.
Penuma — a silicone sleeve is implanted so that Big Al can be pumped up. Remember, Roman can help with ED, so you don’t need this surgery.
Extenders — this strap on the contraption is worn for 7 hours a day over the course of months. Big Al may potentially be longer, but the downsides may be tearing and damage.
Jelqing — this is the most common option, and amazing benefits have been reported. I describe the procedure in the video, which Derek has tried and was successful. Over time, you lose it if you stop.
Pumps — the pumping forces blood into Big Al, which is a temporary fix. Reports say if used regularly, the results are like jelqing.
Common sense steps to a harder, stronger, and bigger Big Al
Lose body fat — lose body fat and subcutaneous retained water to make Big Al appear bigger.
Manscaping — tame the monster man bush to make Big Al look more impressive.
L-Arginine + L-Citrulline — these amino acids convert into nitric oxide (a vasodilator) to allow more blood to enter Big Al.
Zinc — this mineral is great for Big Al and testosterone production. Take a high-quality multivitamin with zinc.
Yohimbe, ginseng, ginkgo — these improve blood circulation to your junk, but be careful as they are not regulated by the FDA.
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Maarten Albersen, MD, PhD, University Hospitals Leuven, Leuven, Belgium, discusses some of the key presentations at ASCO GU 2023 in the field of penile cancer. Topics included the possible impact of tumor mutational burden on the use of immunotherapy for these patients, dependent on HPV status, as well as research into germline mutations and tumor infiltrating macrophages. This interview took place at the ASCO GU Cancers Symposium 2023 in San Francisco, CA.
These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.
Hielke-Martijn De Vries, MD, Netherlands Cancer Institute, Amsterdam, Netherlands, discusses the findings of a study presented by Lieke Wever, MD, PhD, also from the Netherlands Cancer Institute, which evaluated risk factors for complications after dynamic sentinel node biopsy in patients with penile cancer. The study concluded that dynamic sentinel node biopsy is associated with a considerable risk of complications, however 95% of these complications were grade I-II, meaning outcomes were still favourable in comparison to inguinal lymph node dissection. The number of removed lymph nodes was found to be the primary risk factor for postoperative complications. This interview took place at the virtual European Association of Urology (EAU) Virtual Meeting 2021.
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In this video we will focus on several questions: Is it too small? Can you increase penile length? And much more.
This video is part of a videoseries on sex related medical problem. Find the playlists here:
What is a “normal” penile length?
A lot of people believe the average penile length to be greater than 6 inches or about 15cm. This believe comes from several often-cited studies that relied on self-reported measurements. In scientific terms this data is contaminated with a volunteer bias and social desirability bias. Luckily for us, a recent study looked at the combined results of 31 other studies. Where the penile lengths were actually measured by one of the researchers. Based on these results, the average penile length when erect seems to be between 5.1 and 5.5 inches or 13-14 cm.
Can a penis actually be too small?
Unfortunately, a penis can be too small. In medical terms this is called a micropenis, which is usually diagnosed at birth, when the penile length is found to be well under the normal size range for an infant. This affects about 0,6% of all men.
A micropenis is usually caused by a medical condition affecting androgens. Androgens are a group of sex hormones, which play an important role in the development of someone’s genitals. Mostly impacting the penile length. Assuming there are no other health concerns, a micropenis functions the same as a normal penis.
How is a micropenis diagnosed?
As mentioned a micropenis can be caused by multiple medical conditions. So when a patient visits their doctor with concerns about the length of their genitalia, the doctor will need to do an extensive medical examination to determine the underlying cause.
This includes asking about current complaints, a personal and family medical history and of course a physical examination with a proper measurement of the penile length. The doctor needs to measure the stretched penile length from the tip to the base.
– In infants a micropenis is a length of less than 1.9 cm or 0,75 inches.
– In adults it is a length of less than 9,3cm or 3,7 inches
When to contact your doctor?
If you do worry about your genitalia or your penile length, then please contact your doctor. He/she can maybe reassure you or if necessary can come up with a suitable treatment plan. As this idea of having a small penis can cause men a lot of, potentially unnecessary, stress. Which could cause further medical problems. Therefore it is important you talk about this, with your doctor, partner or maybe a close friend.
Tips and Tricks:
– Grooming or manscaping.
– Losing weight and getting in shape.
Treatment options?
– Psychological counseling or psychotherapy.
– Avoid penile extenders, vacuum erection devices, pills, supplements, creams and lotions. There seems to be very little medical evidence for all of these.
– Surgical treatment; a lot of different surgical techniques are discussed in the medical literature. But all of them seem to cause a high number of complications, poor outcomes and little satisfaction for the patients. In a nutshell the juice doesn’t seem to be worth the squeeze.
– Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice, always contact your own doctor. –
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Literature:
1: DeNoon DJ. (2015). Is My Penis Too Small? WebMD.
2: Rena Malik M.D. (2020). Scientifically proven ways to increase penile length? A Urologist Explains
3: Brito J. MacGill M. (2021). What size is the average penis? Medical News Today.
4: Jewell T. (2018). How is a Micropenis Defined? Healthline
5: Bernstein S. (2021). Penis Enlargement: Does It Work? WebMD.
6: NHS. (2018). Penis enlargement. NHS.
7: King BM. (2015). Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling. J Sex Marital Ther. 2021;47(1):80-89.
* The images in this video are used for educational purposes only. Most of the images and video material in this video come from https://www.canva.com/.
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Urologist Dr. Aaron Spitz shares whether this trend is worth a try.
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Chapters
0:00 Introduction
0:07 What is Penile Cancer?
0:28 Symptoms of Penile Cancer
0:46 What are the risk factors of Penile Cancer
1:14 Diagnosis of Penile Cancer
2:03 Stages of Penile Cancer
3:32 Treatment for Penile Cancer
In Today’s Video, we delve into an important topic that affects men’s health – penile cancer. We will explore the causes, symptoms, and treatment options for penile cancer. It’s essential to raise awareness and provide valuable information to help individuals understand this condition. Let’s dive in!
Section 1: What is Penile Cancer?
– Definition: Defining penile cancer as a rare but significant form of cancer that affects the tissues of the penis.
– Incidence and Prevalence: Highlighting the occurrence of penile cancer worldwide and its prevalence in certain populations.
– Risk Factors: Discussing the various factors that increase the risk of developing penile cancer, including age, HPV infection, poor hygiene, and smoking.
Section 2: Signs and Symptoms:
– Early Warning Signs: Exploring the common symptoms of penile cancer, such as persistent lumps, sores, redness, and changes in skin texture.
– Importance of Self-Examination: Encouraging regular self-examination to detect any abnormalities or changes in the penile region.
– Seeking Medical Attention: Emphasizing the need for prompt medical evaluation if any concerning symptoms arise.
Section 3: Diagnosis and Staging:
– Diagnostic Procedures: Explaining the diagnostic tests used to evaluate penile cancer, including physical examination, biopsy, imaging scans, and sentinel lymph node biopsy.
– Staging: Describing the staging system used to determine the extent and spread of penile cancer.
Section 4: Treatment Options:
– Surgical Interventions: Discussing surgical approaches, such as partial or total penectomy, lymph node dissection, and reconstructive surgeries.
– Radiation Therapy: Exploring the role of radiation therapy in treating penile cancer and its potential side effects.
– Chemotherapy and Targeted Therapy: Providing information about systemic treatments, including chemotherapy and targeted therapy, and their usage in advanced cases.
Section 5: Coping with Penile Cancer:
– Emotional Support: Highlighting the importance of emotional support for individuals and their loved ones dealing with penile cancer.
– Survivorship and Follow-Up Care: Discussing long-term follow-up care, surveillance, and strategies for living a healthy life after penile cancer treatment.
Conclusion:
Penile cancer is a topic that demands attention and awareness. By understanding its causes, recognizing the symptoms, and being informed about available treatment options, individuals can take control of their health and seek timely medical care. Remember, early detection is key to successful outcomes. Stay informed, spread awareness, and prioritize your well-being.
Piyush Agarwal, MD, Center for Cancer Research National Cancer Institute, discusses the difference between penile cancer confined to the penis and cancer that spreads to the lymph nodes. Agarwal says patients whose penile cancer does not spread to their lymph nodes have a 95% chance of survival over the course of 5 years, while survival for those whose cancer spreads to their lymph nodes is significantly less.
For more resources and information regarding anticancer targeted therapies: http://targetedonc.com/
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Penile pain is a common symptom among men who suffer from pelvic pain. Pelvic pain expert Elizabeth Akincilar is back to talk about the most common causes of penile pain, what should what treatments are available to overcome this issue.
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About Elizabeth Akincilar, MSPT
Liz received her Masters of Physical Therapy from the University of Miami Medical School. She is a Pennsylvania native but spent much of her early professional career in San Francisco. In 2015 Liz was excited to move back to the east coast to open PHRC’s first New England location. Now she is a fully acclimated New Englander who loves the four seasons. Liz’s happy place is in the kitchen cooking for friends and family or in the mountains with her partner and two rescue German Shepherds, Gunner and Jackson.
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Today we are going to learn about Genitourinary cancer. This is important information for men who can suffer from this cancer which may also be lethal
Watch out for the latest video of Dr. Anil Mandhani, Chairman of Kidney and Urology Institute Medanta. With his rich experience, He has extensively explained various essential factors of Genitourinary cancer (Penile Cancer Case)
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CHAPTERS
0:00 How to prevent Penile Cancer
0:46 Multiple sexual partners
1:01 Smoking is one of the reason
2:09 Passing death sentence to patient
2:36 Spread the message of clean lingam
#Genitourinarycancer #Genitourinary #PenileCancer #Penile #DrAnilMandhani
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