MENS HEALTH AWARENESS LETS TALK BALLS By Dr

MEN'S HEALTH AWARENESS LETS TALK BALLS!!!! By Dr PZ Buthelezi-Mlambo

CRYPTORCHIDISM v Under scented testis occurs on 30% of premature and 4% term born babies � 6/12 tend to descent on its own in half of babies � if spontaneous descending doesn’t occur the surgical treatment is indicated because the undescended testes may be damage which could affect fertility later or lead to medical problems � Retractile testes is normal condition in which testes reside in scrotum but temporary retract or pull back into the groin �

SCROTAL SWELLING Causes: � Injury v Treatment: (Depends on causes) Underlying medical condition: eg. For example: ---testicular cancer � Infection: antibiotics -vericocel (abnormal enlarged � If vercocele, hernia or veins in scroutum, hydrocele: surgery - orchitis( inflammation of � Testicular cancer: will testes) depend on severity of -congestive of heart failure cancer. Eg. chemotherapy or radiotherapy � Accumalazation of fluid(Hydrocele) May be painless or very painful which is serious and needs emergency treatment mainly caused � by =testicular torsions: injury that causes testicles in scrotal sac to twist which cuts off blood circulation

SCROTAL SWELLING

PHIMOSISAND PARAPHIMOSIS � Phimosis-> Inability to retract the foreskin behind the glans Types: 1. Physiological phimosis in which children are born with a tight foreskins and separation occurs during late childhood and early adolescence 2. Pathological Phimosis occurs due to infection, inflammation or scarring usually found in uncircumcised adult men Causes: Physiological phimosis is present at birth and resolve without interventions. -Patholgical is caused by: scarring, balanitis , underlying medical risk factors Symptoms: inability to retract foreskins which leads to difficult in cleaning the area which can cause balanitis which is painful urination, painful erection, itchy glans Paraphimosis: occurs when the fore skin once retracted cannot return to its original location, the skin is trapped behind the groove of the coronal sulcus Treatment: Circumcision � it can reduce the risk of caner of penis � it can reduce the risk of urinary track infection � lower the risk of certain sexual transmitted disease eg HIV � lower the risk of cancer of cervix in sexual partners

PHIMOSIS AND PARAPHIMOSIS

ERECTILE DYSFUNCTION Ø Definition: Regular or repeated inability to obtain or maintain an erection Causes 1. Psychological causes: - performance anxiety 8. Aging- four times higher in man in the 60’s 9. Ascernic poisoning –from contaminated water -stress Complications: -relationship difficulties ending in 2. smoking is the key cause of impotencedivorcing/Adultery, low selfesteem and erectile dysfunction, it causes Treatment: eg arterial narrowing -mental disorder 3. Hypertension 4. Diabeites Mellitus 5. Cholesteremia 6. Obesity 1. Viagra, - Dynafil, Cialis 2. njections(mans clinic) 3. Penile prosthesis 4. Reconstructive surgery 7 Trauma from prostatectomy surgery 6. Hormonal insufficiency (hypogonadism)

ERECTILE DYSFUNCTION

PROSTATE CANCER Risk factors: Age 50 yrs and older- undergo a yearly digital rectal examination and blood testing for � Definition: Second most common form of cancer that develops in the Prostatic specific antigen prostate which is slow growing. - Family history of prostate cancer…. Start Prostate is a gland in the male screening at age 40 yrs reproductive system that makes and - Obesity store seminal fluid. - High blood pressure � Signs and Symptoms: 1. Difficulty initiating and stopping urine- African( black) stream - STI( Gonorrhoea, syphilis) 2. Frequent urination - prostatis 3. Pain or burning urination Nutritional Recommendation: 4. Nocturia (increase urination at night) Soya, Vegetables, fish and low in calories or fat 5. Haemturia food, fruits, garlic, tomatoes, olive oil 6. Pain on ejaculation Treatment: depends on the stage of cancer 6. Bladder obstruction – not urinating or -watchful waiting or active surveillance urinating very little despite drinking -Surgery - radiation therapy enough fluids 7. Backache pains eg. Hips or thighs -Hormone therapy – biologic therapy -Bisphonate therapy - targeted therapy

PROSTATE CANCER

TEN POINTERS TO MEN'S HEALTH v Know your health status with an annual medical check-up v Know your ideal weight and maintain v Watch your salt v Do not smoke v Take medicines as prescribed by your doctors v see your doctor regularly v Exercise regularly v Live a healthy life