|
|
Discover a New Approach to Healthcare with New Life Health Group
At New Life Health Group, we redefine the healthcare experience by seamlessly blending world-class medical services with personalized attention and comfort. Our comprehensive range of services ensures that your journey to wellness is not only effective but also comfortable and stress-free.
1) LIGAMENTOLYSIS (surgery to cut ligaments)
We men see only the outer part of our penis. There is also the
continuation of the penis adhering to the pubic bone, which we call KURURA.
The logic in this surgery is to obtain a longer appearance in
the penis by separating the fundiform and suspensor ligaments that hang the
penis to the pubis, that is, the pelvic bone.
We combine this method with the most frequently used skin
advancement technique v-y plasty.
In order to prevent the penis from escaping backwards, we suture the pubic bone
using the fascia or tissues next to the scarpa fascia or ingiunal cord, which
we call inverting suture.
Since we close the area between the penis and the pubic bone
with this technique, the penis does not escape backwards.
We achieve an average lengthening of 1.5 cm -4 cm.
The lengthening process takes about 30 minutes.
The rate of elongation in the penis is directly proportional to
the depth and width of the ligaments.
This lengthening technique is the technique in which the invisible part of the
penis is removed and visually active elongation is provided.
2.SUPRA PUBIC LİPOSUCTİON/LİPECTOMY
We call the upper part of the penis the pubis region (pubic
region). The fat in this area covers the penis and covers the main visible
part. Our patients with such complaints usually tell us that when I sit down,
my penis slips inside.
If there is an excess of fat in this area and according to the anatomical
condition of the person, it is called lipectomy. When these fats are removed,
the patient’s penis will become more visible. It is combined with
ligamentolysis (cutting of suspensory ligaments) operation according to the
anatomical condition and examination of the individual. Due to the excess of
lymph tissues in the pubis region, it is natural to have edema after the
operation.
Although the operation is prolonged in direct proportion to the
individual’s pubis, i.e. groin area fat, it takes an average of 30 minutes.
3) PENOSCROTAL WEB CORRECTION
This technique, in other words, is the process of aesthetic
removal and suturing of the skin in the form of a curtain between the bag
surrounding the ovary and the penis. It can usually occur due to circumcision
error or congenital causes. It makes the penis look bigger as an illusion. It
is a technique that provides a completely passive elongation. There is no
ligament that hangs or holds the penis at the bottom of the penis. In time,
scrotoplasty can also be performed to narrow the bag.
Lengthening with this technique takes an average of 30 minutes. It can be
combined with other techniques.
After thousands of patient experiences, psychological traumas
and sexual traumas that people receive after the experience of thousands of
patients, they unfortunately attach a lot of meaning to their penises as a
result of sexual traumas. Some of the success they have experienced, sexual
experiences, reactions from sexual parner can become an anxiety in men over
time and even a fear of sexuality over time.
Our patients with such traumas desire to quickly increase their
penis to the level they want. Penis thickening is actually a form of penis
enlargement. There are some methods used to enlarge the penis. These methods
are determined according to the anatomical penis structure of our patients.
If we talk about these techniques, the most applied and most
organic technique;
FAT INJECTION
Autologous fat transfer is the process of purifying and
injecting the fat taken from the individual after certain processes.
According to the average metabolic rate and age, 40/50 percent of the amount of
fat given is absorbed by the body within 6 months.
In line with the individual’s request, thickening can be
performed with a fat injection again after 5-6 months.
This fat injection is simultaneously injected into the sulcus
corona part of the sulcus corona in the widest area circularly on the head of
the penis to provide a symmetrical organic appearance.
THICKENING WITH FILLER
Hyaronic acid based filling materials can be used to increase the
thickness and volume of the penis. The injection technique is the same as in
fat injection. Some of the filler material dissolves within 6 months. This
procedure is performed under local anesthesia and performed under clinical
conditions.
ALLODERM GREFT
One of the methods of increasing the thickness around the penis
in men is penis enlargement using a graft. In this technique, a thin graft
obtained from the bovine heart membrane is used.
This method is also performed as open surgery. An incision is made in the
foreskin or pubis area and the graft is placed in the anatomical plan and
growth is achieved.
The problem of “uncontrolled ejaculation” or “uncontrolled
ejaculation”, commonly referred to as “premature ejaculation”, “premature
orgasm”, “rapid ejaculation”, is the most common problem especially in men
under the age of 40. Since it is usually difficult to express and is a relative
concept, there is not enough information about the frequency of occurrence (our
clinical experience is that it is seen in almost one in every two men in our
country). In fact, almost every man may encounter this problem at some point in
his life. At least during their first sexual experience, premature ejaculation
may occur due to tension and they can learn to control ejaculation over time.
Men who experience premature ejaculation problems may also experience erectile
dysfunction (impotence) and sexual reluctance. Men and especially couples
should not exaggerate this very common problem and should not put too much
weight on the man. They should know that premature ejaculation is a 100%
treatable problem. Ejaculation control is definitely a condition that can be
learned.
What is premature ejaculation?
The definition of premature ejaculation is the involuntary
(uncontrolled) ejaculation after the penis stays in the vagina for less than 1
minute during sexual intercourse and this situation, which is not desired by
the person, lasts longer than 6 months. In some books it may be 2 minutes, in
others it may be 4-7 minutes or less. Instead of defining premature ejaculation
by fitting it into minutes in this way (Masters and Johnson’s definition of
premature ejaculation is that both partners are satisfied), we can accept it as
an uncontrolled ejaculation problem and define it as follows;
Inability to control stopping at the stage before ejaculation is
triggered,
This problem is recurring and repetitive in every relationship,
The sexual partner is not satisfied with this situation,
It should last for 6 months and the person should be
uncomfortable with it.
The person who ejaculates prematurely usually says that “when
the moment comes, he cannot hold back”. Premature ejaculation is therefore in
reality a sexual disharmony. In the sexual cycle there is a plateau phase, the
phase of sexual pleasure. In these men, the plateau phase lasts very short;
therefore, their partner may not experience both this plateau phase and
ejaculation. As a result, sexual dissatisfaction, anger and stress against the
partner may develop in the woman; in the man, thoughts such as “will I not be
able to satisfy my partner?”, “if I ejaculate early again” etc. lead to fear
and excitement. As a result, this vicious cycle not only triggers premature
ejaculation in men who already suffer from premature ejaculation, but it can
also cause erectile dysfunction (impotence) and sexual reluctance. Anger,
unhappiness, concentration problems, depression and loss of self-confidence
frequently occur in those who have premature ejaculation problems. These can
negatively affect their entire married life, social relationships and even
their work life. Some men, on the contrary, take their situation for granted,
downplay it, see it as normal and view sexuality as a score-based encounter
rather than a pleasure. Unfortunately, this is because of the social teaching
around them and the way they view sexuality.
Types of premature ejaculation;
a) Primary premature ejaculation
It is associated with the presence of a lifelong problem.
b) Secondary premature ejaculation
It is when there was no premature ejaculation problem before,
but the problem occurs later.
c) Situational (periodic) premature ejaculation
Premature ejaculation against a certain partner. If there is a
problem of premature ejaculation from the beginning of sexual life, it is
called primary (primary, lifelong), and this problem that occurs in a certain
period of a healthy sexual life is called secondary (secondary, acquired)
premature ejaculation.
Types and causes of premature ejaculation:
Most of the time there is a history of rapid masturbation and
fear of being caught. A man who is pressed or caught while masturbating or in
his first sexual experience; in his next sexual experiences, he directs his
attention to the outside, he cannot realize his own arousal and control point,
he cannot focus on pleasure and emotions, his sexual pleasure turns into
anxiety, fear and anxiety. All of these lead to stress, activating the
sympathetic system and causing the orgasm reflex to work faster and, as a
result, premature ejaculation.
Due to lack of self-confidence: If the person is not at peace
with himself or the sexual partner’s approach to him, his critical attitude,
etc. can cause loss of self-confidence in men, men may lose their
self-confidence especially in sexuality and experience premature ejaculation.
Due to psychological reasons: Men with psychological problems
such as temporary depression or anxiety may experience premature ejaculation or
late ejaculation/non-ejaculation problems.
Stress-related: psychosocial stress, such as work problems,
economic problems, etc. can also cause premature ejaculation.
Mixed type premature ejaculation: Premature ejaculation may be
accompanied by other sexual disorders such as erectile dysfunction (impotence),
sexual reluctance, or curvature and/or pain in the penis during erection
(peyronie). (Ex: a man with erectile dysfunction may experience premature
ejaculation due to excessive fear. Or a man with a curvature in the penis and
pain in sexual intercourse may be conditioned to ejaculate as soon as possible
and experience premature ejaculation).
They do not have enough information about sexuality (sexual
physiology), they even have wrong information, they have little awareness of
techniques to control premature ejaculation. Cultural factors, social roles and
behaviors bring with them an imposition that men should be more dominant and
dominant in sexuality than women. This excessive meaning attributed to the
penis and male sexual identity is a very heavy burden for men. This wrong and
unnecessary meaning that society attributes to male sexuality also affects
men’s sexual life. For this reason, many men ejaculate prematurely during
sexual intercourse due to “performance anxiety”.
Depending on the neurological system: In this rare type; they
have hypersensitive sympathetic systems. As a result, they have fast
functioning ejaculation reflexes. Genital area muscles (bulbocavernosus reclex)
are faster.
Hypersensitivity of the penis: Especially the glans penis (head
of the penis) being very sensitive to contact can lead to premature
ejaculation. This type of patient group benefits highly from injection therapy
in the glans penis.
Due to the psychological system: It can be caused by chronic
psychological disorders such as bipolar disorder, chronic depression,
obsessive-compulsive disorder, schizophrenia, post-traumatic stress disorder,
attention deficit hyperactivity disorder, personality disorders (avoidant
personality disorder, dependent personality disorder, narcissistic or
borderline personality disorder).
Due to physical diseases: The most common physical disorder
causing premature ejaculation is inflammation of the prostate
(Sometimes premature ejaculation can also be seen in urinary
tract infections and urethritis. Some systemic diseases (liver failure, heart
diseases, severe kidney diseases) may also cause premature ejaculation.
Endocrinopathies (especially thyroid, prolactin and testosterone hormone
disorders) can cause premature ejaculation. Low magnesium and high calcium can
also cause premature ejaculation.
Due to physical injuries: Injury to the neurological system in
the sexual areas after trauma injury to the lumbar region, spinal cord (T12-L1
level), paraplegia, penis injury, pelvic region injuries or surgery, and
ejaculation control may be reduced or lost.
Due to relationship stress: Emotional conflicts in the
relationship, hypersensitivity to the partner, misunderstandings, a response to
deception can also lead to premature ejaculation. Premature ejaculation due to
relationship problems is usually acquired later.
Depends on medications: Sudden discontinuation of medications
used in psychiatric diseases, intensive use of cold and flu medications and the
use of some allergy medications can stimulate the sympathetic system and cause
premature ejaculation.
Sexual Response Cycle:
(man in blue, woman in red).
Urinary incontinence, which has four forms: urge, stress, mixed
and overflow incontinence, is a problem that is more common in women than men
and is frequently encountered and seriously affects the social life and quality
of life of individuals due to inadequate bladder control. In many patients, it
is possible to get good results after simple lifestyle changes and simple drug
treatments.
Some causes of urinary incontinence include aging, menopause,
giving birth, diabetes, obesity, genetic and systemic diseases, while alcohol
consumption, excessive fluid intake, diuretic drugs, various other medications,
urinary tract infections and constipation can increase the symptoms of an
already existing problem or cause temporary incontinence in otherwise healthy
people.
In the diagnosis of urinary incontinence, it is very important
to take a detailed health history (anamnesis) to determine the type and
severity of incontinence. After the medical history, a physical examination is
performed, which is essential in the diagnosis of incontinence.
The patient is also asked for a 24-hour history of urination. In
this form, in addition to daily fluid intake, questions about the frequency of
urination and the amount of urine are answered. This history helps the
physician in diagnosis and treatment. Other necessary tests include a urine
test, measurement of the amount remaining in the bladder after urination (PVR)
and urodynamic tests. Treatment of urinary incontinence is planned according to
the type and severity of the problem. Conservative treatment, various
medications and surgical treatments should be individualized according to the
patient’s medical needs.
Conservative Treatments
The aim is to strengthen the bladder muscles and the pelvic
floor muscles that hold the bladder. Conservative treatment options include
bladder exercises based on delaying urination by holding in urine for a while,
training the pelvic floor muscles with Kegel exercises, electrical stimulation
with anal and vaginal electrodes, estrogen-containing drugs to increase blood
circulation, and anticholinergic and/or tricyclic antidepressants to increase
bladder capacity.
Surgical Treatment
Surgical treatment is especially preferred in cases of stress
incontinence. Surgery can be performed in the abdomen, either open surgery,
laparoscopically or vaginally. The most commonly used options include ‘sling’
operations and synthetic grafts, which have been developed with advances in
surgical techniques. These methods are now mostly used to treat stress and
mixed incontinence. The common point of sling operations is the creation of a
pelvic sling to enter under the urethra or bladder neck, which allows the
bladder neck to and support of the urinary tract (TVT, TOT, Mini-Suspension).
The patient can be discharged the day after the operation and can return to
their daily routine as soon as possible. The popularly preferred TOT
(transobturator tape) operation is performed vaginally under the urethra
through a 1-2 cm long section and has a success rate of over 90%. Other
surgical operations include MMK, Burch-Marshall Marchetti Krans or Burch
operations can be done laparoscopically.
Male sexual dysfunction can be defined as the inability of the
penis to achieve or maintain an erection. Erectile dysfunction can lead to
conditions such as inability to have sexual intercourse in the later stages.
Before this problem, commonly known as impotence, can be officially diagnosed,
the problem must have been experienced for at least six months, during sexual
intercourse or masturbation. In some cases, the source of the problem may be
psychological. Some men may feel debilitated by their partner. This is a source
of anxiety for many men. In other cases, the problem may be physiological or
both physiological and psychological. It usually occurs in men over the age of
40. Before this age, age, diabetes, prostate problems, heart disease, chronic
alcoholism, excessive smoking, substance abuse, thyroid gland diseases or
hormonal disorders, neurological diseases, high blood pressure and some
medications can also cause this problem.
A man who cannot perform sexually feels inadequate and
experiences anxiety. In this case, couples are provided with sexual therapy. If
the condition is physiological, medication is prescribed by a specialist
physician. Usually the problem is solved with the use of such medication. If
the medication is combined with sexual therapy, the results are more effective
and achieved in a shorter time. In more advanced stages of the problem, the
medication is injected into the penis. In some cases, medicines can be injected
into the urinary tract. Penile prostheses are also used in these treatments if
necessary.
The prostate is a gland in the urethra of men that looks like a
chestnut. As men get older, the prostate becomes larger and can block the
urethra. This causes symptoms of prostatic hyperplasia. Common diseases of the
prostate include inflammation of the prostate, prostatic hyperplasia (benign
prostatic hyperplasia / BPH) and prostate cancer. If necessary, blood tests and
prostate needle biopsy are performed for prostatic hyperplasia, which is
thought to be benign after prostate examination, and medication or surgery is
planned for the patient depending on the severity of the symptoms. Finger
palpation, plasma PSA assay, urinary ultrasonography, urine flow rate
measurement, prostate biopsy and cytoscopy can be used in the testing and
diagnosis.
BPH symptoms are divided into obsstructive and irritative.
Obstructive symptoms include decreased urination, intermittent urination,
bifurcation of urine and inability to empty the urine completely, while
irritative symptoms include sudden and severe urge to urinate, frequent
urination and nighttime urination. These symptoms can occur at any stage. If
the patient is left untreated, the bladder and kidneys are affected. Stone
formation, bladder diverticulitis, dilatation, urinary tract infections and
acute pyelonephritis may develop.
Medical Monitoring
In cases where the symptoms of prostatic hyperplasia are mild,
medical monitoring is a good option for patients who prefer to wait until
symptoms are more pronounced. Preventive measures can be taken. These measures
include regulating eating habits, reducing alcohol consumption, preventing
constipation, regular sexual activity, avoiding sitting for long periods of
time and reducing the amount of water drunk before going to sleep.
Medication Therapy
Medication for this condition may include drugs that relax the
urinary tract or bladder neck, drugs that slow prostatic hyperplasia, drugs
that slow the buildup of blood through hormonal blockade, and herbal remedies
that have these effects. Treatment includes alpha-blockers and
5-alpha-reductase inhibitors, which reduce the size of the prostate by blocking
the conversion of testosterone to dihydrotestosterone. Alpha-blockers inhibit
the growth of smooth muscle cells in the prostate stroma and bladder neck.
reduces resistance to flow by preventing contraction. Side effects of these
drugs vary depending on dosage but include hypotension, dizziness, fatigue,
delayed ejaculation, runny nose and headache. These side effects are reduced
with drugs specific for alpha-1a receptors. In the method called phytotherapy,
drugs prepared from herbal extracts are also used in the treatment of BPH.
The mechanisms of action of these phytotherapeutic agents are
not fully understood and their safety or efficacy has not been tested in
multicenter, randomized, double-blind, placebo-controlled trials.
Surgical Treatment
Surgical treatment is performed when the symptoms of prostatic
hyperplasia are severe, medication is not sufficient, blood in the urine,
inflammation of the urinary tract (cystitis, inflammation of the prostate),
stones in the kidney, complete cessation of urine flow (when a catheter is
needed) and kidney failure develops.
Surgical options include transurethral resection of the prostate
(TUR-P) performed laparoscopically using bipolar energy, plasmokinetic energy
or unipolar energy, open prostatectomy in patients with an enlarged prostate
(over 100-150 grams), transurethral prostate incision with electrocautery and
laser prostatectomy in patients with mild or moderate symptoms.
After the age of 50 (after the age of 40 if relatives have a
history of prostate cancer), we advise our patients to visit their doctors for
regular PSA tests and urology follow-ups in order not to miss an underlying
prostate cancer. With today’s advanced technology, both BPH and prostate cancer
can be treated rapidly.
Varicocele is defined as an abnormal enlargement, folding or
varicose veins that carry venous blood from the testicles. This enlargement can
start at a young age and progress due to the effect of gravity. Varicocele is
the most common and treatable cause of male infertility. It can be asymptomatic
(asymptomatic). Over time, it can cause swelling of the scrotum, pain in the
groin and disturbances in sperm count and activity. Varicoceles typically occur
in 15-20% of men after puberty and 40-50% of men with varicoceles experience
infertility. Although it is not known exactly how a varicocele causes
infertility, there are some theories on the subject. Venous blood accumulating
in varicose veins causes heat build-up and increased pressure in the testicles.
Reduced oxygen supply and accumulation of various metabolites in the kidneys
and adrenal glands can affect sperm production. As a result, sperm counts and
activity decrease.
The condition is diagnosed by physical examination (palpation)
and confirmed by Doppler ultrasonography.
Varicocele is treated with a surgical operation called
varicocelectomy, which usually takes 30 to 60 minutes. However, not all
patients with varicocele problems can be operated on. Therefore,
varicocelectomy should be performed by doctors who are experts in this field,
on the right patient, at the right time and using the right technique. There is
no recurrence after a successful surgery.
If pregnancy does not occur after a year of regular sexual
intercourse and no contraception, infertility may be the cause. Unfortunately,
in some societies, women are the first to be blamed for infertility. In fact,
40% of infertility is caused by men, 40% by women, 10% by both men and women
and 10% is idiopathic (unknown causes). In couples who are having difficulty
conceiving, the diagnostic process should start with the man, because male
infertility can be detected much earlier and more easily with a simple sperm
test.
Some causes of male infertility are varicoceles, sperm
disorders, hormonal causes, immunological causes, blockage of ejaculation
ducts, delayed ejaculation, genetics, testicles that have not fallen into
place, erectile dysfunction, long-term drug use, excessive alcohol consumption
and/or smoking and systemic diseases. The male patient is examined by a
urologist. During this examination, the patient’s general health status, habits
(alcohol, smoking, etc.), frequency of sexual intercourse, physiological
functions such as erection and ejaculation are questioned. After 3-4 days of
complete abstinence from sexual intercourse, fertility is examined with a sperm
test. If any problems are detected in the sperm test, further tests are
requested.
Male infertility treatment is carried out with customized
methods depending on the causes such as varicocele or low or zero sperm count.
In some advanced cases, treatment may not be possible.
In addition to medication and surgery, treatment options may
include intrauterine insemination (IUI), in vitro fertilization (IVF) and
intracytoplasmic sperm injection (ICSI).
Genital warts (condylomas) are a symptom of a viral disease caused
by the human papillomavirus (HPV) that develops on the genitals of both men and
women. These warts look like cauliflower and come in a wide variety of shapes.
The condition affects 1% of the US population and typically occurs between the
ages of 20 and 30. Genital warts diagnosed in men are a public health concern
and should be treated.
Vaginismus is a disease. The reason we give this message is that
there are misconceptions, simple reservations and a general awkwardness among
the public about vaginismus. In these cases, when the penis is about to enter
the vagina, the vagina involuntarily contracts and closes itself, not allowing
the penis to enter. Forcing the penis partially or completely into the vagina
can cause severe pain, burning, stinging and aching sensations, so it is
important not to force sexual intercourse in such cases. Some women may
experience intense panic, fear, difficulty breathing or panic attacks when the
penis approaches the vagina.
Some people cannot bear to touch or even look at their vagina.
In some cases, the problem is not only with the penetration of the penis, but
also with the insertion of suppositories, tampons or even the woman’s own
finger used for medical reasons. In addition to sexual discouragement and
reluctance to try sex, there can also be fear of gynecological examinations and
the inability to perform a vaginal ultrasound or smear test for examination
purposes. In extreme cases, contractions may occur in the buttocks, back,
shoulders, lower back and legs. In the treatment of vaginismus, psychosexual
therapy, relaxation techniques including mindfulness technique, breathing and
light touch exercises, pelvic floor exercises to take control of the vaginal
muscles, sensory focus method to increase sexual desire and help the person
relax, and/or vaginal training devices in different sizes and in the form of
tampons to help the woman get more and more used to having something in her
vagina.