Welcome to Excel Urology’s advanced Penile Treatment and Implant Services, led by the best urologist and sexologist, Dr. Ashish Saini. With a track record of over 15,200 successful Urology and Sexology surgeries, Dr. Saini brings expertise and innovation to address a range of male sexual health concerns.
Meet Dr. Ashish Saini Expert Urologist and Sexologist
Dr. Ashish Saini is a distinguished expert in the field, specializing in urology and sexology. His extensive experience and commitment to patient care have established him as a trusted name in New Delhi’s medical community
Conditions Treated:
Congenital Penile Curvature
What is Congenital Penile Curvature:
Congenital penile curvature refers to a condition in which the penis exhibits an abnormal curvature that is present from birth. Unlike acquired curvature, which may develop later in life due to factors such as Peyronie’s disease or trauma, congenital penile curvature is typically noticed early in a person’s life. The curvature can vary in severity and direction, and irregular development of penile tissues during fetal growth may cause it. This condition can impact the overall shape and function of the penis, potentially leading to discomfort or difficulties in sexual activity. Treatment options depend on the degree of curvature and its impact on the individual, ranging from conservative measures to surgical interventions. Early diagnosis and consultation with a healthcare professional are essential for appropriately managing congenital penile curvature.
Causes:
Congenital penile curvature is typically present from birth and may result from irregularities in penile tissue development.
Symptoms:
- Noticeable curvature of the penis.
- Discomfort or pain during erections.
Treatment:
The approach to treatment depends on the severity of the curvature and whether it causes physical or psychological distress. Treatment options may include:
- Observation: In cases of mild curvature that do not interfere with sexual function, observation without intervention may be recommended.
- Medications: In some cases, medications may be prescribed to help manage symptoms, although their effectiveness may vary.
- Penile Traction Devices: These devices may be used to straighten the penis gradually over time.
- Surgery: Surgical intervention, such as a procedure called plication, may be considered for more significant curvature. The goal is to correct the abnormal curvature and restore a more typical penile shape.
Prevention:
Since congenital penile curvature is believed to be related to developmental factors during fetal growth, it is not preventable. Early detection and consultation with a healthcare professional are important for determining the best course of action if curvature is identified.
Individuals or parents noticing any unusual curvature or concerns about penile development in children should seek the advice of a pediatrician or a urologist. Early diagnosis and appropriate management can help address potential issues associated with congenital penile curvature.
Peyronie’s Disease:
What is Peyronie’s Disease:
Peyronie’s disease is a condition characterized by the development of fibrous scar tissue, or plaques, within the penis. These plaques can cause the penis to develop a noticeable curvature or deformity during erections. Peyronie’s disease can result in pain and may lead to difficulties in achieving or maintaining an erection, commonly referred to as erectile dysfunction.
Causes:
Peyronie’s disease is characterized by the formation of fibrous plaques in the penile tissue, leading to curvature and discomfort.
Symptoms:
- Penile Curvature: The most common and noticeable symptom is an abnormal curvature of the penis during erections.
- Pain: Pain may be experienced during erections and, in some cases, even during flaccidity.
- Erectile Dysfunction: Peyronie’s disease can lead to difficulties in achieving or maintaining an erection.
Treatment:
Treatment options for Peyronie’s disease depend on the severity of symptoms and their impact on the individual’s quality of life. Conservative approaches may include:
- Medications, such as collagenase injections or oral therapies.
- For more severe cases, surgical interventions, such as plaque incision or grafting, may be considered.
- Non-surgical treatments, such as traction devices, are also utilized to manage symptoms.
Prevention:
Preventing Peyronie’s disease may involve avoiding penile trauma, practicing safe sexual activity, and seeking prompt medical attention if symptoms, such as penile curvature or pain during erections, are noticed.
If you suspect Peyronie’s disease or experience symptoms related to penile health, consulting with a healthcare professional, preferably a urologist, is crucial for an accurate diagnosis and appropriate management. Early intervention can help address symptoms and improve overall penile health.
Penile trauma
What is Penile trauma?
Penile trauma or fracture refers to an injury that occurs when there is sudden, forceful bending or twisting of the erect penis. This type of injury can lead to damage to the tunica albuginea, which is the fibrous covering of the erectile tissues within the penis. Unlike fractures in other parts of the body, a penile “fracture” does not involve a break in the bone but rather a tear or rupture in the tunica albuginea.
Causes:
Penile trauma or fracture often results from vigorous sexual activity, particularly in instances where there is accidental bending or trauma to an erect penis. It can also occur during other activities, such as sports or accidents.
Symptoms:
The symptoms of penile trauma or fracture may include:
- Immediate Pain: Sharp pain at the time of injury.
- Swelling: Swelling of the penis.
- Bruising: Visible bruising on the penile shaft.
- Deformity: A noticeable deformity or bending of the penis.
- Audible Sound: Sometimes, an audible “popping” sound may be heard during the injury.
Treatment:
Prompt medical attention is essential for the diagnosis and appropriate treatment of penile trauma or fracture. Treatment may involve surgical intervention to repair the torn tunica albuginea and restore normal penile function. Delaying treatment can lead to complications such as erectile dysfunction, penile curvature, or other long-term issues.
Prevention:
Preventing penile trauma involves practicing safe and careful sexual activity. Communication with a partner, ensuring adequate lubrication, and being mindful of the position and force during sexual encounters can help reduce the risk of penile injury.
If there is suspicion of penile trauma or fracture, seeking immediate medical attention is crucial. Emergency medical care can help diagnose the extent of the injury and guide appropriate treatment to minimize long-term complications and restore normal penile function.
Erectile Dysfunction
What is Erectile Dysfunction
Erectile dysfunction (ED), often referred to as impotence, is a condition characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It’s important to note that occasional difficulty with erections is not uncommon and may not necessarily indicate erectile dysfunction. However, when the problem becomes chronic or recurrent, it may be diagnosed as ED.
Causes:
Erectile dysfunction can result from a variety of physical, psychological, or lifestyle factors. Common causes include:
- Underlying Health Conditions: Diabetes, hypertension, cardiovascular diseases, and hormonal imbalances.
- Psychological Factors: Stress, anxiety, depression, and relationship issues can contribute to ED.
- Neurological Issues: Conditions affecting the nervous system, such as multiple sclerosis.
- Medications: Some medications may have side effects that impact erectile function.
- Lifestyle Factors: Smoking, excessive alcohol consumption, and lack of physical activity can contribute to ED.
Symptoms:
The main symptom of erectile dysfunction is the persistent inability to achieve or maintain an erection firm enough for sexual activity. Other associated symptoms may include reduced sexual desire or a decrease in overall sexual satisfaction.
Treatment:
Treatment for erectile dysfunction depends on its underlying cause. Common approaches include:
- Medications: Oral medications like phosphodiesterase type 5 (PDE5) inhibitors (e.g., sildenafil, tadalafil) are often prescribed.
- Psychotherapy: Counseling or therapy to address psychological factors contributing to ED.
- Lifestyle Changes: Adopting a healthy lifestyle, including regular exercise, a balanced diet, and smoking cessation.
- Hormone Therapy: If hormonal imbalances are identified, hormone replacement therapy may be recommended.
- Vacuum Erection Devices or Injections: Mechanical devices or injections into the penis to stimulate an erection.
Prevention:
While some causes of ED may not be preventable, adopting a healthy lifestyle, managing underlying health conditions, and addressing psychological factors can contribute to preventing or minimizing the risk of erectile dysfunction.
Men experiencing persistent issues with achieving or maintaining erections should seek the guidance of a healthcare professional, preferably a urologist, to determine the underlying cause and explore appropriate treatment options. Early intervention can be crucial in effectively managing and addressing erectile dysfunction.
Premature Ejaculation
What is Premature Ejaculation?
Premature ejaculation (PE) is a joint sexual dysfunction characterized by persistent or recurrent ejaculation that occurs with minimal sexual stimulation before, during, or shortly after penetration and before the person desires it. It often leads to an unsatisfactory sexual experience for both partners.
Causes:
The exact cause of premature ejaculation is not always clear, but various factors may contribute, including:
- Psychological Factors: Anxiety, stress, or relationship issues.
- Biological Factors: Abnormal hormone levels, neurotransmitter imbalances, or inherited traits.
- Erectile Dysfunction: Premature ejaculation can be associated with erectile dysfunction.
Symptoms:
The main symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration, leading to a lack of control over ejaculation and a diminished sexual experience.
Treatment:
Treatment approaches for premature ejaculation may include:
- Behavioral Techniques: Techniques such as the start-stop or squeeze techniques.
- Topical Anesthetics: Creams or sprays applied to the penis to desensitize it and delay ejaculation.
- Oral Medications: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to delay ejaculation.
- Counseling or Psychotherapy: Addressing underlying psychological factors contributing to premature ejaculation.
- Lifestyle Changes: Managing stress, adopting a healthy lifestyle, and open communication with a partner can be beneficial.
Prevention:
While some factors contributing to premature ejaculation may not be preventable, practicing healthy sexual habits, maintaining open communication with a partner, and addressing any psychological issues can contribute to preventing or managing premature ejaculation.
Men experiencing persistent concerns about premature ejaculation should consult with a healthcare professional, preferably a urologist or sexual health specialist, for a comprehensive evaluation and guidance on appropriate treatment options. Seeking timely medical advice can help address the condition effectively and improve the overall sexual well-being of individuals and their partners.