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Sexual Dysfunctions in men in Men

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Sexual Dysfunctions in men

Sexual dysfunctions in men whether Erectile dysfunction or Premature ejaculation can significantly affect his daily life

Erectile dysfunction

Erectile dysfunction (ED) is when a man (particularly in men over 40) has difficulty to get or keep an erection suitable for sexual relation or any other sexual activity.

ERECTILE DYSFUNCTION CAUSES:

Physical causes: Common causes include: heart disease, high cholesterol, high blood pressure, diabetes, obesity, Parkinson’s disease, a toxic lifestyle (tobacco use, drug or alcohol use, sleep disorders…), certain prescription medications, hormonal imbalance in testosterone (low testosterone), clogged blood vessels, surgeries or injuries that affect the pelvic area or spinal cord…

And some psychological conditions can cause an erectile dysfunction like depression, stress, relationship problems…

Complications: depression, an unsatisfactory sex life, relationship problems, no self -confidence, difficulty for your partner to get pregnant, decreased sexual desire…

To treat erection problems, the patient should first visit the doctor to find out the cause; if the cause is an underlying disease or a hormonal disorder; it must first be treated.

The doctor frequently uses Viagra, Cialis to treat erectile dysfunction (those medications help blood flow into the penis by inhibiting an enzyme phosphodiesterase E5, often called PDE5). PDE5 breaks down one of the molecules that relaxes the smooth muscles of the penis and the blood flow necessary for an erection.

If the cause is psychological, the patient should also consult a sexologist to treat the erectile dysfunction.

Healthy lifestyle changes can sometimes help erectile dysfunction:

  • -lose weight if you’re overweight
  • -stop smoking
  • -eat healthy
  • -try to reduce stress and anxiety
  • -decrease alcohol and tobacco abuse

Follow the link for more details about Erectile Dysfunction

 

Premature ejaculation

This is when a man ejaculates sooner than he wants to during sexual intercourse; and it is annoying for the two partners.

Premature ejaculation causes:

Psychological causes: (anxiety, relationship problems, depression, a traumatic sexual experience from childhood…)

Physical causes: (prostate problems, thyroid problems, a penis extra sensitive, using recreational drugs…)

Premature ejaculation treatment:

Psychosexual counseling, behavioral therapy ( a treatment that aims to improve self-confidence and relieve anxiety and depression by continuously training men to master certain sexual skills to delay ejaculation time; including psychotherapy and physical techniques.), anesthetic creams and gels, and medications.

You can try some measures to treat premature ejaculation: masturbate an hour or 2 before having sex, use a thick condom, take breaks during sex and think about something boring…

You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection; fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.

Premature ejaculation can occasionally make fertilization difficult for couples who are trying to have a baby if ejaculation doesn’t occur intravaginally.

Follow the link for more details about premature ejaculation

Our caring team can help you overcome those issues. Book your appointment at Modern care clinic by calling us on   +96176887676 / +9614520055 or you pick your convenient timing at Modern Care.

 

Laparoscopic Radical Nephrectomy-14 cm tumor

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This movie features a challenging laparoscopic left radical nephrectromy for a huge tumor compressing the aorta and overlying the kidney pedicle.

The procedure was successfully performed by Dr. Fouad Khoury with minimal blood loss and optimal post-operative results.

 

Best Prostate Treatment in Middle East

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Best Prostate treatment in the Middle East

Dr. Fouad Khoury discussing the most innovative prostate surgeries including minimally invasive transurethral water vapor therapy (Known as REZUM).

Benefits of water vapor therapy :

– 5 to 10 minutes procedure

-Preservation of ejaculation

-Preservation of sexual function

– Done under local anesthesia

– Same day procedure

-return to daily activities in a few days

-a good prognosis of up to 15 years

Follow the link for more detailed information about REZUM therapy.

First Complex Robotic Assisted Partial Nephrectomy

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استئصال جزئي للكلية بمساعدة الروبوت

Robotic Assisted Partial Nephrectomy

 

What is Robotic Assisted Partial Nephrectomy?

Robotic partial nephrectomy surgery consists of removing a part of a kidney, to treat cancer by preserving as much healthy kidney tissue as possible.

Who needs a robotic partial nephrectomy?

-Patient with small kidney tumor (<4 cm in size).

-Patient with risk of kidney failure and the need of dialysis when the procedure consists of removing all the kidney.

Kidney Tumors between 4 and 7 centimeters can be treated with robotic partial nephrectomy if they are located in certain areas.

Some Tips before the surgery:

-Stop taking blood thinners 5 to 7 days before the surgery.

-Anti-inflammatory medications and certain vitamin supplements can cause increased bleeding, so the surgeon and the anesthetist should be informed about all your medications.

-It’s very necessary to stop smoking few days before the procedure.

-Not eat or drink anything after midnight the night before your surgery, to prevent anesthesia complications.

During a robotic partial nephrectomy:

This procedure is performed under general anesthesia, by making small cuts in the abdomen; so the robotic surgical equipment and camera can be inserted.

Carbon dioxide gas is used to inflate the abdominal cavity to leave space for the manipulation of the surgical equipment and camera to access the cancerous tissues.

While the surgeon is performing the procedure by manipulating the robot, the blood flow to the cancerous kidney is totally stopped; so the kidney can be dissected and the cancerous portion is detached from the tissue. The tumor is totally removed from the body and the surgeon sews the remaining section of the healthy kidney.

After a robotic partial nephrectomy:

– Take analgesics to reduce post-operative pain.

-Walk after a few days of surgery to promote good blood circulation and prevent pneumonia.

-Start with a liquid diet for a few days after the operation.

Robotic partial nephrectomy VS Laparoscopic partial nephrectomy

Robotic partial nephrectomy is more efficient than laparoscopic partial nephrectomy because the da Vinci surgical system has a lot of advantages.

Follow the link for more information about the difference between robotic partial nephrectomy and laparoscopic partial nephrectomy.

 

 

Robotic-assisted right partial nephrectomy for a complex 8 cm tumor impinging on the collecting system in an elderly patient with chronic renal insufficiency (eGFR of 40 mL/min)

Laparoscopic Ureterolithotomy – 2.5 cm Proximal Ureteral Stone

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Laparoscopic ureterolithotomy for a large 2.5cm proximal ureteral stone. After mobilization of the colon, identification of the ureter and dissection of the inflammatory region when the stone is impacted. Opening of ureter using cold cut in order to obtain a neat incision and prevent thermal damage to the ureter.

Extraordinary Laparoscopic Pyeloplasty (Left)

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Laparoscopic surgery for adrenal gland

Dr Fouad Khoury, a referral urologist in Lebanon and the Middle East, performing pyeloplasty for UPJ stenosis. This video features step by step approach along with captions for successful and smooth completion of pyeloplasty operation, with antegrade intra operative JJ insertion.

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Superb Laparoscopic Nephroureterectomy (Left)

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Laparoscopic NephroUreterectomy

Laparoscopic NephroU done for management of upper tract TCC that was causing extensive bleeding and anemia for the patient. Due to advanced patient’s age (94 years old) and comorbidities, only a proximal ureterectomy was done after making sure that distal ureter is free of tumor in order to decrease operative time and surgical morbidity.

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Impressive Laparoscopic surgery for adrenal gland – 7.5cm Tumor

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Laparoscopic surgery for adrenal gland

Laparoscopic surgery for adrenal gland became the standard procedure for removal of adrenal tumors. When done in expert hands, even large tumors can be safely performed through this minimally invasive approach. It provides patients with less discomfort and equivalent oncologic results when compared to larger incisions required with traditional open surgeries.

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