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Treatment and Surgery Restoration of Penis Diseases

  • Urethroscopy
    Urethroscopy is an endoscopic technique which is considered one of the most important “diagnostic urological tests”. The test takes a short time, is carried out with local anaesthesia and can be performed in the urologist’s private office, provided it is equipped with the proper endoscopic equipment. The test uses a flexible cystoscope with a diameter of a few millimeters, and can check the urethra for damage in the sphincter or narrowing, inflammation or exophytic lesion. During the urethroscopy, tissue samples can be collected for biopsy, and some pathological damages can be cauterized. After urethroscopy, the patient may experience mild nuisance (burning sensation) during urination, as well as frequent urge to urinate. These problems do not last more than 2-4 hours and are treated with common painkillers. video

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  • Prepucial - Glanular Symphyses – Phimosis
    The Prepucial-Glanular sympheses is a condition where the glans penis of small children and adolescents cannot be revealed. Resolution of the sympheses can be performed in the urologist’s private office, provided it is properly equipped. This minor surgery does not last more than 15 minutes and is carried out with light local anaesthesia (gel xylocaine – cream emla) depending on the patient’s age. Possible nuisance in the area does not last more than 2-4 hours and is treated with common painkillers. video

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  • Cauterization of pathological findings of the external genitalia (e.g. condylomata, ulcerations, callosities)
    Cauterization is a safe method for the treatment of pathological findings of the external genitalia (condylomata, ulcerations, callosities etc.).
    There are 3 treatment techniques:

    • -Cold nitrogen
    • -Laser
    • -Electrocoagulation

    Treatment is safe and the nuisance that the patient may experience during or after the treatment is minimum and can be faced with common painkillers.

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  • Penile Prostheses
    Among the main factors that create problems in the sexual life and the self-confidence of a man are the erectile dysfunction and the size of the penis, which sometimes affect the family and social environment of the person, creating serious psychological disorders. Further to the fact that this “problem” can be congenital, there is also a number of reasons that cause reduction of the erectile capability, such as hormonal disorders, bent penis, Peyronie’s disease, complete prostatectomy in cases of cancer and the administration of certain medications.
    Men with erectile dysfunction who do not respond to any pharmaceutical treatment, or want a rapid and permanent result, the penile prosthesis implant is the solution to the problem. There are several prosthesis types and the interested person will decide which one he will select after discussion with the Urologist Surgeon. The operation takes approximately one hour and is carried out with spinal or epidural anaesthesia.
    Making two small (approximately 2cm) incisions in the scrotum near the base of the penis (the incisions cannot be seen or noticed by the sexual partner), two hydraulically inflating elastic cylinders are implanted which are connected with a small fluid tank and a pump mechanism placed in the scrotum. By applying slight pressure on the pump mechanism the cylinders fill with fluid and penile inflation – erection is achieved. When sexual intercourse ends, by applying slight pressure again, the fluid quantity is removed from the elastic cylinders back to the tank, thus causing the penis to flaccid. One-day hospitalization is required, while there is very small post-operative morbidity. Further complications either to the patient or the prosthetic device are statistically minimum.  Despite the fact that the prosthetic implant is synthetic, the aesthetic result is excellent and cannot be noticed when the penis is either erected or flaccid. After a month’s period from the operation, the patient can achieve a normal sexual life. video


    Penis Lengthening – Penis Enlargement Interventions
    One of the main factors that create problems in the sexual life and the self-confidence of a man is the size of the penis, which sometimes affects the family and social environment of the person, creating serious psychological disorders.
    Microphallus can occur at birth due to hormonal disorders of after traumatic injuries. In some cases the male perception on “their insufficient, small-sized penis” does not comply with medical evaluation. There is no rule defining the normal size of the penis. Great attention must be paid, by both the surgeon and the patient, to pointing out the crucial difference between the psychogenic-psychosomatic cause and the medically considered as really existing.
    With this operation, the inner part (the base) of the organ becomes visible. The incisions are not performed on the penis but in the pubic area, without any intervention to the vessels and nerves of the penis. The operation takes approximately one hour and is carried out with spinal or epidural anaesthesia. There can be no prediction regarding the penile lengthening preoperatively. It usually ranges between 2 to 4cm, and the result is permanent. One-day hospitalization is required, while morbidity is minimal.
    This operation does not only achieve repair and a good result on the aesthetic level, but the main goal is to give a solution to the functional part of the problem. For these reasons the patient must consult the special Urologist-Andrologist in order to have a correct diagnosis and the proper results.

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  • Penis Widening – Penis Enlargement Interventions
    One of the main factors that create problems in the sexual life and the self-confidence of a man is the size of the penis, which sometimes affects the family and social environment of the person, creating serious psychological disorders.
    Microphallus can occur at birth due to hormonal disorders of after traumatic injuries. In some cases the male perception on “their insufficient, small-sized penis” does not comply with medical evaluation. There is no rule defining the normal size of the penis. Great attention must be paid, by both the surgeon and the patient, to pointing out the crucial difference between the psychogenic-psychosomatic cause and the medically considered as really existing.
    This operation increases the penile diameter by injecting material between the Bucks fascia and the superficial (Dartos) fascia achieving 30%-40% widening. The operation takes approximately one hour and is carried out with spinal or epidural anaesthesia. The permanence of the result depends of the injected material. One-day hospitalization while morbidity is minimal.
    This operation does not only achieve repair and a good result on the aesthetic level, but the main goal is to give a solution to the functional part of the problem. For these reasons the patient must consult the special Urologist-Andrologist in order to have a correct diagnosis and the proper results.

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    Peyronie’s Disease – Corpora Cavernosa Plastic Surgery
    A basic anatomic element in the penile structure are the two chambers running the length of the penis called corpora cavernosa. Diseases such as Peyronie’s disease, with causes mostly unknown, cause disfiguration and bending of the penis and many times hardening of the corpora cavernosa. Thepenilecurvatures are congenital or acquired and can be caused also by injury. Sometimes the damages in the corpora cavernosa can be such than the only solution is surgery. Thetreatmentofsuchconditiondepends on the size and type of the problem.
    With this operation, the surgeon reveals the corpora cavernosa where he identifies and prepares the damage (cicatricial plaque). Depending on the location and size of the damage as well as the penile curvature, the surgeon will decide upon his further surgical approach:

    • -NESBIT I – II.
    • -Damage removal and replacement by a flexible autologous or heterologous implant.
    • -Penile Prostheses placement

     The operation takes approximately one hour and is carried out with spinal or epidural anaesthesia. One-day hospitalization is required while morbidity is minimal.
    This operation does not only achieve repair and a good result on the aesthetic level, but the main goal is to give a solution to the functional part of the problem. For these reasons the patient must consult the special Urologist-Andrologist in order to have a correct diagnosis and the proper results. 


  • Priapism - Restoration
    It is the involuntary, painful and prolonged erection which persists after ejaculation despite the absence of sexual stimulation. The cause is inability of the corpora cavernosa to empty the blood that was accumulated in them in order to achieve erection. Surgical treatment must be sought immediately(within 6 hours), if the administered medication is ineffective. The surgical repair is performed immediately in the urologist’s office, with the blood discharge through 2 Trocars (medium calibre needles) which are inserted in the penis base for quick discharge and patient’s relief. The operation does not last longer than 20 minutes and is carried out with local anaesthesia. Full recovery occurs after 2-4 days, when the patient can return to his normal sexual activities.

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  • Penile Fracture
    Penile fracture is the rupture of the tunica albuginea (the fibrous envelope) of the penis. Treatment must be immediate (within 6 hours) and surgical. Repair is achieved by stitching the injured fibrous envelope which results in the rapid haematoma discharge and the patient’s relief. The operation does not take more than 20 minutes and is carried out with local or general anaesthesia. Full repair occurs after 7-9 days. The patient may return to his normal sexual activity after 30 days. Treatment is safe and the nuisance that may be experienced during and after the operation is minimal and treated with common painkillers.

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  • Penis Cancer
    The disease is treated with surgical operation which must be immediate. During operation the surgeon must perform an oncology surgery where the entire tumor is removed and at least 1cm of healthy tissue and then he is called to proceed with a full restoration of the penis (aesthetic and functional). The operation takes 1-2 hours and is carried out with general anaesthesia. Full recovery occurs after 7-9 days. Treatment is safe and the nuisance that may be experienced during and after the operation is minimal and treated with common painkillers.

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