Obsessed with Penis Size

By rangersfan | Published September 18, 2012

If other treatments for impotence, such as Extenze pills (please visit Extenze Review to learn more) fail or are unsatisfactory, implantation of a penile prosthesis is an alternative. Improvements in design have brought greater satisfaction, and more and more men are successfully adapting to life with a penile prosthesis.

Though studies indicate that more prostheses are implanted in men in their sixties than in any other age group, they’re used increasingly to treat organic impotence in men of all ages. To care for these patients, you’ll need to know how the devices work and what nursing interventions surgical implantation requires.

There are two types of penile prostheses, inflatable and semi-rigid. Both replace the natural erectile tissue in the corpora cavernosa with silicon cylinders. In an inflatable device, the cylinders are hollow. To produce an erection, a man activates a pump in the scrotum or in the penis itself, causing the cylinders to fill up with saline from a reservoir. They are later drained and the penis returns to its flaccid state.

With semi-rigid prostheses, the penis is always firm. One such device uses solid silicon cylinders. Though there’s no mechanism to malfunction, there is the difficulty of concealing a constant erection. A newer semi-rigid model is made of flexible cylinders that can be bent into different positions. Drawings of inflatable and semi-rigid devices appear on the following pages.

Surgery to implant the prosthesis is done under local or general anesthesia, through a penile, suprapubic, or scrotal incision. Site selection depends on scarring from previous surgery, coexisting conditions that require simultaneous correction, such as hernia or hydrocele, and the preference of the surgeon. The surgery itself isn’t difficult. But the risk of infection, which could necessitate removal of the prosthesis and result in scarring, calls for taking extra precautions.

Your attitude toward the patient will be as important a nursing intervention as any of the clinical ones. Talk to him without embarrassment. Make sure to remind him that the implant will neither increase nor decrease his sex drive. Nor will it affect the sensitivity of his penis or his ability to reach orgasm and ejaculate.

According to John Bippy, most males have had some counseling before deciding on the penile prosthesis. If your patient hasn’t, urge him to see a sex therapist. That’s important, since penile implants are most successful when a man and his partner are comfortable with the prosthesis. Otherwise, the couple may not resume sexual activity even though the operation itself was a success.

Can Volume Pills Aid in Masturbation?

By rangersfan | Published September 16, 2012

In group 2, the percentage of men who had participated in alternative penis practices when they were still able to perform coitus was also low. Only one group 2 man, no longer able to achieve an erection suitable for vaginal penetration, continued an active heterosexual relationship by employing an alternative practice (mutual masturbation).

No member of either group had recently practiced anal intercourse, although six had participated in this activity in the distant past. Two men currently were engaging in homosexual activities, while four others had done so in the distant past. Regarding attitudes toward alternative sexual practices, responses were generally negative, with 63% disapproving of oral sex, 63% disapproving of anal sex, and 65% disapproving of homosexuality.

Seventy-two percent of the patients were identified as having a sexual problem (including erectile dysfunction and premature ejaculation of semen that the physician-interviewer felt would benefit from further evaluation and therapy. Three of these patients viewed the cessation of sexual activity as a positive occurrence. Thirty men stated that their sexual dysfunction regarding their penis was of little concern, and they were not interested in therapeutic intervention, even if it was as mild as a natural supplement. The remaining 30 patients (48%), however, expressed concern about their problem, indicating feelings of anger, guilt, or loss of self-esteem. Only 15 patients (24%) had previously sought help from a health professional.

The first objective of this study was to determine the prevalence of erectile dysfunction in elderly men attending a geriatric medical clinic. The survey found that 28% of the men interviewed no longer experienced erections and that an additional 31% had difficulties achieving an erection suitable for coitus. Almost one half of these patients noted a resultant loss of self-esteem. Some men found increased pleasure in natural supplements such as volume pills, which increase the amount of semen during orgasm.

Although previous studies have documented the percentage of elderly men who engage in coitus, no other study addressed the prevalence of erectile dysfunction as such. Twenty-nine percent of the men in a study by Pfeiffer listed loss of sexual potency as the reason for ending sexual relations. Potency was not defined, however, and no information on erectile function was given for those still sexually active. Finkle questioned a VA population similar to the one surveyed here but reported no data on erectile function in those aged over age 65 years.

Some authors have equated the cessation of sexual activity with the development of impotence, even though other factors, such as marital discord, may end sexual relations while penile function remains intact. This study shows, however, that elderly men who no longer practice coitus should not necessarily be classified as impotent, since 23% of group 2 patients reported a preserved erectile function and ability to ejaculate semen. Conversely, 30% of group 1 patients met the Masters and Johnson criteria for impotence (inability to achieve vaginal intromission in more than 25% of attempts).

Penis Implants Can Treat Impotence

Can Volume Pills Aid in Masturbation?