Entries by drjo

The Long Foreskin: When a Little Extra Skin Is Just… Extra

Foreskins come in all shapes and sizes. Some are short, some sit neatly over the tip of the penis, and others extend well beyond the glans, occasionally giving the penis the appearance that it has ordered the extra-long sleeve option. A long foreskin, sometimes described medically as a redundant or elongated prepuce, is usually simply […]

Testicular Torsion: When a Testicle Takes a Very Wrong Turn

Sudden testicular pain is an emergency. This is not a “wait until tomorrow and see how it goes” situation. There are few occasions in life when being twisted is definitely not a good thing. Testicular torsion is one of them. Testicular torsion occurs when a testicle rotates around the spermatic cord, twisting the blood vessels […]

Paraphimosis: When the Foreskin Gets Stuck

Paraphimosis is one of those urological problems where the phrase “I’ll see how it goes overnight” is not a particularly good plan. It occurs when the foreskin of an uncircumcised penis is pulled back behind the head of the penis (glans) and becomes trapped there. The tight band of foreskin can interfere with normal drainage […]

Does Size Matter?

The long and the short of it Penile size is one of those subjects that generates enormous interest, considerable anxiety and, unfortunately, a remarkable amount of questionable information on the internet. Men may quietly compare themselves with partners, friends’ exaggerated stories, pornography, locker-room mythology or, apparently, the occasional cucumber. So, does penile size actually matter? […]

Vasectomy: A Guide to Permanent Male Contraception

Vasectomy is a safe, effective and permanent method of male contraception. It is a relatively minor surgical procedure that prevents sperm from entering the semen by interrupting the vas deferens, the tubes that carry sperm from the testicles. For men and couples who are confident that their family is complete, vasectomy provides highly reliable contraception […]

Phimosis: When the Foreskin Refuses to Cooperate

The foreskin is normally a fairly cooperative piece of anatomy. It moves forward, it moves backward, and for the most part it quietly gets on with its job. Phimosis occurs when the foreskin becomes too tight to comfortably pull back, or retract, over the head of the penis (glans). Think of it as a turtleneck […]

Intravesical Botox for Overactive Bladder: A Patient’s Guide

Overactive bladder can have a significant impact on everyday life. The sudden need to find a toilet, frequent trips to the bathroom, waking repeatedly at night and episodes of urinary leakage can interfere with work, travel, exercise, sleep and social activities. When bladder training, pelvic floor therapy and medications have not provided adequate relief, Botox […]

Sacral Neuromodulation for Urinary Incontinence and Bladder Dysfunction

Urinary incontinence and bladder control problems can have a significant effect on everyday life. Frequent trips to the toilet, sudden urgency, leakage, waking repeatedly at night or being unable to empty the bladder properly can interfere with work, exercise, travel, sleep and social activities. For men and women whose symptoms have not responded adequately to […]

Medical Therapy for Benign Prostate Enlargement: What Are the Options?

Benign prostate enlargement, also called benign prostatic hyperplasia (BPH), is extremely common as men get older. An enlarged prostate can narrow the urinary channel and affect the way the bladder empties, producing what doctors call lower urinary tract symptoms (LUTS). Typical symptoms include: A slow or weak urinary stream Difficulty starting urination Stopping and starting […]