Entries by drjo

The Female Orgasm: A Guide for Men Who Would Like to Understand It Better

Different equipment. Different wiring. Different timetable. One of the more useful things a man can learn about female sexuality is surprisingly simple: A woman’s orgasm is not just the female version of a man’s orgasm. There are important similarities, but the anatomy, nerve pathways, sexual response and psychological influences can be quite different. For many […]

Delayed Ejaculation: When Getting There Takes Longer Than Expected

Delayed ejaculation is a male sexual difficulty in which it takes an unusually long time to reach orgasm and ejaculate, or ejaculation does not occur at all, despite adequate sexual stimulation and the desire to climax. There is no stopwatch that defines what is “normal”. Some men naturally take longer than others. Delayed ejaculation becomes […]

Anorgasmia: When Orgasm Becomes Difficult or Impossible

Is there hope? Absolutely. Anorgasmia is the inability, or persistent difficulty, to reach orgasm despite sexual stimulation and arousal that would normally be expected to produce one. For some people, orgasm has never occurred. For others, it was previously normal but has gradually or suddenly become difficult or impossible. Although anorgasmia can be frustrating, confusing […]

Premature Ejaculation: When Things Happen Earlier Than You’d Like

Premature ejaculation (PE) is one of the most common sexual concerns affecting men. Yet it is also one of the least discussed. Many men worry that they are the only person experiencing it, or that it means there is something fundamentally wrong with their sexual function or relationship. Neither is necessarily true. Premature ejaculation is […]

Robotic-Assisted Radical Prostatectomy: When Is a Non-Nerve-Sparing Procedure Necessary?

Removing the prostate while putting cancer control first Robotic-assisted radical prostatectomy is a well-established surgical treatment for localised and selected locally advanced prostate cancer. During the operation, the prostate gland and seminal vesicles are removed, and the bladder is reconnected to the urethra. In selected patients, pelvic lymph nodes may also be removed. One of […]

Understanding Overactive Bladder: Symptoms, Assessment and Treatment Options

Overactive bladder can make everyday life feel organised around the nearest toilet. Shopping, travelling, exercise, sleep and social activities may all be affected by sudden urgency, frequent urination or leakage. It is common, but it is not simply an inevitable part of ageing. Symptoms deserve assessment because several bladder, urinary and medical conditions can produce […]

Regulated Bladder Distension: Can Stretching the Bladder Help a Small or Painful Bladder?

For patients living with interstitial cystitis/bladder pain syndrome (IC/BPS) or a persistently small functional bladder capacity, the bladder can become an unforgiving little alarm clock: filling produces pain or pressure, urinary frequency increases, and sleep may be repeatedly interrupted by trips to the bathroom. One procedure sometimes considered in carefully selected patients is regulated bladder […]

Upper Tract Urothelial Carcinoma

Cancer of the Renal Pelvis and Ureter Urothelial carcinoma is most commonly associated with the bladder, but the same specialised lining extends all the way from the bladder up the ureters and into the collecting system of each kidney. When a urothelial cancer develops in the renal pelvis or ureter, it is called upper tract […]