apollo
  • male
  • 30 Years
  • 22/01/2025

I'm experiencing a burning sensation and pain at the tip of my penis every time I use the toilet. I've seen a doctor and they did an ultrasound which came back normal. I also visited a urologist who said there's no major issue, but I'm still having these symptoms despite taking medication. What should I do?

Doctor 1

Answered by 1 Apollo Doctors

Practice Kaegel excercise and take plenty of water, this will help you

Dr. Kareemulla Suggests...

Consult a Urologist

Answered 04/07/2025

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I'm really worried because my penis is only about 3.5 inches when it's erect and it doesn't stay fully erect for long. Is there anything I can do to increase its size or improve my erections?

Size of penis doesn't matter,no need to worry about it.maintain healthy lifestyle

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My uncle is 55 years old and his biopsy results show moderately differentiated adenocarcinoma of the prostate with a Gleason score of 347 and ISUP grade 2. There's no perineural invasion, but 60 tissues showed tumor presence. The urologist suggested either surgery or injections every three months costing 12000. He's not financially strong, so what should we do? Is the operation life-threatening? Also, who performs this surgery a urologist, surgeon, or some other specialist? We're really worried and need guidance.

Okay, it sounds like your uncle is facing a difficult situation, but there are definitely options and things to consider. It's understandable that you're worried, but it's important to get accurate information. Let's break this down: 1. Understanding the Results: Adenocarcinoma: This is the most common type of prostate cancer. Moderately Differentiated: This means the cancer cells, while not normal, don't look extremely abnormal under the microscope. Gleason Score 3+4=7 (ISUP Grade 2): A Gleason score of 7 (3+4) indicates intermediate-risk prostate cancer. ISUP grade 2 is also associated with intermediate risk. This is a good starting point, but other factors matter. No Perineural Invasion: This is a positive sign, as perineural invasion is associated with poorer outcomes. 60/60 cores positive: This indicates the cancer is present in all or most of the biopsy samples. This is a sign of a significant amount of cancer. 2. Treatment Options: Surgery (Radical Prostatectomy): This involves removing the prostate gland and some surrounding tissue. It is a common and effective treatment for prostate cancer. Not generally life-threatening: While there are risks with any surgery (bleeding, infection, etc.), prostate removal itself isn't typically life-threatening. Performed by a Urologist: A urologist is a specialist in the urinary and reproductive system and performs prostatectomies. Long-term outlook: Studies show that most people who have prostate removal surgery early in the course of their cancer are alive 15 years later. Hormone Therapy (Injections): These injections can help slow down or stop the growth of prostate cancer cells by reducing testosterone levels. Cost: The cost of these injections every three months at Rs. 12,000 is significant. Not a cure: Hormone therapy is not a cure for prostate cancer, but it can be an effective way to manage it. 3. What to do now: Second Opinion: It is very important to get a second opinion from another urologist or oncologist (cancer specialist). This is especially important given the financial concerns. Discuss all options: Explore all treatment options with the doctors and discuss the pros and cons of each, especially considering the financial implications. Consider a clinical trial: Some clinical trials might offer treatment options that are less expensive or provide new approaches. Seek Financial Assistance: Look into financial assistance programs offered by cancer organizations or hospitals. Discuss with your urologist: Talk to the urologist about the specific type of surgery being considered and the potential risks and benefits. Focus on long-term outlook: While it's natural to be worried, remember that with appropriate treatment, many men with prostate cancer have a good long-term prognosis. 4. Important considerations: Gleason score is just one factor: While the Gleason score is an important indicator, it's not the only factor in determining the best course of treatment. Individualized treatment plan: Treatment plans should be tailored to the individual's specific circumstances, considering their age, overall health, and the characteristics of the cancer. It's crucial to gather as much information as possible, discuss all options with healthcare professionals, and make an informed decision that is right for your uncle.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm 24 and dealing with really tight foreskin due to phimosis is there any non-surgical way to treat this? I'm worried about my condition and curious if stretching or creams might help instead of going straight to surgery.

Another effective alternate cure for phimosis is topical corticosteroids in the form of creams, ointments, or gels. Using these steroid creams for phimosis about 6-8 weeks improves the condition of phimosis in most cases. Topical steroids work by reducing the inflammation and loosening the foreskin.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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