FAQs on Urology, Andrology and Sexual Medicine
Frequently asked questions from patients like you
In acute prostate inflammations or in cases of terminal prostate cancer, total abstinence from sexual relations is recommended because constant compression of the prostate could aggravate the patient’s clinical condition.
In any case, the urologist will be in charge of determining if there is any risk of increasing the inflammation of the gland with sexual relations.
Yes, it could be possible. Although rare and isolated, cases of prostatitis and benign prostatic hyperplasia can occur in boys even before they have reached sexual maturity.
These cases usually have a high genetic component. The clinical management of the diseases is the same as in adult men.
The answer is yes, although in low proportion. Medicines to treat enlarged prostate are drugs that minimise the number of androgen receptors, partially desensitising the gland and therefore causing less hyperplasia. It creates more problems, for example, with regard to ejaculation. Something we deal with in other sections of our website such as retrograde ejaculation and delayed ejaculation.
The decrease in androgen receptors (mainly for testosterone) can occur not only in the prostate but in other body tissues, especially the central nervous system, lowering the body’s response to this hormone and thus, the effects it produces. Sexual desire may be diminished, as well as the erectile response of the penis and ejaculation.
It should be noted that these drugs do not interact negatively with retardant medications (such as sildenafil, tadalafil or vardenafil), so they may be used to treat erection problems while treating the prostate.
STD (Venereal diseases)
Vasectomy and Vasovasostomy
Vasectomy is one of the most effective surgical methods of contraception, with a failure rate of less than 1% – about 4 men in 1000 would remain fertile even several months after the vasectomy.
Technical failures could occur with inexperienced surgeons and result in failure due to gradual reconnection of the vas, formation of a new channel, lack of identification and cutting of the vas, for this reason, it is important to complete the seminogram checks to verify the effectiveness of the operation.
It is a procedure where local anaesthesia is used and in some cases, general anaesthesia is required, some surgical and post-operative discomfort can be felt, then inflammation and areas of hematoma can be observed, with slight pain, for which non-steroidal analgesics are indicated to help control all these effects.
The post-vasectomy patient’s sex life is completely normal and will not be affected at all. His erections, orgasms and ejaculations will continue as usual. His sexual desire will remain the same as before the operation.
The amount of semen after the operation is only reduced by 5% and retains its usual characteristics. Only with the use of a microscope is it possible to visualize the absence of sperm in the seminal fluid.
Although vasectomy is considered an irreversible technique, there is currently the possibility of reversing it, through the vasovasostomy technique, recanalization of the vas deferens is achieved.
The success of this procedure will depend primarily on the quality and quantity of sperm (for conception by natural means) and the technique used in the initial operation, the greater the number of vas deferens that was resected, the less successful the recanalization can be.
It is often said that the time elapsed from the vasectomy also contributes, a time greater than 10 years is also associated with fewer probabilities of success, something that in our long experience in the operating room has not happened.
Vasectomy does not offer any protection against sexually transmitted diseases, so it is recommended to take other measures such as the use of condoms, reducing or avoiding multiple sexual partners and in more extreme cases, sexual abstinence.
Vasectomy does not affect any male sexual characteristics, as the release of male hormones produced in the testicles continues to occur normally and in the usual amount. These hormones are released directly into the bloodstream and are not interrupted by the cutting of the vas deferens.
Therefore, it is a myth that vasectomy causes erection problems, female traits in men, and that it sharpens the tone of voice.
There is no increased risk of prostate or testicular cancer in patients after vasectomy. Nor is heart disease or atherosclerosis associated with this procedure, which is why the World Health Organization considers vasectomy very safe and without long-term complications.
Testicular cells continue to produce sperm, but they are naturally reabsorbed by the body, just as when a man has days without ejaculating. This is a normal process and has no complications.