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Erectile dysfunction (ED) affects 1 in 3 men over 40 and is often a cardiovascular warning sign. Learn about PDE5 inhibitors (sildenafil, tadalafil), penile injections, vacuum devices, low-intensity shockwave therapy, and when ED signals heart disease.
Low testosterone (hypogonadism) affects up to 40% of men over 45. Learn about primary vs secondary hypogonadism, morning testosterone measurement, testosterone replacement therapy (TRT), gels, injections, and the risks and benefits of treatment.
Male infertility contributes to 40-50% of all infertility cases, primarily through abnormal semen parameters. Causes include varicocele, azoospermia, and hormonal disorders. Learn about semen analysis, ICSI, and surgical sperm retrieval.
Premature ejaculation is the most common male sexual dysfunction, affecting 20-30% of men globally. Defined as ejaculation within 1 minute of penetration with minimal control, it responds well to behavioural therapy, topical anaesthetics, and on-demand dapoxetine.
Prostate cancer is the second most common cancer in men, affecting 1.4 million annually worldwide. Learn about PSA testing, Gleason score, MRI-guided biopsy, active surveillance for low-risk disease, radical prostatectomy, radiotherapy, hormone therapy (ADT), and new treatments for metastatic disease.
Benign prostatic hyperplasia (BPH) affects 50% of men over 50 and 90% over 85. Urinary symptoms include poor flow, frequency, and nocturia. Alpha blockers (tamsulosin), 5-alpha reductase inhibitors (finasteride), and TURP are effective treatments.
Lower urinary tract symptoms (LUTS) affect 30% of men over 50, most commonly from benign prostatic hyperplasia (BPH). Learn about prostate assessment, alpha-blockers, 5-alpha-reductase inhibitors, and surgical options (TURP, HoLEP) for bladder outlet obstruction.
Varicocele is an enlargement of testicular veins affecting 15% of men and 40% of infertile men. Venous reflux raises scrotal temperature impairing sperm production. Learn about scrotal Doppler ultrasound, embolisation, and varicocelectomy.
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