Erectile dysfunction (ED) is when a man has difficulty getting or keeping an erection firm enough for sexual activity. This common condition can be caused by physical factors like diabetes or heart disease, psychological stress, or lifestyle choices. Effective treatments and lifestyle changes, such as healthy diet and exercise, can often help improve ED.

Erectile dysfunction

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A urethral stricture is a narrowing of the urethra, the tube that carries urine out of the body. This can cause symptoms like a weak urine stream, difficulty emptying your bladder, or pain. It often results from injury, inflammation, or infection. Thankfully, it's a treatable condition to restore normal urine flow.

Urethral stricture

Bladder neck contracture is a narrowing of the bladder's exit, often due to scar tissue from surgery or inflammation. This can lead to difficulty urinating, a weak stream, frequent urges, and incomplete emptying. Treatment usually involves procedures to widen the opening. While adjusting fluid intake can help manage symptoms, medical intervention is typically needed to resolve the physical blockage.

Bladder Neck Contracture

Peyronie's disease involves the development of fibrous scar tissue (plaque) inside the penis, leading to a noticeable bend, indentation, or shortening, often causing painful erections. It may arise from injury or genetics. Treatment options vary from watchful waiting to medications or surgery, aiming to reduce pain and improve sexual function and quality of life.

Peyronies' disease

Male incontinence is the unintentional leakage of urine, often due to weakened bladder muscles, prostate issues, or nerve damage. It's a common and treatable condition, manageable through lifestyle changes, exercises, medication, or other medical interventions. Discussing symptoms with a healthcare provider can help find effective solutions to improve quality of life.

Incontinence, male

A rectourethral fistula is an abnormal tunnel connecting your rectum (lower large intestine) and urethra (tube carrying urine out). This causes stool or gas to pass into your urine, or urine to leak into your rectum, leading to infections and discomfort. It often results from surgery, radiation, or trauma, and typically requires surgery to repair. Seeking medical attention is important for diagnosis and care.

Rectourethral Fistula

Buried penis is a condition where the penis appears hidden or tucked into surrounding skin, fat, or tissue, often making it seem smaller than it is. This can be due to factors like excess weight or anatomical variations. Management typically involves improving hygiene and function, sometimes through lifestyle changes like weight loss or a surgical procedure to free the penis.

Buried Penis

A ureteral stricture is a narrowing in the tube that drains urine from the kidneys to the bladder. This can lead flank pain, kidney infections, and loss of kidney function.

Ureteral Stricture

Lichen Sclerosus (BXO) is a chronic, non-contagious skin condition, most often affecting genital or anal areas, but can occur elsewhere. It causes itching, pain, and white, thinned patches of skin. While its exact cause is unknown, it's thought to be autoimmune. Management typically involves topical medications to control symptoms and requires regular monitoring. Gentle hygiene is important.

Lichen Sclerosus (BXO)

Genital lymphedema is chronic swelling of the private areas (penis, scrotum, vulva) due to a problem with the lymphatic system's ability to drain fluid. It can cause discomfort and heaviness. Management involves specialized therapies, careful skin care, and lifestyle adjustments to reduce swelling and improve comfort.

Genital Lymphedema

Penile cancer is a rare cancer affecting the skin or tissues of the penis. Symptoms can include skin changes, lumps, unhealing sores, or unusual discharge. Risk factors include HPV and certain lifestyle factors; maintaining good hygiene can help. Treatment often involves surgery or radiation, and early detection is key for better outcomes.

Penile cancer

Urinary Catheter Care

Post-procedure instructions are personalized guidelines you receive after a medical test or treatment. They are crucial for safe healing, managing discomfort, and preventing complications like infection. Following these directions, which may include advice on activity, medications, and wound care, ensures your best recovery.

Post Procedure Instructions

Alex Vanni

41 Mall Rd.

Professor of Urology | Lahey Hospital and Medical Center

Surgery (Urology)

Director: Center for Reconstructive Urologic Surgery

President: Trauma and Urologic Reconstructive Network of Surgeons (TURNS)

Society of Genitourinary Reconstructive Surgeons (GURS): Board of Directors

Problems with bladder, bowel, pain, or pelvic organ support.

Pelvic Floor & Pelvic Health

Conditions causing accidental urine leakage or loss of bladder control.

Urinary Incontinence

Problems that stop urine from flowing freely from your kidneys, bladder, or tubes.

Blockages in the Urinary Tract

Conditions affecting male and female reproductive organs and private areas.

Genital Conditions

Conditions affecting male organs, fertility, and sexual health.

Men's Reproductive Health

Diseases where body cells grow abnormally and can spread.

Cancer

Health conditions affecting sex organs, fertility, & sexual well-being.

Sexual and Reproductive Health

Conditions affecting your bladder, kidneys, and how you urinate.

Bladder and Urinary Issues

Conditions that don't fit into other main groups. A mixed collection of health issues.

Other

Conditions of the bottom area, causing symptoms like pain, bleeding, or itching.

Rectal and Anal Conditions

Health issues treated by operations and care for healing.

Surgical and Post-Surgical Care

Medical procedures are planned steps healthcare professionals take to diagnose, treat, or manage various health conditions. These can include diagnostic tests like imaging, therapeutic interventions, or surgical operations, all aimed at improving your health.

Procedures

Everyday health, wellness tips, and understanding how to manage your care.

General Health & Patient Education

Urinary and genital issues in babies, children, and teenagers.

Pediatric Urology Conditions

Venous conditions describe issues with your veins that can lead to symptoms like leg pain, swelling, heaviness, or visible veins, often due to impaired blood flow. Factors like genetics, age, or prolonged standing can contribute.

Venous Conditions

Prostate problems that affect men's urination and health.

Alex Vanni, MD

Erectile dysfunction

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