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A penile implant, sometimes called a penile prosthesis, is a device that is surgically inserted into a penis and allows men with erectile dysfunction (ED) to achieve an erection suitable for intercourse. While prostheses generally have high satisfaction rates among men and their partners, getting a penile implant is a big decision.
Retrograde ejaculation occurs when a man reaches orgasm, but little or no semen comes out of the penis. Instead, the semen goes backward into the bladder.
It is not a harmful condition. The semen mixes with urine and passes out of the body the next time the man urinates. It causes no damage to the bladder.
Prostate cancer affects the prostate, a walnut-sized gland near the bladder. The prostate produces fluid that mixes with sperm to form semen.
Delayed ejaculation occurs when a man has difficulty ejaculating. It may take longer than he’d like to ejaculate, even if he has a full erection and is sufficiently aroused and stimulated. The situation can cause distress to both the man and his partner.
Peyronie’s disease is a disorder that causes areas of hardened scar tissue called plaques to form on the penis, just under the surface of the skin. These plaques make the penis less flexible. As a result, men with Peyronie’s disease have a noticeable curve in their penis. The penis may shorten as well.
Pharmacologic treatment of premature ejaculation represents a new approach to the treatment of PE and a radical departure from the psychosexual model of treatment. There have been many papers discussing this topic. I chose to write a clinical paper, in the form of Questions and Answers, which is an innovative way of writing an article (with several citations) to help clinicians in the management of premature ejaculation.
Michael A. Perelman, Ph.D.
N. Y. Weill Cornell Medical Center
New York, N.Y. USA
February 2009