Men are tend to avoid visiting urology clinic even when they suffer from urological disease. However, sex and urination is one of the most vital matter in human life. Also, urological diseases can be all around us and most of them can be cured very easily. Korea’s urology clinics have the best urological technology and clinical skill. In accordance with the press media and statistics, The number of foreigners visiting Korea for urological treatment is increasing and Korea’s urologists’ clinical expertise is beyond question. The following contents includes series of major urological treatments that are being conducted from Korea.

You can consider enlargement treatment if you are having comparatively smaller penis or glans. As Korean enlargement treatment is getting more advanced, more various methods of customized procedures and surgeries are being conducted in accordane with each patient’s concerns.

Penis/Glans Enlargement

Penis Enlargement focuses on the thickness of the penis not the length. Usually, it consists of surgery to insert an alternative dermis or silicone implant, or a procedure using autologous fat or fillers. Penis enlargement surgery can be expected to have a double effect in patients with irritable premature ejaculation as it slightly slows the sensitive nerves. In the case of glans enlargement, only procedures such as autologous fat or fillers are carried out.

Cause of Micropenis & Solution

• CASE 1 Ligament Development
  If the ligament that supports penis is over developed then it pulls the penis inward.
  • SOLUTION 1 Minimal Incision Triangular Fixation
    The excessively depressed penis is taken out by making a partial incision in the triangular ligament and fixing it. This method can reduce the side effect of 'lowering angle during erection' of the existing ligament resection.
• CASE 2 Excessive Fat
  If there is too much fat, the penis may look buried.
  • SOLUTION 2 Liposuction
    Removes sufficient amount of fat around the penis, such as the abdomen and pubis, to take out the buried penis
• CASE 3 Congenital Issue
  If the penis itself is congenitally excessively small
  • SOLUTION 3 Penis/Glans Enlargement
    If the penis itself is excessively small, the size of the penis and glans can be improved with additional length extension. relaxed size and erection size can be resolved at the same time.

Materials For Enlargement Surgery

1. Alternative Dermis : It is a method of inserting an alternative dermis extracted from an animal or human body. It is characterized by engraftment in the human body, which enlarges the penis with a surgical method.
2. Filler: It can be largely divided into alternative dermis and HA filler. In the case of the alternative dermis, it is partially absorbed and partially engrafted, so it is semi-permanent. In the case of HA filler, hyaluronic acid is injected and it is fully absorbed after a certain period of time. 
3. Autologous Fat: It is a method of refining fat extracted from the abdomen and buttocks and injecting it as a material for penis enlargement. It is characterized by safe use of autologous fat.
4. Silicone Implant: It is a surgical method of penis enlargement. Silicone implants of various shapes and materials can be inserted.
5. SST Enlargement Surgery: This is a method for simultaneous transplantation of SVF (Stromal Vascular Fracon) containing various growth factors and activators extracted from alternative dermis and autologous adipose-derived adult stem cells. By focusing on promoting the formation of new blood vessels and increasing the rate of tissue engraftment, the treatment effect is enhanced and the duration is prolonged.

Shortcut to Korean Urology Penis Enlargement Filler Treatment

Erectile dysfunction is caused by organic and psychogenic causes such as drinking, smoking, trauma, and disease. It is also a great stressor if the stiffness continues to decrease enough to interfere with the relationship, or if the erection is completely lost to the extent that it does not respond to drugs. Erectile dysfunction can be treated surgically or non-surgically, depending on the patient's symptoms.

Erectile Dysfunction Surgical Treatment

• Curved Implants: Curved implants are being chosen by many in terms of ease of use and cost. It operates simply by the principle of bending and unfolding, and products of Coloplast, AMS, and Promedon are the most common.
  • Suitable Type: When there is no improvement even with non-surgical treatment / When it is cumbersome to maintain the status quo with non-surgical treatment / When the cost of an inflatable implant is burdensome / When you want to solve the problem of erectile dysfunction at once
• Inflatable Implant: The inflatable implant implements the same principle as the spontaneous erection that occurs due to the inflow of thermal fluid. It operates the pump in the scrotum to move physiological saline into the cylinder and creates a natural erection. Products of Coloplast and AMS are the most common.
  • Suitable Type: If you want to produce a natural erection during intercourse / If you are worried about stiffness and penis thickness during sexual intercourse / If you want to be active naturally in daily life.

Erectile Dysfunction Non-Surgical Treatment

1. Hormone Treatment: Check the level of male hormone secretion through hormone test results and then reinforce it.
2. Oral Medication: prescribing medication before intercourse or as a daily regimen
3. Trimix: Self-injection therapy that induces erection and lasts for about 1 hour
4. Blood Flow Filler: A device that can be operated by the patient himself, and fills the penile arterial blood with blood flow to create an artificial erection.
5. Extracorporeal Shock Wave (ED1000): It is a fundamental treatment to improve erectile dysfunction through low-intensity extracorporeal shock waves. FDA/KFDA approval has been verified, and at least 4 to 8 treatments are required.
6. Radical Treatment Extracorporeal shock wave (RENOVA): It is a magnetic-type extracorporeal shock wave treatment that regenerates new blood vessels through microscopic stimulation to help restore erection. Because the irradiation range is wide and deep, the number of treatments and time can be shortened.

Premature ejaculation refers to ejaculation very quickly due to decreased ability to control ejaculation. It can be largely divided into non-surgical treatment and surgical treatment, and the appropriate treatment direction can be selected through various tests and consultations. If the nerve itself is of a sensitive nature, surgery is usually considered.

Premature Ejaculation Non-Surgical Treatment

1. Oral Medication: It is a drug that controls over-excitement. When taken 1 hour before intercourse, it has the effect of delaying ejaculation.
2. Counseling Therapy: This is a suitable method for patients with psychogenic erectile dysfunction. Improves normal ejaculation habits by controlling psychological hyperexcitementTrimix: Originally, Trimix is a self-injection therapy that induces an erection. It has the characteristic of maintaining an erection even after ejaculation, so it can be used as a complementary therapy for premature ejaculation.

Premature Ejaculation Surgical Treatment

1. Dorsal Nerve Block: This operation blocks the sensitive dorsal nerve of the penis and reduces the sensitivity of the penis.
2. Frenulum Block: Blocks some of the sensitive nerves in the frenulum area below the glans, reducing sensitivity.
3. Dermis Transplantation Premature Ejaculation Surgery: It is a method of transplanting the dermis to cover the nerves. It can satisfy the two aspects of premature ejaculation and enlargement.

Prostate-related symptoms include prostatitis / enlarged prostate / prostate cancer.

Prostatitis

Prostatitis refers to various syndromes caused by inflammation of the prostate or surrounding tissues. There are acute bacterial prostatitis / chronic bacterial prostatitis / chronic inflammatory non-bacterial prostatitis / chronic non-inflammatory non-bacterial prostatitis, which can be treated through various tests.

Prostatitis Test

There are methods such as basic test / PCR test / ultrasound test / PSA test.

Prostatitis Treatment

1. Drug treatment: The type of prostatitis and antibacterial resistance are judged and the appropriate drug is administered.
2. TEMPRO: This is a procedure that effectively destroys only abnormal tissues by generating high-frequency heat of 50 to 60 degrees and transferring the heat to the deep part of the prostate.
3. Magnetic chair: It is a method of applying electric current by generating a magnetic field with a frequency of 40/50HZ in the treatment chair. Treatment is performed 1-2 times a week.
4. ESWP/ESWT: This is a treatment method that applies electric shock waves between the perineum and anus. Excellent for reducing prostate pain and relieving inflammation
5. Cocktail Therapy: A faster therapeutic effect can be obtained by administering therapeutic agents simultaneously.

Enlarged Prostate

It refers to enlarged prostate due to various causes such as aging, heredity, and lifestyle. In the case of an enlarged prostate, it interferes with the normal functioning of surrounding tissues, which irritates the bladder and narrows the urethra, resulting in uncomfortable symptoms related to urination.

* Self-Checklist For Enlarged Prostate

• Frequent urination
  
• Urination more than once when waking up from sleep
• Does not come out immediately when urinating
• The urine stream becomes thin or stuffy
• Urine comes out when you put pressure on your stomach
• There is a feeling of residual urination

Enlarged Prostate Non-Surgical Treatment

Prostate Ligation is performed under local anesthesia and can be performed within 15 to 20 minutes. Daily life is possible after discharge from the hospital on the same day without wearing a urinal, and the treatment effect can be checked immediately on the day of the procedure. It is a medical technology approved by the US FDA, and it is characterized by minimizing side effects such as retrograde ejaculation and urinary incontinence.
It is suitable for cases where there is no improvement with drug treatment, or when general anesthesia is burdensome due to old age or health problems.

Enlarged Prostate Surgical Treatment

1. Revolix Laser: Thulium laser with a wavelength of 2013nm. It does not damage surrounding tissues other than the surgical site, and simultaneously vaporizes and excises. Symptoms such as big prostatic hyperplasia of 80g or more can be treated.
2. Plasma prostate vaporization: Plasma prostate vaporization is a method of vaporizing the enlarged prostate tissue by generating plasma at a low temperature of 70°C or less.
3. Transurethral prostatectomy (TURP): This is a method that widens the entrance to the urethra by removing the enlarged prostate tissue. The risk is lower than that of open surgery.

Prostate Cancer

The typical symptoms of prostate cancer include frequent urination / thin urine stream / hematuria / blood semen / no urine output / nocturia / frequent urination and residual urine. When prostate cancer has metastasized, back pain, pelvic pain, edema, and neurological disorders are caused.
Prostate cancer has similar symptoms to enlarged prostate and prostatitis, so an accurate examination is necessary.

Prostate Cancer Screening Method

Prostate cancer screening methods in Korea include urinalysis/digit rectal examination, flexible endoscopy, ultrasound examination, and PSA examination.

Male diseases include overactive bladder/penis curvature/hematuria/condyloma/male infertility/sexually transmitted diseases/male menopause.

1. Overactive Bladder: In mild cases, it can be relieved with medication, Tempro, ESWP, or bladder Botox. In the case of severe cases, it is possible to treat with Eurolift and Revolix laser in a short procedure time of 10-20 minutes while minimizing damage to surrounding tissues.
2. Penile Curvature: If the penis is curved due to developmental imbalance, disease, wrong habits, fractured penis, internal damage to the penis, excessive masturbation, or extreme sex life, the symptoms can be alleviated through plastic surgery. Tissue transplantation and implant transplantation are being performed, and the most representative surgery is the albuginea membrane suture. The albuginea membrane suture method makes an incision on the other side of the curved membrane and pulls the back membrane and fascia up and down to make it upright.
3. Hematuria: The presence or absence of hematuria can be determined only by a urine test, but the most important thing is to find the cause of the bleeding. Various causes of hematuria include urinary tract insufficiency, urolithiasis, urinary tract tumor, foreign body in the bladder, urinary tract trauma, systemic disease, and peripheral organ disease. Methods to determine the cause of hematuria include urinalysis/urinary cytology, X-ray/ultrasound, urography, cystoscopy, and PSA.

4. Condyloma: condyloma is a type of wart caused by a virus (human papillomavirus). It usually blooms in the shape of a chicken crest or cabbage, and there is a 50% or more chance of transmission with just one contact. Some types of condyloma are more likely to cause cervical cancer in women. Through the condyloma test, it is treated with Gardasil inoculation/laser cauterization/medication/immunity therapy.
5. Male Infertility: About 40% of male infertility is caused by varicose veins. This stagnates blood flow in the testicles, causing the blood vessels to sag and the body temperature around the testicles to rise, resulting in decreased sperm activity and number, leading to infertility. After a close examination, microscopic ligation can be performed based on the diagnosis. Azoospermia is broadly classified into obstructive azoospermia and nonobstructive azoospermia. Obstructive azoospermia can solve the cause of obstruction that prevents sperm from being discharged, and nonobstructive azoospermia usually involves collecting sperm directly from the testes and attempting in vitro fertilization.
6. Sexually Transmitted Diseases: There are more than 30 types of sexually transmitted diseases. Usually, the type can be identified through a general test, PCR test, and blood test.
7. Male Menopause: The typical symptoms of male menopause include chronic fatigue, memory loss, decreased muscle mass, increased body fat, decreased sexual function, and depression. For male menopause treatment, behavioral therapy and male hormone replacement therapy are the most common methods. Oral administration, intramuscular injection, and transdermal drug (applied male hormone replacement therapy) are available as methods of supplementing male hormones.

1. Vasectomy: Vasectomy is a simple operation performed within 10 minutes by blocking the vas deferens through a small incision of 2-3 mm. It blocks 99% of sperm movement and boasts a high contraceptive success rate. A vasectomy does not affect sexual sensation and allows you to enjoy permanent contraception.
2. Pubic Ridge Technique: The pubic ridge technique is a method of inserting a silicone implant into the male's pubic bone to stimulate the female's clitoris. It is inserted under the pubic bone and is located under the pubic hair, so it is not easy to detect whether or not surgery has been performed.
3. Artificial Testicles: This surgery is suitable for cases where one or both testes are absent congenitally or acquired, or when the testicles of different sizes feel imbalanced. The artificial testicle is a cohesive gel type and feels similar to the real testicle. It cannot function for spermatogenesis and hormone production, and it can be manufactured by size, so it can be considered as a cosmetic factor.
4. Scrotal Skin Removal: This operation is suitable for cases where the length of the penis looks excessively short due to the sagging skin of the scrotum, or when the skin is curled during intercourse, causing pain and discomfort. By arranging the sagging skin at the connection between the penis and the scrotum, aesthetic and functional improvements can be obtained.

Men's biggest dream, six pack! In order to achieve a low body fat percentage, you need to regularly manage your diet and exercise. The 'Men's Six Pack Abdominoplasty' is the only way to solve these problems at once. Through surgery, unnecessary subcutaneous fat can be removed and saggy skin can be corrected so that the male beauty can be emphasized.

In particular, if excessive fat is sucked in the pubic area, the lower abdominal line can be improved and the effect of improving the indented penis can also be expected.

During liposuction, the number of fat cells, not the volume of fat cells, can be reduced, so the yo-yo effect is small, but exercise and diet control are essential to maintain the effect for a long time.

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