The spermatic cord is a bundle of blood vessels, nerves and tube that runs to and from the testis. The spermatic cord supplies oxygenated blood to the testis, among other various functions. 

The twisting of the spermatic cord is called ‘testicular torsion’. This is considered a medical emergency as the cut off blood supply to the testis can result in the loss of the testis if not promptly treated. 

How to tell if you have Testicular Torsion?

Testicular torsion typically starts off with a sudden, severe pain in the scrotum, subsequently the swelling of the scrotum. There might even be some abdominal pain, nausea and vomiting, or even fever. 

Upon encountered a sudden, severe testicular pain, visit the nearest emergency department at a hospital to get prompt medical attention. A surgical repair may be decided after thorough examination at the hospital.

Grade 1

Penis is larger but not hard

Grade 2

Penis is hard but not enough for penetration

Grade 3

Penis is hard enough for penetration but not completely hard

Grade 4

Penis is completely hard
Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Sildenafil (Viagra)

This medication is most effective when taken on an empty stomach one hour before sex. It's effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Duration of effectiveness/half-life: 4 hours Dosage: 25mg, 50mg, 100mg Common side effects: Hot flushing, headache, abnormal vision (changes in colour vision), muscle pain, uncomfortable stomach
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Tadalafil (Cialis)

Duration of effectiveness/half-life: 17.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

Duration of effectiveness/half-life:
17.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

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Vardenafil (Levitra)

Duration of effectiveness/half-life: 4.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Duration of effectiveness/half-life:
4.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Our Recommendation

Testicular torsion is a medical emergency. Please do not hesitate to visit an emergency department if you suspect testicular torsion as it may be both life threatening and cause permanent damage to the testicle.

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General Health Screening

Consult our doctor to provide you with a more detailed diagnosis and advice you with a relevant treatment

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Prostate Specific Antigen

The most widely accepted indication for prostate biopsy is if the PSA levels are greater than 4.0ng/ml

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Prostate ultrasound

A non-invasive and quick way of prostate imaging.

Treatment

The treatment method for frenulum breve is called a ‘frenuloplasty’, where the tension over the frenulum will be released surgically and a number of sutures would be applied to close the wound. 

Frenuloplasty may be done together with circumcision, sometimes, especially if the patient is having phimosis or other indications for circumcision.

Men's Health

Penile filler

Frequency: 
Depending on filler type. For absorbable fillers, in general, a top up is required every 2-3 years. 

Duration: 
Depending on target. A rough estimate of 30minutes- 45minutes. 

Pre-procedure preparation:
Numbing cream will be applied to site of procedure and left for at least 20minutes.

Penile block will then be given, so no pain will be felt throughout the procedure. 

Post-procedural care:
Minimal pain may be felt once anaesthesia wears off. Adequate pain killers will be supplied. 

Minimal to nil bleeding may be expected. 

No bandaging required.

No urinary issues is expected. 

May resume regular intercourse once pain subsided.

Men's Health

Priapus Shot (P-shot)

Principle of therapy:
Using Platelet Rich Plasma (PRP) from our blood that contains proteins involved in healing and growth

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of once a week

Pre-procedure preparation:
None.

Side effects:
Blood will be taken from arm via syringe and needle. PRP will be extracted from blood and injected back into penis. Mild pain or discomfort may be observed over site of injection, however not lasting as small needle is used for injection.

Men's Health

EMkegel

Principle of therapy:
Using electromagnetic waves to simulate kegel exercise, strengthening perineal muscles- muscles involved during erection and intercourse.

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of therapy would be 2-3 times per week, however flexible.

Pre-procedure preparation:
None.

Side effects:
Mild tingling sensation during procedure. Zero downtime post procedure.

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