• Why all the talk about "Bigger is Better?"

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• Penis Anatomy: A-Z

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• How the Penis Works?

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• Causes of Sexual Dysfunctions

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• Physical Examination

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• Ejaculatory Dysfunction

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• Testicular Cancer

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• Avoid these Penile Enlargement Techniques

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• Natural Enlargement Exercises

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• Enlargement Devices

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• Enlargement Pills

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• Enlargement Patches

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• Recomended Natural
  Exercises Program

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Courtesy of PenileFitness.com

Men between the ages of 15 and 35 can increase their chances of finding testicular cancer early by performing monthly testicular self-examination. Ideally, testicular self-examination should be performed after a warm bath or shower. The heat causes the scrotal skin to relax, making it easier to feel anything unusual on the testicle.

• Examine each testicle gently with both hands. The index and middle fingers should be placed underneath the testicle with the thumbs placed on top. Roll the testicle gently. One testicle may be slightly larger than the other. This is normal.
• Feel for any abnormal lumps - about the size of a pea - on the front or side of the testicle. These lumps are usually painless.

Routine testicular self-examination is important, but it cannot substitute for a doctor's examination. Your doctor should examine your testicles when you have a physical examination. You can also ask your doctor to check the way you do testicular self-examination.

Penile cancer

Penile cancer is a rare form of cancer. Every year in Great Britain approximately 400 men are diagnosed with penile cancer. Though it is a rare form of cancer in Europe and USA it is common in Africa, India and South East Asia.

The fact that circumcised men (circumcision is the cutting of a part or of the entire foreskin or prepuce) suffer less often of penile cancer seems to support the theory that the main cause of penile cancer seems to be poor local hygiene. Men who were not circumcised find it harder to pull back the prepuce enough to clean underneath. The risk for penile cancer increases in patients infected with the human papilloma virus ( the human papilloma virus causes penile warts). Some other skin diseases, if left untreated could develop into skin cancer. Doctors insist on consult and treatment of any patches that may appear on your penis (white red or red moist patches) as an important method of fighting cancer of the penis. Unprotected sex with multiple partners and smoking are also believed to be causes for cancer of the penis. A less common risk factor is the scarring left by non-classic circumcisions.

Penile cancer is not genetically transmitted.
Penile cancer is not infectious.
Penile cancer can not be transmitted to other people.
Most forms of penile cancer are painless.

Signs of penile cancer include: change of color and texture of the skin, soreness or excrescences may appear (mostly on the head of the penis, foreskin or shaft), bleeding.

Sometimes penile cancer appears as bluish-brown flat growths, red rashes on the penis or bumps with crusts. Penile cancer has a complex pathology:

1. Precancerous dermatologic lesions:
   a) Leukoplakia - it is more common in diabetic patients. A white patch that involves the meatus (the opening of the urethra) appears on the head of the penis. Leukoplakia can appear either before or simultaneous to the apparition of cancer.
   b) Balanitis xerotica obliterans - more common in middle aged diabetics. White patches appear on the foreskin and glans penis and a ring of whitish hardened skin appears the tip of the penis usually preventing retraction.
   c) Condylomata acuminata (genital warts) – lesions with the aspect of cauliflower that arise from the prepuce or the glans (head of the penis). HPV (human papilloma virus) seems to cause them.
   
2. Carcinoma in situ (in situ are forms of cancer that do not migrate to other regions of the body).
   a) Bowen disease - a red plaque with incrustations involving the penile shaft.
   b) Erythroplasia - disease involving the glans(head of the penis). It manifests as a red lesion with ulcerations and a velvety consistence.
   
3. Invasive carcinoma of the penis
   a) Squamous cell carcinoma - most common form of penile cancer. Papillae(pimple like formations) or ulcerations appear on the head of the penis (glans),the prepuce or the shaft.
   b) Verrucous carcinoma - a variant of squamous cell carcinoma. It represents between 5 and 16 percent of the total penile carcinomas. Papillae well demarcated margins appear on the penis.

Diagnosis

The General Practitioner will examine the patient. If there are any signs of penile cancer he will then refer the patient to a specialist(oncologist).

The specialist will make a visual consultation and will also use palpation on the whole of the penis and the inguinal region to determine if the lymph nodules (the lymph nodules are small structures, bean shaped,spread inside the body; they produce and deposit the cells that fight infections) are enlarged.

To know with certainty if what the patient is experiencing is a manifestation of penile cancer the doctor perform a biopsy (he will take a sample of tissue) on the affected part of the penis. The biopsy will reveal the presence or absence of cancerous cells.

If penile cancer is detected the doctor can recommend further test to determine if the cancer has spread to other parts of the body. The most common tests are chest X-rays (determine if the cancer spread to the lungs), computerized tomography scan ( specialized X-ray ; can determine other places where the cancer might have spread), lymph node biopsy (it is performed if the lymph nodes are swollen).

Determining the stage of the cancer is important for the doctor in order to decide what treatment is best for you. The term "stage of a cancer" describes the size of the tumor and if it has spread or it is an in situ tumor (in situ tumors do not spread beyond their original place).

The stages of penile cancer are:

• The penile cancer is located only on the glans (head of the penis) or the prepuce.
• The cancer begins to spread to the shaft or to one of the lymph nodes in the groin
• The cancer spreads deep into the shaft and also has inguinal nodes (operable)
• The cancer expands beyond the shaft and it has distant metastases (inoperable)

a) The cancerous cells can look almost normal. This type of cancerous cells grow quite slow and they are little likely to spread. The type of tumor in which these types of cells appear are low-grade tumors

b) The cancerous cells do not look like normal cells. This type of cancerous cells are more likely to grow quick and spread.. The type of tumor in which these types of cells appear are high-grade tumors.

The treatment of the penile cancer depends on the position and size of the tumor, if it has spread or not,the grade of the tumor, the health of the patient.

Cancer can be treated using:
a) Radiotherapy - high-energy rays are directed to the affected area. Radiotherapy can however harm the surrounding healthy tissue. The doctor may recommend radiotherapy both before and after surgery. Radiotherapy can be external or the doctor can recommend radioactive implants. Side effects of radiotherapy can include breaking down of the skin on the penis and soreness, fibrosis (the healthy tissue thickens and stiffens) and narrowing of the urethra.

b) Chemotherapy - anti-cancer drugs are used to destroy cancer cells. In penile cancer chemotherapy is used the most in incipient stages. Chemotherapy injections or tablets are used in more advanced stages.

c) Surgery - it is used to treat small cancers.In that case the affected area is removed. The removal of the tumor can be done with conventional surgery, laser or cryotherapy ( the cancer cells are destroyed using a probe that freezes them). Circumcision is used as surgical treatment if the cancer is located on the foreskin. Depending on the location and spreading of the cancer only the affected tissue is removed or a part of the penis is removed. If the cancer is located at the base of the penis the only way to stop the spread is total removal of the penis.

COMMENTS

SS
many times i have troublegetting totaly erect when doing my exercizes, would it be okay if i masturbated first rested for a few minutes, and then started my excercizes?

Alex's answer:

Sure, whichever methods works best for you.  I personally find getting erect during exercise gives you a chance to take a break for a minute or two to keep the monotony down.

Alex's answer:

Yes- please check out the Men's Program Online Consultation Service for details.

Alex's answer:

Not at this time. You can receive professional online penis enlargement consultations at Mensprogram.

Alex's answer:

You may have stamina issues. Please visit our Sexual Stamina Section for exercises, tips, and techniques on staying harder, longer.

Alex's answer:

It could be anything. If the pain is persistent, we suggest going to your doctor to rule out the worst.

Alex's answer:

There is no connection with frequency of lovemaking and cancer.

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