The lower leg has two bones: the tibia and the fibula. The tibia is the larger bone, sometimes called the "shin bone." The shin portion is also called the tibial shaft . Fractures of the shaft often heal with an angle. In the past, these fractures were treated with a cast, but now surgery is used. Surgery results in less angulation. Doctors at a large hospital in England studied 164 cases of tibial fracture from over 30 years ago. All had been treated with a cast. The doctors X-rayed all the patients and remeasured the angle of the healed bone. These findings were compared with patients' current status. The long-term outcome after a tibial shaft fracture was good for most of the patients. There were mild symptoms of knee and ankle pain and arthritis. However, these were not caused by the previous fracture. In a small number of patients, fracture in the upper part of the tibia (closer to the knee) resulted in more wear and tear on the knee joint. A 30-year study of the alignment of the tib...
One non-pharmacologic remedy for erectile dysfunction is the penile vacuum tumescence pump or "penis pump." This device is sold in pharmacies and by prescription from your doctor. The pump is a cylindrical tube that is closed at one end. A pumping device, sometimes similar to the pump of a blood pressure cuff, is attached to the cylinder. The tube is placed over the penis and held firmly to the base of the penis. Pumping the device creates suction within the tube, thus drawing blood into the penis. A constriction band (rubber-band-like ring) is then placed at the base of the penis to prevent the blood from leaving. There are obvious limitations to this treatment option. First, the process does take time and may interrupt the natural sexual interaction between the couple. Most often this device is given to men in stable relationships whose partner has a knowledge and understanding of the man's problem. It does, however, allow the patient, if successful, ...
About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
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