How erectile dysfunction is been improved by LI-ESWT

Low-intensity extracorporeal shockwave therapy (LI-ESWT) — regenerative treatment for vasculogenic erectile dysfunction | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Low-Intensity Extracorporeal Shock Wave Therapy (LI-ESWT) is a promising treatment for erectile dysfunction (ED). ED is an increasingly common complaint at my andrology office, affecting men across all age groups. I have previously discussed the 4 major causes of ED and oral tablet therapy for ED. Before LI-ESWT became available, patients who failed oral ED […]

Epididymal cyst: What should we deal with it?

Epididymal cyst — benign scrotal cystic lesion, ultrasound diagnosis, and management | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Epididymal cyst is one of the most common testicular-related issues at my urology office. It was defined as an encysted structure closures the epididymitis which is literally described as a result from prior injuries or inflammations of the epididymis tubule. These meaning that epididymal cyst are absolutely a benign lesion. Natural history of Epididymal cyst […]

Bloody semen: A Nightmare for Gentlemen

Hematospermia — blood in semen, etiology, and clinical evaluation in adult men | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Bloody semen or in medical term “Hematospermia” is the top one concerning between the others at my Andrology clinic. This kind of Andrological-related problem absolutely terrified the patient and their partner because they will see the fresh blood in semen with naked eyes. So, in this topic it will be cleared along with clarifying for […]

Post-Circumcision instructions

Post-circumcision care — wound healing tips and recovery guidance after surgical foreskin removal | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Proper postoperative care is just as important as the surgery itself. This article covers the complete post-circumcision instructions for patients who have undergone the Sleeve technique circumcision. For a general overview of circumcision, see this article. Post-Circumcision Instructions — Sleeve Technique During the first 6 hours after surgery: During the first week after surgery: Weeks […]

Post-operative instruction; Vasectomy

Post-vasectomy recovery instructions — wound care, activity restrictions, and follow-up timeline | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Vasectomy is a permanent male contraceptive day-care procedure taking approximately 1 hour. Successful outcome depends not only on the surgical technique but equally on correct postoperative management. This article covers everything you need to know about caring for yourself after vasectomy. Vasectomy Postoperative Instructions Confirming successful vasectomy After surgery, a pathological report will confirm that […]

BPH Dual oral therapies: Mechanism and their side effects

BPH dual oral therapy — alpha-blocker and 5-alpha-reductase inhibitor combination, mechanism, and side effects | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Benign Prostatic Hyperplasia (BPH) is a degenerative condition of the prostate gland that no aging gentleman can escape. According to epidemiological data, BPH affects 42% of men aged 51–60, over 70% aged 61–70, and nearly 90% aged 81–90. Today we discuss the “dual oral therapies” approach to BPH management. BPH commonly presents with weak urinary […]

Peyronie Disease: Abnormal curvature of penis

Peyronie's disease — abnormal penile curvature from fibrous plaque formation in the tunica albuginea | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Peyronie’s disease (PD) is a non-malignant disorder of the penis characterized by abnormal penile curvature during erection, first described by French physician François Gigot de la Peyronie in 1749. Due to embarrassment, it is significantly underreported — it is estimated to affect more than 10% of men in the USA. PD causes major psychological distress […]

Urethral stricture: narrowing of urethral lumen

Urethral stricture — narrowing of the urethral lumen causing obstructive voiding symptoms | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Urethral stricture is a common presentation at my urology office, defined as a narrowing of a segment of the urethra. US data reports a 0.9% incidence in men, with dramatically increasing prevalence after age 65. The 4 major causes of urethral stricture Regardless of the cause, urethral damage triggers scar formation that gradually narrows the […]

Hydrocele in adult men: Why it happens?

Adult hydrocele — etiology and surgical management of fluid accumulation around the testicle | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

A painless scrotal swelling is one of the most common presentations in my andrology clinic. The condition we must always be aware of is a Hydrocele — an abnormal accumulation of fluid within the scrotal sac surrounding the testicle. To understand why hydrocele occurs, a brief review of scrotal anatomy is helpful. Between the scrotal […]

Varicocele: Varicose vein in testicle

Varicocele explained — pampiniform plexus dilation and impact on testicular function and fertility | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Varicocele is a common presentation in my andrology clinic, defined as an abnormal dilatation of the scrotal venous plexus (pampiniform plexus) — essentially varicose veins of the testicle. It resembles the varicose veins seen in the leg and becomes more common with age. Varicocele is a largely silent disease. It is reported in 15–20% of […]

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