China
Africa
Explore chapters and articles related to this topic
Meeting personal needs: hygiene
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
The bathing procedure should continue: Using a disposable washcloth, wash the genitals and perineal area, working from front to back to prevent contamination of the urethra and/or vagina with faecal matter. Catheter care may be required at this point (see Chapter 6, section on ‘Caring for people who have urinary catheters’). Change the water now – remember the rationale for this (see the previous section, learning outcome 2).Note: when cleaning the penis, the foreskin needs to be drawn back from the glans and the area gently cleaned. It is essential that the foreskin is then brought back over the glans after cleaning otherwise a phimosis or paraphimosis can develop. In boys up to the age of 17–19, the foreskin is still attached and should not be forced down the glans as this could cause pain and damage (Wilson et al. 2009)
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
The vestibule is surrounded by two folds of skin, the labia minora (singular: labium minor, literally meaning "small lip"). The labia minora join superiorly to form a hood over the clitoris, the female homologue of the male penis. Composed of the corpora cavernosa, which are two small bodies of erectile tissue, the body of the clitoris ends in a small knobby projection called the glans clitoridis. Like the glans of the penis, the glans clitoridis is extremely sensitive to the touch and becomes engorged with blood during sexual excitation.
Paraphimosis
Published in Alisa McQueen, S. Margaret Paik, Pediatric Emergency Medicine: Illustrated Clinical Cases, 2018
This patient has paraphimosis. Paraphimosis is a condition in which the foreskin is retracted behind the glans penis and becomes progressively edematous, leading to decreased blood flow to the glans. This is a medical emergency that requires reduction to preserve vascular supply to the glans. In contrast, phimosis is a medical condition where the foreskin is unable to be retracted over the glans. Although this latter condition often requires urologic follow-up, it is rarely associated with acute medical complications.
Effects of adverse childhood experiences on partnered sexual arousal appear context dependent
Published in Sexual and Relationship Therapy, 2023
N. Prause, H. Cohen, G. J. Siegle
As an example of a consensual, predictable intimate experience, we studied couples engaging in Orgasmic Meditation (OM). The OM practice is centered around fifteen minutes of indirect, manual stimulation of the clitoral shaft. The external clitoris consists of a glans (tip), a shaft which connects the glans to the body, and hood, which covers the glans. OM practitioners are instructed to stroke only the shaft; contact with the glans is incidental; contact with the hood is likely, but not the focus of the practice. OM is thought to have features that promote feelings of safety. For example, sexual anxiety would be minimized by not using intimate activities that required erections (Barlow, 1986) or orgasms (Chadwick & van Anders, 2017). This is a comfortable area for female genital stimulation (Schober et al., 2004). For example, the clitoral glans’ sensitivity is more likely to result in pain in response to touch. Human clitoral touch afferents also (Chadwick & van Anders, 2017) are active in processing social touch (Georgiadis & Kringelbach, 2016).
Outcome of hyaluronic acid gel injection in glans penis for treatment of lifelong premature ejaculation: A pilot study
Published in Arab Journal of Urology, 2023
Ahmed Sakr, Hazem Elgalaly, Mohamed M. Seleem, Mostafa Kamel, Ahmed I. El-Sakka, Ibrahim M. Ibrahim
Researchers found that HA injections increased intra-vaginal latency time (IELT) by up to 4.46 times in several tests and that this increase lasted for a long time (up to 5 years) [9,10]. Except for temporary discoloration and swelling of the glans, which returned to normal in 2 weeks, there were no other major side effects observed [10]. Paresthesia and hypoesthesia after glans penis augmentation (GPA) using HA filler are rare, and no cases of erectile dysfunction were encountered [11]. Severe complications such as glans necrosis due to vascular compromise after indirect glans augmentation via implantation of dermofat grafts or scaffolds between corpus spongiosum and the distal tip of corpus cavernosum [12] were not encountered with HA gel injection just in the deep dermis without any surgical dissection in glans penis for GPA.
Fractional CO2 laser therapy of lichen sclerosus in males: a new therapeutic opportunity?
Published in Journal of Dermatological Treatment, 2022
Francesca Ferrara, Stefano Messori, Diego Abbenante, Annalisa Patrizi, Federico Bardazzi
The onset of LS can occur at all ages, although a bimodal trend is typically seen: the average age of the first diagnosis in adults oscillates between 52 and 60 years, while in children it is at approximately 7.6 years of age (5,6). In men, LS usually involves the mucosa of the glans, the coronal groove, the frenulum and the foreskin, while in contrast, the involvement of the penis shaft is infrequent. According to Edmonds et al., 70% of the affected patients present involvement of the foreskin alone, 60% show implication of the glans, while in 40% of cases both structures are involved (7). The most frequent clinical presentation of the disease is characterized by itching, discomfort and dyspareunia at variable degrees (8). Therefore, in men, LS is usually a late diagnosis, probably due to its light and vague presentation and a less common practice to turn to a specialist when first symptoms arise (5,7,9). In approximately 2–20% of patients, LS can also affect the urethral meatus (10), which can lead to stenosis and/or occlusion of the urethra over time, often causing serious complications that may require a surgical intervention. In fact, balano-preputial adhesions can be formed as the disease progresses, as well as a gradual loss of elasticity, until phimosis. In many cases, such outcomes can lead to erectile dysfunction and painful erections.