CIRCUMCISION

At the Australian Centre for Cosmetic and Penile Surgery, Dr. Moore performs circumcision on new babies from 6 months, to very senior males.

We receive many calls every day about circumcision and the reasons why somebody may require the operation. These range from continual bladder problems / infections to difficulties in pulling back a tight foreskin.

Dr. Moore can only answer questions at a consultation, because these procedures require a medical opinion by an experienced surgeon. Dr. Moore has been performing this procedure for 36 years; his speciality is Paediatrics, (babies and children’s surgery).

The numbers of calls from males in their late teens to elderly seniors is ever increasing, at our enquiry phone number. Again, they are individual questions and Dr. Moore can only give answers, when he consults with the patient.

No circumcision by Dr Moore is performed at a Public Hospital. All patients will be admitted to a private hospital and will have a General Anaesthetic, but will be able to go home the same day. If you have your operation with the state you live in you will be required to take postoperative time off work. (Dr Moore will discuss this with you).

This procedure has a Medical Rebate Humber but this will only cover a small amount of the total cost.

A Severe Bend (Banana Like) of the penis with, or without pain

PEYRONIE’S DISEASE is a severe curvature of the erect penis. This was first noted in the 1700’s. It is somewhat common, but not often mentioned. A minimal bend in the erect penis is perfectly normal, as few penises are straight. Sometimes the bend is so severe it makes intercourse impossible. If you are a sufferer of the condition it can be very frustrating and embarrassing in a relationship.

The cause of the curvature may be the result of trauma during sex, inflammation in the tunica, scarring or as the result of medication taken by the patient.

Peyronie’s disease is an extremely common ailment, and most patients are middle-aged, though younger patients in their twenties are also seen. At the consultation with Dr Moore, all aspects of the disease and the appropriate surgical operation will be discussed with you. We are unable to include accurate costs until the entire medical condition has been seen and Dr Moore and the patient have decided on the correct surgical operation, however the most common procedure costs approximately $8,500. (Including hospital etc).

Is your penile opening located along the Shaft??

HYPOSPADIAS, which is an accident at birth, is a condition where the opening of the penis is found somewhere back along the shaft. Sometimes it is accompanied by penile twisting, or a “hooked” appearance. Hypospadias may not be well known, but for men who experience it, the consequences can be devastating because it strikes the root of “normality”. The correction is surgical and requires a stay, in babies of only one day, but for older children the adults up to two weeks. The surgery is delicate and difficult but in the hands of an experience hypospadias surgeon the results are usually excellent.

OVERCOMING IMPOTENCE

Causes - Diagnoses - Treatments

HOW IS PSYCHOLOGICAL IMPOTENCE TREATED?

The preferred treatment for most men with psychological impotence is counselling or sex therapy. Such counselling can be sought from a clergyman, psychologist, licensed marriage or family counsellor, psychiatrist, or other physician experienced in dealing with sexual problems. Psychological impotence that has existed for less than a year is generally more easily overcome that that which has existed longer, so the earlier the treatment is sought, the sooner the impotence can be overcome.

HOW IS PHYSICAL IMPOTENCE TREATED?

There are many potential causes for physical impotence. Hormone problems and adverse side effects from medications account for, perhaps then percent of all impotence. Such problems often can be corrected quite easily. The use of pills or injections usually will restore normal erections in hormone-related cases. If the impotence is a side effect of medication, the substitution of another drug under the supervision of a physician will allow normal erections to return.

WHAT IS IMPOTENCE?

A man who is impotent is persistently unable to get or keep an erection that is firm enough for sexual intercourse. He usually still has the ability to have an orgasm and father a child, but he often has difficulty doing these things because he just can’t get or keep an erection. Impotence is not normal and is by no means an inevitable consequence of ageing.

Most men in certain situations or at one time or another during their sexual life are unable to get or keep an erection. This is normal and does not indicate a problem, but millions of men of all ages experience this inability as a continuing problem. It is a problem, which is frequently associated with feeling of inadequacy or hopelessness, but a problem that in most cases can now be overcome.

WHAT CAUSES IMPOTENCE?

1. SMOKING (Chances of becoming impotent as a result of smoking is 1 in 10)
2. DIABETES
3. TRAUMA

A man’s inability to get and maintain an erection can be caused by many disorders. The causes can be either physical or psychological. For many years, it was believed that 90 percent of impotent men had a psychological cause for their problem; but as a result of recent medical research, it is now known that at least half of the men suffering from impotence can actually trace its origin to a physical problem. For most men, the cause of impotence can now be fairly easily identified. Once identified, proper treatment can be recommended to help them return to a satisfying sexual life.

Most physical impotence is the result of permanent, physical damage and required more extensive treatment. For example, diabetes and hardening of the arteries are causes of impotence in a significant number of men and successfully treatment of the impotence frequently requires an operation for a penile implant.

WHAT IS A PENILE IMPLANT?

A penile implant is a device that is surgically placed into a man’s body and is designed to help him get an erection. Many thousands of men already have been helped to return to a full, healthy sex life following the relatively simple operation involved with a penile implant.

There are two basic types of penile implants: inflatable implants and flexible rod implants. Both enable the impotent man to have a satisfactory erection for sexual intercourse and to experience the joys of sex again. The primary difference between the two types is that the flexible rods produce a permanently firm penis, while the inflatable types produce a controlled more natural erection.

WHO CAN HAVE AN IMPLANT?

The primary reason for implanting a penile prosthesis is to enable a man to get an erection satisfactory for intercourse. For many men, a penile implant offers the only possible solution to the problem. The choice is whether to remain impotent and unable to have intercourse or to undergo a surgical procedure that return to normal sexual activity.

WHAT IS PSYCHOLOGICAL IMPOTENCE?

Psychological impotence is impotence caused by a man’s anxiety or fear that he will not be able to perform well sexually. This is often referred to as “performance anxiety” or “fear of failure”. A man who is worried about getting an erection cannot relax and probably will not be able to get an erection.

WHAT IS PHNYSICAL IMPOTENCE?

Physical impotence is impotence caused by a physical disorder such as an injury, a disease, or hormone imbalance or an operation. Examples of physical disorders which can cause impotence include arteriosclerosis, or hardening of the arteries, high blood pressure, diabetes, brain or spinal cord injuries, surgical removal of the prostate gland, bladder or rectum for cancer, and radiation treatments to the pelvis. Such substances as alcohol, tobacco, drugs and certain medications can also interfere with erections and cause physical impotence.

HOW IS THE CAUSE OF IMPOTENCE DETERINED?

The first step toward overcoming impotence is to determine whether the problem is psychological or physical. Doctors who are experienced in the evaluation of impotence can frequently learn a great deal about the cause through general conversation about the problem. Many men prefer to consult with their physician alone, but more and more couples are seeing their doctors together and sharing their sexual concerns.