Management of Small Kidney Masses: Separating the wheat from the chaff

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Kidney cancer accounts for 3% of all cancers and the worldwide incidence is increasing at 2% to 3% annually.1 It is one of the top 10 cancers worldwide and the 9th most common cancer in Singaporean men. In the USA alone, according to the American Cancer Society, an estimated 62,700 new cases of kidney cancer […]

Testicular Cancer

Man testes anatomy anterior view

The US Department of Health and Social Services defined male reproductive cancers as testicular, penile and prostate cancers.1 Among male cancers, testicular cancer occurs in less than 1% of all cancers, but it stands out among the three cancers because it affects mainly young men in their prime. The average age of patients is 33 […]

Laparoscopic and Robotic Kidney Surgery

Most people are born with two functioning kidneys. The kidneys are bean-shaped organs situated high in the posterior abdominal cavity, on either side of the vertebral column (Figure 1). The kidneys are responsible for several vital roles in the human body, such as waste excretion, maintaining the delicate balance of essential salts, acids and water […]

Hypogonadism

Male genitals anatomy

In recent years, there has been an increasing interest and awareness of low testosterone and the health issues associated with it. This should not come as a surprise as epidemiological studies have shown that the incidence of this condition can be as high as 25% in men above 50 years of age, and this figure […]

Active Surveillance for Early Prostate Cancer

The prostate is a walnut-sized gland that is part of the male reproductive system, and is found below the bladder in the male pelvis. The prostate gland helps produce and store seminal fluid, which is an important component of semen that helps provide nourishment for sperm. Prostate cancer refers to the abnormal uncontrolled growth of […]

Male Menopause

Asian old man

We are all aware that women go through menopause during their late 40s or early 50s, and during the perimenopausal period, they may experience symptoms such as tiredness, depression and hot flashes. Men may also experience similar symptoms as they get older, caused by a decline in testosterone levels, and this can be loosely termed […]

Recurrent Urinary Tract Infections

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Urinary Tract Infection (UTI) is one of the most common bacterial infections in women. Forty percent to 50% of women will experience at least one episode of UTI in their lifetime and one in four of them will develop a recurrence. Bacteriuria is defined as the presence of bacteria in the urine. In symptomatic patients, […]

I Come Too Fast!

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Premature Ejaculation (PE) is one of the commonest problems encountered in daily clinical practice. A male patient and/or his partner complained that he ejaculates too soon during sexual intimacy causing dissatisfaction to one or both parties. When their complaints were analysed I found two main groups of sufferers. The first group are those who genuinely […]

Active Surveillance of Prostate Cancer

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No discussion about prostate cancer surgery would be complete without mention of active surveillance. Prostate cancer – a tiger or a pussy cat? A cliché amongst uro-oncologist, with a good reason. The dilemma has become more apt in recent years with members of the public being more informed about prostate cancer detection and the widely […]

An Integrated Approach to Premature Ejaculation

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Of Men and PE The wide spectrum of “ejaculatory disorder” (EjD) ranges from premature or rapid ejaculation through delayed ejaculation to a complete inability to ejaculate. The most common EjD is premature ejaculation (PE), which affects 5% to 40% of sexually active men. This disorder is most frequently reported by adolescents or young adults, and […]

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