Phimosis is a condition of the penis where the foreskin cannot be fully retracted. In phimosis, the opening of the foreskin is too narrow to allow the head of the penis to come out. Phimosis is normal in the newborn and disappears around the age of 13. Phimosis causes difficulty in urination and sexual intercourse. Phimosis can be produced by: 1. The tip of the foreskin is too narrow. 2. The inner surface of the foreskin is attached to the glans. This is normal in children and abnormal in adults. 3. The frenum of the penis is too short to allow complete retraction of the foreskin. ...

Short frenulum

The frenulum of the penis or preputial frenulum is a skin fold that is covered by the foreskin. When the frenulum is too short it restricts the movement of the foreskin, which causes discomfort during sexual activity. When the penis is erect and the frenulum is too short, it causes the penile-glans head to swerve downwards. This causes pain, difficulty in penetration and may even be torn and bleeding. These tears on healing can shorten the frenulum further and aggravate the situation. Frenulumplasty Dr. Ricardo Hoogstra performs this procedure with local anesthesia, which is we...

Fordyce Spots or Stains

Stains or Fordyce spots are the white approximately 1 to 3 mm that may appear on the lips, penis, scrotum and vulva. They are enlarged sebaceous glands, are non-malignant lesions and do not require treatment, except that disturb aesthetically. In which case, the best treatment is drainage with the Laser Lotus, which without requiring anesthesia produces a micro incision on the gland that allows drainage of its content. The patient can continue immediately with their activity and showering the same day. Treatment and post treatment is painless. To ask about this treatment, please ent...

Epididymal Cyst

An epididymal cyst is a fluid-filled sac which grows at the top end of the testicle. It is benign (ie not caused by cancer). Some men get only one; others get several on both testicles. The first thing you notice is a lump. Epididymal cysts cause no discomfort and you may be unaware that a small one is present unless it gets larger. Treatment Surgical removal may be necessary if they become painful or don't start to shrink. Sclerotherapy used to be performed as an alternative to surgery. It involves injecting the cyst with a liquid called a sclerosant. However, it is not often done the...

Laser to remove benign tumors on cysts and skin

Sebaceous cysts frequently originate from hair follicles (Pilar Cysts) or from the epidermis (epidermoid cysts). They are located frequently on the face , neck and torso. They are moving masses that move freely under the skin, grow slowly and do not cause any pain. They get infected quite often and present the following symptoms and signs: skin redness, pain, increase in local temperature and drainage of a white-gray material that looks much like cottage cheese. Conventional treatment includes surgical resection of the cyst and neighboring skin. The newest treatment includes the use of...

Skin papules

A papule is a type of skin lesion, circumscribed, elevated, well-defined edges, solid content. Most of these lesions is elevated above the level of the surrounding skin and not the deeper planes, but may involve both dermis and epidermis. Conventional treatments are: - Electrocoagulation. - Cryosurgery. - Scalpel surgery. At Hoogstra Medical Center, Erbium Laser is used with Lotus II which can vaporize the lesion selectively without affecting the surrounding tissues. Removal of skin papules with Laser Lotus is a more effective, quick, painless with excellent cosmetic outcome pro...