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Male Genitalia

Scrotics Aesthetics

 

El paso de los años produce un agrandamiento de la piel escrotal, lo cual da una apariencia de envejecimiento dentro de la estética íntima masculina.

Otras alteraciones como la poliquistosis producen un estiramiento de la piel escrotal. Cuando hay un agrandamiento del escroto, el paciente refiere incomodidad o malestar estético y funcional.

El Dr. Ricardo Hoogstra utiliza laser technology para disminuir el tamaño de las bolsas escrotales y mejorar la estética y el confort del paciente que lo padece. Es un procedimiento que se hace con anestesia local, en forma ambulatoria, pudiendo al otro día el paciente continuar con su actividad diaria.

Postoperative

La cicatriz que deja este procedimiento suele ser muy poco evidente. Con este procedimiento se logra mejorar la estética y eliminar molestias funcionales.

Entre los 15 a 20 días de la operación, el paciente puede reiniciar su vida sexual y deportiva.

Si los pacientes presentan cistocele or varicocele, primero deberán resolver el factor desencadenante de aumento del escroto.

Doubts and queries

If you have any medical questions, send an email to [email protected]  . In this mail Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

  • 0054 11 4 901 6690
  • 0054 11 4 904 3434
  • 0054 11 4 904 0880

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar

Epididymal cysts

Los Quistes de Epididimo son de etiología benigna. Se encuentran en la parte más alta del testículo, pueden ser únicos o múltiples.

Son más frecuentes en hombres adultos de alrededor de 40 años y poco frecuente en niños y adolescentes.
El contenido de estos quistes es líquido.
Generalmente no causan molestia y el paciente se da cuenta cuando crecen y se pueden palpar.
Son de consistencia blanda.
El diagnóstico generalmente es clínico por palpación y ecografía.

Tipos de quistes

  • Espermatocele, es también quístico igual que el quiste epididimal, pero en lugar de líquido tiene semen.
    Otras causas de engrosamiento del epidídimo son enfermedades inflamatorias del mismo.
  • Hidrocele es la colección de líquido en el escroto.
  • Varicocele son pequeños vasos sanguíneos próximos al testículo.

Treatments

  • El tratamiento quirúrgico se realiza a través de una incisión en el escroto, esta cirugía tiene un alto índice de complicaciones.
  • Punción del quiste con aguja y aspiración de su contenido, es un procedimiento simple, rápido, ambulatorio aunque con un altísimo índice de recidiva antes del mes.
  • Punción con aguja y aplicación de sustancias esclerosantes para que se adhieran las paredes del quiste. Unos pocos médicos están a favor y muchos dicen que no da resultado.
  • Tratamiento Láser el Dr. Ricardo Hoogstra ha desarrollado este novedoso tratamiento. Realiza una pequeña anestesia local en la piel del escroto, a través de una mínima incisión introduce una fibra láser con la cual drena el contenido del quiste y a través de un proceso calórico produce el colapso y adhesión de la paredes del quiste.

Doubts and queries

If you have any medical questions, send an email to [email protected]  .

Inquiries can also be made through WhatsApp in the number +54 9 11 5503-5126 

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

  • 0054 11 4 901 6690
  • 0054 11 4 904 3434
  • 0054 11 4 904 0880

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar

Lichen sclerosus or scleroatrophic

It is a rare disease that creates white spots on the skin, which becomes thinner than normal. It is a chronic inflammatory skin pathology, which mainly affects women in the vulvar and perianal area. In the case of men, it is usually located in the foreskin and the glans. The age of onset is variable and may appear at any time (including children's age), although it is more frequent in older ages.

What areas does it affect?

Lichen sclerosus can affect the skin of any part of the body. However, it most often attacks the vulva, the foreskin of the penis, or the skin around the anus. It is not a contagious disease.

Causes

Its cause is not well known, it may be due to an overactive immune system or previous damage to the skin. This condition commonly occurs in postmenopausal women, although cases are also reported in men and children. In women, lichen sclerosus et atrophicus usually affects the vulva. In boys and men, who are not circumcised, the risk of suffering from this disease increases, since it generally affects the foreskin.

Symptoms

One of the symptoms of Lichen is pain during sexual intercourse, itching, fissures, blisters. It can produce scars that narrow the vaginal opening. It is very frequent that the patients who suffer from lichen suffer alterations of the desire and the possibility of having sexual relations.

Treatment for vulvar or perianal lichen sclerosus

He Dr Ricardo Hoogstra performs a treatment at the Caballito branch in the surgical area Carbon dioxide laser both inside the vagina and the external genital area. This treatment is associated with the application of a large quantity of plasma enriched in platelets.

The combination of the Aphrodite Laser plus rich plasma produces a repairing and rejuvenating effect of the treated area. Treatment with Carbon Dioxide Laser in conjunction with the application of platelet-enriched plasma increases vascularity, elasticity and trophism of the affected tissue.

We consider that before or at the same time of performing this treatment it is convenient to perform biopsies to confirm through histopathological studies that what we are really treating is a Scleroatrophic Lichen. This procedure is performed under sedation and the patient must carry out previous studies. It is ambulatory and effective.

Lichen Sclerosus Treatment Price

The cost of the intervention is made with prior evaluation of the Dr. Hoogstra. The query value is U$D 100 which are reimbursed in the total amount of the procedure.

Procedures facilities and security

In addition to having state-of-the-art medical equipment, we have a complete surgical unit and recovery and hospitalization rooms. The modern surgical room It is equipped with high-level technology and assisted by nurses and instructors specialized in this type of intervention.

The clinic has the approval of the Secretary of Public Health.

Doubts and queries

If you have any medical questions, send an email to [email protected]  .

For inquiries about previous studies and intervention dates [email protected] , or by whatsapp 0054 911 6945 9535.

Or to Lucilla [email protected]

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

  • 0054 11 4 901 6690
  • 0054 11 4 904 3434
  • 0054 11 4 904 0880

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar

Short bridle

When the frenulum is too short it restricts the movement of the foreskin, which causes discomfort during sexual activity.

Understanding the short frenulum: beyond phimosis

If the penis is erect and the frenulum is too short it causes the head of the penis-glans to deviate downwards. This causes pain, difficulty in penetration and can even cause tears and bleeding. These tears when healing can shorten the frenulum more and aggravate the situation. It is common to confuse the short frenulum with the phimosis, but they are different conditions. A simple examination allows you to identify the specific condition and offer appropriate solutions.

Complications

Short frenulum can lead to a number of additional complications and problems, including:

  1. Pain during sexual activity: Short frenulum can cause discomfort or pain during sexual intercourse, which can affect the patient's intimacy and quality of life.
  2. Difficulty in penetration: Due to the restriction caused by the short frenulum, penetration may be difficult or even impossible in some cases, which can affect the person's sex life and intimate relationships.
  3. Increased risk of injury: A short frenulum can increase the risk of tears or trauma during sexual activity, which can result in pain, bleeding, and even requiring medical attention.
  4. Hygiene problems: In some cases, a short frenulum can make it difficult to properly clean the genital area, which can increase the risk of infection or irritation.
  5. Psychological impact: Sexual difficulties and complications associated with short frenulum can have a negative impact on the individual's self-esteem, confidence and psychological well-being.

Frenuloplasty: short frenulum laser operation

He Dr. Ricardo Hoogstra performs this procedure under local anesthesia, which is very well tolerated by the patient. After the anesthesia is applied, a minimal incision of the frenulum is made with a Carbon Dioxide Laser. Next, 3 resorbable points are given which fall off on their own after 14 days. The procedure takes 10 minutes. Once completed, the patient continues his normal life. The procedure is not painful, nor is the recovery. It is recommended not to have sex for 20 days. After this the patient will have a normal life and sexuality.

Advantages of Laser Frenuloplasty: Optimizing the Patient Experience

The use of carbon dioxide laser in frenuloplasty offers numerous advantages for both the patient and the recovery process. These are some of the main ones:

  1. Surgical Precision: The laser allows the surgeon to make precise and controlled incisions, minimizing the risk of collateral damage to surrounding tissues.
  2. Minimal Invasion: The laser technique reduces the need for large incisions, which leads to less blood loss and faster healing time.
  3. Less Pain and Discomfort: Local anesthesia and laser precision help reduce discomfort during and after the procedure, improving the patient experience.
  4. Fast recovery: Thanks to minimal invasion and accelerated healing process, patients can return to their daily activities in a short time, minimizing the impact on their routine.
  5. Aesthetic Results: The use of laser allows for more satisfactory aesthetic results, with minimal scars and a natural appearance of the corrected frenulum.

Statistics and Facts about Short Frenulum or Frenuloplasty

According to recent medical studies, it is estimated that approximately 5% of adult men may experience some degree of frenulum brevis. This condition can cause sexual discomfort, affect quality of life, and increase the risk of injury during sexual activity. Additionally, it has been noted that frenulum brevis may be underdiagnosed due to lack of awareness about this condition.

Regarding the effectiveness of frenuloplasty, it has been shown to be a safe and effective procedure to correct short frenulum. In most cases, patients experience a significant improvement in sexual function and a reduction in associated discomfort. Studies have reported high satisfaction rates among patients undergoing frenuloplasty, with satisfactory long-term aesthetic and functional results.

Postoperative Advice and Care

After undergoing frenuloplasty, it is important to carefully follow your doctor's orders to ensure a quick and complication-free recovery. Some post-operative tips and care include:

  1. Rest and limited physical activity: It is advisable to rest and avoid strenuous activities during the first few days after surgery to allow the body to recover properly.
  2. Proper hygiene: Maintaining good genital hygiene is essential to prevent infections. It is recommended to gently wash the treated area with warm water and mild soap, avoiding rubbing or applying excessive pressure.
  3. Avoid sexual activity: It is advised to abstain from sexual intercourse for at least 2-3 weeks after frenuloplasty to allow the incision to heal completely and reduce the risk of complications.
  4. Follow the medication plan: If medications are prescribed for pain or to prevent infections, it is important to follow the medication plan as prescribed by the doctor.
  5. Monitoring for signs of complications: Watch for signs of complications such as excessive bleeding, severe swelling, fever, or increased pain, and contact your doctor if concerns arise.

Patient testimonial

Price of short frenulum laser treatment

The cost of the Short Frenulum Laser treatment is or$d 600 (VAT no Included). 

Doubts and queries

If you have any medical questions, send an email to

[email protected]  . In this mail Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar

Sebaceous testicular cysts

¿Qué son los quistes sebáceos testiculares?

Los quistes sebáceos, también conocidos como quistes epidermoides, son tumores benignos que se forman cuando la queratina bloquea el orificio por donde sale el sebo producido por la glándula sebácea. Estos quistes suelen ser de color blanco amarillento y tienden a desarrollarse en áreas donde hay pelo, como el cuero cabelludo, el pecho, la espalda, la cara, la parte superior del brazo, el escroto y el pene.

Causas de los quistes sebáceos testiculares

Los quistes sebáceos pueden ser causados por diferentes factores, como un trauma en la piel, altos niveles de testosterona o una predisposición genética. Es importante conocer estos factores para entender mejor cómo prevenir su aparición.

¿Es necesario extirpar los quistes sebáceos en los genitales?

En general, los quistes sebáceos testiculares no suelen generar dolor ni afectar las relaciones sexuales o la fertilidad. Dado que son tumores benignos, no degeneran en cáncer. Sin embargo, pueden infectarse, provocando la aparición de un pequeño grano de pus. Aunque la mayoría de las veces son asintomáticos y no requieren tratamiento, puede ser necesario extirparlos si son muy visibles, supuran mucho o causan fiebre en el paciente, o por motivos estéticos.

Tratamientos disponibles

Los quistes sebáceos no pueden eliminarse con pomadas ni pastillas. La única opción es la extirpación quirúrgica, un procedimiento sencillo que se realiza con anestesia local y sin necesidad de hospitalización. Esta intervención provoca molestias leves y deja una pequeña cicatriz, cuyo tamaño dependerá del tamaño del quiste.

¿Cómo saber si un quiste está infectado?

Un quiste infectado puede presentar signos como enrojecimiento, dolor a la presión y calor al palparlo. En estos casos, se intenta inicialmente un tratamiento con antibióticos. Si no hay mejoría en 36-48 horas, se procede a su drenaje mediante una incisión con anestesia local y evacuación del contenido infectado.

Elimination of sebaceous cysts on genitals without surgery

En nuestros Centros Médicos, ofrecemos un tratamiento innovador para eliminar quistes epidérmicos utilizando el Láser de Erbium (Lotus II) o el Láser de Dióxido de Carbono (Firexel-Morexel). El Dr. Ricardo Hoogstra ha desarrollado una técnica avanzada que elimina estos quistes de forma definitiva mediante una incisión láser, permitiendo drenar el contenido y quitar la cápsula. Este procedimiento es indoloro, ambulatorio, efectivo y no deja cicatrices.

Procedimiento con Láser Lotus II

El Láser Lotus II permite realizar el procedimiento sin necesidad de anestesia, ya que su alta velocidad de impacto no genera dolor. Consiste en hacer un pequeño orificio en la pared del quiste para drenar todo su contenido y extraer la cápsula. La piel donde estaba el quiste se contrae, similar a un rejuvenecimiento facial no quirúrgico con láser. Este procedimiento no deja cicatrices y el paciente puede retomar sus actividades de inmediato.

How is it the procedure?

Treatment cost

The cost will depend on the size and characteristics of the cyst.

We recommend writing an email to [email protected] and attach photos, along with your details. In this way we can estimate your treatment

Inquiries can also be made through WhatsApp in the number +54 9 11 5503-5126 

Once the budget is received, you can coordinate a shift in this same way to go directly to perform the procedure.

The value of the consultation with Dr. Ricardo Hoogstra is U$D 100 . If you later decide to carry out the treatment, this value will be deducted from the total amount.

Doubts and queries

If you have any medical questions, send an email to [email protected]  . In this mail Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

  • 0054 11 4 901 6690
  • 0054 11 4 904 3434
  • 0054 11 4 904 0880

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar

[:in]Sebaceous cysts or epidermoid cysts are benign tumors. They form when keratin blocks the hole through which sebum produced by the sebaceous gland comes out. These cysts are usually yellowish white and tend to develop in areas where there is hair, such as the scalp, chest, back, face, upper arm, scrotum and penis .

Sebaceous cysts can be caused by skin trauma and high levels of testosterone, or they can also be inherited.

Is it necessary to remove these cysts in the genitals?

It is important to note that they do not usually generate pain, nor do they affect sexual relations, or fertility . Because they are benign tumors they do not degenerate into any type of cancer. The biggest drawback they can generate is that they get infected causing a small grain of pus. Most of the time they are asymptomatic and do not require any treatment. It may only be necessary to remove them when they are very visible or suppurate a lot generating fever in the patient, or,  for aesthetic reasons .

A sebaceous cyst cannot be removed with any ointment or pill. The only possibility is  surgical removal . It is a simple intervention that is carried out under local anesthesia without the need for hospitalization and that causes mild discomfort.

How to remove these cysts?

They don’t usually give problems unless they get infected. The  data that indicate that you may be infected  are: redness, pressure pain and heat when palpating the cyst.
In this situation, an initial treatment with antibiotics is attempted, but if these do not improve the situation in 48-36 h, the most correct thing is to proceed to its drainage by making an incision on it with local anesthesia, and evacuating its contents infected.

Elimination of sebaceous cysts in genitals without surgery

The most commonly performed treatment is surgery. The operation consists of resecting the skin with the cyst, the anesthesia used can be local or general. This procedure leaves scars whose size will depend on the size of the cyst and also on the amount.

However, in our Medical Centers we treat epidermal cysts with the Erbium Laser (Lotus II) or with the Carbon Dioxide Laser (Firexel-Morexel) . The Dr. Ricardo Hoogstra has developed a new treatment to remove these cysts permanently. A laser incision is made through which it drains the contents and removes the capsule. It is a painless, ambulatory, effective procedure and leaves no scars .

With the Lotus II Laser , anesthesia is not necessary , since the high impact speed of the laser does not generate pain. The procedure consists of making a hole in the cyst wall through which we drain all its contents and extract the capsule. The skin where the cyst lodged is contracted as we do when we perform a non-surgical laser facial rejuvenation.

This procedure leaves no scars and the patient can return immediately to his activity.

How is it the procedure?

Cost of treatment

The cost will depend on the size and characteristics of the cyst.

We recommend writing an email to [email protected] and attach photos, along with your data. In this way we can budget your treatment

If you find it difficult to send photos by mail you can send a message by WhatsApp to the phone 005491169459535 , also add your name, surname and place of residence next to the reason for the consultation.

Once the budget is received, you can coordinate a shift in this same way to go directly to perform the procedure.

The value of the consultation with Dr. Ricardo Hoogstra is $ 2,000 pesos. If you later decide to perform the treatment, this value will be deducted from the total amount.

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Autonomous City of Buenos Aires:

Caballito : San José de Calasanz 176 (Av. Rivadavia 5,100 one block from the first board station). Request shift

Belgrano :  La pampa 1634 second floor apartment B. In  front of Belgrano station (Barrancas de Belgrano). Request shift 

North Zone:

Pilar : Km 46 Pan American branch pillar. Temaiken exit. Vohe Building (attached to the Pan American). Office 202 Request shift 

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