Renal and Urogenital Problems

In men, testosterone deficiency reduces libido and penile sensitivity. Chronic diseases such as chronic kidney failure, cirrhosis of the liver, alcoholism, hypothyroidism, etc. can reduce the sexual desire in men, as well as depression and other psychological causes.

Erectile Dysfunction (impotence) means that the penis becomes flaccid again after a short time or does not become stiff at all during an erection. Although sexual desire is often still present, satisfying sex is often no longer possible. Men of all ages can be affected, but potency problems increase with age. With increasing age, the probability increases that organic causes are the trigger of impotence. Next to diseases like diabetes or vascular problems, there can be psychological causes. If the erection fails once or only occasionally, reasons for this can be stress or tiredness.

Oedema is a condition where fluid leaks from the vessels and accumulates in the surrounding tissue, resulting in swelling in those areas. Most often, the arms or legs are affected, since the fluid is most likely to accumulate there due to gravity. Mild oedema often occurs after prolonged sitting or standing. During pregnancy or just before menstruation, hormone-induced oedema may appear. Injuries may also lead to oedema, but they disappear on their own. Causes of water retention can also be numerous diseases and metabolic disorders. This is particular for generalised oedema, where fluid accumulates and swells throughout the body.

Prostatitis is defined as the inflammation of the prostate gland. The chestnut-sized prostate lies below the bladder and produces a fluid secretion which is released via the urethra during ejaculation, where it mixes with the sperm to form the actual sperm. Prostatitis can lead to different symptoms, typically pain in the perineal area and problems urinating.

Pain in the pelvic area for more than three months in the last six months is called a chronic pelvic pain syndrome (CCPS), the most common form of prostatitis, often the cause is unknown.

The term urinary dysfunction refers to the difficult or partially incomplete emptying of the bladder, the rare leakage of urine and involuntary loss of urine (incontinence). They can be caused by urinary tract infections and prostate diseases, inflammations, stones, changes in vessels, malformations and scars in the area of the urinary tract as well as nerve and heart diseases, along with medication.