Mp48-10 use of dorsal nerve block with bupivacaine liposome injectable suspension (exparel) for pain management following three-piece penile prosthesis surgery

Optimizing postop pain control in men with three-piece penile implant surgery remains an important clinical challenge. Some men with erectile dysfunction (ED) experience significant pain and discomfort for several weeks post-op and require large doses of narcotic analgesics. In 2012, Raynor et al reported on the use of dorsal penile nerve block with 10 ml of both short-acting (lidocaine) and moderately-acting (bupivicaine) local anesthetics to provide effective anesthesia for post-op pain control.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Sexual Function/Dysfunction: Surgical Therapy Source Type: research

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CONCLUSIONS: The majority of male patients and their female partners receiving comprehensive training for vacuum constriction device use reported satisfaction with the device. CLINICAL IMPLICATIONS: Vacuum constriction devices can be highly effective in improving the sexual health and intimacy of Veterans of all ages experiencing erectile dysfunction. PMID: 33012263 [PubMed - as supplied by publisher]
Source: Clinical Gerontologist - Category: Geriatrics Tags: Clin Gerontol Source Type: research
HIGH blood pressure symptoms can be difficult to spot but may include headaches and chest pain. You could also be at risk of deadly hypertension if you develop a tell-tale sexual sign in the bedroom. When could erectile dysfunction be serious, and should you consider getting your blood pressure checked?
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
CONCLUSIONS: Small sample sizes, limited numbers of RCTs per condition, variation in outcome measures, and poor reporting of the included RCTs mean no definitive conclusions regarding the efficacy or safety of pine bark extract supplements are possible. PMID: 32990945 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
HIGH blood pressure symptoms can be difficult to spot but may include headaches and chest pain. You could also be at risk of deadly hypertension if you develop a tell-tale sexual sign. Have you suffered from erectile dysfunction? Should you consider speaking to a doctor about your blood pressure?
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
If you believe those upbeat, seductive advertisements, men only need to pop a pill to awaken their dormant sex life. Whether the problem is erectile dysfunction (ED) — the inability to maintain an erection for sex — or low libido, ED medications appear to be the quickest and easiest solution. While these drugs work for most men, they are not right for everyone. ED drugs are relatively safe, but can cause possible side effects such as headaches, indigestion, and back pain. Plus, some men may not want their sex life dependent on regular medication, or simply can’t take them because of high or low blood pres...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Dental Health Diet and Weight Loss Exercise and Fitness Men's Health Source Type: blogs
CONCLUSION: Peyronie's disease is a common condition that is underdiagnosed and undertreated. Patients with Peyronie's disease will benefit from a comprehensive evaluation and in-depth counseling so that they may become familiar with the natural disease course and have appropriate expectations of each treatment option. PMID: 32875997 [PubMed - in process]
Source: Canadian Journal of Urology - Category: Urology & Nephrology Tags: Can J Urol Source Type: research
CONCLUSIONS: Urethral complications related to prostate RT are seldom an isolated problem and require a substantial amount of urological resources and interventions. PMID: 32701436 [PubMed - as supplied by publisher]
Source: Canadian Urological Association Journal - Category: Urology & Nephrology Authors: Tags: Can Urol Assoc J Source Type: research
CONCLUSIONS: There are significant deficiencies in urological knowledge and skills among family medicine residents in Canada, possibly as a consequence of insufficient educational experiences during medical training. PMID: 32569565 [PubMed - as supplied by publisher]
Source: Canadian Urological Association Journal - Category: Urology & Nephrology Authors: Tags: Can Urol Assoc J Source Type: research
PROSTATE cancer symptoms can be difficult to spot during its early stages, but include passing more urine than normal, erectile dysfunction, and having a burning pain when using the loo. The speed of your urine flow may also reveal your risk of the disease. These are the warning signs of prostate cancer in the toilet.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
ConclusionHard-flaccid syndrome is poorly recognized in the daily clinical experience and not well defined. A multimodal approach seems so far the most efficient strategy for treatment. Additional evidence based studies with better quality are needed to define the exact pathophysiological mechanisms and subsequently more efficient therapeutic strategies.
Source: Basic and Clinical Andrology - Category: Urology & Nephrology Source Type: research
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