Optimizing Outcomes in Penile Implant Surgery
Since their initial release in the 1970s, modern penile prostheses have been subjected to continuous improvement with respect to both device engineering and surgical technique. Proper implantation begins with appropriate patient selection and counseling; these are essential elements to optimize results and set expectations postoperatively. An evidence-based protocol for the prevention of infections is essential. A pain management protocol should be initiated even before surgery. Strict adherence to recommended intraoperative techniques minimizes the risk complications; when complications occur, a step-by-step process for m...
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Authors: Raul E. Fernandez-Crespo, Kristina Buscaino, Rafael Carrion Source Type: research
Managing Sexual Dysfunction in 2021 and Beyond
The tumultuous events of 2020 have challenged our health care system. In the face of such upheaval and challenge, should we as health care providers be concerned with issues of sexual wellness and satisfaction? Aren ’t there bigger problems to address? (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Authors: Alan W. Shindel, Tom F. Lue Tags: Preface Source Type: research
Sexual Dysfunction: Continuing the Pursuit of a Horizontal Desire
“Dancing is a perpendicular expression of a horizontal desire.” This quote has been attributed to the playwright George Bernard Shaw.1 Since the dawn of time, humanity has been obsessed with sexual function and dysfunction. After all, besides other issues, it is the way we perpetuate our species . (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Authors: Kevin R. Loughlin Tags: Foreword Source Type: research
Sexual Dysfunction: A New Era
UROLOGIC CLINICS OF NORTH AMERICA (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Authors: Alan W. Shindel, Tom F. Lue Source Type: research
Copyright
ELSEVIER (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Source Type: research
Contributors
KEVIN R. LOUGHLIN, MD, MBA (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Source Type: research
Contents
Kevin R. Loughlin (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Source Type: research
Forthcoming Issues
Minimally Invasive Urology: Past, Present, and Future (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - October 1, 2021 Category: Urology & Nephrology Source Type: research
A Conceptual Approach to Understanding and Managing Men ’s Orgasmic Difficulties
Premature ejaculation (PE) and delayed/inhibited ejaculation (DE) are 2 ejaculatory problems that may negatively affect the sexual relationship and cause distress. Although no specific cause explains these problems when they have been lifelong conditions, understanding both biological and psychological factors may be relevant to treatment choices, with options ranging from pharmacologic to psychobehavioral. Integrating treatment modalities may lead to better outcomes but may also require greater psychological and resource investment from the patient or couple. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 24, 2021 Category: Urology & Nephrology Authors: David L. Rowland Source Type: research
Management of Priapism
This article highlights current guidelines and the contemporary literature on priapism. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 24, 2021 Category: Urology & Nephrology Authors: Christian Ericson, Bryce Baird, Gregory A. Broderick Source Type: research
Sexual Wellness in Cisgender Lesbian, Gay, and Bisexual People
Cisgender sexual minority persons have sexual wellness needs that go well beyond disease prevention. Despite historical asymmetries in research and clinical attention to sexual wellness in cisgender lesbian, gay, and bisexual persons, a growing body of evidence exists on how to optimally care for these populations. Additional research and development is warranted. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 23, 2021 Category: Urology & Nephrology Authors: Brett A. Stark, Juno Obedin-Maliver, Alan W. Shindel Source Type: research
Incorporating the Principles of Sex Therapy into Urologic Care
Urologic conditions and their treatments can have a significant impact on patients ’ sexual functioning and sexual health. Although urologists address sexual dysfunction within their scope of practice, sexual health conversations occur rarely and focus narrowly on physiologic sexual function. The sex therapy perspective considers biologic, psychological, relationship, and cultur al aspects of sexuality. We propose that urologists benefit from taking this perspective when performing sexual health assessment. Urologists are not required to provide sex therapy but can optimize their patient’s sexual well-being by taking a...
Source: Urologic Clinics of North America - August 21, 2021 Category: Urology & Nephrology Authors: Daniela Wittmann, Sharon L. Bober Source Type: research
Penile Fractures
Penile fracture is a urologic injury with an etiology that varies based on the cultural milieu. Diagnosis can be made based on history and physical examination alone. Patients should be evaluated with RUG or cystoscopy when urethral injury is suspected. Ultrasound or MRI is a helpful adjunct when the diagnosis is unclear, and can assist in identifying the location of the rupture. Surgical management is favored over conservative measures to improve outcomes. Delayed surgical repair may not be inferior to immediate intervention. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 21, 2021 Category: Urology & Nephrology Authors: Allen Simms, Nima Baradaran, Tom F. Lue, Benjamin N. Breyer Source Type: research
Stem Cell and Gene-Based Therapy for Erectile Dysfunction
Erectile dysfunction affects an increasing number of men. The mainstays of management include oral medications, local erectogenic agents, and surgical placement of prosthetic devices. Newer technologies such as stem cell and gene therapy have been investigated as a means to restore spontaneous erectile capacity. Mesenchymal stem cells are thought to produce a local immunomodulatory and pro-repair milieu at the area of injury or needed repair. Gene therapy involves targeting the erectogenic pathway to augment factors involved in producing a natural erection. Such therapies are considered experimental and should be used in t...
Source: Urologic Clinics of North America - August 21, 2021 Category: Urology & Nephrology Authors: Ethan L. Matz, Ryan P. Terlecki Source Type: research
Oncosexology
is a multidisciplinary field composed of physicians, nurses, psychologists, and other health care professionals focusing on sexual issues in patients with cancer. Although any cancer diagnosis or treatment can be associated with sexual dysfunction, pelvic malignancies (such as prostate, bladder, or colorectal cancer) have the highest rates of sexual dysfunction in men. This includes erectile dysfunction, testosterone deficiency, ejaculatory dysfunction, orgasmic dysfunction, sexual incontinence, and penile shortening. Testicular cancer and hematologic malignancies also have a significant impact on patients ’ sexual func...
Source: Urologic Clinics of North America - August 21, 2021 Category: Urology & Nephrology Authors: Carolyn A. Salter, John P. Mulhall Source Type: research
