Male Sexual Dysfunction: A Clinical Guide 1st Edition by Suks Minhas, John Mulhall – Ebook PDF Instant Download/DeliveryISBN: 1118746554, 9781118746554
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Product details:
ISBN-10 : 1118746554
ISBN-13 : 9781118746554
Author: Suks Minhas, John Mulhall
Sexual dysfunction affects men of all ages and incidence rates are expected to double by 2025 resulting in a major health burden. Though normal sexual function is an important aspect of health and well-being, sadly, this common condition still carries an associated stigma. As a result, affected men are often reluctant to approach their doctor and, instead, may live for many years with sexual dysfunction, often to the detriment of their personal lives. Male Sexual Dysfunction: A Clinical Guide covers all the common problems encountered by the clinician in this rapidly expanding and developing field. With full color throughout, this easy to read guide provides a comprehensive and systematic approach to patient management. Packed with key features, every chapter will contain flow diagrams and algorithms, key points, clinical pearls, what to avoid boxes, and numerous tables, graphs and photographs . This book provides: Comprehensive focus on the core clinical areas of physiology/pharmacology, investigation, diagnosis, management and surgical options Coverage of all treatment pathways, including psychological, pharmacologic and surgical A straightforward, logical approach to clinical management An experienced and international editor and contributor team Expertly-written, this book is the perfect resource for urologists and general practitioners with an interest in this highly topical area, as well as those about to undergo their urology trainee examinations.
Male Sexual Dysfunction: A Clinical Guide 1st Table of contents:
CHAPTER 1: Epidemiology of male sexual dysfunction
Erectile dysfunction
Premature ejaculation
Peyronie’s disease
Hypogonadism
References
CHAPTER 2: Physiology of ejaculation
Introduction
The spinal cord and the brain of male rats
Peripheral nerves and ejaculation
Emission and the autonomic nervous system
Expulsion and the somatic nervous system
The central nervous system and ejaculation
Orgasm
References
CHAPTER 3: Physiology of penile erection
Functional anatomy
Hemodynamics of penile erection and detumescence
Neurophysiology of erections
Smooth muscle physiology
Summary
Further reading
CHAPTER 4: Anatomy of penile erection
Introduction
Penile anatomy
Neuroanatomy of penile erection
Hemodynamics and physiology of male erection
Molecular mechanisms of penile erection
Conclusions
References
CHAPTER 5: Endocrinology of male sexual dysfunction
Introduction
Central organization of sexual function
The kisspeptin‐GPR54‐neurokinin B pathway and regulation of GnRH release
Effect of gonadotropins at testicular level
Testosterone action in male sexual function
Endocrine disorders
Late‐onset hypogonadism
Treatment of sexual dysfunction associated with endocrinopathy
References
CHAPTER 6: Pharmacology of drugs used for the treatment of erectile dysfunction
Introduction
Oral agents
Intracavernosal agents
Other agents
Summary
References
CHAPTER 7: Pharmacology of drugs used in premature ejaculation
“Selective” neurotransmitter reuptake inhibitors
Use of locally active agents
Other potential “broad spectrum” approaches
Coming next?
Summary
References
CHAPTER 8: Cardiovascular risk and erectile dysfunction
Erectile dysfunction and cardiovascular disease: examining the link
The temporal relationship
Prediction of CVD events and mortality
Methods of evaluating the risk
Conclusion
A final thought…
References
CHAPTER 9: The evaluation of the patient with erectile dysfunction
Introduction
Sexual history
The physical examination
Questionnaires
Current guidelines
Laboratory investigations in the man presenting with ED: the key role of the GP
Specialist investigations
Penile abnormalities
Patient/partner education – consultation and referrals
Indications for secondary referral
Problems associated with prescribed drugs
The role of lifestyle modification
Current prescribing issues in ED
The role of testosterone replacement in ED
Conclusion
References
CHAPTER 10: Endocrinological investigation of men with erectile dysfunction
Introduction
Hypogonadism
Prolactin
Thyroid hormones
Other hormones
Obesity
Type 2 diabetes mellitus
Conclusion
References
CHAPTER 11: Duplex ultrasonography and its role in the assessment of male sexual dysfunction
Introduction
Uses of penile Doppler
Penile ultrasonographic anatomy
Standard operating technique
How to scan
Findings
References
CHAPTER 12: MRI in men with sexual dysfunction
Introduction
Scanning protocol and radiological anatomy
Penile fracture
Priapism
Fibrosis and Peyronie’s disease
Penile implants
Other conditions
References
CHAPTER 13: The metabolic syndrome and ED
Introduction
The metabolic syndrome: a cluster of findings increasing the risk of type 2 DM and CVD: its relationship to ED
Novel biomarkers (metabolic and imaging) to clarify CVS risk in the ED patient
Conclusion
References
CHAPTER 14: Psychological assessment of patients with ED
Introduction
Psychosocial impact of ED
Psychological assessment of patients with ED
Making referrals
Questionnaires
References
CHAPTER 15: Nocturnal penile tumescence study
Introduction
Investigation
Conclusion
References
CHAPTER 16: Psychosexual therapy for male sexual dysfunction
Introduction
Psychosexual therapy
Treatments
Erectile dysfunction: case examples using sex therapy techniques
Ejaculatory dysfunction
PLISSIT: a sexuality assessment and intervention tool
Conclusion
References
CHAPTER 17: Treatment of premature ejaculation and ejaculatory disorders
Introduction
Definition of premature ejaculation
Epidemiology and etiology of premature ejaculation
Treatment of premature ejaculation
Anejaculation
Delayed ejaculation
Retrograde ejaculation
Painful ejaculation
References
CHAPTER 18: Erectile dysfunction and infertility
Differences and common links between male infertility and erectile dysfunction
The impact of infertility on erectile dysfunction
Overview of the evaluation of erectile dysfunction
Treatment considerations for erectile dysfunction
Erectile dysfunction treatment for infertile men
Conclusion
References
CHAPTER 19: Drug therapy for erectile dysfunction
General approach to drug therapy
Pharmacological therapies
Intracavernosal injection therapy
Intraurethral therapy
Topical therapies
Future therapies for erectile dysfunction
Conclusion
References
CHAPTER 20: Priapism
Epidemiology and pathophysiology of priapism
Clinical assessment of the patient with priapism
Management of priapism
Conclusions
References
CHAPTER 21: Management of erectile dysfunction after pelvic surgery
Introduction
Mechanisms of erectile dysfunction
Treatment of erectile dysfunction
Conclusion
References
CHAPTER 22: Management of erectile dysfunction in men with diabetes
Introduction
Pathophysiology
Assessment and investigation
Treatment
Conclusion
References
CHAPTER 23: Management of erectile dysfunction in neurological patients
Neurological disorders and sexual dysfunction
Management of ED in the neurological patient
Conclusion
Acknowlegdements
References
CHAPTER 24: Non‐surgical therapy for Peyronie’s disease
Oral therapies in Peyronie’s disease
Topical agents
Injectable agents
Mechanical devices
Conclusion
References
CHAPTER 25: Micropenis and penile dysmorphobia: diagnosis, management, outcomes, and future developments in the field
Introduction
Causes of micropenis
Congenital micropenis
Assessment
Acquired micropenis
Treating micropenis
Techniques for the future
Penile dysmorphobia
References
CHAPTER 26: Surgical treatment of Peyronie’s disease
Introduction
Etiology and pathogenesis
Course of the disease
Diagnosis and evaluation
Medical treatment
Surgical treatment
Conclusion
References
CHAPTER 27: Penile implant surgery
Introduction
Indications
Types of prostheses
Preoperative counseling and surgical planning
Surgical technique
Complications
Outcomes
Conclusion
References
CHAPTER 28: Vascular surgery for erectile dysfunction
Introduction
Penile vascular anatomy
Arterial revascularization
Surgery for corporal veno‐occlusive dysfunction (CVOD)
Endovascular techniques
Conclusion
References
CHAPTER 29: Penile cancer
Introduction
Penile preserving surgery (PPS)
Carcinoma in situ (Tis) and non‐invasive verrucous carcinoma (Ta)
Tumor invading the subepithelium (T1) or corpus spongiosum (T2)
Tumor invading the corpus cavernosum (T2) or the urethra (T3)
Tumor invading adjacent structures (T4)
Summary
References
CHAPTER 30: Penile reconstruction and trauma
Introduction
Surgical principles
Skin grafting
Glans resurfacing of the penis
Male genital lichen sclerosus (LS)/balanitis xerotica obliterans (BXO)
Technique of glans resurfacing and SSG
Buried penis
Male genital lymphedema
Peyronie’s disease
Reconstruction following trauma
Summary
References
CHAPTER 31: Disorders of sex development
Introduction
Gonadal dysgenesis
Failure of androgen synthesis or receptors
Anti‐müllerian syndrome
Other anatomical disorders
Testicular regression syndromes
Other chromosomal anomalies
References
CHAPTER 32: Sexual dysfunction and prostate cancer therapy
Introduction
Sexual dysfunction
Preoperative sexual function and treatment – can outcome be predicted?
Radical prostatectomy
Penile rehabilitation after radical prostatectomy
Radiotherapy and brachytherapy
Androgen deprivation therapy (ADT)
Active surveillance
Ablative therapy
Conclusion
References
CHAPTER 33: Assessment and management of the male to female transgender patient
Background
Legislation and guidelines
The UK pathway
Male‐to‐female genital reconstructive surgery
Surgical complications
Non‐genital surgery
Follow‐up and patient satisfaction
References
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