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Related Concept Videos

Disorders of the Male Reproductive System01:20

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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Male Sexual Response: Erection & Ejaculation01:17

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Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
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Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
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Related Experiment Video

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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Clinical guidelines on erectile dysfunction surgery: EAU-AUA perspectives.

J Medina-Polo1, B García-Gómez1, M Alonso-Isa1

  • 1Unidad de Andrología y Urología Reconstructiva, Unidad de Salud Integral del Varón, Servicio de Urología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Universidad Complutense de Madrid, Madrid, España; Servicio de Urología, Hospitales HM Montepríncipe y Puerta del Sur, Madrid, España.

Actas Urologicas Espanolas
|March 17, 2020
PubMed
Summary
This summary is machine-generated.

Penile prosthesis implantation is a third-line treatment for erectile dysfunction (ED). Clinical guidelines recommend informing patients about benefits, risks, and post-surgical expectations for penile implants.

Keywords:
ComplicacionesComplicationsDisfunción eréctilErectile dysfunctionPenile prosthesisPrótesis de peneSurgical techniqueTécnica quirúrgica

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Area of Science:

  • Urology
  • Surgical Treatment
  • Erectile Dysfunction Management

Background:

  • Penile prosthesis implantation is a third-line treatment for erectile dysfunction (ED).
  • Three-component penile prostheses represent over 90% of current implants.
  • This treatment is indicated for patients unresponsive to pharmacotherapy or seeking definitive solutions.

Purpose of the Study:

  • To review evidence and clinical practice guideline recommendations for surgical interventions in ED patients.
  • To summarize current best practices for penile prosthesis implantation and related surgical options.

Main Methods:

  • Systematic review of existing evidence.
  • Analysis of clinical practice guideline recommendations for ED surgery.
  • Synthesis of data on penile prosthesis implantation and alternative surgical procedures.

Main Results:

  • Patients should be fully informed about penile prosthesis benefits, risks, and consequences.
  • Post-surgical expectations must be clearly communicated to patients.
  • Penile prosthesis implantation is contraindicated in active infections; arterial reconstruction may be considered in select young men, while venous surgery is not recommended.

Conclusions:

  • Penile prostheses offer high patient and partner satisfaction rates.
  • Comprehensive patient counseling regarding potential complications is essential for successful outcomes.
  • Adherence to guidelines ensures appropriate patient selection and management for ED surgical treatments.