Topic: Men’s Health

2018 Update on Peyronie’s Disease: What’s Around the Bend

Mohit Khera, MD, MBA, MPH, a panel member for the 2015 American Urological Association (AUA) Peyronie’s disease (PD) guidelines, discusses the prevalence of PD and its correlation to low testosterone. Furthermore, he summarizes the AUA statements on intralesional injections, penile stretching devices, and surgical options. He explains future directions in this setting, as well, including data from animal models testing platelet-rich plasma (PRP) and stem cells.

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Management of Renal Trauma

Rodrigo Donalisio da Silva, MD urges urologists to manage blunt and penetrating renal trauma conservatively. He uses the 2017 American Urological Association (AUA) Urotrauma guidelines to outline this conservative approach, specifically when to perform diagnostic imaging with intravenous (IV) contrast enhanced computed tomography (CT), non-invasive management strategies, proper injury classification, and when it is necessary to intervene.

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Priapism Through a New Prism: Alternative Perspectives on the AUA Guidelines

Tobias S. Kohler MD, MPH, discuss the current AUA guidelines regarding priapism, covering proper diagnosis, sympathomimetic injections, phenylephrine use, shunt techniques, and oral medications. He then suggests changes to these guidelines, such as including proper patient counseling, minimizing proximal shunts, and early penile prosthesis. Furthermore, he proposes a new algorithm for the management of this condition.

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Reversing the Downward Spiral of Aging

Fred Bartlit, a renowned trial lawyer with 60 years of experience, explains the science behind exercising to combat sarcopenia. During this discussion with E. David Crawford, MD, he summarizes the main points of his book Choosing the StrongPath: Reversing the Downward Spiral of Aging.

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3D Printing and its Infinite Applications

Robert Miano, MD, discusses 3D printing and its vast potential uses, ranging from the food industry to building new organs. He covers the technology’s history, focusing on different uses for the technology and highlighting its role in urology. He then introduces the iTrust and the FutUrology projects, which will concentrate on innovative urologic technology, such as 3D printing and machine learning.

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Clinical Care Pathway for Anejaculation

John Mulhall, MD, the chair of the committee for the American Urological Association (AUA) testosterone guidelines, summarizes indications regarding anejaculation. He explains the anatomical and physiological differences of retrograde ejaculation and failure of emission, and possible etiologies for these symptoms. Furthermore, he reviews the recommendations for diagnosis, management, and use of electroejaculation for semen retrieval.

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Men’s Health from the Heart

Tobias S. Kohler, MD, MPH, demonstrates the correlation between cardiac pathology and erectile function, other sexual function, testosterone levels, and lower urinary tract symptoms (LUTS). To illustrate this, he describes the methodology and results of his Cardio-Urologic Pathology/Prevalence Interplay Determination (CUPID) study. He also discusses ED risk factors, sex hormone binding globulin (SHBD), and the connection between testosterone levels and benign prostatic hyperplasia (BPH).

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