Sexual Dysfunction

In this installment of the Urology Times' 50th Anniversary Innovation Celebration, Arthur L. Burnett, MD, MBA, FACS, discusses how sildenafil citrate (Viagra) has been an integral part of erectile dysfunction management for decades.

Five women urologists in sexual medicine share their experiences in providing care.

“The more you smoke, then the more prone you are to experience erectile dysfunction,” says Omar El Shahawy, MD, PhD.

Cleveland Clinic’s Petar Bajic, MD, details updated joint guidance from the AUA and SMSNA on the management of acute ischemic priapism.

“The urologist's role is to try to normalize what is going on and provide easier access,” says Peter N. Schlegel, MD.

“Our findings underscore the need to study patterns of e-cigarette use that are relatively safer than smoking,” said lead author Omar El Shahawy, MD, PhD, MPH.

A recent study, co-authored by Karim Sultan Haider, MD, explored the long-term effects of testosterone therapy on erectile function and mortality in hypogonadal men and men with diabetes.

Peter N. Schlegel, MD, discusses why male infertility should be normalized not only in the field of urology, but throughout society.

"Essentially, we were interested in learning whether there was a change in the amount of curvature with each injection cycle of Xiaflex," says Matthew J. Ziegelmann, MD.

“Completing those 4 injection cycles is likely to yield the best clinical outcomes for most of our patients,” says Matthew J. Ziegelmann, MD.

"We didn't see any clinically significant changes on the prostate gland, which is very important for the urologists who see people who have prostate cancer or prostate enlargement," says Ronald Swerdloff, MD.

In a recent study presented at the 2021 SMSNA Fall Scientific Meeting, Kevin J. Campbell, MD, MS, and a team of investigators examined the correlations between finasteride and drugs used to treat hypogonadism and sexual dysfunction in order to understand how best to prescribe this medication in terms of lowering adverse drug reactions.

Jesse N. Mills, MD, also highlights a few other key studies that were also presented at the 2021 Sexual Medicine Society of North America Fall Scientific Meeting

“Always look at the patient as…a whole and not only [their] testosterone levels,” says Karim Sultan Haider, MD.

In a recent study presented at the 2021 SMSNA Fall Scientific Meeting, Jay Newmark, MD, MBA, and co-authors report promising findings on the first experiences of patients using JATENZO in the real world.

"We should think about a man’s mentality and recognize the impact on his overall physical, mental, emotional health. Sexual function is part of all that wellness, so I would certainly underscore that message we're talking about today," said Arthur L. Burnett, MD, MBA, FACS.

“That's certainly the most significant stigma, the stigma that you're not quite the man that you want to be or what you perceive your partner wants you to be,” says Arthur L. Burnett, MD, MBA, FACS.

“The data…showed us that a lot of young [men]…are coming in for ED, and we can't really think of it as just a disease of older men…It can affect you at any age,” says Denise Asafu-Adjei, MD, MPH.

“The majority of treatments out there don't allow the maintenance of ejaculation after surgery, whereas here, we're at 90% for the small glands…[and at] 81% [for] the men who had prostates above 80 grams,” says Naeem Bhojani, MD, FRCSC.

Madeline Zech Ruiz discusses why she included chapters on premature ejaculation and genitourinary symptoms of menopause in her book “I Married a Urologist.”

According to recently published studies, having COVID-19 could have lasting impacts on fertility and sexual function.

“I think it's the responsibility of the physician to really take on educating and counseling and setting clear expectations and that way, when complications do arise, patients are better equipped, and they have a more favorable outcome,” says Ariana Matz, MD.

Receiving Nesbit’s surgical procedure for Peyronie’s disease does not result in deterioration of erectile function.

“We found that medications allegedly causing priapism and the litigation surrounding that is significant because it means that the patient-physician relationship was not well established,” says Ariana Matz, MD.

No serious complications occurred during or following the surgical procedure.