127 results on '"Lawrence C. Jenkins"'
Search Results
2. Partial Component Exchange of a Non-Infected Inflatable Penile Prosthesis is Associated With a Higher Complication Rate
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David W. Barham, Edward Choi, Muhammed Hammad, Daniel Swerdloff, Brittany D. Berk, Eric Chung, Jonathan Clavell-Hernandez, Martin S. Gross, Lawrence C. Jenkins, James McAndrew Jones, Martin N. Kathrins, Aaron C. Lentz, Joshua Schammel, John P. Selph, Jay Simhan, Charles Welliver, and Faysal A. Yafi
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Urology - Published
- 2023
3. MP36-01 AN ANALYSIS OF THE PSYCHOLOGICAL BOTHER IN MEN WITH PEYRONIE'S DISEASE
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Luis F. Novaes, Lawrence C. Jenkins, Jean E. Terrier, Hisanori Taniguchi, Bruno Nascimento, Sigrid Carlsson, Christian Nelson, Jose M. Flores, and John P. Mulhall
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Urology - Published
- 2023
4. Development and Application of a Novel and Efficient Skills Assessment Tool: A Pilot Initiative to Measure Vasectomy Competency on a Smartphone
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Devon M. Langston, Hal Kominsky, Noah McGreal, Collin Cartwright, Matthew Murtha, Tasha Posid, and Lawrence C. Jenkins
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Urology - Published
- 2023
5. The Lack of Sexual Health Education in Medical Training Leaves Students and Residents Feeling Unprepared
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Lawrence C. Jenkins, Sarah Beebe, Paul Horning, Nicolette Payne, Alicia Scimeca, Tasha Posid, and Dinah Diab
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Male ,medicine.medical_specialty ,Students, Medical ,Urology ,Endocrinology, Diabetes and Metabolism ,media_common.quotation_subject ,education ,Sex Education ,Informal education ,Competence (law) ,Endocrinology ,Sexual medicine ,Health care ,medicine ,Humans ,Prospective Studies ,Sexual health education ,Reproductive health ,media_common ,Response rate (survey) ,business.industry ,Internship and Residency ,United States ,Psychiatry and Mental health ,Reproductive Medicine ,Feeling ,Family medicine ,Female ,Curriculum ,business ,Psychology - Abstract
Despite physicians frequently caring for patients with sexual health issues, only 50% of United States medical schools require formal education in sexual medicine, and there are currently no guidelines pertaining to this with research which found that medical trainees are ill-equipped to provide sexual healthcare.This study aims to identify areas to improve sexual health training in order to increase physician confidence and competence in evaluating and training patients with sexual health problems.A prospective survey was sent via REDCap to medical students (n = 190, 68.6%), residents (n = 75, 27.1%), and fellows (n = 11, 3.9%) via a known listserv. Participants (N = 276, ∼15% response rate) were asked to provide demographic information, whether they received sexual health training during medical school and rate their confidence in addressing patients' sexual health concerns.Medical students and residents currently do not receive sufficient education on sexual health and medicine, particularly in fields outside of OB-GYN and Urology, leaving them underqualified and less confident than needed for adequate patient care.65.6% of trainees reported receiving formal sexual health education, while 13.9% received informal education, and 20.6% received no education during medical school. Although trainees desire to understand a patients' sexual health (P.001), only residents in a relevant field (Urology, OB-GYN) felt confident in their ability to assist patients with a sexual health issue (P = .013). All other trainees lacked confidence in attending to sexual health concerns (P.001), regardless of training level (P.1).More efforts should be made to integrate sexual health education into medical school curriculum.The strength of this study includes specific evaluation of medical student and resident confidence level with 15 individual sexual health topics. The limitations include that the demographic was regionally confined to the Midwest of the United States and women were more strongly represented among medical students.Due to the lack of standardized education, medical trainees (except for Urology and OB-GYN residents) feel unprepared to treat patients with sexual health issues, and medical schools should make sexual health education mandatory. Beebe S, Payne N, Posid T, et al. The Lack of Sexual Health Education in Medical Training Leaves Students and Residents Feeling Unprepared. J Sex Med 2021;18:1998-2004.
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- 2021
6. Predictors of Pursuing Intralesional Xiaflex in Peyronie’s Disease Patients
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Hisanori Taniguchi, Eduardo Miranda, Jose Flores, Lawrence C. Jenkins, Carolyn A. Salter, Nahid Punjani, John P. Mulhall, Bruno Nascimento, and Jean E. Terrier
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Male ,medicine.medical_specialty ,Reconstructive surgery ,Duplex ultrasonography ,Urology ,Endocrinology, Diabetes and Metabolism ,Penile Induration ,Injections, Intralesional ,Logistic regression ,Single Center ,Article ,Endocrinology ,Internal medicine ,Humans ,Medicine ,Depression (differential diagnoses) ,Retrospective Studies ,business.industry ,Standard treatment ,medicine.disease ,Comorbidity ,Psychiatry and Mental health ,Microbial Collagenase ,Treatment Outcome ,Reproductive Medicine ,Peyronie's disease ,business ,Penis - Abstract
Background Intralesional collagenase such as Xiaflex (ILX) has become a standard treatment for Peyronie’s disease (PD). Many robust studies have demonstrated its clear efficacy in the treatment algorithm. Aim To examine predictors of the patient decision to pursue ILX in PD patients. Methods The study included PD patients (i) with stable disease (ii) who had doppler duplex ultrasonography (DUS) at least 6 months prior to analysis date and (iii) did not choose an operation. All patients received a standard discussion regarding treatment options, specifically, observation, ILX and penile reconstructive surgery (plication, plaque incision and grafting, implant surgery). Patients who opted to use ILX were compared to those who opted against it. Comorbidity, demographic and PD characteristics were recorded at the initial PD visit. All patients completed three validated questionnaires including the PD questionnaire (PDQ), Self-Esteem and Relationship (SEAR) questionnaire and a depression questionnaire (CES-D). Logistic regression was used to determine predictors of ILX use. Outcomes Predictors of ILX utilization. RESULTS Four hundred and fifty stable PD men had DUS completed 6 months before to allow sufficient time for treatment decision. Of these, 111 (24.7%) patients had ILX treatment and 339 (75.3%) did not. Mean age, relationship status and pain occurrence were similar between groups, but ILX patients had less bother defined as PDQ ≥ 9 (46.8% vs 53.7%, P = .02). ILX patients had more complex curves (79.3% vs 47.8%, P < .01) and more severe instability (32.4% vs 15.3%, P = .01). ILX patients also had higher PDQ domain scores (Psychological 11.5 ± 6.4 vs 7.5 ± 6.2, P < .01; Pain 6.2 ± 6.0 vs 4.3 ± 5.6, P = .02; and Bother 9.8 ± 4.7 vs 6.6 ± 4.8, P < .01). On univariable statistics, significant bother (OR 2.41, 95% CI 1.36–4.28, P Clinical Implications Educates providers as to which patients are more likely to choose ILX. Strengths & Limitations Our study has a large sample size and all patients received the same standardized treatment discussion. Our study is limited by the absence of insurance data on all patients, and its retrospective single center design. CONCLUSION ILX was chosen by the minority of stable PD patients. While moderate to severe instability and significant bother is predictive of ILX use, other demographic factors including relationship status, sexual orientation or pain were not.
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- 2021
7. Fournier's Gangrene in Females: Presentation and Management at a Tertiary Center
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Nayan C. Shah, Amy Lehman, Nicholas Beecroft, Clara M. Castillejo Becerra, Justin Rose, Marilly Palettas, Tasha Posid, Christopher D. Jaeger, Lawrence C. Jenkins, and Nima Baradaran
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Male ,medicine.medical_specialty ,Urology ,Labia ,030232 urology & nephrology ,Perineum ,Body Mass Index ,Vulva ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Mass index ,Buttocks ,Retrospective Studies ,Gangrene ,Surgical team ,business.industry ,Mortality rate ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Debridement ,030220 oncology & carcinogenesis ,Female ,Presentation (obstetrics) ,business ,Fournier Gangrene - Abstract
Objective To report and compare presentation and management of Fournier's Gangrene (FG) in female vs male patients at a single tertiary care center. Methods Patient demographics, clinical characteristics, treatments and outcomes were summarized and compared between males and females who were treated for FG from 2011 to 2018 at a single institution. Results Of the 143 patients treated for FG at our institution, 33 (23%) were female. Female patients were predominantly white (82%), with a median (IQR) age of 55 (46, 59). Median female boby mass index (BMI) was 42.1 (32, 50.4). Female patients’ wound cultures were polymicrobial mix of gram positive and gram negative organisms. Median number of debridements for females was 2 ( 1 , 3 ). The most common anatomic region of gangrene involvement in females was labia (76%) followed by perineum (55%) and gluteus/buttocks (42%). Mortality rate during initial admission was 6% for females. Female patients had a higher median BMI than males (42.1 vs 33.7 respectively; P = .003). FG severity index, length of hospital stay, number of debridements, and wound cultures were comparable to males. The surgical team managing initial debridements differed with females managed primarily by general surgery and males primarily by urology. Mortality rate was comparable to men (6% vs 7%, P >.05). Conclusion Female patients with FG have greater BMI but similar clinical presentation, microbiologic characteristics and mortality rate compared to men. Urologists have little involvement during initial management for females at our institution.
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- 2021
8. Let's get it on: Addressing sex and intimacy in older cancer survivors
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Claire Postl, Jessica L. Krok-Schoen, Ashley E. Rosko, Lawrence C. Jenkins, Brett Worly, Elizabeth K. Arthur, Allison M. Quick, and Kristen M. Carpenter
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Gerontology ,Cancer Survivors ,Oncology ,business.industry ,Neoplasms ,medicine ,Humans ,Cancer ,Geriatrics and Gerontology ,medicine.disease ,business ,Aged - Published
- 2021
9. Microorganisms and Antibiogram Patterns in Fournier’s Gangrene: Contemporary Experience from a Single Tertiary Care Center
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Lawrence C. Jenkins, Nima Baradaran, Nayan C. Shah, Clara M. Castillejo Becerra, Tasha Posid, Christopher D. Jaeger, Justin Rose, and Nicholas Beecroft
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Male ,medicine.medical_specialty ,Urology ,Antibiotic sensitivity ,030232 urology & nephrology ,Microbial Sensitivity Tests ,Drug resistance ,Perineum ,Severity of Illness Index ,Tertiary care ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Antibiogram ,Fournier s gangrene ,Drug Resistance, Fungal ,Vancomycin ,Chart review ,Drug Resistance, Bacterial ,medicine ,Humans ,Fasciitis ,Candida ,Retrospective Studies ,Bacteria ,medicine.diagnostic_test ,business.industry ,Clindamycin ,General surgery ,Fournier gangrene ,Length of Stay ,Middle Aged ,medicine.disease ,humanities ,Anti-Bacterial Agents ,body regions ,Debridement ,Female ,business ,Fournier Gangrene - Abstract
We evaluate the prevalent microorganisms, antibiotic sensitivity patterns and associated outcomes in patients with Fournier's gangrene.A retrospective chart review of patients with Fournier's gangrene was conducted between October 2011 and April 2018 at our institution. Univariate analysis was performed using the independent t-test or Kruskal-Wallis H test for continuous variables and exact test for categorical variables.Of the 143 patients included in this study, wound culture was available in 131 (92%) patients with a median number of 3 microorganisms per wound. The most commonly grown pathogens wereAt our institution
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- 2020
10. Impact of Antimicrobial Dipping Solutions on Postoperative Infection Rates in Patients with Diabetes Undergoing Primary Insertion of a Coloplast Titan Inflatable Penile Prosthesis
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Ross Guillum, Linda M. Huynh, Ricardo Munarriz, Daniar Osmonov, Jessica Connor, Amir Shareza Patel, Faysal A. Yafi, Jeffrey D. Campbell, Kevin Parikh, Jay Simhan, Mohamad M. Osman, Lawrence C. Jenkins, Kook Bin Lee, Christopher Koprowski, Sung Hun Park, Amy I. Guise, T. Hsieh, Aaron C. Lentz, Gregory A. Broderick, Farouk M. El-Khatib, Gregory J. Barton, Arthur L. Burnett, Martin S. Gross, Hossein Sadeghi-Nejad, Shu Pan, Run Wang, Robert Andrianne, Maxime Sempels, Gerard D. Henry, Paul Perito, Georgios Hatzichristodoulou, Maxwell Towe, and Jonathan Clavell-Hernandez
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Male ,medicine.medical_specialty ,medicine.drug_class ,Urology ,Endocrinology, Diabetes and Metabolism ,Antibiotics ,Population ,030232 urology & nephrology ,Penile Implantation ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Diabetes mellitus ,Diabetes Mellitus ,medicine ,Humans ,In patient ,education ,Retrospective Studies ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Penile implant ,medicine.disease ,Antimicrobial ,Surgery ,Psychiatry and Mental health ,Reproductive Medicine ,Inflatable penile prosthesis ,Implant ,Gentamicins ,Penile Prosthesis ,business - Abstract
Background Modern-day penile prostheses use infection retardant coating to decrease rates of postoperative infection, subsequently reducing explantation and revision rates as well. The Coloplast Titan models are dipped into antimicrobial solutions right before implantation, and the components used for dipping can be tailored toward the patient. Aim To compare infection, explantation, and revision rates among different dipping solutions used before implantation for patients with diabetes receiving a Coloplast Titan implant. Methods We systematically reviewed 932 patients with diabetes receiving a primary penile implant across 18 different centers from the period April 2003 to August 2018. Of those patients, 473 received a Coloplast device, whereas 459 received an AMS device. Data regarding the type of antimicrobial solution used before implantation were recorded for 468 patients receiving a Coloplast Titan, including whether or not they suffered a postoperative infection and if they underwent explantation and/or revision. Outcome rates were compared using Fisher’s exact and Pearson’s chi-square tests, and logistic regression modeling was performed to account for covariates. Outcomes The main outcome measures of this study were postoperative infection, explantation, and revision rates. Results Of the total 932 patients reviewed, 33 suffered a postoperative infection. Of 468 patients receiving Coloplast implants, there was a 3.4% infection rate. The most commonly used antibiotic combination before dipping was vancomycin + gentamicin (59.0%). There was a significantly lower rate of postoperative infection, explantation, and revision when vancomycin + gentamicin was used than those associated with the use of all other dipping solutions ([1.4% vs 6.4%; P = .004], [1.1% vs 8.3%; P < .001], and [2.5% vs 12.5; P < .001], respectively). After adjusting for age, body mass index, preoperative blood glucose level, and hemoglobin A1c, the use of other dips was an independent predictor of postoperative infection (odds ratio: 0.191; P = .049). The inclusion of rifampin in the dipping solution trended toward being a significant risk factor for infection (P = .057). Including antifungals in the dipping solution did not affect infection (P = .414), explantation (P = .421), or revision (P = .328) rates. Clinical Implications Vancomycin + gentamicin was the most efficacious combination of antibiotics used for dipping in terms of preventing postoperative infection and subsequent explantation and revision. Strengths and Limitations Data were sampled across multiple institutions providing a large sample that may be more representative of the population of interest. A key limitation of the study was its retrospective nature, which prevented us from controlling certain variables. Conclusion The use of rifampin did not provide the same type of protection, possibly representing a shift in resistance patterns of common bacteria responsible for device infection.
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- 2020
11. Evaluating the Impact of Penile Girth Discrepancy on Patient Bother in Men with Peyronie's Disease: An Observational Study
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H.L. Bernie, Jean-Etienne Terrier, Elizabeth Schofield, Hisanori Taniguchi, Bruno Nascimento, Lawrence C. Jenkins, Carolyn A. Salter, John P. Mulhall, and Eduardo Miranda
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Adult ,Male ,medicine.medical_specialty ,Urology ,Endocrinology, Diabetes and Metabolism ,Penile Induration ,030232 urology & nephrology ,Logistic regression ,Article ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Surveys and Questionnaires ,Sexual medicine ,medicine ,Humans ,Aged ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,business.industry ,Retrospective cohort study ,Girth (graph theory) ,Odds ratio ,Middle Aged ,Center for Epidemiologic Studies Depression Scale ,medicine.disease ,humanities ,Psychiatry and Mental health ,Treatment Outcome ,Reproductive Medicine ,Physical therapy ,Peyronie's disease ,business ,Psychosocial ,Penis - Abstract
Background Men with Peyronie's disease (PD) may experience penile narrowing. Little data on penile girth changes and their psychosocial impact exist. Aim To assess girth discrepancy in men with PD and its association with patient bother. Methods This was a retrospective observational study. All patients with PD at our institution who were seen in the sexual medicine clinic and who completed 3 validated instruments the PD questionnaire (PDQ), Self-Esteem and Relationship (SEAR) questionnaire, and a depression questionnaire, the Center for Epidemiologic Studies Depression Scale (CES-D), and a curvature assessment were included. Patient and PD characteristics are described. Associations of instability and bother to girth differences are assessed. 2 outcomes for girth differences are classified as (i) girth difference of ≥ 1 cm vs less and (ii) girth differences of ≥10% vs less. Unadjusted and adjusted effects of PD and patient characteristics are assessed on the outcome of high bother using logistic regression models. Outcomes The main outcomes of this study were penile girth changes, instability, and questionnaire scores. High bother was defined as a PDQ bother score of ≥9. Results A total of131 men had midshaft curvature and were the focus of the study. Their mean age was 59 ± 9 (range 31–78) years. PD duration was 16 ± 25 (range 1–180) months, with a mean degree of primary curvature of 37 ± 20o. Mean girth difference between base and point of maximum curvature was 0.78 ± 0.53 cm equating to a mean girth difference at point of maximum curvature of 6 ± 4%. Instability was present in 53% of men. There were 54 men with a girth difference of ≥ 1 cm and 23 men with a ≥10% change in girth. There was no difference in CES-D, SEAR, or PDQ domain scores or high bother in men with significant girth changes. Univariable analysis of predictors of high bother included the degree of curvature (odds ratio [OR]: 1.06; P Clinical Implications Penile girth changes have little impact on overall psychosocial well-being. The degree of penile curvature is the primary predictor of patient bother. Strengths and Limitations Strengths include a large patient population and use of validated questionnaires. Limitations include single-center, retrospective study and subjective instability grading. Conclusions Penile girth discrepancy in men with PD has limited psychosocial impact. Clinically significant bother was associated with the degree of primary curvature.
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- 2020
12. Immediate preoperative blood glucose and hemoglobin a1c levels are not predictive of postoperative infections in diabetic men undergoing penile prosthesis placement
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Ross Guillum, Farouk M. El-Khatib, Amy I. Guise, Gerard D. Henry, Daniar Osmonov, Christopher Koprowski, Paul Perito, Arthur L. Burnett, Martin S. Gross, T. Hsieh, Jessica Connor, Faysal A. Yafi, Aaron C. Lentz, Lawrence C. Jenkins, Jeffrey D. Campbell, Gregory J. Barton, Jonathan Clavell-Hernandez, Run Wang, Hossein Sadeghi-Nejad, Jay Simhan, Georgios Hatzichristodoulou, Maxime Sempels, Robert Andrianne, Sung Hun Park, Maxwell Towe, Ricardo Munarriz, Amir Shareza Patel, Kook Bin Lee, Huang Wei Su, Gregory A. Broderick, Kevin Parikh, Shu Pan, Mohamad M. Osman, and Linda M. Huynh
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Blood Glucose ,Male ,medicine.medical_specialty ,Multivariate analysis ,Urology ,medicine.medical_treatment ,030232 urology & nephrology ,Penile Implantation ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Primary outcome ,Belgium ,Germany ,Diabetes mellitus ,Republic of Korea ,Diabetes Mellitus ,Postoperative infection ,Humans ,Medicine ,Retrospective Studies ,Glycated Hemoglobin ,030219 obstetrics & reproductive medicine ,business.industry ,Penile prosthesis ,medicine.disease ,United States ,Surgery ,Increased risk ,Preoperative hemoglobin ,Hemoglobin ,Penile Prosthesis ,business - Abstract
Defining the risks associated with diabetes mellitus in patients undergoing penile prosthesis implantation remains controversial. Our study aims to assess whether preoperative hemoglobin a1c and preoperative blood glucose levels are associated with an increased risk for postoperative infection in diabetic men. We performed a retrospective review of 932 diabetic patients undergoing primary penile prosthesis implantation from 18 high-volume penile prosthesis implantation surgeons throughout the United States, Germany, Belgium, and South Korea. Preoperative hemoglobin a1c and blood glucose levels within 6 h of surgery were collected and assessed in univariate and multivariate models for correlation with postoperative infection, revision, and explantation rates. The primary outcome is postoperative infection and the secondary outcomes are postoperative revision and explantation. In all, 875 patients were included in the final analysis. There were no associations between preoperative blood glucose levels or hemoglobin a1c levels and postoperative infection rates; p = 0.220 and p = 0.598, respectively. On multivariate analysis, a history of diabetes-related complications was a significant predictor of higher revision rates (p = 0.034), but was nonsignificant for infection or explantation rates. We conclude preoperative blood glucose levels and hemoglobin a1c levels are not associated with an increased risk for postoperative infection, revision, or explantation in diabetic men undergoing penile prosthesis implantation.
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- 2020
13. Surgical reconstruction for penile fracture: a systematic review
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Hal D Kominsky, Lawrence C. Jenkins, Sarah Beebe, and Nayan C. Shah
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Male ,medicine.medical_specialty ,Urology ,Urethroplasty ,medicine.medical_treatment ,030232 urology & nephrology ,MEDLINE ,Catheterization ,03 medical and health sciences ,0302 clinical medicine ,Suture (anatomy) ,medicine ,Humans ,Postoperative Care ,Rupture ,030219 obstetrics & reproductive medicine ,business.industry ,Penile Erection ,Penile fracture ,Suture Techniques ,Plastic Surgery Procedures ,Injury repair ,medicine.disease ,Management algorithm ,Surgery ,medicine.anatomical_structure ,Current management ,Penile Prosthesis ,business ,Penis - Abstract
Penile fracture is a rare condition that describes the rupture of the corpus cavernosum following direct, high-pressure trauma to the erect penis. There is no standardized management algorithm for these patients. We performed a systematic review of the past 10 years regarding management of penile fractures. A complete PRISMA-P 2015 checklist was performed where we reviewed English articles published over the past 10 years to identify 105 articles, where 63 articles were of relevance and subsequently narrowed to a total of 28 articles into the final review for this study. We determined that immediate penile exploration and tunica repair is considered the most common and current management of penile fractures with experts demonstrating that it leads to the fastest in recovery in erectile function and positive cosmetic outcomes. However, we also determined that the specific algorithm can be variable-down to the suture material, use of catheterization, urethroplasty when involved, and length of recovery/follow-up. In the last several decades, men with penile fracture have been treated, in most cases, with immediate surgical intervention. This review highlights the varying practices regarding surgical exploration, injury repair, and postoperative management in men with a penile fracture. Immediate penile exploration and tunica repair have been the mainstay approach of management.
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- 2019
14. Contemporary cost-analysis comparison of direct-to-consumer vs. traditional prescriptions of phosphodiesterase-5 inhibitors
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Douglas Schneider, Charles A. Loeb, Andrew Brevik, Farouk el-Khatib, Lawrence C. Jenkins, and Faysal A. Yafi
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Urology - Abstract
After a focused telehealth visit, patients can now access phosphodiesterase-5 inhibitor (PDE5 inhibitor) prescriptions through online direct-to-consumer (DTC) healthcare companies. This study seeks to quantify the cost of DTC PDE5 inhibitor treatment compared to a traditional physician visit and local pharmacy prescription. Two DTC companies, two compounding pharmacies with national reach, three online Canadian pharmacies, and sixteen American pharmacy chains were queried for prices of 90-day regimens of common PDE5 inhibitors. Prices for chains were determined using their publicly available price on GoodRx
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- 2021
15. A Call for Quality: Substandard Research in Male Sexual and Reproductive Medicine During the COVID-19 Pandemic
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Faysal A. Yafi, Tung-Chin Hsieh, Alexander W. Pastuszak, John P. Mulhall, Sunni L. Mumford, Lawrence C. Jenkins, Darshan P. Patel, and James M. Hotaling
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Male ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Urology ,Endocrinology, Diabetes and Metabolism ,media_common.quotation_subject ,Sexual Behavior ,MEDLINE ,Reproductive medicine ,coronavirus ,medicine.disease_cause ,Male infertility ,infertility, male ,Endocrinology ,Pandemic ,medicine ,Humans ,Quality (business) ,Erectile dysfunction ,sexual dysfunction, physiological ,Pandemics ,Coronavirus ,media_common ,business.industry ,SARS-CoV-2 ,COVID-19 ,semen ,medicine.disease ,Expert Opinion ,Psychiatry and Mental health ,Reproductive Medicine ,Emergency medicine ,business - Published
- 2021
16. MP36-05 CONTEMPORARY COST-ANALYSIS COMPARISON OF DIRECT-TO-CONSUMER VS. TRADITIONAL PRESCRIPTIONS OF PDE5 INHIBITORS
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Douglas Schneider, Farouk M. El-Khatib, Faysal A. Yafi, and Lawrence C. Jenkins
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medicine.medical_specialty ,business.industry ,Urology ,Family medicine ,Health care ,medicine ,Cost analysis ,Telehealth ,Medical prescription ,business - Abstract
INTRODUCTION AND OBJECTIVE:Online direct to consumer (DTC) healthcare companies have begun prescribing phosphodiesterase inhibitor (PDEi) therapy after a text screen and focused telehealth visit. P...
- Published
- 2021
17. Development and Validation of the Satisfaction Survey for Inflatable Penile Implant (SSIPI)
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Lawrence C. Jenkins, Nicole Benfante, Philip Vu Bach, Carolyn A. Salter, Farouk el Khatib, Faysal A. Yafi, Elizabeth Schofield, Nelson E. Bennett, Christian J. Nelson, Stanley E. Althof, and John P. Mulhall
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Male ,Intraclass correlation ,Urology ,Endocrinology, Diabetes and Metabolism ,Discriminant validity ,Penile implant ,Reproducibility of Results ,Middle Aged ,Confirmatory factor analysis ,Article ,Psychiatry and Mental health ,Endocrinology ,Patient satisfaction ,Reproductive Medicine ,Convergent validity ,Cronbach's alpha ,Erectile Dysfunction ,Patient Satisfaction ,Surveys and Questionnaires ,Humans ,Penile Prosthesis ,Psychology ,Reliability (statistics) ,Clinical psychology ,Aged - Abstract
Background No validated English language patient-reported outcome (PRO) currently exists that assesses satisfaction with inflatable penile prosthesis (IPP). Satisfaction data have been largely based primarily on surgeon assessment of patients or using questionnaires that have not been designed for this purpose. Aim To develop an English-language validated PRO that assesses patient satisfaction after IPP surgery. Methods Initially, a literature review and discussions with experts defined domains important to IPP satisfaction (pain, appearance, function, overall satisfaction). The initial 35-item Satisfaction Survey for Inflatable Penile Implant (SSIPI) was developed. Cognitive interviews were then performed with IPP patients (n = 12) to gain feedback on the SSIPI domains and items. These data were used to modify SSIPI with the addition of 2 questions for a final item number of 37. Patients from 4 centers, who were between 6 months and 5 years after IPP, were administered the questionnaire through RedCap. Reliability statistics and content analysis were used to winnow questions to yield the final 16-item version of the SSIPI. Internal consistency was assessed via Cronbach’s alpha and item-total correlation. Test-retest reliability was assessed via intraclass correlation coefficients using baseline and 2-week data. For convergent validity, the Erectile Dysfunction Inventory of Treatment Satisfaction and the Self-Esteem and Relationship (SEAR) questionnaire were used. For discriminant validity, the International Prostate Symptom Score (IPSS) was used. Confirmatory factor analysis was used to assess the factor structure of the SSIPI. Outcomes Internal consistency, test-retest reliability, convergent and discriminant validity, and confirmatory factor analysis were assessed. RESULTS 118 men were surveyed. Mean age was 66.8 ± 9.5 years. The 16-item SSIPI showed high internal consistency with an overall Cronbach’s Alpha of 0.97 (domains 0.85–0.89). Item-total correlations for individual items to subscales ranged from 0.60 to 0.91. The overall test-retest reliability was 0.94 (domains 0.87–0.93). Erectile Dysfunction Inventory of Treatment Satisfaction and Self-Esteem and Relationship had correlations of 0.84 overall (domains 0.57–0.79) and 0.47 overall (domains 0.34–0.44), respectively. International Prostate Symptom Score (discriminant validity) had correlations of -0.29 overall (domains -0.17 to -0.31). Clinical Implications SSIPI is the first English-language validated IPP satisfaction PRO. This will enable clinicians to collect satisfaction data in a standardized way. Strengths and Limitations As strengths we have used a rigorous psychometric process and have no industry sponsorship. Limitations include small numbers of specific subpopulations. CONCLUSION The SSIPI has demonstrated robust psychometric properties.
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- 2021
18. Testosterone Therapy in Men with Sexual Dysfunction: Introduction
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Faysal A. Yafi and Lawrence C. Jenkins
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Ocean Engineering - Published
- 2022
19. An Evaluation of a Clinical Care Pathway for the Management of Men With Nonorganic Erectile Dysfunction
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Serkan Deveci, Marilyn Parker, Christian J. Nelson, John P. Mulhall, Patricia Guhring, Lawrence C. Jenkins, and Matthew Hall
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Adult ,Male ,Weakness ,medicine.medical_specialty ,Adolescent ,Libido ,Urology ,Endocrinology, Diabetes and Metabolism ,Patient demographics ,MEDLINE ,030232 urology & nephrology ,Hemodynamics ,Article ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Pharmacotherapy ,Erectile Dysfunction ,Internal medicine ,medicine ,Humans ,Clinical care ,Orgasm ,Intensive care medicine ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,Critical pathways ,business.industry ,Penile Erection ,Middle Aged ,Phosphodiesterase 5 Inhibitors ,medicine.disease ,Mental health ,Psychiatry and Mental health ,Treatment Outcome ,Erectile dysfunction ,Reproductive Medicine ,Patient Satisfaction ,Critical Pathways ,Etiology ,medicine.symptom ,business ,Program Evaluation - Abstract
Introduction There exists little literature on the outcomes of the medical management of men with erectile dysfunction (ED) with no overt organic etiology. Aim This study was conducted to assess the outcomes of men with nonorganic ED treated medically. Methods All patients had normal hormone profiles and vascular assessment. All were given a trial of a phosphodiesterase type 5 inhibitor (PDE5i). If no improvement was experienced, intracavernosal injection (ICI) therapy was administered. All patients were encouraged to seek a consultation with a mental health professional. Main Outcome Measure Patient demographics, medical comorbidities, hormone and hemodynamics assessments, and change in International Index of Erectile Function scores of patients were recorded. Results 116 men with a mean age or 38 ± 19 (range 16−57) years were studied. 21% had mild ED, 47% had moderate ED, and 32% had severe ED. 21% had seen a psychiatrist. 81% of patients responded to PDE5i with a penetration hardness erection on follow-up (mean duration of 7 ± 3 months postcommencement of PDE5i). However, only 68% of these were capable of a consistently good response. The mean Erectile Function domain score on PDE5i for the entire group improved from 18 ± 11 to 22 ± 6 (P = .01), and for PDE5i responders it was 27 ± 4 (P < .001). 28% of men (22 PDE5i failures and 10 with a mixed response to PDE5i) attempted ICI, all obtaining consistently functional erections. At a mean time point of 11 ± 5 months, 83% of those responding to PDE5i had ceased using PDE5i due to a lack of need. 11% of those using ICI continued to use them 6 months after starting ICI; the remainder had been transitioned back to PDE5i. Of the 29 patients in the latter subgroup, 66% were no longer using PDE5i consistently due to a lack of need. Clinical Implications Not all men with nonorganic ED respond to PDE5i initially and many of those who respond do so only intermittently; such patients are potentially curable, using erectogenic pharmacotherapy for erectile confidence restoration, most men are capable of being weaned from drug therapy. Strengths & Limitations The strengths of the study are the large number of patients and the use of serial validated instruments to assess erectile function outcomes. As a weakness, despite normal hormone and vascular assessments, the diagnosis of nonorganic ED is still a presumptive one. Conclusion Medical management of nonorganic ED utilizing the process of care model results in cure in a large proportion of such patients. The transient use of ICI in some patients permits successful PDE5i rechallenge.
- Published
- 2019
20. PREDICTORS OF DEPRESSION IN MEN WITH PEYRONIE’S DISEASE SEEKING EVALUATION
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Lawrence C. Jenkins, Eduardo Miranda, John P. Mulhall, Bruno Nascimento, Nahid Punjani, Jean E. Terrier, Hisanori Taniguchi, and Carolyn A. Salter
- Subjects
medicine.medical_specialty ,030219 obstetrics & reproductive medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,030232 urology & nephrology ,Disease ,medicine.disease ,Single Center ,Logistic regression ,Article ,03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Endocrinology ,Erectile dysfunction ,Reproductive Medicine ,Internal medicine ,Deformity ,Medicine ,Peyronie's disease ,medicine.symptom ,business ,Psychosocial ,Depression (differential diagnoses) - Abstract
BACKGROUND: Peyronie’s disease (PD) has negative impacts on the psychosocial status of men including depression warranting clinical evaluation in up to 50% of men. AIM: To examine predictors of depression in patients with early PD seeking evaluation. METHODS: All PD patients at a high-volume PD practice underwent screening and curvature assessment after intracavernosal injection. Complex deformity was defined as any degree of multiplanar curvature, curvature >60 degrees, or presence of hourglass deformity. Men completed the PD questionnaire (PDQ), a validated depression questionnaire (CES-D) as well as the Self-Esteem and Relationship (SEAR) questionnaire. Scores of ≥16 on CES-D were considered indicative of moderate/severe depression. Predictors of the presence of depression were defined using univariable and multivariable logistic regression. OUTCOMES: Demographic, bother and curve related predictors of depression in men with PD. RESULTS: 408 men completed all questionnaires. Mean age was similar between depressed and non-depressed groups (57±10 years overall, p=0.60 between groups). Proportions of erectile dysfunction were similar between groups (p=0.96). Mean PD duration was similar between groups (19±35 months overall, p=0.46 between groups). Mean degree of curvature was 38±2 degrees in the depressed vs 33±1 degrees in the non-depressed groups (p=0.03). A complex deformity was seen in 64.5% in the depressed vs 61.5% in the non-depressed (p=0.56). A total of 110 (27%) patients had CESD scores ≥16. 74% depressed men were in relationships compared to 84% non-depressed men (p
- Published
- 2021
21. DEFINING THE IMPACT OF PEYRONIE’S DISEASE ON THE PSYCHOSOCIAL STATUS OF GAY MEN
- Author
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Carolyn A. Salter, Bruno Nascimento, Hisanori Taniguchi, H.L. Bernie, Lawrence C. Jenkins, John P. Mulhall, Eduardo P. Miranda, Jean-Etienne Terrier, and Elizabeth Schofield
- Subjects
education.field_of_study ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,Population ,Sexual relationship ,medicine.disease ,humanities ,Article ,Endocrinology ,Reproductive Medicine ,Sexual medicine ,Sexual orientation ,Medicine ,Peyronie's disease ,business ,education ,Psychosocial ,Depression (differential diagnoses) ,Reproductive health ,Clinical psychology - Abstract
BACKGROUND Little sexual health research has been conducted in gay men. Anecdotally, this population seems to experience more bother related to Peyronie's disease (PD). OBJECTIVES To examine the impact of PD on psychosocial factors in gay vs straight men. MATERIALS AND METHODS All PD patients who were seen in the sexual medicine clinic were included. They completed three instruments: the PD questionnaire (PDQ), Self-Esteem and Relationship (SEAR) questionnaire, and a depression questionnaire (CES-D). We described demographics and sexual variables by sexual orientation. We then compared PDQ items and summary scores by sexual orientation, using a series of independent samples t tests. RESULTS 34 consecutive gay and 464 straight men were included. Age and baseline characteristics were similar between the two cohorts, with the exception that fewer gay men were partnered (56% vs 87%, P
- Published
- 2020
22. Single-Use Grasper Integrated Flexible Cystoscope for Stent Removal: A Micro-Costing Analysis-Based Comparison
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Sarah Beebe, Bodo E. Knudsen, Lawrence C. Jenkins, Tasha Posid, and Michael Sourial
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Single use ,medicine.diagnostic_test ,business.industry ,Urology ,Cost-Benefit Analysis ,Flexible cystoscope ,030232 urology & nephrology ,Cystoscopy ,Cystoscopes ,Manufacturing engineering ,03 medical and health sciences ,0302 clinical medicine ,Stent removal ,030220 oncology & carcinogenesis ,Micro costing ,Cost analysis ,Equipment Reuse ,Medicine ,Humans ,Stents ,business ,Device Removal - Abstract
Background: A single-use flexible cystoscope with integrated grasper (Isiris; Coloplast, Denmark) has recently become commercially available. The objective of our study is to compare the costs of s...
- Published
- 2020
23. A Multicenter Investigation Examining American Urological Association Recommended Antibiotic Prophylaxis vs Nonstandard Prophylaxis in Preventing Device Infections in Penile Prosthesis Surgery in Diabetic Patients
- Author
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Robert Andrianne, Faysal A. Yafi, Gerard D. Henry, Michael E. Rezaee, Jonathan Clavell-Hernandez, Jay Simhan, Paul Perito, Linda M. Huynh, Mohamad M. Osman, Sung Hun Park, Arthur L. Burnett, Amy I. Guise, T. Hsieh, Run Wang, Maxime Sempels, Aaron C. Lentz, Hossein Sadeghi-Nejad, Martin S. Gross, Georgios Hatzichristodoulou, Maxwell Towe, Ricardo Munarriz, Daniar Osmonov, Lawrence C. Jenkins, Farouk M. El-Khatib, and Gregory A. Broderick
- Subjects
Male ,Reoperation ,medicine.medical_specialty ,Prosthesis-Related Infections ,medicine.medical_treatment ,Urology ,Treatment outcome ,030232 urology & nephrology ,Prosthesis Implantation ,03 medical and health sciences ,0302 clinical medicine ,Erectile Dysfunction ,Republic of Korea ,medicine ,Diabetes Mellitus ,Humans ,Prospective Studies ,Antibiotic prophylaxis ,Societies, Medical ,Aged ,Retrospective Studies ,business.industry ,Penile prosthesis ,Surgical procedures ,Antibiotic Prophylaxis ,Middle Aged ,United States ,Surgery ,Anti-Bacterial Agents ,Europe ,Treatment Outcome ,Practice Guidelines as Topic ,Drug Therapy, Combination ,Penile Prosthesis ,business - Abstract
American Urological Association (AUA) antibiotic prophylaxis recommendations may be insufficient for covering organisms commonly found in penile prosthesis infections. In this study we assess the difference between AUA recommended antibiotic prophylaxis and nonstandard prophylaxis in preventing device infections in penile prosthesis surgery performed in diabetic patients.A multicenter, retrospective cohort study of diabetic patients undergoing primary penile prosthesis surgery was performed between April 2003 and August 2018. Eighteen institutions from the United States, Europe and Korea contributed. The association between antibiotic prophylaxis type and postoperative penile prosthesis infections, device explantations and revision surgeries was assessed.Standard AUA antibiotic prophylaxis was followed in 48.6% (391) of cases while nonstandard prophylaxis was used in 51.4% (413). Common nonstandard antibiotic prophylaxis included vancomycin-gentamycin-fluoroquinolone, clindamycin-fluoroquinolone, and vancomycin-fluoroquinolone among other combinations. Patients who received AUA prophylaxis had significantly more postoperative device infections (5.6% vs 1.9%, p0.01) and explantations (8.3% vs 2.0%, p0.001) compared to those who received nonstandard prophylaxis. Patients who received AUA prophylaxis had significantly higher odds of a postoperative device infection (OR 2.8, 95% CI 1.1-7.3) and explantation (OR 3.6, 95% CI 1.4-9.1) compared to those who received nonstandard prophylaxis.Diabetic men with erectile dysfunction who received standard AUA prophylaxis for penile prosthesis surgery had significantly greater odds of experiencing a postoperative device infection and device explantation compared to patients who received nonstandard prophylaxis. Our study provides a strong rationale for a prospective investigation to establish the most appropriate prophylaxis strategy in penile prosthesis surgery.
- Published
- 2020
24. MP39-15 DEVELOPMENT AND INTERNAL VALIDATION OF THE SATISFACTION SURVEY FOR INFLATABLE PENILE IMPLANT (SSIPI)
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Phi Vu Bach, Nelson E. Bennett, Christian J. Nelson, Stanley E. Althof, Farouk el Khatib, Alexander W. Pastuszak, Elizabeth Schofield, Faysal A. Yafi, John P. Mulhall, Carolyn A. Salter, Lawrence C. Jenkins, and Nicole Benfante
- Subjects
medicine.medical_specialty ,Inflatable ,business.industry ,Urology ,medicine ,Penile implant ,Medical physics ,English language ,Internal validation ,business - Abstract
INTRODUCTION AND OBJECTIVE:No validated English language questionnaire assessing penile implant satisfaction currently exists. Satisfaction data are based primarily on surgeon assessment of patient...
- Published
- 2020
25. Bother Associated with Climacturia after Radical Prostatectomy: Prevalence and Predictors
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Carolyn A. Salter, Lawrence C. Jenkins, Phil Vu Bach, Elizabeth Schofield, John P. Mulhall, Christian J. Nelson, Nicole Benfante, and Eduardo Miranda
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Male ,medicine.medical_specialty ,Urology ,Endocrinology, Diabetes and Metabolism ,media_common.quotation_subject ,medicine.medical_treatment ,Sexual Behavior ,Population ,030232 urology & nephrology ,Patient characteristics ,Orgasm ,urologic and male genital diseases ,Article ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Prevalence ,Medicine ,Humans ,Pearson Correlation Test ,education ,media_common ,Aged ,Retrospective Studies ,Prostatectomy ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Outcome measures ,Prostatic Neoplasms ,social sciences ,Middle Aged ,female genital diseases and pregnancy complications ,humanities ,body regions ,Psychiatry and Mental health ,Sexual Dysfunction, Physiological ,Sexual dysfunction ,Urinary Incontinence ,Reproductive Medicine ,Orgasmic dysfunction ,Physical therapy ,medicine.symptom ,business ,Arousal - Abstract
Introduction Orgasm-associated incontinence, climacturia, is one of the lesser studied radical prostatectomy (RP) complications. Little is known about patient bother related to this condition, specifically, its prevalence and predictors. Aim To ascertain the prevalence and predictors of patient bother associated with climacturia. Methods Patients presenting for the evaluation of sexual dysfunction after RP at a single center were queried on various domains of sexual dysfunction. This included orgasmic dysfunction and sexual incontinence (including climacturia and arousal incontinence). Patients were specifically asked about the frequency and amount of climacturia. In addition, questions addressed patient bother and the perceived bother of their partners. Descriptive statistics were used for patient characteristics. A t-test was used for comparing the frequency of patient and partner bother, and the Pearson correlation test compared relationships between bother and predictors. Multivariable analysis was conducted to define predictors of climacturia-associated bother. Main Outcome Measure The main outcome measures was the prevalence and predictors of climacturia-associated patient bother and perceived partner bother. Results Climacturia was reported by 23% of 3,207 consecutive men analyzed. Bother of any degree was experienced by 45% of these patients, and 14% reported partner bother related to this condition. Patient bother was associated with perceived partner bother (P < .001) and inversely correlated with relationship duration (P < .001). The overall frequency and quantity of climacturia were also predictive (P < .001 for both). In the adjusted model, all of these factors remained significant. Clinical Implications Given the prevalence of this condition and the bother associated with it, this complication should be discussed with patients preoperatively. Strength & Limitations Strengths include a large study population and specific questions on climacturia-associated bother. Limitations include the fact that it is a single-center study and no direct partner questioning occurred. Conclusion Climacturia and its associated bother are common after RP. The predictors of patient bother include perceived partner bother, shorter relationship duration, and increasing frequency and quantity of climacturia.
- Published
- 2020
26. Ethical Dimensions of Male Infertility
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Denise Asafu-Adjei and Lawrence C. Jenkins
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medicine.medical_specialty ,Ethical issues ,Male fertility ,Reproductive medicine ,medicine ,Engineering ethics ,Bioethics ,Psychology ,medicine.disease ,Healthcare providers ,Male infertility - Abstract
Ethical dilemmas are commonplace in male infertility and reproductive medicine. Core bioethical principles frame the way health providers think about and address such ethical dilemmas in male fertility issues and across the spectrum of medicine. This chapter serves to define the bioethical principles that should guide our decision-making. Furthermore, these ethical principles are applied to some of the most common ethical issues encountered in male infertility today.
- Published
- 2020
27. Andrianne Mini-Jupette Graft at the Time of Inflatable Penile Prosthesis Placement for the Management of Post-Prostatectomy Climacturia and Minimal Urinary Incontinence
- Author
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Steven K. Wilson, Georgios Hatzichristodoulou, Laith Alzweri, Daniar Osmonov, Wayne Jg Hellstrom, Robert Andrianne, Koenraad van Renterghem, Daniel Chevalier, Faysal A. Yafi, Jeffrey Brady, Robert Valenzuela, M. David Schwabb, Sun Hung Park, Antoine Faix, Lawrence C. Jenkins, Michael Butcher, Tobias S. Köhler, and Kenneth J. DeLay
- Subjects
Male ,medicine.medical_specialty ,Sling (implant) ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Population ,030232 urology & nephrology ,Pilot Projects ,Urinary incontinence ,Penile Implantation ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Erectile Dysfunction ,medicine ,Humans ,Postoperative Period ,education ,Post prostatectomy ,Aged ,Retrospective Studies ,Prostatectomy ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Middle Aged ,medicine.disease ,Surgery ,Psychiatry and Mental health ,Urinary Incontinence ,Erectile dysfunction ,Reproductive Medicine ,Inflatable penile prosthesis ,Concomitant ,Penile Prosthesis ,medicine.symptom ,business - Abstract
Background After radical prostatectomy (RP), erectile dysfunction, often necessitating the need for inflatable penile prosthesis (IPP) insertion, and urinary incontinence and climacturia can ensue. Aim To assess the efficacy and safety of the mini-jupette, a mesh used to approximate the medial aspects of the 2 corporotomies at the time of IPP insertion, for the management of climacturia and urine leakage in patients with minimal incontinence. Methods We conducted a pilot multicenter study of patients with post-RP erectile dysfunction and climacturia and/or mild urinary incontinence (≤2 pads/day [ppd]) undergoing IPP insertion with concomitant placement of a mini-jupette graft. Outcomes Pre- and postoperative erectile function, continence and climacturia, and overall surgical outcomes were assessed. Results 38 patients underwent the mini-jupette procedure. The mean age of the population was 65.3 years (SD = 7.7). 30 had post-RP climacturia and 32 patients had post-RP incontinence (mean = 1.3 ppd, SD = 0.8). 31 patients received Coloplast Titan, 4 received AMS 700 LGX, and 3 received AMS 700 CX IPPs. Mean corporotomy size was 2.9 cm (SD = 1.0). Mean graft measurements were 3.2 cm (SD = 0.9) for width, 3.3 cm (SD = 1.3) for length, and 11.0 cm2 (SD = 5.1) for surface area. At a mean follow-up of 5.1 months (SD = 6.9), there were 5 postoperative complications (13.2%) of which 4 required explantation. Climacturia and incontinence were subjectively improved in 92.8% and 85.7%, respectively. Mean ppd decreased by 1.3 postoperatively. Clinical Implications The Andrianne mini-jupette is a feasible adjunct to IPP placement that can be used for subsets of patients with post-RP climacturia and/or minimal incontinence. Strengths and Limitations Strengths of this study include the novel nature of this intervention, the multi-institutional nature of the study, and the promising results demonstrated. Limitations include the retrospective nature of the study and the heterogeneity of the techniques and grafts used by different surgeons involved. Conclusion Longer follow-up and larger patient cohorts are needed to confirm the long-term safety and benefits of this intervention.
- Published
- 2018
28. Outcomes of variation in technique and variation in accuracy of measurement in penile length measurement
- Author
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Saad Mahmoud, Osama Abdelwahab, Waleed Elhadek, Saleh Binsaleh, M. H. Farag, Lawrence C. Jenkins, Gordon Muir, Z. Abdelrahman, Mohamad Habous, Tarek Soliman, John P. Mulhall, Mohamed F. Abdelkader, Hussein Ibrahim, and Ben Williamson
- Subjects
Adult ,Male ,Penile Shaft ,Urology ,030232 urology & nephrology ,Article ,Young Adult ,03 medical and health sciences ,Length measurement ,0302 clinical medicine ,medicine ,Humans ,Glans ,Aged ,Orthodontics ,030219 obstetrics & reproductive medicine ,Anthropometry ,business.industry ,Organ Size ,Middle Aged ,Circumference ,Cross-Sectional Studies ,medicine.anatomical_structure ,Sexual dysfunction ,Male patient ,medicine.symptom ,business ,Penis - Abstract
Accurate data regarding the size of the erect penis is of great importance to several disciplines working with male patients, but little data exists on the best technique to measure penile length. While some previous small studies have suggested good correlation between stretched penile length, others have shown significant variability. Penile girth has been less well studied, and little data exist on the possible errors induced by differing observers and different techniques. Much of the published data report penile length measured from the penopubic skin junction-to-glans tip (STT) rather than pubic bone-to-tip (BTT). We wished to assess the accuracy of different techniques of penile measurements with multiple observers. Men who achieved full erection using dynamic penile Doppler ultrasound for the diagnosis of sexual dysfunction or a desire for objective penile measurement were included in the study. Exclusion criteria were penile scarring, curvature, or congenital abnormality. In each case, the penis was measured by one of the seven andrology specialists in a private air-conditioned (21 °C) environment. Each patient had three parameters measured: circumference (girth) of the penile shaft, length from suprapubic skin-to-distal glans (STT), and pubis-to-distal glans (BTT). The three measurements were recorded in the stretched flaccid state, and the same three measurements were then repeated in the fully erect state, following induction of full erection with intracavernosal injection. We analyzed the accuracy of each flaccid measurement using the erect measurements as a reference, for the overall patient population and for each observer. In total, 201 adult men (mean age 49.4 years) were included in this study. Assessing the penis in the stretched and flaccid state gave a mean underestimate of the erect measurement of ~20% (STT length 23.39%, BTT length 19.86%, and circumference 21.38%). In this large, multicenter, multi-observer study of penis size, flaccid measurements were only moderately accurate in predicting erect size. They were also significantly observer dependent. Measuring penile length from pubic bone to tip of glans is more accurate and reliable, the discrepancy being most notable in overweight patients.
- Published
- 2017
29. The Prevalence and Predictors of Penile Pain in Men with Peyronie's Disease
- Author
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Hisanori Taniguchi, Carolyn A. Salter, Jose Flores, Bruno Nascimento, Eduardo Miranda, John P. Mulhall, Jean-Etienne Terrier, H.L. Bernie, Elizabeth Schofield, and Lawrence C. Jenkins
- Subjects
medicine.medical_specialty ,Sexual Dysfunction ,Urology ,Endocrinology, Diabetes and Metabolism ,Population ,Penile Pain ,Dermatology ,Other systems of medicine ,Behavioral Neuroscience ,Endocrinology ,Erectile Dysfunction ,Internal medicine ,medicine ,education ,Depression (differential diagnoses) ,Original Research ,Penile pain ,education.field_of_study ,Peyronie's Disease ,Depression ,business.industry ,Center for Epidemiologic Studies Depression Scale ,medicine.disease ,Psychiatry and Mental health ,Erectile dysfunction ,Sexual dysfunction ,Reproductive Medicine ,Medicine ,Peyronie's disease ,medicine.symptom ,business ,Psychosocial ,RZ201-999 - Abstract
Introduction Penile pain is one of the most stressful symptoms in men with Peyronie's disease (PD). Aim To evaluate the prevalence, clinical presentation and risk factors associated with penile pain in men with PD as well as to assess the psychosocial impact. Methods We revised our institution's database of men diagnosed with PD. The information collected included penile pain assessments, and the scores of the PD Questionnaire (PDQ), Self-Esteem and Relationship Questionnaire (SEAR) and Center for Epidemiologic Studies Depression Scale Questionnaire (CES-D). Descriptive and comparative statistics were used. Logistic regression analyses were performed to evaluate predictive factors associated with penile pain. Main outcome measures Penile pain descriptive assessment and factors associated with penile pain in men with PD. Comparison of SEAR, CES-D and PDQ domain scores of men with and without penile pain. Results 431 men with PD were included for this analysis with a mean age of 55.9 years. Penile pain was reported by 36.7%; 65.2% of those had painful erection, 7% pain with flaccid state only, and 20% in both stages. The median pain severity was 3 with erection and 1 with flaccid stage. After adjusted logistic regression analyses, advanced age was associated with less pain (OR 0.94, P ≤ 0.001). Men with penile pain had no significant difference in CES-D and SEAR mean scores compared to men without penile pain. The PDQ scores for the physical/psychological symptoms domain and the bother domain were significantly higher in men with penile pain (12 vs 8.7; P < 0.01 and 9 vs 7.1; P < 0.01 respectively). Men with penile pain had a higher rate of clinically significant bother scores than men without penile pain (52% vs 35%, P ≤ 0.001). Conclusion Penile pain is common in men with PD. It was more common in young men and was associated with physical and psychological bothers in this population. Flores JM, Salter CA, Nascimento B, et al. The Prevalence and Predictors of Penile Pain in Men with Peyronie's Disease. Sex Med 2021;9:100398.
- Published
- 2021
30. The Expanding Role of Advanced Practice Providers in Urologic Procedural Care
- Author
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Brad Hornberger, Danny R. Hughes, Venetia L. Orcutt, Jennifer Hemingway, Raj S. Pruthi, Lawrence C. Jenkins, Heather Schultz, Matthew E. Nielsen, Joshua P. Langston, and Richard Duszak
- Subjects
Urologic Diseases ,medicine.medical_specialty ,Urology ,Population ,030232 urology & nephrology ,MEDLINE ,03 medical and health sciences ,Professional Role ,0302 clinical medicine ,Patient satisfaction ,Multidisciplinary approach ,Humans ,Medicine ,Medicare Part B ,education ,Patient Care Team ,education.field_of_study ,business.industry ,Guideline ,medicine.disease ,United States ,Surgery ,Patient Satisfaction ,030220 oncology & carcinogenesis ,Workforce ,Current Procedural Terminology ,Medical emergency ,business - Abstract
Objective To understand the role of Advanced Practice Providers (APPs) in urologic procedural care and its change over time. As the population ages and the urologic workforce struggles to meet patient access demands, the role of APPs in the provision of all aspects of urologic care is increasing. However, little is currently known about their role in procedural care. Materials and Methods Commonly performed urologic procedures were linked to Current Procedural Terminology (CPT) codes from 1994 to 2012. National Medicare Part B beneficiary claims frequency was identified using Physician Supplier Procedure Summary Master Files. Trends were studied for APPs, urologists, and all other providers nationally across numerous procedures spanning complexity, acuity, and technical skill set requirements. Results Between 1994 and 2012, annual Medicare claims for urologic procedures by APPs increased dramatically. Cystoscopy increased from 24 to 1820 (+7483%), transrectal prostate biopsy from 17 to 834 (+4806%), complex Foley catheter placement from 471 to 2929 (+522%), urodynamics testing from 41 to 9358 (+22,727%), and renal ultrasound from 18 to 4500 (+24,900%) Conclusion We found dramatic growth in the provision of urologic procedural care by APPs over the past 2 decades. These data reinforce the known expansion of the APP role in urology and support the timeliness of ongoing collaborative multidisciplinary educational efforts to address unmet needs in education, training, and guideline formation to maximize access to urologic procedural services.
- Published
- 2017
31. Effect of antimicrobial dipping solutions on post-operative infection rates in diabetic patients undergoing primary insertion of a Coloplast titan inflatable penile prosthesis
- Author
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Ricardo Munarriz, R. Wang, Gerard D. Henry, Robert Andrianne, M. Gross, T. Hsieh, Paul Perito, Daniar Osmonov, Amy I. Guise, F.M. El-Khatib, P. Sung Hun, Lawrence C. Jenkins, Arthur L. Burnett, M.M. Osman, J. Simhan, L.M. Huynh, Hossein Sadeghi-Nejad, Aaron C. Lentz, J. Clavell-Hernandez, Maxwell Towe, Georgios Hatzichristodoulou, F.A. Yafi, and Gregory A. Broderick
- Subjects
medicine.medical_specialty ,business.industry ,Post operative infection ,Urology ,lcsh:Diseases of the genitourinary system. Urology ,lcsh:RC870-923 ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Antimicrobial ,lcsh:RC254-282 ,Surgery ,symbols.namesake ,Inflatable penile prosthesis ,symbols ,Medicine ,business ,Titan (rocket family) - Published
- 2020
32. MP45-08 PHOSPHODIESTERASE TYPE 5 INHIBITOR (PDE5I) USE AFTER RADICAL PROSTATECTOMY (RP) IS NOT ASSOCIATED WITH INCREASED RISK OF BIOCHEMICAL RECURRENCE RISK (BCR)
- Author
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John P. Mulhall, James A. Eastham, Lawrence C. Jenkins, Peter T. Scardino, Elizabeth Schofield, Vincent P. Laudone, and Christian J. Nelson
- Subjects
Oncology ,Biochemical recurrence ,medicine.medical_specialty ,Prostatectomy ,business.industry ,Urology ,medicine.medical_treatment ,breakpoint cluster region ,Increased risk ,Internal medicine ,cGMP-specific phosphodiesterase type 5 ,medicine ,business ,Risk assessment - Abstract
INTRODUCTION AND OBJECTIVE:The data on the association between PDE5i utilization and BCR after RP and PDE5i is mixed. We aimed to provide a better risk assessment based on exposure data.METHODS:Pat...
- Published
- 2020
33. 373 Testosterone therapy in Men on Active Surveillance for Prostate Cancer
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Patrick E. Teloken, Nicole Benfante, John P. Mulhall, H.L. Bernie, Boback M. Berookhim, and Lawrence C. Jenkins
- Subjects
Oncology ,medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,Testosterone (patch) ,medicine.disease ,Psychiatry and Mental health ,Prostate cancer ,Endocrinology ,Reproductive Medicine ,Internal medicine ,medicine ,business - Published
- 2020
34. MP27-06 IMMEDIATE PREOPERATIVE BLOOD GLUCOSE AND HEMOGLOBIN A1C LEVELS ARE NOT PREDICTIVE OF POST-OPERATIVE INFECTIONS IN DIABETIC MEN UNDERGOING PENILE PROSTHESIS PLACEMENT
- Author
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Gregory A. Broderick, Jonathan Clavell Hernandez, Jeffrey D. Campbell, Amir Shareza Patel, Shu Pan, Amy I. Guise, Lawrence C. Jenkins, Maxwell Towe, Linda Huynh, Ross Guillum, Farouk M. El-Khatib, Ricardo Munarriz, Hossein Sadeghi-Nejad, Run Wang, Kevin Parikh, Mohamad M. Osman, Georgios Hatzichristodoulou, Tung-Chin Hsieh, Gerard D. Henry, Paul Perito, Gregory Barton, Aaron C. Lentz, Arthur L. Burnett, Daniar Osmonov, Kook Bin Lee, Wayne J.G. Hellstrom, Faysal A. Yafi, Christopher Koprowski, Martin S. Gross, Jay Simhan, and Sung Hun Park
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,medicine.medical_treatment ,030232 urology & nephrology ,Penile prosthesis ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Hemoglobin ,Post operative ,business ,Diabetic control - Abstract
INTRODUCTION AND OBJECTIVES:Recent reports have suggested that pre-operative diabetic control may be predictive of infection rates following penile prosthesis (PP) implantation. In this study, we s...
- Published
- 2019
35. PD44-09 ADHERENCE TO THE AUA ANTIBIOTIC PROPHYLAXIS GUIDELINES IN DIABETIC PATIENTS IS ASSOCIATED WITH SIGNIFICANTLY HIGHER RISKS OF PENILE PROSTHESIS INFECTION
- Author
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Christopher Koprowski, M.M. Osman, Kevin Parikh, Tung-Chin Hsieh, Arthur L. Burnett, Amy I. Guise, Gerard D. Henry, Jeffrey D. Campbell, Paul Perito, Daniar Osmonov, Ross Guillum, Faysal A. Yafi, Jonathan Clavell Hernandez, Farouk M. El-Khatib, Martin S. Gross, Georgios Hatzichristodoulou, Linda Huynh, Gregory A. Broderick, Run Wang, Gregory Barton, Kook Bin Lee, Ricardo Munarriz, Maxwell Towe, Aaron C. Lentz, Jay Simhan, Wayne J.G. Hellstrom, Shu Pan, Sung Hun Park, Lawrence C. Jenkins, Hossein Sadeghi-Nejad, and Amir Shareza Patel
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,medicine.medical_treatment ,Medicine ,Penile prosthesis ,Antibiotic prophylaxis ,Complication ,business ,Penile prosthesis infection ,Surgery - Abstract
INTRODUCTION AND OBJECTIVES:The most devastating complication following penile prosthesis (PP) implantation is an infection requiring device explantation. Current AUA guidelines recommend antibioti...
- Published
- 2019
36. MP65-12 DEFINING THE IMPACT OF PEYRONIE’S DISEASE ON PSYCHOSOCIAL STATUS IN GAY VERSUS HETEROSEXUAL MEN
- Author
-
Elizabeth Schofield, Carolyn A. Salter, Eduardo Miranda, Hisanori Taniguchi, John P. Mulhall, Helen Levey Bernie, Lawrence C. Jenkins, Bruno Nascimento, and Jean-Etienne Terrier
- Subjects
business.industry ,Urology ,medicine ,Peyronie's disease ,medicine.disease ,business ,Psychosocial ,Clinical psychology - Published
- 2019
37. MP65-02 EVALUATING THE IMPACT OF PENILE GIRTH DISCREPANCY ON PENILE INSTABILITY AND PATIENT BOTHER IN MEN WITH PEYRONIE’S DISEASE
- Author
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Elizabeth Schofield, Bruno Nascimento, Carolyn A. Salter, Helen Levey Bernie, Lawrence C. Jenkins, Eduardo Miranda, John P. Mulhall, Hisanori Taniguchi, and Jean-Etienne Terrier
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,medicine ,Girth (graph theory) ,Peyronie's disease ,medicine.disease ,business ,Surgery - Published
- 2019
38. MP58-13 TESTOSTERONE THERAPY IN MEN WITH GLEASON 6-7 PROSTATE CANCER
- Author
-
Boback Berookhim, Nicole Benfante, John P. Mulhall, Patrick Teloken, and Lawrence C. Jenkins
- Subjects
medicine.medical_specialty ,Prostate cancer ,Prostatectomy ,business.industry ,Urology ,medicine.medical_treatment ,medicine ,Testosterone (patch) ,Exogenous testosterone ,medicine.disease ,business - Abstract
INTRODUCTION AND OBJECTIVES:The administration of exogenous testosterone (T) to men who have undergone radical prostatectomy (RP) for prostate cancer remains controversial. Besides small case serie...
- Published
- 2019
39. Compliance With Fluoxetine Use in Men With Primary Premature Ejaculation
- Author
-
Marilyn Parker, Raanan Tal, Joshua Gonzalez, Lawrence C. Jenkins, Patricia Guhring, and John P. Mulhall
- Subjects
Adult ,Male ,medicine.medical_specialty ,Ejaculation ,Urology ,Endocrinology, Diabetes and Metabolism ,Population ,030232 urology & nephrology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal medicine ,Fluoxetine ,Premature ejaculation ,medicine ,Humans ,Premature Ejaculation ,education ,Depression (differential diagnoses) ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Middle Aged ,Psychiatry and Mental health ,Distress ,Sexual dysfunction ,Treatment Outcome ,Reproductive Medicine ,Population study ,Patient Compliance ,medicine.symptom ,business ,Selective Serotonin Reuptake Inhibitors ,medicine.drug - Abstract
Background Premature ejaculation (PE) is a common sexual dysfunction for which selective serotonin reuptake inhibitors (SSRIs) have been used effectively for treatment. However, compliance with therapy and predictors of long-term SSRI use in the treatment of PE are not well known. Aim To analyze our experience with drop-out rates with fluoxetine in the primary PE population and to identify predictors of continued use of this agent. Methods Men with primary PE constituted who used fluoxetine and had at least 12 months follow-up constituted the study population. Subjects underwent a comprehensive interview to ascertain self-reported (non-stopwatch) intravaginal ejaculatory latency time (IELT), self-rated control over ejaculation, and personal and patient-reported partner distress due to PE. Patients were treated with fluoxetine 20 mg daily, with the possibility of dose titration up or down based on efficacy and side effects. Outcomes The PE parameters of interest included self-reported IELT, self-rated control over ejaculation, personal and partner distress due to PE, and medication adherence. Results 130 men were included in the study. Dropout rates at 6 and 12 months were 56% and 72%. Self-rated “poor” ejaculatory control decreased from 98%–41% (P < .01), high personal distress from 47%–11% (P Clinical Implications Compliance with SSRIs is a well-described problem in the depression literature, but data are sparse regarding continued use of SSRIs in the treatment of PE. Strengths and Limitations We report on 12-month compliance with SSRIs for the treatment of PE. Our early compliance rates were more encouraging than what has been reported in the past. However, IELT was self-reported and not measured objectively, and we did not use validated patient-reported outcomes but rather self-reported ejaculatory control and distress levels, which have limitations. Conclusions Fluoxetine is an effective agent for the treatment of PE with significant improvement realized in IELT, ejaculatory control, and distress levels for both men and their partners. Despite its efficacy, continued use of fluoxetine beyond 6 months is poor.
- Published
- 2019
40. A Review of Male and Female Sexual Function Following Colorectal Surgery
- Author
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Maxwell Towe, Lawrence C. Jenkins, Farouk M. El-Khatib, Joshua Gonzalez, Faysal A. Yafi, and Linda M. Huynh
- Subjects
Male ,medicine.medical_specialty ,Colorectal cancer ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Sexual Behavior ,030232 urology & nephrology ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal medicine ,medicine ,Humans ,Sexual Dysfunctions, Psychological ,Colectomy ,Reproductive health ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,Cancer ,medicine.disease ,Colorectal surgery ,Radiation therapy ,Psychiatry and Mental health ,Erectile dysfunction ,Sexual dysfunction ,Reproductive Medicine ,Female ,medicine.symptom ,Sexual function ,business ,Colorectal Neoplasms ,Sexuality - Abstract
Introduction Sexual function after colorectal surgery is a largely ignored topic. In patients being treated for colon and rectal cancers, the risk of sexual dysfunction after surgery is high and is influenced by multiple factors. Aim To examine the factors involved with sexual dysfunction after colorectal surgery and review gender-specific sexual complaints most reported on in the literature. Methods A comprehensive review of peer-reviewed publications on the topic was performed through a PubMed search. Key search terms and phrases included colorectal surgery, sexual dysfunction, risk factors, cancer, erectile dysfunction, dyspareunia, and counseling. Main Outcome Measures The main outcome measures were gender-specific sexual complaints after colorectal surgery and risk factors involved. Results The type of excision and surgical technique strongly influences sexual dysfunction risk, where newer nerve-preserving techniques seem to be associated with better sexual outcomes in contrast to more extensive surgeries. Adjunctive radiotherapy negatively affects sexual health when combined with surgical resection. The most common postoperative sexual complaints reported by men include erectile dysfunction, ejaculatory dysfunction, and dysorgasmia, whereas for women dyspareunia and poor lubrication are common. Conclusions Sexual morbidity after treatment for colorectal cancer is common and inadequately addressed by healthcare providers in the preoperative setting. Towe M, Huynh LM, El-Khatib F, et al. A Review of Male and Female Sexual Function Following Colorectal Surgery. Sex Med Rev 2019;7:422–429.
- Published
- 2019
41. Meditation, Yoga, and Men's Health
- Author
-
Claire Postl and Lawrence C. Jenkins
- Subjects
Stress management ,Mindfulness ,Psychotherapist ,media_common.quotation_subject ,Shame ,Mental health ,Sexual dysfunction ,Masculinity ,medicine ,Anxiety ,Meditation ,medicine.symptom ,Psychology ,media_common - Abstract
Meditative practices (i.e., meditation, mindfulness, and yoga) have proved to be beneficial in reducing stress-related health issues, including sexual dysfunction, obesity, diabetes, infertility, cardiovascular disease, depression, and anxiety. Society standards of masculinity often discourage and shame men from seeking help for stress management. The meditative practice could be beneficial for men's health by providing ways to manage stress that forms while adhering to our society's masculinity standards. Medical providers are encouraged to collaborate with mental health providers, discuss masculinity and help-seeking barriers that exist for men, and incorporate meditative practices as complementary and alternative medicine into their practice.
- Published
- 2019
42. Contributors
- Author
-
Nnenaya Q. Agochukwu, Ahmet Tevfik Albayrak, M. Albersen, James Anaissie, Sarah Ashman, Scott Brimley, Lindsey K. Burleson, Arthur L. Burnett, Jillian Capodice, Jorge E. Chavarro, Barbara M. Chubak, Brian Dick, Farouk M. El-Khatib, Johanna L. Hannan, Brent M. Hanson, Dorota J. Hawksworth, Wayne Hellstrom, James M. Hotaling, Lawrence C. Jenkins, Christian Fuglesang S. Jensen, Ulla N. Joensen, Mohit Khera, Hari Krishnamurthy, Joseph Mahon, J. Marinaro, John M. Masterson, Kevin T. McVary, U. Milenkovic, Jorge Rivera Mirabal, John P. Mulhall, Zainab G. Nagras, Feiby L. Nassan, Dana A. Ohl, Alexander W. Pastuszak, Claire Postl, Radhika Ragam, Ranjith Ramasamy, Joshua T. Randolph, Hossein Sadeghi-Nejad, Carolyn A. Salter, Ege Can Serefoglu, Alyssa Sheffield, Jens Sønksen, C. Tanrikut, Maxwell M. Towe, Peter Tsambarlis, İyimser Üre, Daniela Wittmann, Faysal A. Yafi, and Natalie R. Yafi
- Published
- 2019
43. 046 What is a Good-Looking Penis? A Genital Appraisal for Peyronie's Disease
- Author
-
Paul Horning, Nicolette Payne, Lawrence C. Jenkins, S. Stillings, and Tasha Posid
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.disease ,Dermatology ,Psychiatry and Mental health ,Endocrinology ,medicine.anatomical_structure ,Reproductive Medicine ,medicine ,Sex organ ,Peyronie's disease ,business ,Penis - Published
- 2021
44. Reply by Authors
- Author
-
Michael E. Rezaee, Maxwell Towe, Mohamad M. Osman, Linda M. Huynh, Farouk M. El-Khatib, Robert Andrianne, Gregory Broderick, Arthur L. Burnett, Martin S. Gross, Amy I. Guise, Georgios Hatzichristodoulou, Gerard D. Henry, Jonathan Clavell-Hernandez, Tung-Chin Hsieh, Lawrence C. Jenkins, Aaron Lentz, Ricardo M. Munarriz, Daniar Osmonov, Sung Hun Park, Paul Perito, Hossein Sadeghi-Nejad, Maxime Sempels, Jay Simhan, Run Wang, and Faysal A. Yafi
- Subjects
Urology - Published
- 2020
45. Delayed orgasm and anorgasmia
- Author
-
Lawrence C. Jenkins and John P. Mulhall
- Subjects
Male ,medicine.medical_specialty ,Ejaculation ,Sexual Behavior ,media_common.quotation_subject ,Personal distress ,Orgasm ,Article ,Predictive Value of Tests ,Risk Factors ,Terminology as Topic ,Prevalence ,medicine ,Animals ,Humans ,Sexual stimulation ,Medical history ,Sexual Dysfunctions, Psychological ,media_common ,Gynecology ,business.industry ,Delayed ejaculation ,Obstetrics and Gynecology ,Recovery of Function ,medicine.disease ,Sexual Dysfunction, Physiological ,Treatment Outcome ,medicine.anatomical_structure ,Reproductive Medicine ,Etiology ,business ,Penis ,Clinical psychology - Abstract
Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies; which include: medications, penile sensation loss, endocrinopathies, penile hyperstimulation and psychological etiologies, amongst others. Unfortunately, there are no excellent pharmacotherapies for delayed orgasm/anorgasmia, and treatment revolves largely around addressing potential causative factors and psychotherapy.
- Published
- 2015
46. PD20-10 EFFECT OF ANTIMICROBIAL DIPPING SOLUTIONS ON POST-OPERATIVE INFECTION RATES IN DIABETIC PATIENTS UNDERGOING PRIMARY INSERTION OF A COLOPLAST TITAN INFLATABLE PENILE PROSTHESIS
- Author
-
Robert Andrianne, Daniar Osmonov, Georgios Hatzichristodoulou, Ricardo Munarriz, Lawrence C. Jenkins, Amy I. Guise, Arthur L. Burnett, Maxwell Towe, Mohamad M. Osman, Martin S. Gross, Gerard D. Henry, Tung-Chin Hsieh, Farouk M. El-Khatib, Linda M. Huynh, Jay Simhan, Paul Perito, Faysal A. Yafi, Jonathan Clavell-Hernandez, Sung Hun Park, Hossein Sadeghi-Nejad, Aaron C. Lentz, Gregory A. Broderick, Run Wang, and Dips (Diabetes)
- Subjects
medicine.medical_specialty ,Inflatable penile prosthesis ,business.industry ,Post operative infection ,Urology ,Medicine ,business ,Antimicrobial ,Surgery - Abstract
INTRODUCTION AND OBJECTIVE:Penile prostheses (PP) that are dipped in antimicrobial solutions can be specially selected by the implanter and tailored towards the patient. The best choice for antimic...
- Published
- 2020
47. Corresponding video for preparation and operative setup of penile prosthesis surgery
- Author
-
Lawrence C. Jenkins and Daniel Szabo
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Materials Chemistry ,medicine ,Penile prosthesis ,business ,Surgery - Published
- 2020
48. 157 Defining the Impact of Peyronie's Disease on Psychosocial Status in Gay versus Heterosexual Men
- Author
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Jean-Etienne Terrier, Eduardo Miranda, John P. Mulhall, H.L. Bernie, Lawrence C. Jenkins, Bruno Nascimento, Hisanori Taniguchi, Carolyn A. Salter, and Elizabeth Schofield
- Subjects
Psychiatry and Mental health ,Endocrinology ,Reproductive Medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine ,Peyronie's disease ,medicine.disease ,business ,Psychosocial ,Clinical psychology - Published
- 2020
49. 186 Testosterone Therapy in Men with Gleason 6-7 Prostate Cancer
- Author
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John P. Mulhall, Patrick Teloken, Lawrence C. Jenkins, Nicole Benfante, Boback M. Berookhim, and Carolyn A. Salter
- Subjects
Psychiatry and Mental health ,Prostate cancer ,medicine.medical_specialty ,Endocrinology ,Reproductive Medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,Medicine ,Testosterone (patch) ,business ,medicine.disease - Published
- 2020
50. Preparation and operative setup of penile prosthesis surgery
- Author
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Daniel Szabo and Lawrence C. Jenkins
- Subjects
medicine.medical_specialty ,Erectile dysfunction ,Current practice ,business.industry ,medicine.medical_treatment ,medicine ,Treatment options ,Penile prosthesis ,medicine.disease ,business ,Surgery - Abstract
Penile prosthesis implantation is becoming an increasingly popular treatment option for men with refractory erectile dysfunction (ED) and is being performed by many urologists internationally. As greater numbers of surgeons begin to place penile implants, it remains crucial that a considerable amount of care goes into the operative planning and patient preparation for this procedure in order to limit some of the more harmful complications, such as device infection. In this article, we share our experience and recommendations regarding multiple aspects of the setup for penile prosthesis surgery, which will include patient preparation pre- and intraoperatively, key equipment and supplies used in this surgery, layout of the operating room, and the initial steps taken at the beginning of the surgical case to properly set up the patient and operating field to reduce the risk of infection. Our aim is to help guide those who are interested in beginning to perform this surgery or those intending to make changes in their current practice.
- Published
- 2020
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