Penile Duplex Doppler Ultrasonography
Diagnosis Peak systolic velocity (cm/s) End diastolic velocity (cm/s) Normal (Fig. 6.10) >35 <3 Cavernosal artery insufficiency (Fig. 6.11) <30 <3 Venous leak (Fig. 6.12) >35 >5 Mixed vasculogenic disease…
Intralesional Verapamil
Fig. 12.1 Illustrations of necessary equipment arranged on tray 1. Syringe of verapamil (10 mg verapamil/5 mL normal saline within a 10 mL syringe) 2. Syringe of 2 %…
Intralesional Collagenase Injection
Fig. 11.1 Necessary equipment arranged on tray 1. Vial of Xiaflex 2. Vial of supplied diluent for reconstitution 3. Hubless syringe 4. Coban dressing 5. 2…
Penile Deformity Assessment
Fig. 7.1 Measuring devices Procedure ICI should be given and re-dosed as necessary to achieve an erection rigidity of >80 %. This is very important because the degree of curvature…
Penile Block
Fig. 4.1 Necessary equipment 1. Skin prep—alcohol/chlorhexidine prep swab 2. Anesthetic agent—lidocaine or bupivacaine 3. 10 mL syringe 4. 16-gauge needle to withdraw medication 5. 27-gauge…
Subcutaneous Testosterone Pellet Insertion
Testpak® kit: Half shallow tray (1) Non-latex sterile gloves (1) Fenestrated drape with adhesive (1) Gauze, 4 × 4 (5), 2 × 2 (2) Alcohol wipes (3) PVP swabsticks (1)…
No-Scalpel Vasectomy
Fig. 8.1 Three-finger vas fixation technique. Courtesy of Marc Goldstein/Weill Cornell Medicine Fig. 8.2 Cord block using jet injector . Courtesy of Marc Goldstein/Weill Cornell Medicine Once adequate local anesthesia…
Office Management of Prolonged Erection/Priapism
Fig. 18.1 Picture of recommended equipment arranged on tray 1. Prep tray and basin 2. Three way port 3. 19 g × ¾” Butterfly needle 4. Cohesive…
Biothesiometry
Nomogram for penile biothesiometry Age Fingertip Shaft Glans 18–29 3 3 3 30–39 4 4 4 40–49 4 5 5 50–59 5 6 7 60–69 5 7 7 Indications 1….
Intracavernosal Injection Training
Fig. 17.1 Equipment 1. Syringe of ordered medication 2. Alcohol prep pads 3. Sharps container The first visit consists of the clinician injecting the man’s penis with…
