Intraurethral Alprostadil Training
Fig. 16.1 Illustration of the device While gently stretching the penis , the applicator can be placed within the urethra (Fig. 16.2); at this point, it is safe to press…
Focused Genital Exam
History of medical comorbidities (especially vascular risk factors) Congenital or childhood diseases Psychological disorders (anxiety, depression) Prior surgeries (especially pelvic or genital) Medications Social (smoking, alcohol, recreational drugs, occupational exposures)…
Vacuum Erection Device Training
Fig. 14.1 Picture of device and parts Procedure Once the device is assembled (Fig. 14.2), the constriction ring should be placed on the base of the pump, using lubrication to…
Intramuscular Testosterone Training
Fig. 13.1 Picture of necessary equipment arranged on tray 1. Two alcohol swabs 2. One multidose vial of testosterone cypionate (200 mg/1 mL) 3. 1 ml Tuberculin syringe…
Penile Traction Device Training
Fig. 15.1 Picture of device and parts Fig. 15.2 Picture of device placement on penis Post-procedural Management andInstructions Patients should add 0.5–1 cm extenders to the device every 2–4 weeks,…
Nonsurgical Sperm Retrieval
Fig. 9.1 Epididymal sperm aspiration After anesthesia has been delivered, the testicle and epididymis should be secured between the thumb and index fingers. A 21 gauge butterfly needle attached to…
Nocturnal Penile Tumescence
Fig. 3.1 Rigiscan® Plus device (GOTOP Medical, Inc., St. Paul, MN, USA) Procedure Prior to sleeping, the unit is secured to the patient’s thigh in a pouch worn on the…
Spermatic Cord Block
Fig. 5.1 Illustrations of hand position and injection location Complications 1. Ecchymosis and hematoma—maintain pressure on the injected region to minimize. 2. Incomplete anesthesia —repeat block. Careful not to…
Current Theories for Development of Irritable Bowel Syndrome
Fig. 1.1 Correlation between intestinal permeability, low-grade inflammation, and visceral hypersensitivity—factors involved in IBS etiopathology The probability of IBS development is higher among those individuals with a biological relative with IBS….
IBS Patient’s Guide
Gas-producing food with high fiber content Less gas-producing food with high fiber content Vegetable Fruit Vegetable Fruit Broccoli Apple Apricot Carrots Brussels sprout Grape Pineapple Corn Cauliflower Banana Berries Green…
