Model Definition and problems Professional model Disclosure and discussion based on what other physicians would disclose in similar circumstances Problem: Promotes generalizations and diminishes importance of individual patient values and…
Preoperative considerations Patient history and physical exam • Thorough assessment of tolerance of abdominal insufflation/Trendelenberg positioning – Smoking history, exercise tolerance, obesity – Cardiopulmonary/renal disease – Increased ICP – Hypovolemic state • Abdominal survey for scars,…
Fig. 8.1 Sagittal cadaveric dissection demonstrating the relationship of the coccygeus-sacrospinous ligament (C-SSL) to the sacral nerve roots and pudendal nerve (PN). Important vascular structures include the internal pudendal artery…
Time General Specific Reoperation Perioperative Acute bleeding Hematoma drainage Transfusion Organ injury Repair organ injury Pneumonia, atelectasis Ileus Arrhythmia, MI, CVA, PE, DVT, death Postoperative <30 days MI, CVA, PE,…
Complication Prevention Bleeding Dissection in correct plane Avoid retropubic space Ureteral injury Cystoscopy with assessment of ureteral patency Bladder injury Proper dissection SUI Preoperative assessment Bladder outlet obstruction Preoperative assessment…
Fig. 5.1 The Princeton Consenus Recommendations for the management of erectile dysfunction and cardiovascular and cardiovascular disease (DeBusk et al. (2000), Kostis et al. (2005), Nehra et al. (2012); Source:…
Absolute contraindications Severe diastolic hypertension Thrombophlebitis or thromboembolic disease Severe hepatic dysfunction Cerebrovascular disease Relative contraindications Heavy cigarette consumption Family history of breast cancer Hyperprolactinaemia Marked obesity (WHR 0.95) Table…
Fig. 3.1 The final result of a metoidioplasty. (a) The neourethra is advanced up to the tip of the clitoris’ glans. (b) The scrotum is created with the use of…
Fig. 8.1 Symptoms of decreasing T levels (Zitzmann et al. 2006) Table 8.1 Prevalence of hypogonadism in screening of American population Age <40 years 40–50 years 50–70 years >70 years…
Priapism subtype Cause Symptoms Blood gas Treatment Ischaemic (low flow) SCD Painful full erection longer than 4 h PO2 <30 mmHg Blood aspiration Malignancies PACO2 >60 mmHg ICI of sympathomimetic…
