No-Scalpel Vasectomy

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Biothesiometry

Jun 30, 2017 by in UROLOGY Comments Off on 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….

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Intracavernosal Injection Training

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Intraurethral Alprostadil Training

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Focused Genital Exam

Jun 30, 2017 by in UROLOGY Comments Off on 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)…

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Vacuum Erection Device Training

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Intramuscular Testosterone Training

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Penile Traction Device Training

Jun 30, 2017 by in UROLOGY Comments Off on 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,…

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Nonsurgical Sperm Retrieval

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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