Penile Duplex Doppler Ultrasonography

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Intralesional Verapamil

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

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Intralesional Collagenase Injection

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Penile Deformity Assessment

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Penile Block

Jun 30, 2017 by in UROLOGY Comments Off on 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…

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Subcutaneous Testosterone Pellet Insertion

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

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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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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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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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