SMSNA 2016 Take Home Messages Erectile Dysfunction

31 Pages·2016·0.85 MB·English

by  Sue Jenks

SMSNA 2016
Take Home Messages
Erectile Dysfunction
Martin S. Gross, MD

ED Abstracts
• Approximately 71 total abstracts
• Hundreds of authors, dozens of
locations
• Wealth of information available
Everyday ED Management
• Causes of ED
• Oral and alternative medications
• Penile duplex Doppler US
• Intracavernosal Injection therapy
Everyday ED Management
• Inflatable prosthesis placement
• Post-op complications
• Revision, removal and replacement
Causes of ED
• Clinical Characteristics of Young
Men with Erectile Dysfunction
• Common clinical and pathologic characteristics of
men under 30
• Retrospective chart review of DDU patients
• January 2014 to November 2015
Avant, R1; Ziegelmann, M1; Savage, J1; Trost, L1
1: Mayo Clinic, USA
Causes of ED
• Median Age – 23 (19.3-26.5)
• Median BMI – 25 (22-26)
• Median IIEF – 7 (6-21)
• Median T – 474 (417-583)
• 15% of patients with venous leak
• Conclusion – Majority have normal lab and
DDU findings, a distinct disease process
exists
Avant, R1; Ziegelmann, M1; Savage, J1; Trost, L1
1: Mayo Clinic, USA
Causes of ED
• Cardiology Referrals, Cardiac Risk
Stratification and Cardiac Catheterizations
Procedures Generated From A High Volume
Erectile Dysfunction Practice
• Define compliance of Cardiology referrals
• Risk stratify sexual activity
• Tabulate catheterizations performed
• 3412 patients, January 2013 to December 2014
Steixner, B1
1: Jersey Urology Group, USA
Causes of ED
• Only 38.4% (1312) completed referrals
• 19.9% low, 37.6% intermediate, 17.6% high risk
for sexual activity and IPP
• 182 (13.8%) underwent cardiac cath
• Conclusion – large % have >intermediate
risk, compliance is poor
Steixner, B1
1: Jersey Urology Group, USA
Oral Medications
• Cessation of Phosphodiesterase 5 Inhibitor
Use in Men with Erectile Dysfunction
Following Testosterone Therapy
• Evaluate the rate of PDE5i discontinuation in men
with hypogonadism and ED following treatment with T
• Retrospective review of 86 men
• SHIM, IPSS, T, free T, LH, FSH, and SHBG used
Lin, JS1; Pastuszak, AW1; Ohlander, SJ2; Hakky, TS1; Lamb, DJ1; Lipshultz, LI1
1: Baylor College of Medicine, USA; 2: University of Illinois at Chicago, USA