Male Sexual Dysfunction: A Clinical Guide

Sexual dysfunction affects men of all ages and incidence rates are expected to double by 2025 resulting in a major health burden. Though normal sexual function is an important aspect of health and well-being, sadly, this common condition still carries an associated stigma. As a result, affected men are often reluctant to approach their doctor and, instead, may live for many years with sexual dysfunction, often to the detriment of their personal lives.

Male Sexual Dysfunction: A Clinical Guide covers all the common problems encountered by the clinician in this rapidly expanding and developing field. With full color throughout, this easy to read guide provides a comprehensive and systematic approach to patient management. Packed with key features, every chapter will contain flow diagrams and algorithms, key points, clinical pearls, “what to avoid” boxes, and numerous tables, graphs and photographs . This book provides:

• Comprehensive focus on the core clinical areas of physiology/pharmacology, investigation, diagnosis, management and surgical options
• Coverage of all treatment pathways, including psychological, pharmacologic and surgical
• A straightforward, logical approach to clinical management
• An experienced and international editor and contributor team

Expertly-written, this book is the perfect resource for urologists and general practitioners with an interest in this highly topical area, as well as those about to undergo their urology trainee examinations.

Table of Contents

List of contributors, vii

Foreword, x

1 Epidemiology of male sexual dysfunction 1
Raanan Tal

2 Physiology of ejaculation 8
Marcel D. Waldinger

3 Physiology of penile erection 14
Uwais B. Zaid, Xiaoyu Zhang, and Tom F. Lue

4 Anatomy of penile erection 22
Lindsay Yuh and Alan Shindel

5 Endocrinology of male sexual dysfunction 30
Salim Janmohamed and Pierre‐Marc G. Bouloux

6 Pharmacology of drugs used for the treatment of erectile dysfunction 48
Ian Eardley

7 Pharmacology of drugs used in premature ejaculation 56
Michael Grant Wyllie

8 Cardiovascular risk and erectile dysfunction 62
Graham Jackson

9 The evaluation of the patient with erectile dysfunction 69
Geoffrey Hackett

10 Endocrinological investigation of men with erectile dysfunction 79
Giovanni Corona, Linda Vignozzi, and Mario Maggi

11 Duplex ultrasonography and its role in the assessment of male sexual dysfunction 91
Conrad von Stempel and Miles Walkden

12 MRI in men with sexual dysfunction 102
Alex Kirkham

13 The metabolic syndrome and ED 109
Mark Paulos and Martin Miner

14 Psychological assessment of patients with ED 120
Catherine Benedict and Christian J. Nelson

15 Nocturnal penile tumescence study 129
Chi‐Ying Li, Stephen Larsen, and Tet Yap

16 Psychosexual therapy for male sexual dysfunction 133
Angela Gregory

17 Treatment of premature ejaculation and ejaculatory disorders 143
Michael Kirby

18 Erectile dysfunction and infertility 152
Vikram Soni, Alexander W. Pastuszak, and Mohit Khera

19 Drug therapy for erectile dysfunction 172
Francisco J. Garcia, Eric Chung, and Gerald Brock

20 Priapism 194
Varun Sahdev, David Ralph, and Asif Muneer

21 Management of erectile dysfunction after pelvic surgery 203
Kelly A. Chiles and John P. Mulhall

22 Management of erectile dysfunction in men with diabetes 210
Marc Lucky, Suks Minhas, and Jas Kalsi

23 Management of erectile dysfunction in neurological patients 220
Katarina Ivana Tudor and Jalesh N. Panicker

24 Non‐surgical therapy for Peyronie’s disease 229
Rowland Rees and Victoria Dawson

25 Micropenis and penile dysmorphobia: diagnosis, management, outcomes, and future developments in the field 236
Oliver Kayes, Lizzie Chandra, and Andrew Yates

26 Surgical treatment of Peyronie’s disease 246
Ates Kadioglu and Emre Salabas

27 Penile implant surgery 258
Patrick Selph and Culley Carson

28 Vascular surgery for erectile dysfunction 270
Ronny B.W. Tan and Wayne J.G. Hellstrom

29 Penile cancer 276
Majid Shabbir and Paul K. Hegarty

30 Penile reconstruction and trauma 283
C.J. Shukla and Suks Minhas

31 Disorders of sex development 294
Dan Wood

32 Sexual dysfunction and prostate cancer therapy 302
Ashley Ridout, Mark Emberton, and Caroline Moore

33 Assessment and management of the male to female transgender patient 314
Tina G. Rashid, Phillip Thomas, and James Bellringer

Index 323