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Stripping versus ligation of vas deferens in microscopic denervation of spermatic cord in men with chronic orchialgia: A multicenter study.
Andrology
April 2024
Department of Urology, University of California Irvine, Orange, California, USA.
Background: Microdenervation of the spermatic cord (MSCD) is an effective treatment modality for men with intractable scrotal content pain. For patients not interested in preserving fertility, some centers advocate ligation of the vas during denervation, while others prefer stripping of the vas deferens to preserve the vasal artery, hence preserving vasculature to the testis and possibly decreasing post-operative congestion pain.
Objective: To compare outcomes of patients with chronic orchialgia, who underwent MSCD by either stripping or ligating the vas deferens.
The relationship between hematologic malignancies on male hypogonadism: a scoping review.
Sex Med Rev
June 2024
Department of Urology, University of California, Irvine, Irvine 92697, CA, United States.
Introduction: The associated symptoms of hypogonadism have been reported in patients with various types of cancer. However, the prevalence and significance of hypogonadism among certain hematologic malignancies have not been completely summarized in recent literature.
Objective: In this review we aimed to examine the current literature on hypogonadism in patients with hematologic malignancies, with emphasis on leukemias, lymphomas, and multiple myeloma (MM).
Sleep-related painful erections: a survey-based analysis of patient-reported experiences with diagnosis and management.
Int J Impot Res
January 2024
Department of Surgery, Section of Urology, University of Manitoba, Winnipeg, MB, Canada.
Sleep-related painful erection (SRPE) is a condition characterized by painful nocturnal erections and frequent nighttime awakenings; however, the pathophysiology is not well understood and existing literature consists mainly of case reports. We aimed to investigate the causes, treatments, and impact on quality of life among individuals affected by SRPE. An e-questionnaire comprising of 30 items was administered to a group of men with SRPE identified through social media in October of 2021.
View Article and Find Full Text PDFCurrent opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?
Int J Impot Res
February 2024
Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons' experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received.
View Article and Find Full Text PDFPeyronie's disease response to intralesional collagenase clostridium histolyticum therapy is independent of baseline testosterone.
Andrology
May 2024
Irvine Department of Urology, University of California, Irvine, California, USA.
Background: Testosterone plays an important role in collagen metabolism, transforming growth factor-β1 expression, and wound healing, which are all critical factors in pathogenesis of Peyronie's disease. Some clinical studies have suggested an association between Peyronie's disease and hypogonadism.
Objective: We sought to investigate whether baseline total testosterone levels influence response to intralesional collagenase clostridium histolyticum in Peyronie's disease.
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