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Handbook of Male Infertility & Andrology
Naveenchandra Acharya, Sharmila Majumdar, Ramesh Ramayya
1:
Anatomy and Physiology of the Male Reproductive System
MALE REPRODUCTIVE SYSTEM
ANATOMY OF THE SPERM
HORMONAL CONSIDERATIONS
TESTICULAR ANATOMY
SEMINIFEROUS TUBULES
EPIDIDYMIS
Ejaculation
MALE ERECTILE APPARATUS
Penis
Transverse Section of the Penis
Structure of the Penis
Arterial Supply of the Penis
Erection
2:
Erectile Dysfunction
PREVALENCE
PATHOPHYSIOLOGY
CAUSES
EVALUATION
DIAGNOSIS
Patient History
Physical Examination
PRACTICAL TIPS
Psychogenic Causes
Organic Erectile Dysfunction
LABORATORY TESTS
OTHER TESTS
Nocturnal Penile Tumescence Tests
Color-Doppler Examination
Penile Arteriography
Dynamic Infusion Cavernosography and Cavernosometry
Psychosocial Examination
TREATMENT
General Conservative Measures
Psychotherapy
Drug Therapy
Vacuum Devices
3:
Intracavernosal Injection
INTRACAVERNOSAL INJECTION OF VASOACTIVE DRUGS—PRACTICAL APPROACH
DRUGS AND PATHOPHYSIOLOGY
Papaverine
Alprostadil (Prostaglandin E1)
How to Give Injection
PATHOPHYSIOLOGY
Preparation
Procedure
HOME ADMINISTERED INJECTION
PATIENT ACCEPTANCE AND DROP-OUT
SERIOUS ADVERSE EFFECTS
4:
Vacuum Erection Device
THE DEVICE
TECHNIQUE
INDICATIONS
SIDE EFFECTS
RESULTS
5:
Surgery for Erectile Dysfunction
SURGERY
TYPES OF PENILE PROSTHESIS
Choice of Three-Piece Implants
American Medical System (AMS)
Mentor Coloplast
Description of Inflatable Implant
Advantages with the Penile Implants
PENILE IMPLANT PROCEDURE
Procedure Steps
COMPLICATIONS OF PENILE IMPLANT
Infection (5–14%)
PERFORATION AND EROSION
POOR GLANS SUPPORT
MECHANICAL COMPLICATIONS
6:
Peyronie's Disease
PRESENTATION
PATHOPHYSIOLOGY
DIAGNOSIS
MEDICATIONS
Medical Treatments
Surgery
MULTIPLE TUNICA ALBUGINEA PLICATION PROCEDURE
7:
Priapism
INTRODUCTION
Low Flow
High Flow
HISTORY
CLINICAL EXAMINATION
INVESTIGATIONS
MANAGEMENT
Low Flow Variety
High Flow Variety
STUTTERING PRIAPISM
8:
Penile Fracture
PRESENTATION
CAUSES
DIAGNOSIS
TREATMENT AND PROGNOSIS
9:
Premature Ejaculation
COMPLEX PROBLEM
HOW TO DEFINE PREMATURE EJACULATION?
CAUSATIVE FACTORS
MANAGEMENT
Step by Step Approach may Help Patients Many-a-times
Drugs: Novel Drug, Dapoxetine in Premature Ejaculation
CERTAIN OTHER METHODS
10:
Male Infertility
INTRODUCTION
Oligo/astheno/teratospermia (OATs)
Anejaculation
HORMONAL EVALUATION (FSH AND TESTOSTERONE)
SEMEN CULTURE
SCROTAL ULTRASOUND AND DOPPLER
GENETIC TESTING
MANAGEMENT OPTIONS FOR OATS (NON-VARICOCELE RELATED)
INDICATIONS AND TECHNIQUES FOR CORRECTING A VARICOCELE
MICROSURGICAL VARICOCELECTOMY
LAPAROSCOPY FOR VARICOCELECTOMY
Azoospermia
ADDITIONAL INVESTIGATIONS
Hormone Analysis
Testicular Biopsy
Vasography
Transrectal Ultrasonography (TRUS)
Post-ejaculate Urine Examination
Abdominal Ultrasound
DIAGNOSIS AND MANAGEMENT
Vasoepididymal Junction Obstruction (VEJO)
Microsurgical Vasoepididymal Anastomosis
Ejaculatory Duct Obstruction
Seminal Vesiculoscopy
Vasectomy, Vasal Injury
TESTICULAR SPERM RETRIEVAL
The Modalities of Sperm Extraction
Obstructive Azoospermia
ASSISTED REPRODUCTION
11:
Vasectomy
INTRODUCTION
HISTORY
VASECTOMY IN INDIA
Indications
Risks
Myths and Misconceptions
Benefits
Procedure
Modifications
PREOPERATIVE COUNSELING
COMPLICATIONS
Postvasectomy Pain Syndrome
Postoperative Care
Vasectomy Reversal
Vasectomy Reversal Procedure
12:
New Innovations in Fields of Male Infertility
ROBOTS TO CURE MALE INFERTILITY
ROBOTIC VASECTOMY REVERSAL
13:
Andropause— Myth or Reality?
PREVALENCE
MALE MENOPAUSE IS REALITY AND CAN SERIOUSLY COMPROMISE QUALITY OF LIFE
14:
Pharmacology in Andrology
MEDICAL MANAGEMENT OVERVIEW IN ANDROLOGY
Erectile Dysfunction
INTRACAVERNOSAL INJECTION OF VASOACTIVE DRUGS (ICIVAD)
Methodology of Giving Papaverine/Bimix
Drug Therapy for Peyronie's Disease
Medical Treatments
Intralesional Therapy
Intralesional Verapamil
Intralesional Interferon-alpha-2b
Intralesional Steroids
IDIOPATHIC OLIGOSPERMIA: MANAGEMENT
SPECIFIC MEDICAL THERAPY IN OLIGOSPERMIA
Chronic Fungal Dermatitis
Chronic Filarial Epididymo-orchitis
Seminal Infections
Antisperm Antibodies
Management of Hypogonadotropic Hypogonadism
Management of Delayed Puberty
Delayed Puberty Management
Management of Prepubertal Hypogonadotropic Hypogonadism
TESTOSTERONE REPLACEMENT THERAPY FOR ANDROGENIZATION
DRUGS THERAPY IN PREMATURE EJACULATION
Local Anesthesia
Medications
Dose of the Medications
Dosage of the Testosterone and Diagnostic Evaluation
Various Types of Testosterone Replacement
Oral
Gel
Spray
Adjusting Dose Schedule
Monitoring during Testosterone Therapy
Monitor for Response
Monitor for Complications
15:
Setting up an Andrology Suite
MALE IMPOTENCE
COLOR-DOPPLER ULTRASOUND
NOCTURNAL PENILE TUMESCENCE RIGIDITY TEST
MALE INFERTILITY SET UP
SURGICAL MICROSCOPE
SPERM RETRIEVAL
ANEJACULATION
ELECTROEJACULATOR
16:
Understanding Sexual Dysfunction: An Overview
DEFINITION
REVISED CLASSIFICATION DSM-5
REVISED DIAGNOSTIC CRITERIA APPLICABLE TO ALL DIAGNOSES (TABLE 16.1)
TRADITIONAL FEMALE SEXUAL RESPONSE CYCLE (FIG. 16.1)
PROPOSED INTIMACY-BASED FEMALE SEX RESPONSE CYCLE (FIG. 16.2)
Female Sexual Dysfunction Risk Factors
Causes of Female Sexual Dysfunction
Organic Causes
Psychological/Psychosocial Causes
Diagnosis/Evaluation
Elements of a Routine Medical Assessment for Female Sexual Dysfunction
Comprehensive Sexual Assessment
BRIEF SCREENING FOR FEMALE SEXUAL DYSFUNCTION
ALGORITHM FOR ESTABLISHING A DIAGNOSIS OF FEMALE SEXUAL DYSFUNCTION
GENERAL TREATMENT GUIDELINES
Holistic Approach for Management of Female Sexual Dysfunction (Table 16.4)
Treatment of Vaginismus
REFERRAL FOR FEMALE SEXUAL DYSFUNCTION
BASIC TREATMENT STRATEGIES FOR ‘FSD’ (TABLE 16.5)
Screening
Initiate Therapy
Re-evaluation at Three to Four Months
Continued Therapy
Kegel Exercises
Potential Uses
Teaching Kegel Exercises
Maintaining Kegel Exercises
FEMALE SEXUAL DYSFUNCTION—TREATMENT OPTION ON THE HORIZON
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS DSM-5 2013
Causal Factors in Sexual Dysfunction
How Common is Sexual Dysfunction?
SEXUAL DYSFUNCTION ASSESSED IN A SURVEY
Vicious Cycle of Sexual Dysfunction
SPECIFIC TECHNIQUES
CONCLUSION
17:
Psychosexual Dysfunction: An Overview
DEFINITION
CAUSES
RISK FACTORS
Religious, Social, or Cultural Restrictions
Symptoms
Diagnosis
TREATMENT
Some Psychological Treatment Techniques of Premature Ejaculation
PREVENTION
INDEX
TOC
Index
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