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Science/Engineering Male Sexual Function: A Guide to Clinical Management
Posted on 2010-03-15
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More John J., Ed. Mulcahy, "Male Sexual Function: A Guide to Clinical Management " The bulk of the book will be of interest primarily to urologists. There are chapters on penile implants and complications of penile-implant surgery, Peyronie's disease and its treatment, use of nerve-sparing surgical techniques to prevent erectile dysfunction after radical prostatectomy, and the management of priapism. The contributing authors are distinguished urologists at the forefront of research on the treatment of erectile dysfunction. But urologists may not remain at the forefront; on page 217, we learn that "the majority of [sildenafil] prescriptions have been written by primary care physicians (55-60%), non-urology specialists (21-25%), particularly cardiologists, and urologists (20-24%)." Only the chapter by Bancroft and Janssen, "Psychogenic Erectile Dysfunction in the Era of Effective Pharmacotherapy," acknowledges this change. Today, erectile dysfunction is a medically manageable problem. It is likely that the urologist's surgical skills will be needed only to help those men who have no response to medical treatment. Richard F. Spark, M.D.
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