Erectile dysfunction, Hypospadius

Question 1

What is erectile dysfunction?

Answer 1

Persistent inability to attain + maintain an erection sufficient for sexual intercourse

Question 2

Causes of erectile dysfunction

Answer 2

Vasculogenic (HTN, CVD, DM)
Neurogenic (MS, Parkinsons)
Anatomical (Peyronie’s disease, hypospadius)
Hormonal (hypogonadism, thyroid issues, Cushings)
Psychogenic (depression)
Drugs (antihypertensive, antidepressants + APs)

Question 3

RF for erectile dysfunction

Answer 3

Obesity, DM, dyslipidemia, metabolic syndrome, HTN, endothelial dysfunction, lack of exercise, smoking

Question 4

What is associated with erectile dysfunction?

Answer 4

CVD

Question 5

Management of erectile dysfunction

Answer 5

Lifestyle measures

PDE-5 inhibitors (sildenafil)

Question 6

Pathology of hyposadias

Answer 6

Congenital anomaly or male urethra - ventral placement of urethral opening
Causes abnormal foreskin development + penile curvature

Question 7

Workup for pts at risk of disorders of sexual development

Answer 7

Pelvic US, karyotype + serum electrolytes

Question 8

What other features may indicate a pt is at risk of disorder of sexual development?

Answer 8

Cryptochordism

Hypospadias

Question 9

Management of hypospadias

Answer 9

Surgery

No surgery if pt has forme fruste (incomplete hypospadias) that doesn’t affect voiding or sexual dysfunction