Sexual problems - male

Question 1

What is Pegronie’s disease?

Answer 1

formation of scar tissue in form of fibrous plaque inside tunica albicans of penis resulting in bent, erect penis = pain in erectile dysfunction

Question 2

What can cause Pegronie’s disease?

Answer 2

trauma

genetic predisposition

Question 3

How do you treat Peyronie’s disease?

Answer 3

pentoxifylline
verapamil or collagenase injection
tissue graft, removal or prosthesis as last resort

Mild - don’t treat

Question 4

What is hypospadius?

Answer 4

Congenital disorder where urinary opening of urethral is not in normal place at head of the penis

Question 5

How do you treat hypospadius?

Answer 5

surgery in childhood

Question 6

What is anejaculation?

Answer 6

Inability to ejaculate semen despite stimaulation of penis

Question 7

What are the different categories ofanejaculation?

Answer 7

situation or total

total - aneorgasmic, orgasmic

Question 8

Name 3 causes of anejaculation

Answer 8

spinal cord injury 
hormonal therapy for prostate cancer 
MS 
low serum testosterone 
post pelvic surgery
psychotrophic medications

Question 9

Name some causes of ejectile dysfunction

Answer 9

chronic medical conditions
hormonal disorders
latrogenic
age-related

Question 10

Name treatments of erectile dysfunction

Answer 10

Viagra
injectable or intraurethral alprostad
mechanical treatment e.g. vacuum, kegel

Question 11

How would you treat male hypoactive sexual desire disorder?

Answer 11

psychosexual therapy 
CBT
psychodynamic 
systemic 
testosterone replacement - repeat tests first, test TSA first

Question 12

Name 3 causes of rapid ejaculation

Answer 12

genetic susceptibility
hyperthyroid
comorbid sexual problems
prostatis

Question 13

Name 3 treatments of rapid ejaculation

Answer 13

local topical anaesthetic - stud 100
dapoxetine
therapy
Behavioural interventions - Kegel exercises, stop-and-start technique, squeeze

Question 14

Name 3 causes of retrograde ejaculation

Answer 14

prostate or bladder neck surgery 
SSRIs 
alpha blockers 
Diabetes 
MS 
PD
spinal cord injury

Question 15

When could you treat retrograde ejactulation?

Answer 15

To aid fertility

Question 16

How could you treat retrograde ejaculation?

Answer 16

e.g. ephedrine - keep external and internal sphincters closed during ejaculation but increased BP and HR

Question 17

How do you test for retrograde ejaculation?

Answer 17

urine dip for spermatozoa and fructose

Question 18

Name 3 causes for delayed ejaculation

Answer 18

congenital 
trauma
surgery 
depression 
age 
infectious disease

Question 19

Name tests delayed ejaculation

Answer 19

physical

bloods - PSA, BM, B12, folate, tetstosterone, FBC

Question 20

Name treatment for delayed ejaculation

Answer 20

personal sexual therapy
Kegel
vibration/superstimulation

Question 21

What is aspermia?

Answer 21

lack of semen with ejaculate

Question 22

Name 3 causes of aspermia?

Answer 22

prostate or bladder surgery
retrograde ejaculation
androgen deficiency
MS, PD, DM, STI, UTI