Erectile Dysfunction Flashcards

Question

definition diabetes

Answer 1

if fasting blood glucose 7 or more | or HBA1C more than 6.5%

Answer 2

total cholesterol more than 4 | LDL cholesterol more than 2 mmol/L

Answer 3

BP more than 140/80

Answer 4

``` repeat total T measure albumin nad SHBG calculate free T LH and FSH PSA lipids FBC, LFT ```

Answer 5

0.225 nmol/l

Answer 6

``` check LH and FSH check prolactin check PSA FBC LFT Lipids ```

Answer 7

ED gynaecomastia galactorrhoea

Answer 8

PSV peak systolic velocity should be more than 30 cm /sec

Answer 9

EAU identify and treat curable causes lifestyle changes and risk factor modifications provide education to patient and partner BP tablets lose weight lipid and BP management education

Answer 10

generally 2/3 will respond | avanafil not as effective

Answer 11

``` headache 10-20% flushing 10-20% indigestion 5-10% stuffy nose 3-5% blue vision sildenafil rare backahe tadalafil 5% ```

Answer 12

sildenafil cmax 1.6 hours, half life 4 hours tadalafil cmax is 2 hours, half life 17.5 hours

Answer 13

inhibitors increase levels of PDE5i ketoconazole, protease ihibitors inducers decrease levels of PDE5i rifampicin, phenytoin, carbamazepine

Answer 14

``` taking nitrates hereditary retinal degeneration non arterior ION avoid if SBP <90 recent unstable angina ```

Answer 15

``` peptic ulcer autonomic dysfunction bleeding anatomical deformity priapism risk SCD multiple myeloma leukaemia ```

Answer 16

``` expensive lack sponaneity pain, fibrosis, priapism high drop out invasive ```

Answer 17

priapism risk SCD can use in PD but not in original trial can use with anticoagulation but not in licence

Answer 18

28G needle

Answer 19

1/3 will get burning pain in penis 1% priapism 2% fibrosis risk

Answer 20

read information 4 hour rule max 3 times a week - risk fibrosis as small a dose as possible

Answer 21

``` pass urine put pellet in urethra massage walk around constriction ring ```

Answer 22

30-50% in those not tried tablets before

Answer 23

pain 3% urethral bleeding rare can get syncope which is not effect of injections

Answer 24

1000mcg | larger dose vs injection 20 mcg

Answer 25

``` erection only to ring blue appearance, cool quality of erection pivoting discolouration bruising blocks ejaculation needs manual dexterity ```

Answer 26

``` malleable tactra from Boston 2 piece AMS Ambicor 3 piece AMS 700 Boston Coloplast Titan ```

Answer 27

``` pros easy insertion easy use low mechanical failure moudable ``` cons always rigid lower rigidity maybe higher erosion rate

Answer 28

best rigidity increase girth and maybe length best flaccidity cons mechanical failure hard to insert manual dexterity

Answer 29

``` see with partner see twice last resort irreversible expectations of erection ``` ``` GIRTH good, increased LENGTH - not as same as normal erection, will only be as long as SPL RIGIDITY - good but no engorgement SENSATION and ejaculation normal GLANS - none ```

Answer 30

perioperative injury organs structures 1/50 to 1/250 coroporal rupture ``` early haematoma infection 1-3 % in virgin case revision complex 6-10% pain - within 4-6 weeks may be subclinical infection wrong size - concord deformity 2-10% ``` ``` late mechanical failure within 10 years can result in uncontrolled self inflation 5% lasts 10-15 years erosion <5% auto inflation ```

Answer 31

1-2% vs 6-10% | complex meaning revision or fibrosis or priapism

Erectile Dysfunction Flashcards

(55 cards)