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Urogenital System > Male Sexual Dysfunction > Flashcards

Male Sexual Dysfunction Flashcards

1
Q

What are the 7 stages of changes in Male Sex organ during intercourse

A

Libido
Arousal
Penile Tumescence
Copulation
Ejaculation
Orgasm
Détumescence

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2
Q

List 3 disorders associated with Erection

A

Erectile Dysfunction
Priapism
Erectile deformity

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3
Q

List 3 disorders associated with Ejaculation

A

-Premature, delayed or retrograde ejaculation
-anorgasmia
- anejaculation

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4
Q

What are two main causes of hypo active sexual disorder

A

Psychogenic
Low Testosterone

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5
Q

What could be elicited from a medical history that could cue the physician to the cause of hypoactive sexual disorder

A

Symptoms of endocrine disorder

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6
Q

At what age do male testosterone levels peak?

A

20years (900ng/dL)

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7
Q

What does the ADAM stand for in the ADAM Questionnaire

A

Androgen deprivation in the aging male

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8
Q

What qualifies a positive result on the ADAM Questionnaire

A

An affirmative response to Q1 (Do you have decreased libido)

Q7 (Are your erections less strong)

Or 3 of any other questions is a positive result

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9
Q

How do you evaluate the suspected hypogonadal patient?

A

Early Morning Total Testosterone
(<12.1 nMol/L or 348.3 ng/dl)

Repeat T levels & Leutinizing Hormone levels

( LH stimulâtes the testes to form testosterone)

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10
Q

What are the normal testosterone values

A

300-1000 ng/dL (348.3 ng/dl)
10-15 nMol/ L (12.1 nMol/L)

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11
Q

List 5 testosterone treatment options

A

Nebido (IM)
Testosterone implant
Depo- Testosterone
Androderm
AndroGel

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12
Q

Based on the IIEF-5 Questionnaire (International Index of Erectile Dysfunction- 5) state what each score represents

A

1-7: severe Erectile dysfunction
8-11: moderate Erectile dysfunction
12-16: mild-mod Erectile dysfunction
17-21: mild Erectile Dysfunction
22-25: No Erectile Dysfunction

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13
Q

What are the 7 main causes of Erectile Dysfunction

A

Vasculogenic
Neurogenic
Structural Abnormality
Drug Induced
Hormone related
Psychogenic
Trauma related

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14
Q

List some vasculogenic causes of Erectile Dysfunction

A

Cardiovascular Disease
Hyperlipidemia
Smoking
DM

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15
Q

List some neurogenic causes of Erectile Dysfunction

A

Central: degenerative disorders, spinal cord trauma, stroke, CNS tumour

Peripheral: DM 1/DM 2, polyneuropathy, chronic renal failure, surgery

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16
Q

List 3 anatomical/structural causes of Erectile dysfunction

A

Hypospadias, Micropenis, Peyronie’s disease

(Peyronie’s disease is a disorder in which scar link tissue, called plaque, forms under the skin of the penis)

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17
Q

List some hormonal causes of Erectile Dysfunction

A

Hypogonadism
Hyperprolactinaemia
Hyper/hypothyroidism
Hyper/hypocortisolism (Cushing’s )

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18
Q

List some drugs that may cause Erectile dysfunction

A

Antihypertensives(thiazide diuretics)
Antidepressants (selective serotonin re-uptake inhibitors)
Antipsychotics
Antiandrogens
Recreational Drugs

19
Q

List 8 risk factors for Erectile Dysfunction

A
  • Age
  • Obesity
  • Smoking
  • sedentary lifestyle
  • hypertension
  • Diabetes
  • hyperlipidemia
  • Depression
20
Q

Based on the Prostate Cancer Prevention Trial

Men with Erectile Dysfunction are how much more likely to experience cardiac event after 5yrs, than men without

A

45% more likely

21
Q

Based on the Olmstead County Study:

Erectile Dysfunction was associated with what percentage higher risk of subsequent coronary artery disease at 10yrs

A

80% higher risk

22
Q

What is used to assess patients or the population for early detection of Erectile Dysfunction?

A

Risk factor identification
Screening high risk populations
Diagnostic questionnaires

23
Q

What laboratory tests are done when investigating Erectile Dysfunction

A

Fasting glucose
Lipid profile
Urinalysis
CBC
TSH
Serum Testosterone

24
Q

Hat is the first line therapy for Erectile Dysfunction Management

A

PDE-5 inhibitors
(viagra)

25
Q

Second line therapy for Erectile Dysfunction

A

Vacuum Erection Device
Intraurethral Pharmacotherapy

26
Q

What is the third line of therapy for erectile dysfunction

A

Surgical prosthesis

27
Q

List some side effects of PDE Inhibitors

A

Headaches
Flushing
Dyspepsia
Nasal Congestion
Visual Disturbances

28
Q

What are the contraindications of PDE-5 inhibitors

A

Nitrate therapy
Alpha blocker

29
Q

List 2 side effects of vacuum constriction devices for treating Erectile Dysfunction

A

Genital Ecchymosis
Penile “pivoting”

30
Q

List one contraindication for Vacuum constriction devices

A

Sickle Cell Disease

31
Q

What is the mechanism of action of Alpostadil? (Intraurethral Pharmacotherapy)

A

Induces corporal smooth muscle relaxant effects

32
Q

List some side effects of Intraurethral Pharmacotherapy (Alprostadil)

A

Local pain
Urethral Bleeding
Dizziness
Hypotension

33
Q

List one contraindication for Alprostadil

A

Priapism

34
Q

What is the dosage of Alprostadil that is administered

A

5-10ug/ml

35
Q

List some indications of Penile Prosthesis Surgery

A
  • Major Penile Injury or Deformity
  • Medical therapy contraindicated or unsuccessful
36
Q

What are the indications for arterial revascularisation

A

Age <55
Non-smoker
Non-diabetic
No venous leakage
Radiographie confirmation of stenosis of internal pudendal artery

37
Q

Pre mature Ejaculation can be

A

Lifelong (Primary)
Acquired (Secondary)

Transient
Chronic

38
Q

Define Premature Ejaculation

A

A male sexual dysfunction that is typified by ejaculation that always or nearly always occurs prior to or within 1 min of vaginal penetration

39
Q

What is the prevalence of premature ejaculation in the USA

A

21%

40
Q

List 7 causes of premature ejaculation

A

Idiopathic
Psychological
Spinal Cord Injury
Inflammation
Medications
Anxiety
Associated Erectile Dysfunction

41
Q

List four oral therapy option for treatment of premature ejaculation

A

Clomipramine
Fluoxetine
Paroxetine
Sertraline

42
Q

What is the mechanism of Clomipramine

A
43
Q

What is the mechanism of Fluoxetine, Paroxetine, Sertraline

A

Selective Serotonin Reuptake Inhibitor

44
Q

List one topical therapy for treatment of Premature Ejaculation

A

Lidocaine/Prilocaine

Urogenital System (17 decks)

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