International Journal of Impotence Research最新文献

Hard-flaccid syndrome: a report of two cases.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-08 DOI: 10.1038/s41443-025-01058-x

Karl H Pang, Jiarong Feng, Yan Zhang

引用次数: 0

A review of the changing landscape of vasectomy trends in the United States in the post-dobbs era.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-04 DOI: 10.1038/s41443-025-01053-2

Brittany D Berk, Raevti Bole, Scott D Lundy, Sarah C Vij

{"title":"A review of the changing landscape of vasectomy trends in the United States in the post-dobbs era.","authors":"Brittany D Berk, Raevti Bole, Scott D Lundy, Sarah C Vij","doi":"10.1038/s41443-025-01053-2","DOIUrl":"https://doi.org/10.1038/s41443-025-01053-2","url":null,"abstract":"The United States (U.S.) Supreme Court declared abortion unconstitutional in June 2022 in the Dobbs v. Women's Health Organization hearing. This decision sent shockwaves through the political and medical community. While the immediate impact on female reproductive rights was readily apparent, male counterparts also sought to assert their reproductive autonomy as evidenced by the rapid rise in vasectomy interest across the country. In the months following the decision, rates of vasectomy interest, as measured by Google Search Trends, and vasectomy procedure rates were noted to be increasing across the country. This review aims to summarize the current literature surrounding vasectomy trends following the Dobbs decision, with particular focus on the impact on vasectomy trends in various geographic regions and across different age groups and marital status. To date, five studies have been published exploring increasing public interest in vasectomy, as measured by internet search trends, five studies have been published exploring trends in vasectomy consultation post-Dobbs, including three primary single-center studies, and one study has been published regarding social media themes surrounding vasectomy in the U.S. These data highlight the impact of the decisions regarding female reproductive rights on the healthcare decisions by males in this country, placing vasectomists at the heart of the discussion.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Synchronous management of urethral stricture disease and penile prosthesis implantation: a case series. 尿道狭窄症和阴茎假体植入术的同步治疗：一个病例系列。

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-03 DOI: 10.1038/s41443-025-01049-y

Ankith P Maremanda, William Du Comb, Mark Alshak, Harjit Singh Nalwa, Corey Able, Arthur L Burnett

{"title":"Synchronous management of urethral stricture disease and penile prosthesis implantation: a case series.","authors":"Ankith P Maremanda, William Du Comb, Mark Alshak, Harjit Singh Nalwa, Corey Able, Arthur L Burnett","doi":"10.1038/s41443-025-01049-y","DOIUrl":"https://doi.org/10.1038/s41443-025-01049-y","url":null,"abstract":"There is currently limited data to describe managing a urethral stricture identified while attempting penile prosthesis placement. This study reports our management of urethral strictures during penile prosthesis placement and proposes a guideline for this event. A retrospective analysis was performed on patients who underwent penile prosthesis implantation and had incidentally found urethral stricture disease from 2009 to 2023. Cases that proceeded to the placement of penile implant were classified as \"completed,\" while cases that could not proceed were classified as \"aborted.\" Successful management was defined as the absence of complications requiring explantation within 90 days of the procedure. Twenty-four cases were identified. Of these twenty-four patients, eighteen had completed procedures, while six had their procedures aborted. Within 90 days after the procedure, one patient presented with urinary retention. No patients had penile prosthesis infections within 90 days. Of the six \"aborted\" patients, five had strictures greater than 2 cm in length with urethral lumens between 8-10F. One patient had an obliterated urethra; three patients underwent urethroplasty; one patient underwent urethral dilation and suprapubic tube placement; and two patients underwent a direct vision internal urethrotomy. This retrospective study surrounding synchronous penile prosthesis implantation and urethral stricture disease management yielded high success and low complication rates.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to Comment on: Comparative outcomes of partial versus total penectomy for penile carcinoma: a retrospective cohort study on demographics and postoperative complications.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-02 DOI: 10.1038/s41443-025-01038-1

Senthooran Kalidoss, David Velasquez, Allison Liu, Omer Raheem

引用次数: 0

Comparative outcomes of intralesional collagenase injection for Peyronie's disease: acute vs. stable phase treatment.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-01 DOI: 10.1038/s41443-025-01055-0

Manish Kuchakulla, Hriday P Bhambhvani, Gal Wald, Spyridon P Basourakos, Patrick J Lewicki, Jonathan Gal, James Kashanian

{"title":"Comparative outcomes of intralesional collagenase injection for Peyronie's disease: acute vs. stable phase treatment.","authors":"Manish Kuchakulla, Hriday P Bhambhvani, Gal Wald, Spyridon P Basourakos, Patrick J Lewicki, Jonathan Gal, James Kashanian","doi":"10.1038/s41443-025-01055-0","DOIUrl":"https://doi.org/10.1038/s41443-025-01055-0","url":null,"abstract":"Collagenase clostridium histolyticum (CCH) was FDA-approved for treating Peyronie's Disease (PD), demonstrating significant curvature improvement in patients during the stable phase of disease. In this retrospective cohort study, we aimed to assess the safety and effectiveness of intralesional CCH injections during the acute phase of PD. We retrospectively evaluated all men who received intralesional CCH for PD at a single academic institution between July 2017 and January 2023, focusing on patient demographics, comorbidities, pre- and post-treatment curvature, and adverse events. Patients in the acute phase had symptoms for ≤ 12 months with penile pain and/or curvature changes. A total of 100 patients treated with intralesional CCH injections for PD were included. Percent change in penile curvature was not significantly different between acute and stable phases (37.02 vs. 34.01%, p = 0.57). A total of 55 patients (76.39%) in the stable phase and 23 patients (82.14%) in the acute phase showed improvement in curvature, with no significant differences in curvature outcomes or adverse events between the two groups. This study contributes to the growing evidence that intralesional CCH treatment during the acute phase of PD is safe and effective.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Patients' perspectives on informational needs surrounding gender-affirming vaginoplasty.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-01 DOI: 10.1038/s41443-025-01027-4

Alexandra Millman, Armin Gabela, Luca Morgantini, Omer Acar, Ervin Kocjancic

引用次数: 0

A novel circumcision technique for adult phimosis combining three techniques: a retrospective comparative study. 结合三种技术的成人包皮过长新型包皮环切术：一项回顾性比较研究。

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-04-01 DOI: 10.1038/s41443-025-01057-y

Dong Wang, Yingjie Li, Xuebin Zhang, Su Yan, Yushi Zhang

{"title":"A novel circumcision technique for adult phimosis combining three techniques: a retrospective comparative study.","authors":"Dong Wang, Yingjie Li, Xuebin Zhang, Su Yan, Yushi Zhang","doi":"10.1038/s41443-025-01057-y","DOIUrl":"10.1038/s41443-025-01057-y","url":null,"abstract":"We presented a novel circumcision technique for adult phimosis that combines the advantages of three circumcision methods-dorsal slit, guillotine, and sleeve (DGS)-while modifying technical details, referred to as the modified DGS technique. This retrospective comparative trial enrolled 483 adult males with phimosis undergoing circumcision between March 1, 2018 and March 1, 2024 at our hospital. The patients were divided into the modified DGS technique group (n = 151) and control (dorsal slit technique) group (n = 332) according to their preferences. Postoperative complications, surgical duration, and satisfaction with penile appearance were compared. The overall complication rate was 2.6% in the modified DGS group and 11.1% in the control group (p = 0.0019). The mean surgical duration was 36.8 ± 11.5 min for the modified DGS group and 35.2 ± 8.9 min for the control group (p = 0.0964). The modified DGS group exhibited a significantly lower dissatisfaction rate regarding overall penile appearance compared to the control group (2.6% versus 18.1%, p < 0.0001) as assessed by the postoperative follow-up questionnaire. The modified DGS technique, compared with the dorsal slit approach, can be used for phimosis with a similar surgical duration. It demonstrates fewer complications and better cosmetic outcomes.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-vasectomy semen analysis: what is the best protocol?

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-03-29 DOI: 10.1038/s41443-025-01052-3

Ellen M Cahill, Maximilian J Rabil, Katherine Rotker, Stanton C Honig

{"title":"Post-vasectomy semen analysis: what is the best protocol?","authors":"Ellen M Cahill, Maximilian J Rabil, Katherine Rotker, Stanton C Honig","doi":"10.1038/s41443-025-01052-3","DOIUrl":"https://doi.org/10.1038/s41443-025-01052-3","url":null,"abstract":"Vasectomy is a safe, quick, and highly effective form of permanent sterilization. However, vasectomy does not render patients sterile immediately, and they must continue to use alternate forms of contraception until cleared by a post-vasectomy semen analysis (PVSA). Historically, the criteria for post-vasectomy clearance have varied widely amongst providers, with most physicians requiring azoospermia in order to consider vasectomy a success. The 2012 American Urological Association (AUA) guidelines expanded the definition of post-vasectomy clearance to include ≤100,000 non-motile sperm (NMS). This has decreased the need for subsequent semen analyses and increased initial clearance rates. Despite this, patient compliance with PVSA has been poor, which has led to research focused on factors associated with compliance and interventions to enhance PVSA completion. There are many factors that affect patient compliance. Mail-in and at-home PVSA have the potential to increase compliance due to inherent convenience and less patient embarrassment. While no currently at-home test fulfills the AUA guidelines on post-vasectomy clearance, mail-in testing can be utilized to clear patients on the basis of azoospermia alone. Future research should focus on continued strategies to enhance PVSA compliance as well as explore patient preferences and alternative options.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical illustrative review of the treatment of ischaemic priapism.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-03-29 DOI: 10.1038/s41443-025-01054-1

Margaret Gannon, Aaron Krug, Mohamed Emadelin, Stephanie Washington, Michael Tawfik, Allison Liu, Basil Zakkar, Allen Morey, Omer Raheem

引用次数: 0

Squamous cell carcinoma of the neovagina following transgender woman gender-affirming vaginoplasty: a case report and systematic review.

IF 2.8 3区医学

International Journal of Impotence Research Pub Date : 2025-03-29 DOI: 10.1038/s41443-025-01048-z

Karl H Pang, Varun Sadhev, Aiman Haider, Hussain M Alnajjar, Rowland Rees, Asif Muneer

{"title":"Squamous cell carcinoma of the neovagina following transgender woman gender-affirming vaginoplasty: a case report and systematic review.","authors":"Karl H Pang, Varun Sadhev, Aiman Haider, Hussain M Alnajjar, Rowland Rees, Asif Muneer","doi":"10.1038/s41443-025-01048-z","DOIUrl":"https://doi.org/10.1038/s41443-025-01048-z","url":null,"abstract":"Gender-affirming vaginoplasty is performed for transwomen desiring surgical alignment of their genitalia with their perceived gender. The commonest technique performed for vaginoplasty is penile skin inversion, which utilises penile and scrotal skin to construct a neovagina and vulva. An uncommon risk is squamous cell carcinoma of the neovagina. A systematic review was performed, which identified 9 cases of neovaginal squamous cell carcinoma following gender-affirming vaginoplasty for transgender women. In addition, the authors also presented a case of their own and their experience of managing such case. Squamous cell carcinoma may present at least 8 years following the initial vaginoplasty, and presenting symptoms include neovaginal bleeding, discharge, pain, urinary or bowel symptoms. Treatment depends on the stage of disease and include radical surgery, neoadjuvant, adjuvant or palliative chemoradiotherapy. Due to the rarity of neovaginal squamous cell carcinoma, it is important that clinicians are familiar with the anatomy and clinical examination of individuals who have had gender-affirming vaginoplasty. In addition, such cases should ideally be managed at an expert centre in a multidisciplinary setting. As squamous cell carcinoma can present decades following vaginoplasty, sexual health education is important as well as long-term sexual transmitted infection and cancer screening.","PeriodicalId":14068,"journal":{"name":"International Journal of Impotence Research","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0