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Sexual health 

Sexual health
Sexual health

John Reynard

, Simon F Brewster

, Suzanne Biers

, and Naomi Laura Neal

Page of

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date: 27 February 2021

This andrology chapter covers the physiology of erection and ejaculation and expands on the evaluation and treatment of erectile dysfunction (ED), including the use of drugs (phosphodiesterase type-5 inhibitors or PDE-5I), intracavernosal injections, and insertion of penile prosthesis. The evaluation and treatment of Peyronie’s disease with Nesbitt or Lue procedure are explained. Ejaculatory dysfunction is covered, including the topics of retrograde, premature, delayed and absent ejaculation, and anorgasmia. The topical subjects of late-onset hypogonadism (LOH) and general male hypogonadism are examined in detail, with a clear description of testosterone replacement therapy. Gonococcal and non-gonococcal urethritis evaluation is laid out with current treatment guidelines.

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