Focused Genital Exam
The patient’s medical history can often lead to a diagnosis before an examination or other testing has been performed. In patients with multiple sexual complaints, a thorough history is even more important to identify the chronology of the development of
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John P. Mulhall Lawrence C. Jenkins Editors
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Atlas of Office Based Andrology Procedures
John P. Mulhall • Lawrence C. Jenkins Editors
Atlas of Office Based Andrology Procedures
Editors John P. Mulhall, MD, MSc, FECSM, FACS Director, Sexual & Reproductive Medicine Program Section of Urology Department of Surgery Memorial Sloan Kettering Cancer Center New York, NY, USA
Lawrence C. Jenkins, MD, MBA Fellow, Sexual & Reproductive Medicine Program Section of Urology Department of Surgery Memorial Sloan Kettering Cancer Center New York, NY, USA
ISBN 978-3-319-42176-6 ISBN 978-3-319-42178-0 DOI 10.1007/978-3-319-42178-0
(eBook)
Library of Congress Control Number: 2016951719 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
Preface
Andrology is the medical specialty that deals with male health, especially as it pertains to problems of the male sexual and reproductive system. Andrological issues in urologic practice and indeed in general medical practice are commonly encountered, yet perplexing for many clinicians. Sexual dysfunction is gaining increased attention in the media as it becomes more acceptable to discuss previously taboo topics. These are often topics that men suffered from but either did not know to ask or were too uncomfortable to ask with their physician. Sexual dysfunction is a common problem that can have a major impact on a patient’s quality of life, including their relationship and treatment satisfaction. There is an increasing trend towards more medical care being delivered in the office setting rather than in an operating room. Office-based andrology procedures are more common than other areas of urology but yet not as well trained during urology residency training. The increasing pressure of duty hours on urology residency training leaves residents
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