By John P. Mulhall, Lawrence C. Jenkins
This textual content presents a finished source and step by step consultant to the workplace established systems that might usually ensue in an andrology perform. the most goal of the textual content is to function a “How-to” advisor for urology services and employees to assist with both preliminary education or as a refresher sooner than appearing the strategies. Written by way of specialists within the box, every one bankruptcy starts off with details on worthwhile apparatus and exhibits a sequence of pictures (photos and illustrations) on key issues throughout the method, together with counsel and methods of the alternate.
Atlas of place of work established Andrology Procedures presents a beneficial source for urologists, nurse practitioners, and doctor assistants in perform, citizens and fellows in urological education, in addition to nurses and clinical assistants who support with those procedures.
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Additional info for Atlas of Office Based Andrology Procedures
Pay special attention while scanning areas of deformity for signs of plaque or calcification as this might impact treatment decisions especially if located at the point of maximal curvature. Full cross-section images may be easier to interpret. Freeze/save any images after properly notating and/or measuring findings (Fig. 8). P. C. Jenkins Fig. 9 Illustration of location to scan—perineum For perineal ultrasound, while in color flow mode with patient in the frog-legged position, scan the perineum beginning at the most proximal portion of each corpora cavernosa and slowly move distally.
7 Measurement of the point of maximal curvature—dorsal view Fig. 8 Hourglass deformity Complications 1. 2. 3. 4. Ecchymosis from the injection Vasovagal response to penile injection Prolonged erection Hypertension and possibly reflex bradycardia with the administration of intracavernosal phenylephrine if reversal is needed Fig. 9 Indentation Fig. 10 Proximal tapering Fig. P. C. Jenkins Suggested Reading Akin-Olugbade Y, Mulhall JP. The medical management of Peyronie’s disease. Nat Clin Pract Urol.
Effective penile block for circumcision in adults. Wien Klin Wochenschr. 2012;124(13–14):434–8. Serour F, Mandelberg A, Mori J. Slow injection of local anaesthetic will decrease pain during dorsal penile nerve block. Acta Anaesthesiol Scand. 1998;42(8):926–8. Soh CR, Ng SB, Lim SL. Dorsal penile nerve block. Paediatr Anaesth. 2003;13(4):329–33. Chapter 5 Spermatic Cord Block John P. Mulhall and Lawrence C. Jenkins Introduction The spermatic cord block is a useful strategy when performing procedures on the testicle/epididymis to optimize pain control.
Atlas of Office Based Andrology Procedures by John P. Mulhall, Lawrence C. Jenkins