Monday, December 17, 2007

A report from my recent CME course

I just came back from DC, where I attended a CME course on sexual medicine. The course was given by heavy hitters in the field and it was terrific. Here are some take away points from the weekend:

1: Phosphodiesterase inhibitors, such as Viagra, may have a role in prevention and treatment of some forms of priapism, a painful, prolonged erection that if left untreated may result in long term disability.
2: Patients with suspected penile fracture may benefit from surgical exploration up to 1 month after the event.
3: Premature ejaculation has a new definition, as follows:
latency < 1 minute
Inability to control or delay ejaculation
psychological disturbance from the problem
4: Women with some forms of sexual arousal problems may benefit from treatment with a combination of estradiol, testosterone, and progesterone.
5: Women with some forms of sexual pain disorders may benefit from treatment with estradiol or low dose testosterone gel.
6: Intra-lesional verapamil injections shows promise in reversing plaque formation in patients with Peyronies disease.
7: Priapism of > 36 hours duration can be treated with a new type of shunt procedure called a T-T Shunt.
. . .and more to follow.


The IU.