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Article ; Online: Rethinking the role of sperm morphology in clinical practice.

Dubin, Justin M / Halpern, Joshua A

F&S reports

2022 Volume 3, Issue 2, Page(s) 93

Language	English
Publishing date	2022-04-13
Publishing country	United States
Document type	Editorial
ISSN	2666-3341
ISSN (online)	2666-3341
DOI	10.1016/j.xfre.2022.04.001
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prevalence of infertility and barriers to family building among male physicians.

Lin, Jasmine S / Dubin, Justin M / Aguiar, Jonathan / Brannigan, Robert E / Halpern, Joshua A

Andrology

2024

Abstract: Background: Fertility declines with increasing age and physicians often delay childbearing beyond prime reproductive years for the sake of medical training. However, the risks of infertility in male physicians compared to the general population remain ... ...

Abstract	Background: Fertility declines with increasing age and physicians often delay childbearing beyond prime reproductive years for the sake of medical training. However, the risks of infertility in male physicians compared to the general population remain poorly studied. Objectives: To characterize rates of infertility among male physicians and identify barriers in access to fertility care and family building. Materials & methods: Between June 2022 and December 2022, male physicians were invited to complete a questionnaire regarding fertility and family building. Surveys were disseminated electronically via social media and professional medical societies using Qualtrics (Provo, UT). Results: Two hundred thirty-five responses were included in the final analysis. The mean age of respondents was 36.3 ± 7.4 years. Of 151 respondents with children or currently attempting to have children, 66 (43.7%) delayed family building due to their medical training or career. The most influential factors affecting timing of children were lack of flexibility in schedule, lack of time, stress, and financial strain. Forty-three (18.3.%) respondents had seen a doctor for fertility evaluation; an additional 12 (5.1%) said they considered doing so but did not, mostly due to being too busy. Sixty (25.5%) had undergone semen testing in the past. Thirty-one (13.2%) reported a diagnosis of fertility issues in either themselves or their partner. Twenty-seven (11.5%) endorsed either them or their partner having undergone assistive reproductive technologies or other procedures for infertility. Discussion: A significant proportion of male physicians delayed building their family or seeking fertility evaluation due to their medical career. Around 23.4% of male physicians have either seen or considered seeing a physician for fertility evaluation, suggesting a high prevalence of infertility in this cohort. Conclusion: Our results indicate a need for interventions to support family building and fertility evaluation and treatment among male physicians.
Language	English
Publishing date	2024-04-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2696108-8
ISSN	2047-2927 ; 2047-2919
ISSN (online)	2047-2927
ISSN	2047-2919
DOI	10.1111/andr.13644
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Zs.A 6983: Show issues

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Article ; Online: Evaluation and characterization of testosterone-related mobile health applications.

Aguiar, Jonathan A / Halpern, Joshua A / Hayon, Solomon / Brannigan, Robert E / Dubin, Justin M

International journal of impotence research

2023

Language	English
Publishing date	2023-07-18
Publishing country	England
Document type	Letter
ZDB-ID	1034295-3
ISSN	1476-5489 ; 0955-9930
ISSN (online)	1476-5489
ISSN	0955-9930
DOI	10.1038/s41443-023-00739-9
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Article ; Online: Prevalence of sexual dysfunction and pursuit of sexual medicine evaluation among male physicians-a survey.

Lin, Jasmine S / Dubin, Justin M / Aguiar, Jonathan / Greenberg, Daniel R / Bennett, Nelson E / Brannigan, Robert E / Halpern, Joshua A

International journal of impotence research

2024

Abstract: We sought to characterize the prevalence of sexual dysfunction and barriers to treatment among male physicians. Between June and December 2022, male physicians were invited to complete a questionnaire regarding sexual function. Surveys were disseminated ... ...

Abstract	We sought to characterize the prevalence of sexual dysfunction and barriers to treatment among male physicians. Between June and December 2022, male physicians were invited to complete a questionnaire regarding sexual function. Surveys were disseminated electronically via social media and professional medical societies using Qualtrics (Provo, UT). In totla, 235 responses were included in the final analysis. The mean age of respondents was 36.3 ± 7.4 years (range 23-72). 27 (11.5%) reported having seen a doctor for sexual health. Of these 27, 40.7% saw a physician for erectile dysfunction, 29.6% for low libido, 22.2% for premature ejaculation, 7.4% for delayed ejaculation, and 33.3% for other concerns. An additional 29 (12.3%) considered establishing care for sexual issues but didn't, mostly due to being too busy. 46 (19.6%) respondents reported having taken medication to improve erectile function. Therefore, in a cohort of young male physicians, 23.8% had seen or considered seeing a doctor for sexual health concerns, and nearly 1 in 5 had taken medication for erectile dysfunction. Male physicians appear to be at higher risk for sexual dysfunction than the general population and face significant and unique barriers in access to care for sexual dysfunction.
Language	English
Publishing date	2024-01-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1034295-3
ISSN	1476-5489 ; 0955-9930
ISSN (online)	1476-5489
ISSN	0955-9930
DOI	10.1038/s41443-024-00827-4
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Article ; Online: The adverse impact of COVID-19 on men's health.

Dubin, Justin M / Bennett, Nelson E / Halpern, Joshua A

Current opinion in urology

2021 Volume 32, Issue 2, Page(s) 146–151

Abstract: Purpose of review: The COVID-19 pandemic has led to devastating health outcomes across the world. Initially thought to primarily affect the respiratory system, there is now clear and abundant evidence that COVID-19 can impact upon the male genitourinary ...

Abstract	Purpose of review: The COVID-19 pandemic has led to devastating health outcomes across the world. Initially thought to primarily affect the respiratory system, there is now clear and abundant evidence that COVID-19 can impact upon the male genitourinary system and overall men's health. In this review article, we explore the potential mechanisms by which COVID-19 specifically affects men and we review the literature examining the adverse effects of the disease on men's health. Recent findings: Studies suggest that men are at higher risk for severe COVID-19 infection and death. COVID-19 infection has a negative impact on men's health including worsening semen parameters, potentially lower testosterone levels, and an increased risk of erectile dysfunction. Summary: COVID-19 is a highly pathogenic virus that exerts adverse effects upon the male genitourinary system in myriad ways. The COVID-19 infection can impact serum testosterone, fertility, sexual function, and mental health. Fortunately, the COVID-19 vaccine is safe and effective in preventing COVID-19 infection and many of these sequelae.
MeSH term(s)	COVID-19 ; COVID-19 Vaccines ; Humans ; Male ; Men's Health ; Pandemics ; SARS-CoV-2
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2021-12-30
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1091792-5
ISSN	1473-6586 ; 0963-0643
ISSN (online)	1473-6586
ISSN	0963-0643
DOI	10.1097/MOU.0000000000000966
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Article: Prospective Patient Preferences for Humor in Urologists Treating Erectile Dysfunction: A Survey Study.

Sandler, Max D / Egemba, Christabel / Dubin, Justin M / Saltzman, Russell G / Pearlman, Amy / Golan, Roei / Ramasamy, Ranjith

Cureus

2024 Volume 16, Issue 3, Page(s) e55637

Abstract: Introduction: Men seeking treatment for sexual dysfunction can experience embarrassment as a result of stigma. This research manuscript presents the findings of a survey conducted to investigate the influence of humor on prospective patients' ... ...

Abstract	Introduction: Men seeking treatment for sexual dysfunction can experience embarrassment as a result of stigma. This research manuscript presents the findings of a survey conducted to investigate the influence of humor on prospective patients' preferences when selecting a specialist to address erectile dysfunction (ED). Methods: The respondents were presented with five pairs of mock urology business cards: one professional and one humorous. A questionnaire was designed and distributed via an online survey platform. Descriptive statistics and Fisher's exact test were performed using the Statistical Package for Social Sciences (SPSS) software version 29 (IBM SPSS Statistics, Armonk, NY) to evaluate age and race associations with card preference. Results: Among the 997 participants, an average of 66.1% (a median of 71.2%) preferred professional cards. Humorous card selection rates ranged from 5.2% to 38.4% compared to 54.0% to 78.1% for professional cards. A statistically significant relationship between age and professional card choice existed in all except the fifth set of cards (p = 0.001, 0.001, 0.001, 0.001, and 0.054). The relationship between race or ethnicity and business card preference was not reported due to an imbalance in demographics, with most participants identifying as Caucasian. Discussion: A humor-centric approach may not resonate with all individuals seeking treatment for sensitive conditions such as ED. Limitations include the subjectivity of humor, the use of an online survey platform, and the hypothetical nature of this study. Real patients experiencing ED may face stigma and respond to humor differently. Conclusion: This study provides insights into patient preference for professionalism over humor from their urologist but leaves room for the exploration of humor in medical contexts. Future studies could examine the impacts of humor on patient choices in real-world healthcare settings.
Language	English
Publishing date	2024-03-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.55637
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Article ; Online: Testosterone replacement therapy in the era of telemedicine.

Dubin, Justin M / Fantus, Richard J / Halpern, Joshua A

International journal of impotence research

2021 Volume 34, Issue 7, Page(s) 663–668

Abstract: The events of the 2019 SARS-CoV2 virus pandemic have all but ensured that telemedicine will remain an important aspect of patient care delivery. As health technologies evolve, so must physician practices. Currently, there is limited data on the ... ...

Abstract	The events of the 2019 SARS-CoV2 virus pandemic have all but ensured that telemedicine will remain an important aspect of patient care delivery. As health technologies evolve, so must physician practices. Currently, there is limited data on the management of testosterone replacement therapy (TRT) in the era of telemedicine. This review aims to explore the potential benefits and pitfalls of TRT management via telemedicine. We also propose a theoretical framework for TRT management via telemedicine. Telemedicine provides patients and physicians with a new mechanism for American Urological Association guideline-concordant TRT management that can increase patient access to care and provide a safe space for men who may otherwise not have been comfortable with in-person evaluation. However, there are significant limitations to the use of telemedicine for the management of TRT, including the inability to perform a physical exam, inability to administer specific medications, technological barriers, data security, and medical-legal considerations, and both patients and providers should engage in shared decision making before pursuing this approach. Understanding and acknowledging the potential pitfalls of telemedicine for TRT management will enable both patients and providers to achieve optimal outcomes and satisfaction.
MeSH term(s)	Humans ; Male ; RNA, Viral ; SARS-CoV-2 ; COVID-19 ; Hormone Replacement Therapy/methods ; Telemedicine/methods ; Testosterone/adverse effects
Chemical Substances	RNA, Viral ; Testosterone (3XMK78S47O)
Language	English
Publishing date	2021-11-19
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1034295-3
ISSN	1476-5489 ; 0955-9930
ISSN (online)	1476-5489
ISSN	0955-9930
DOI	10.1038/s41443-021-00498-5
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Zs.A 2910: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article: Images - Atypical presentation of pearly penile papules.

Saardi, Karl M / Dubin, Justin M / Cardis, Michael A

Canadian Urological Association journal = Journal de l'Association des urologues du Canada

2020 Volume 15, Issue 5, Page(s) E301–E303

Language	English
Publishing date	2020-10-29
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2431403-1
ISSN	1911-6470
ISSN	1911-6470
DOI	10.5489/cuaj.6787
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Article ; Online: Vasectomy reversal vs. sperm retrieval with in vitro fertilization: a contemporary, comparative analysis.

Dubin, Justin M / White, Joshua / Ory, Jesse / Ramasamy, Ranjith

Fertility and sterility

2021 Volume 115, Issue 6, Page(s) 1377–1383

Abstract: Objective: To explore the primary options available to men who desire fertility after a vasectomy.: Design: Literature review.: Setting: University of Miami Miller School of Medicine.: Patient(s): Men with a previous vasectomy now seeking ... ...

Abstract	Objective: To explore the primary options available to men who desire fertility after a vasectomy. Design: Literature review. Setting: University of Miami Miller School of Medicine. Patient(s): Men with a previous vasectomy now seeking fertility. Intervention(s): The two main options to achieve paternity for men following vasectomy include vasectomy reversal (VR) and surgical sperm retrieval with subsequent in vitro fertilization (IVF). Main outcome measure(s): We reviewed and compared the important considerations for men deciding between these 2 options, including: obstructive interval, female partner age, antisperm antibodies, male partner age, female infertility factors, and cost. Result(s): Both VR and IVF represent reasonable options for the couple seeking fertility after vasectomy. Specific circumstances may favor one modality over another, depending on obstructive interval, possible female fertility factors, female partner age, male partner age, and cost. In the absence of insurance coverage, VR is often more cost-effective than IVF. Alternatively, when a female factor may contribute to infertility in addition to vasectomy, IVF is often the better choice. Antisperm antibodies are unlikely to contribute to infertility following a successful VR. Conclusion(s): VR or surgical sperm retrieval with IVF are reasonable options for couples seeking children after vasectomy. Pregnancy rates for both options are overall similar, so prior to pursuing either option, a thorough discussion with a reproductive urologist who possesses microsurgical skills in VR and a reproductive endocrinologist with expertise in IVF is imperative. Making a final choice through shared decision-making while considering these points is ideal.
MeSH term(s)	Adult ; Female ; Fertility ; Fertilization in Vitro/adverse effects ; Humans ; Infertility, Male/diagnosis ; Infertility, Male/physiopathology ; Infertility, Male/therapy ; Male ; Maternal Age ; Middle Aged ; Pregnancy ; Pregnancy Rate ; Risk Factors ; Sperm Retrieval ; Treatment Outcome ; Vasectomy/adverse effects ; Vasovasostomy/adverse effects
Language	English
Publishing date	2021-05-31
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	80133-1
ISSN	1556-5653 ; 0015-0282
ISSN (online)	1556-5653
ISSN	0015-0282
DOI	10.1016/j.fertnstert.2021.03.050
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Article ; Online: Adverse effects and potential benefits among selective androgen receptor modulators users: a cross-sectional survey.

Efimenko, Iakov V / Valancy, David / Dubin, Justin M / Ramasamy, Ranjith

International journal of impotence research

2021 Volume 34, Issue 8, Page(s) 757–761

Abstract: Selective androgen receptor modulators (SARMs) are a class of androgen receptor ligands that bind androgen receptors and display tissue selective activation of androgenic signaling. SARMs have selective anabolic effects on muscle and bone, and were ... ...

Abstract	Selective androgen receptor modulators (SARMs) are a class of androgen receptor ligands that bind androgen receptors and display tissue selective activation of androgenic signaling. SARMs have selective anabolic effects on muscle and bone, and were originally synthesized for treatment of muscle wasting conditions, osteoporosis, breast cancer. To date, no SARM has been clinically approved and little is known about the beneficial effects and other adverse effects on users. We examined the adverse effects and potential benefits of SARMs amongst users. We performed an internet survey assessing the demographics of users via a 32-question survey. Using reddit as a platform, we distributed the survey through various subreddits that included potential SARMs users. Out of the 520 responses, 343 participants admitted having used SARMs. Most were males (98.5%), between the ages of 18-29 (72.3%). More than 90% of users acquired SARMs via the internet and did not consult with a physician. More than half of SARMs users experienced side effects including mood swings, decreased testicular size, and acne. More than 90% of men reported increased muscle mass and were satisfied with their SARMs usage. Despite having seemingly positive effects, more than 50% of SARMs users report significant adverse effects. Chi square was the main method of statistical analysis. Future studies should focus on comprehensive reproductive evaluation of men using SARMs.
Language	English
Publishing date	2021-09-01
Publishing country	England
Document type	Journal Article
ZDB-ID	1034295-3
ISSN	1476-5489 ; 0955-9930
ISSN (online)	1476-5489
ISSN	0955-9930
DOI	10.1038/s41443-021-00465-0
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