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  1. Article ; Online: Platelet-Rich Plasma for Urologic Conditions: An Early Call for Composition Reporting.

    Greenberg, Daniel R / Panken, Evan J / Amarasekera, Channa

    The Journal of urology

    2023  Volume 211, Issue 2, Page(s) 313–316

    MeSH term(s) Humans ; Male ; Platelet-Rich Plasma ; Erectile Dysfunction ; Urology
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Editorial
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1097/JU.0000000000003773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Variations in Low Intensity Shockwave Treatment Protocols for Erectile Dysfunction: A Review of the Literature and Guide to Offering Treatment.

    Hayon, Solomon / Panken, Evan J / Bennett, Nelson E

    The world journal of men's health

    2023  Volume 42, Issue 2, Page(s) 283–289

    Abstract: Low-intensity shockwave therapy (LiSWT) for erectile dysfunction (ED) continues to gain popularity in both clinical practice and the academic literature. The majority of trials and meta-analysis studies have shown LiSWT to be low risk with a trend toward ...

    Abstract Low-intensity shockwave therapy (LiSWT) for erectile dysfunction (ED) continues to gain popularity in both clinical practice and the academic literature. The majority of trials and meta-analysis studies have shown LiSWT to be low risk with a trend toward positive improvements in International Index of Erectile Function (IIEF) scores. However, there is still debate over the clinical utility of LiSWT and there is no agreed upon optimal treatment protocol. In this review article we summarize published meta-analysis studies of LiSWT for ED, and review the treatment protocols from randomized sham-control trials published in the last 10 years. We found the most common device settings were an energy of 0.09 mJ/mm² and a frequency of 5 Hz. Shock number and location varied, but the most common protocol was 1,500 shocks per session, with 900 shocks to the penis (shaft, base, or hilum) and 600 shocks to the proximal corpora/crura. Protocols ranged from 4 to 12 treatment sessions. We also describe our institutional experience with LiSWT, including patient counseling and treatment protocol.
    Language English
    Publishing date 2023-09-26
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 2719786-4
    ISSN 2287-4690 ; 2287-4208
    ISSN (online) 2287-4690
    ISSN 2287-4208
    DOI 10.5534/wjmh.230105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Reproductive Urology Consultation Is an Opportunity to Evaluate for Medical Comorbidity: The Prevalence of Elevated Blood Pressure and Obesity at Fertility Evaluation.

    Greenberg, Daniel R / Panken, Evan J / Keeter, Mary Kate / Bennett, Nelson E / Brannigan, Robert E / Halpern, Joshua A

    Cureus

    2024  Volume 16, Issue 3, Page(s) e57071

    Abstract: Purpose To evaluate the prevalence of elevated blood pressure (EBP), hypertension (HTN), and obesity among men presenting for fertility evaluation. Methods We retrospectively evaluated all men presenting for male infertility consultation at a single ... ...

    Abstract Purpose To evaluate the prevalence of elevated blood pressure (EBP), hypertension (HTN), and obesity among men presenting for fertility evaluation. Methods We retrospectively evaluated all men presenting for male infertility consultation at a single institution from 2000 to 2018. Blood pressure (BP) measurements were abstracted from the electronic health record, and EBP/HTN was defined according to American Heart Association/American College of Cardiology guidelines (systolic blood pressure (SBP) ≥ 120 mmHg or diastolic blood pressure (DBP) ≥ 80 mmHg). Descriptive statistics were used to compare demographic and clinical characteristics of men with and without EBP/HTN or obesity (BMI ≥ 30 kg/m
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.57071
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Urologists and Lesbian, Gay, Bisexual, Transgender, or Queer Patients: A Survey-based Study of the Practice Patterns, Attitudes, and Knowledge Base of Urologists Toward Their Lesbian, Gay, Bisexual, Transgender, or Queer Patients.

    Xu, Alex J / Panken, Evan J / Gonzales-Alabastro, Christopher D / Zhang, Hui / Helenowski, Irene B / Murphy, Adam B / Prabhu, Rahul / Amarasekera, Channa

    Urology

    2023  Volume 179, Page(s) 71–79

    Abstract: Objective: To assess urologists' attitudes toward treating lesbian, gay, bisexual, transgender, or queer (LGBT) patients and counseling practices during diagnosis and treatment of prostate cancer.: Methods: A 35-question survey was sent to program ... ...

    Abstract Objective: To assess urologists' attitudes toward treating lesbian, gay, bisexual, transgender, or queer (LGBT) patients and counseling practices during diagnosis and treatment of prostate cancer.
    Methods: A 35-question survey was sent to program directors of U.S. urology residency programs.
    Results: 154 responses met the inclusion criteria. Respondents were primarily male, heterosexual, in academia, representing a range of ages and geography. 54.2% of respondents don't assume patients are heterosexual. While 88% of providers feel comfortable discussing sexual health with LGBTQ patients, 42.9% disagree that knowing sexual orientation is necessary to providing optimal care. 57.8% of respondents don't provide intake forms to indicate sexual orientation and 60.4% don't inquire about sexual orientation during history-taking. A majority (32.7%) reported 1-5 hours of LGBTQ health training. 74.3% believe more training is needed. 74.5% agreed to being listed as an LGBTQ-Friendly Provider currently, 65.8% felt they needed additional training. 63.6% agreed the prostate is a source of sexual pleasure. 55.9% believed it important to assess sexual satisfaction in patients who engage in receptive anal intercourse after prostate cancer treatment. Responses were mixed regarding the timing of resuming receptive anal intercourse after treatment and whether patients are counseled to refrain from anal stimulation before PSA testing. Answers to knowledge questions regarding anal cancer and communication were primarily correct; answers to questions regarding anejaculation and differences in health concerns were mixed.
    Conclusion: Ongoing education is necessary on specific differences between heterosexual and lesbian, gay, bisexual, transgender, or queer (LGBTQ) patient concerns and how to apply this knowledge in order to address the needs of a rapidly aging LGBTQ population.
    MeSH term(s) Humans ; Male ; Transgender Persons ; Urologists ; Sexual Behavior ; Sexual and Gender Minorities ; Surveys and Questionnaires ; Prostatic Neoplasms ; Knowledge Bases
    Language English
    Publishing date 2023-06-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2023.05.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: AUTHOR REPLY.

    Xu, Alex J / Panken, Evan J / Gonzales-Alabastro, Christopher D / Zhang, Hui / Helenowski, Irene B / Murphy, Adam B / Prabhu, Rahul / Amarasekera, Channa

    Urology

    2023  Volume 179, Page(s) 78–79

    Language English
    Publishing date 2023-07-16
    Publishing country United States
    Document type Letter
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2023.05.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Peyronie's disease: pharmacological treatments and limitations.

    Li, Eric V / Esterquest, Robert / Pham, Minh N / Panken, Evan J / Amarasekera, Channa / Siebert, Aisha / Bajic, Petar / Levine, Laurence A

    Expert review of clinical pharmacology

    2021  Volume 14, Issue 6, Page(s) 703–713

    Abstract: ... ...

    Abstract Introduction
    MeSH term(s) Animals ; Collagenases/administration & dosage ; Combined Modality Therapy ; Extracorporeal Shockwave Therapy/methods ; Humans ; Injections, Intralesional ; Male ; Penile Induration/physiopathology ; Penile Induration/therapy ; Traction/methods
    Chemical Substances Collagenases (EC 3.4.24.-)
    Language English
    Publishing date 2021-03-25
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1751-2441
    ISSN (online) 1751-2441
    DOI 10.1080/17512433.2021.1903873
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Epidemiology and Diagnosis of Erectile Dysfunction by Urologists Versus Non-Urologists in the United States: An Analysis of the National Ambulatory Medical Care Survey.

    Panken, Evan J / Fantus, Richard J / Chang, Cecilia / Kashanian, James A / Helfand, Brian T / Brannigan, Robert E / Bennett, Nelson E / Halpern, Joshua A

    Urology

    2020  Volume 147, Page(s) 167–171

    Abstract: Objectives: To evaluate the extent to which erectile dysfunction (ED) is managed by urologists versus non-urologists. We sought to characterize the epidemiology, diagnosis, and outpatient treatment of ED using a nationally representative cohort.: ... ...

    Abstract Objectives: To evaluate the extent to which erectile dysfunction (ED) is managed by urologists versus non-urologists. We sought to characterize the epidemiology, diagnosis, and outpatient treatment of ED using a nationally representative cohort.
    Methods: We examined all male patient visits between 2006 and 2016 in the National Ambulatory Medical Care Survey, a survey designed to provide a nationally representative estimate of ambulatory visits in the United States. Distribution of ED diagnoses among physician specialties was determined. Demographic, clinical, and treatment characteristics of men with ED seeing urologists versus non-urologists were compared using chi-squared tests.
    Results: Among the 170,499 patient visits analyzed, 1.2% were associated with a diagnosis of ED, which translated into 3,409,244 weighted visits annually. Visits for ED were predominantly seen by urologists (58.0%) and family practitioners (26.2%). Men visiting non-urologists for ED were more likely to be younger than 65 (77.4% vs 52.9%, P < .05). Men seeing urologists for ED more frequently had an active cancer diagnosis (24.2% vs 2.8%, P < .05). Non-urologists more readily ordered or reordered phosphodiesterase-5 inhibitors for men with ED (66.62% vs 50.77%, P < .05). Advanced therapies such as intracavernosal injections and intra-urethral agents were almost exclusively ordered by urologists compared to non-urologists (2.72% vs 0.25%, P < .05).
    Conclusion: Almost half of all ED visits were seen by non-urologist providers, who were much less likely than urologists to order advanced pharmacologic therapies. This difference in prescribing patterns presents an opportunity for interdisciplinary collaboration and education to ensure that all patients seeking treatment for ED are receiving guideline-based care.
    MeSH term(s) Adolescent ; Adult ; Aged ; Drug Prescriptions/statistics & numerical data ; Erectile Dysfunction/diagnosis ; Erectile Dysfunction/drug therapy ; Erectile Dysfunction/epidemiology ; Health Care Surveys/statistics & numerical data ; Humans ; Male ; Middle Aged ; Physicians, Family/standards ; Physicians, Family/statistics & numerical data ; Practice Guidelines as Topic ; Practice Patterns, Physicians'/statistics & numerical data ; United States/epidemiology ; Urological Agents/therapeutic use ; Urologists/statistics & numerical data ; Young Adult
    Chemical Substances Urological Agents
    Language English
    Publishing date 2020-09-24
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.09.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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