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ED and Incontinence_Urologic Disorders_Khan 2023

Across
Surgery for severe SUI; scrotal pump requires intact manual dexterity/ intact cognitive function
Implanted penile cylinders; manually operated pump
Oxybutynin
Painful erections; curvature; fibrosis; plaques
Inability to attain and maintain erection
4-8 hours; longest safety record, taken with high fat meal can delay absorption
RF, Increased incidence of ED and incontinence
Arterial bypass procedure to restore vascularization to penile tissue
Penile self-injection, Alprostadil, risk of infection and priapism
Intraurethral suppository, can administer Alprostadil
Inferior epigastric artery to the deep penile artery
Painful erection; rigid. Emergency >4 hours
Spinal cord injury; unable to feel the need to void
Down
Innervation involved with contraction of intracavernosal smooth muscle via degradation of cGMP; flaccid penis
Testosterone; can lead to ED
Dry mouth, constipation
Plastic dome-like cylinder; ring at the base of the penis
Profound, PDE5-I are CI with nitrates to prevent this
MC in M; sudden desire; involuntary leakage
Longest duration; 36 hours
SUI; support and compression to the urethra
Newer PDE-I, rapid onset, up to 6 hours
Urinary retention; incomplete emptying
US; urine remaining in the bladder after voiding
Conscious repetitive contractions and relaxation of the urethral sphincter and pelvic floor muscles