This week on the BackTable Urology Podcast, Dr. Jose Silva discusses sexual health with Dr. Arthur “Bud” Burnett, professor of urology at John Hopkins University, with an emphasis on the importance of preventative medicine in improving sexual health and different treatments for erectile dysfunction.

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SHOW NOTES

First, Bud and Jose explore the various treatments available for patients with erectile dysfunction (ED). They not only discuss how oral drugs can be used to treat the majority of patients, but also how to manage a young patient with a single episode of ED. Furthermore, they evaluate the safety of these oral drugs and the alternatives, such as injections, rings, and vacuum erection device therapy.

Next, they note the important role of testosterone replacement therapy (TRT) in improving sexual health for prostate cancer survivors. They also delineate various modalities of testosterone replacement therapy such as gels, injectables, and pellets, and their safety profiles. They both agree that it is important to follow guidelines and monitor patients who are on TRT. Additionally, they note the prevalence of Peyronie's Disease, and the psychological implications the condition can have on men.

The doctors then move onto the topic of priapism, a condition where a man experiences an erection for a prolonged period of time. They explore the potential causes of the disorder, the treatments available, and the potential therapies that may help prevent it from occurring. Finally, Dr. Burnett also shares his journey to writing his book, The Manhood Rx, in order to provide men with a comprehensive resource to improve their sexual health and overall wellness.

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RESOURCES

The Manhood Rx: Every Man's Guide to Improving Sexual Health and Overall Wellness by Arthur Burnett
https://www.amazon.com/Manhood-Rx-Improving-Overall-Wellness/dp/1538166593

WellPrept
https://wellprept.com/