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Disorders of the Penis and Male Urethra. IN: Tanagho, E.; McAninch, J., eds. Smith’s General Urology. 17th ed. Columbus, OH: McGraw Hill. 2008. pp 625-637.

This chapter about disorders of the penis and male urethra is from an updated edition of a comprehensive textbook about urology that offers an overview of the diagnosis and treatment of diseases and disorders common to the genitourinary tract. The author begins by reviewing congenital anomalies of the penis, including congenital absence of the penis, megalopenis, micropenis, and adult penile size and then discusses congenital anomalies of the urethra, including duplication of the urethra, urethral stricture, posterior urethral valves, anterior urethral valves, urethrorectal and vesicorectal fistulas, hypospadias, chordee without hypospadias, and epispadias. The next section of the chapter considers acquired diseases and disorders of the penis and male urethra, including priapism, Peyronie’s disease, phimosis, paraphimosis, circumcision, urethral stricture, urethral condylomata acuminata or urethral warts, and penile phlebothrombosis and lymphatic occlusion. In each section, the author discusses etiology, symptoms, pathology, diagnosis, and treatment. The chapter is illustrated with black-and-white drawings and photographs. The chapter concludes with an extensive list of references, categorized by topic. 5 figures. 2 tables. 50 references.

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Erectile Dysfunction and Peyronie's Disease. IN: Litwin, M.S.; Saigal, C.S., eds. Urologic Diseases in America. Bethesda, MD: National Kidney and Urologic Diseases Information Clearinghouse. pp. 483-530.

Male sexual health has taken on increased importance as the United States population ages, develops co-existing medical conditions, and undergoes interventions that can affect sexual health. This chapter focuses on two major areas of male sexual health, erectile dysfunction (ED) and Peyronie’s disease (PD). The chapter is from a lengthy text that offers a comprehensive portrait of the illness burden and resource use associated with the major urologic diseases in the United States. For each condition, the authors discuss definition and diagnosis; prevalence and incidence; risk factors; clinical evaluation; trends in health care resource utilization for this condition, specifically inpatient and outpatient care; emergency room care and surgical trends; and economic impact. The section on ED also considers the pharmacologic management of ED. A final section offers recommendations on the topic of diagnosis, treatment, and areas of needed research. The authors conclude that the treatments used for ED, as measured by hospital outpatient, ambulatory surgery, physician office visits, and cost reimbursement data, suggest shifting forms of health care utilization. Available data on PD is limited and it is difficult to assess accurately the true prevalence and impact of PD. 3 figures. 36 tables. 36 references.

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Introduction: Urologic Diseases in America. IN: Litwin, M.S.; Saigal, C.S., eds. Urologic Diseases in America. Bethesda, MD: National Kidney and Urologic Diseases Information Clearinghouse. pp. 1-8.

Urologic diseases encompass a wide scope of illnesses of the genitourinary tract, including conditions that are congenital and acquired, malignant and benign, male and female, and medical and surgical. They may be acute and self-limited or chronic and debilitating, may primarily affect quality or quantity of life, and may be financially insignificant or catastrophic. This introductory chapter is from a lengthy text that offers a comprehensive portrait of the illness burden and resource use associated with the major urologic diseases in the United States. The authors have compiled a set of data analyses that synthesize data available from myriad national and regional sources across the public and private sectors. The authors briefly describe the method used to compile the book and explain why their analyses are limited to the topics covered in the 21 chapters: prostatitis, benign prostatic hyperplasia (BPH), prostate cancer, interstitial cystitis (IC) and painful bladder syndrome, urinary incontinence in women, urinary incontinence in men, bladder cancer, urolithiasis (urinary tract stones), ureteropelvic junction obstruction, kidney cancer, pediatric urologic disorders, urinary incontinence in children, urinary tract infection (UTI) in children, male infertility, erectile dysfunction (ED) and Peyronie’s disease, male urethral stricture disease, testicular cancer, UTI in women, UTI in men, and sexually transmitted diseases. The authors encourage readers to explore the tables and figures and use the data for their own analyses.

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Urologic Diseases in America Compendium. Bethesda, MD: National Kidney and Urologic Diseases Information Clearinghouse. 2007. (CD-ROM).

Urologic diseases encompass a wide scope of illnesses of the genitourinary tract, including conditions that are congenital and acquired, malignant and benign, male and female, and medical and surgical. They may be acute and self-limited or chronic and debilitating, may primarily affect quality or quantity of life, and may be financially insignificant or catastrophic. This CD-ROM includes the complete contents of a lengthy text that offers a comprehensive portrait of the illness burden and resource use associated with the major urologic diseases in the United States. The authors have compiled a set of data analyses that synthesize data available from myriad national and regional sources across the public and private sectors. The CD-ROM includes 21 chapters covering prostatitis, benign prostatic hyperplasia (BPH), prostate cancer, interstitial cystitis (IC) and painful bladder syndrome, urinary incontinence in women, urinary incontinence in men, bladder cancer, urolithiasis (urinary tract stones), ureteropelvic junction obstruction, kidney cancer, pediatric urologic disorders, urinary incontinence in children, urinary tract infection (UTI) in children, male infertility, erectile dysfunction (ED) and Peyronie’s disease, male urethral stricture disease, testicular cancer, UTI in women, UTI in men, and sexually transmitted diseases. In each chapter, the authors identify and summarize principal findings for the topic at hand, but the bulk of the data is presented in tabular format; readers are encouraged to explore the tables and figures to glean information about their own particular areas of interest. A final chapter outlines the methodology used to compile the information. Each chapter offers a detailed table of contents and a list of relevant references; no subject index is provided.

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Urologic Diseases in America. Bethesda, MD: National Kidney and Urologic Diseases Information Clearinghouse. 2007. 745 p.

Urologic diseases encompass a wide scope of illnesses of the genitourinary tract, including conditions that are congenital and acquired, malignant and benign, male and female, and medical and surgical. They may be acute and self-limited or chronic and debilitating, may primarily affect quality or quantity of life, and may be financially insignificant or catastrophic. This lengthy text offers a comprehensive portrait of the illness burden and resource use associated with the major urologic diseases in the United States. The authors have compiled a set of data analyses that synthesize data available from myriad national and regional sources across the public and private sectors. The book includes 21 chapters covering prostatitis, benign prostatic hyperplasia (BPH), prostate cancer, interstitial cystitis (IC) and painful bladder syndrome, urinary incontinence in women, urinary incontinence in men, bladder cancer, urolithiasis (urinary tract stones), ureteropelvic junction obstruction, kidney cancer, pediatric urologic disorders, urinary incontinence in children, urinary tract infection (UTI) in children, male infertility, erectile dysfunction (ED) and Peyronie’s disease, male urethral stricture disease, testicular cancer, UTI in women, UTI in men, and sexually transmitted diseases. In each chapter, the authors identify and summarize principal findings for the topic at hand, but the bulk of the data is presented in tabular format; readers are encouraged to explore the tables and figures to glean information about their own particular areas of interest. A final chapter outlines the methodology used to compile the information. Each chapter offers a detailed table of contents and a list of relevant references; no subject index is provided.

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Brady Urology Manual. New York, NY: Informa Healthcare USA. 324 p.

This reference handbook offers a comprehensive overview of urology, presented in outline and bulleted formats for ease of access in the busy health care world of hospital emergency rooms and outpatient clinics. The manual combines basic principles of epidemiology, pathophysiology, and treatment, emphasizing general concepts and practical approaches to common problems. The manual offers 31 chapters in five sections: general disease, oncological urology, pediatric urology, emergency urology, and practical principles. Specific topics include infections of the urinary tract, urinary stones, infertility, erectile dysfunction, Peyronie’s disease, neurourology, urodynamics, urogynecology, benign prostatic hyperplasia (BPH), interstitial cystitis (IC) and chronic pelvic pain, kidney transplantation, cystic diseases of the kidney, angiomyolipoma, localized and metastatic prostate cancer, renal parenchymal tumors, bladder cancer, ureteral and renal pelvic tumors, testicular tumors, penile and urethral cancer, diseases of the adrenal gland, congenital anomalies of the urinary tract, developmental abnormalities of the genitalia, pediatric urinary infections, vesicoureteral reflux, pediatric genitourinary oncology, exstrophy-epispadias complex, genitourinary trauma, priapism, testicular torsion, the etiology and management of acute gross hematuria, antimicrobial prophylaxis for urological procedures, and the use of radiological procedures and nerve blocks. Each chapter includes a summary, a review of general principles, presentation and epidemiology, etiology, pathophysiology, diagnosis and evaluation, treatment options, and a list of references for additional reading. A subject index concludes the volume.

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Erectile Dysfunction and Peyronie’s Disease. IN: Kellogg Parsons, J.; James Wright, E., eds. Brady Urology Manual. New York, NY: Informa Healthcare USA. 2006. pp 51-62.

This chapter about erectile dysfunction (ED) and Peyronie’s disease is from a reference handbook that offers a comprehensive overview of urology, presented in outline and bulleted formats for ease of access in the busy health care world of hospital emergency rooms and outpatient clinics. The authors define ED as the consistent or recurrent inability of a man to attain and/or maintain a penile erection sufficient for sexual activity. They cover the different types of ED, epidemiology, physiology of erection, patient evaluation, and treatment options, including drug therapy, intracavernous injection therapy, intraurethral injection therapy, vacuum constriction devices, and penile prosthesis. The second section discusses Peyronie’s disease, a localized connective tissue disorder of the penis, characterized by changes in the collagen composition of the tunica albuginea. The authors discuss epidemiology, pathophysiology, presentation and evaluation, medical therapy, and surgical therapy. Peyronie’s disease typically presents as a palpable penile plaque, penile pain, penile curvature, and ED. Treatment includes medical therapy and surgery. The chapter concludes with a list of references for additional reading. 1 figure. 1 table. 49 references.

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Subfertility and Male Sexual Dysfunction. IN: Dawson, C.; Whitfield, H.N., eds. ABC of Urology. Williston, VT: Blackwell Publishing Inc. 2006. pp. 18-21.

This chapter on subfertility and male sexual dysfunction is from an atlas of basic urologic problems that is designed to help general practitioners address the ever-increasing number of patients presenting to their offices with urological problems. Subfertility is defined as failure to conceive after regular unprotected sexual intercourse over a period of one year; this chapter only considers male subfertility. The author reviews the causes of male factor infertility and the diagnostic tests done to assess the condition. The author briefly discusses assisted reproductive techniques that can be used to treat couples affected by subfertility. The second section of the chapter covers erectile dysfunction (ED), its risk factors, symptoms, diagnosis, and treatment. Two brief final sections consider Peyronie disease and androgen decline in the aging male. The chapter features a few pages of text, summaries of information in charts and tables, a list of recommendations for further reading, and full-color photographs and illustrations. 7 figures. 8 tables. 4 references.

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Peyronie's Disease. Bethesda, MD: National Kidney and Urologic Diseases Information Clearinghouse. 2005. 4 p.

This fact sheet reviews Peyronie's disease, a condition characterized by a plaque, or hard lump, that forms on the penis. The plaque begins as localized inflammation and can develop into a hardened scar. In some cases, the hardened plaque can reduce flexibility, causing pain and forcing the penis to bend or arc during erection. Men with Peyronie's disease usually seek medical attention because of painful erections and difficulty with erections. The fact sheet describes the symptoms of Peyronie's disease, the typical course of the disease, diagnosis and evaluation, treatment options, experimental treatments, and surgical approaches. Treatments range from watchful waiting, as many cases resolve over the course of 1 to 2 years, to radiation therapy, surgery, and penile implants. The booklet lists resource organizations for readers seeking additional information and briefly describes the goals and activities of the National Kidney and Urologic Diseases Information Clearinghouse. 1 figure.

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