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Do I need to see a urologist for my vasectomy?A comparison of practice patterns between urologists and family medicine physicians

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Asian Journal of Andrology 2019年第6期21卷 540-543页

作者： Natasza M Posielski Daniel D Shapiro Xing Wang Brian V Le Department of Urology University of WisconsinMadisonWl 53705USA Department of Biostatistics University of WisconsinMadisonWl 53705USA.

urologists perform the majority of vasectomies in the United States;however,family medicine physicians(FMPs)perform up to 35%.We hypothesized that d iff ere nces exist in practice patterns and outcomes between urologists and *** nts who underwent a vasectomy from 2010 to 2016 were *** semen analysis(PVSA)practices were compared between urologists and FMPs,before and after release of the 2012 AUA vasectomy *** 2010 to 2016,FMPs performed 1435(35.1%)of all *** follow-up rates were similar between the two groups(63.4%vs 64.8%,P=0.18).Of the patients with follow-up,the median number of PVSAs obtained was 1(range 1-6)in both groups(P=0.22).Following the release of guidelines,fewer urologists obtained multiple PVSAs(69.8%vs 28.9%pre-and post-2012,Purologists were identified and were impacted by the release of AUA guidelines in *** summary,FMPs obtained multiple PVSAs more frequently and continued to obtain PVSAs prior to the 8-week recommendation,suggesting less penetration of AUA guidelines to nonurology ***,FMPs had more positive results on PVSAs obtained within the recommended window.

关键词： evidence-based practice family practice semen analysis urologist vasectomy

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LIU Youfang(刘猷枋)—A Prominent urologist of Integrated Medicine

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Chinese Journal of Integrative Medicine 2000年第4期6卷 299-300页

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Epidemiology of Male Sexual Dysfunction (MSD) in Patients Consulting in Some Health Services in the City of Douala, Cameroon

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Open Journal of Epidemiology 2023年第4期13卷 436-448页

作者： Paul V. Mboumwa Modeste Wankeu-Nya Théodore Sala Béyemé Zacharie Nde Emma F. Bend Frantz Ngalle Epoupa Brice L. Koloko Sylvin B. Ateba Marie I. Ngaha Njila Paul Moundipa Théophile Dimo Dieudonné Massoma Lembè Department of Biology of Animal Organisms Faculty of Science University of Douala Douala Cameroon Department of Animal Production Faculty of Agronomy and Agricultural Sciences University of Dschang Dschang Cameroon Department of Urology of Laquintinie Hospital of Douala Douala Cameroon Department of Biology and Physiology Faculty of Science University of Yaounde I Yaounde Cameroon

Sexual dysfunction is a group of diseases, disorders or difficulties experienced by men or women during any stage of normal sexual activity. In Africa in general and Cameroon in particular, statistical data concerning the prevelance and the main causes of male sexual dysfunction are rare due to socio-cultural and religious burdens and sometimes self-medication. The objective of this work was to determine the prevalences, comorbidities and the risk factors of the main sexual dysfunction in some hospitals in city of Douala. Through a descriptive retrospective study carried out from Novembre 2019 to June 2021, sociodemographic parameter, reasons of consultation, risk factors and type of male sexual dysfunction (erectile dysfunction or erectile dysfunction (ED), ejaculation disorders (EjD), libido disorders (LD) and disorders of sexual activity with pain or painful sexual intercourse (PSI)) were collected in the medical files of patients who have made urological consultation between 2016 and 2020 at the Deido District hospital, Laquintinie Douala Hospital and Douala General hospital respectively. At the end of our data collection, out of a total of 24995 consultations, 2743 (10.98%) patients were suffering from at least one male sexual dysfunction. Moreover, sexual disorders were the 2nd reason of urological consultation (13.69%) after urinary disorders (33.85%). Among sexual disorders, erectile (76%) and ejaculatory (20%) disorders were the predominant pathologies recorded with the prevalences of 9.79 et 2.62% respectively, and were mostly represented in patients from [41 - 50] for erectile dysfunction, and [18 - 30] years old for ejaculative dysfunction. In addition, the number of patients with ejaculatory and erectile dysfunctions was more important in patients from [18 - 30] and [31 - 40] years old respectively. Among patients presenting sexual disorders, several risk factors or pathologies were associated with the dysfunction: benign prostatic hyperplasi

关键词： Male Sexual Dysfunction Patient urologist Prevalence

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