J. Francois Eid, MD: Penile Implant Therapy & Options

We sat down with Dr. Eid at his New York City office to ask him about the latest developments in penile implant therapy.

Pelvic Floor Exercises May Be Effective for Premature Ejaculation

Pelvic Floor Exercises May Be Effective for Premature Ejaculation

In a small study, the treatment was associated with a 4-fold increase in average ejaculation time.

Ejaculatory Problems Linked to BPH Drugs

Ejaculatory Problems Linked to BPH Drugs

Alpha blockers and 5-alpha reductase inhibitors increase the risk of ejaculatory dysfunction, a systematic review and meta-analysis shows.

Prostatic Artery Embolization Works for Enlarged Prostate

Prostatic Artery Embolization Works for Enlarged Prostate

Cumulative rates of clinical success were 87.2% at 3 months, 80.2% at 18 months, and 72.3% at 36 months (long term).

Stress Raises Infertility Risk in Women

Stress Raises Infertility Risk in Women

Higher levels of salivary alpha-amylase linked to longer time-to-pregnancy.

Prolapse Procedures Show Comparable Efficacy

Prolapse Procedures Show Comparable Efficacy

A study found similar surgical success rates with uterosacral ligament suspension and sacrospinous ligament fixation.

Sex Hormone-Binding Globulin Linked to Diabetes Risk

Sex Hormone-Binding Globulin Linked to Diabetes Risk

Low prepregnancy concentrations associated with increased risk of gestational diabetes.

Mentally Ill Teens Face Higher Fertility Rates

Mentally Ill Teens Face Higher Fertility Rates

Fertility rate not declining as much over time in teen girls with major mental illness versus unaffected girls.

Preterm Birth Predicts Low Exercise Capacity in Young Men

Being born preterm or small for gestational age predicts low exercise capacity in otherwise healthy young men, a Swedish study found.

Children of Older Dads More Likely to Die Before Age 5

Children of Older Dads More Likely to Die Before Age 5

Excess risk of death found among children born to fathers aged 40 or older.

FDA Approves New Drug for Peyronie's Disease

FDA Approves New Drug for Peyronie's Disease

Collagenase clostridium histolyticum (Xioflex) is first non-surgical treatment to get FDA approval

TSPO Not Needed for Testosterone Production After All

Improved understanding of biosynthesis mechanisms will lead to better diagnoses and treatments for steroid hormone production disorders.

Sexual Function in Women May Improve with Bariatric Surgery

Sexual Function in Women May Improve with Bariatric Surgery

Favorable changes also observed in levels of reproductive hormones.

Bariatric Surgery Does Not Improve Male Infertility

The effect of obesity on male infertility has been well established.

EPIC Scores Predict Urinary, Sexual Function

EPIC Scores Predict Urinary, Sexual Function

3-month urinary, sexual function scores predict 12-month outcomes in prostate cancer survivors.

Hyperuricemia May Have a Role in Hematospermia

Patients with hyperuricemia also had a high prevalence of lower urinary tract symptoms.

Hematospermia: A Long List of Possible Causes

Hematospermia, or blood in the semen, can be quite alarming to many patients.

Phytoestrogens Lower Hypospadias Risk

Higher intake of phytoestrogens by expectant mothers is associated with a reduced risk of delivering infants with hypospadias.

CDC: Infertility Rates Lower for Married Women

CDC: Infertility Rates Lower for Married Women

Infertility has decreased for married women aged 15 to 44 years; infertility levels stable for men.

Antioxidants Don't Boost Fertility in Subfertile Women

Antioxidants Don't Boost Fertility in Subfertile Women

Findings based on review of antioxidants versus placebo, no treatment, or another antioxidant.

FDA Approval Sought for Female Sexual Disorder Drug

Study findings suggest that flibanserin may be effective for treating hypoactive sexual desire disorder in post-menopausal women.

The Condom: Past, Present, and Future

The condom has been through many revolutions in history, but has always had the same basic design: a rubber tube with one end sealed off.

TV Watchers Risk Low Sperm Counts

Semen quality in Western countries has been declining over the past several decades, and we are beginning to understand why.

High Maternal Phytoestrogen Intake Lowers Hypospadias Risk

Intake in the 90th percentile or higher associated with a 30% decreased likelihood of this birth defect.

CVD Linked to Sexual Dysfunction in Type 1 Diabetes

CVD Linked to Sexual Dysfunction in Type 1 Diabetes

Independent association noted for males with 50 or more years of type 1 diabetes.

High Fat Diet May Lower Sperm Count

Little is known regarding dietary habits and male reproduction.

Topical Anesthetics Effective for Premature Ejaculation

Topical Anesthetics Effective for Premature Ejaculation

Significant improvements seen for ejaculatory control, sexual satisfaction, and distress

Hypospadias Not Related to Organic Diet During Pregnancy

Hypospadias Not Related to Organic Diet During Pregnancy

However, potential association found between non-organic high-fat diary products and hypospadias

Sperm Count Found to Be Lower in Couch Potatoes

Sperm Count Found to Be Lower in Couch Potatoes

How much time a man spends watching television every day may affect his sperm count.

Long-Acting Daily Opioids Increase Risk of Hypogonadism

Long-Acting Daily Opioids Increase Risk of Hypogonadism

In men taking daily opioids, duration of action, but not dose, affects risk of hypogonadism

Tadalafil Found to Ease Ejaculatory Problems

The drug, which is approved for treating men with erectile dysfunction, benign prostatic hyperplasia, or both conditions, also improved orgasmic function.

Male Sex Hormone Changes May Increase Stroke Risk

Changes in sex hormone levels may adversely affect hematocrit and contribute to an increased prevalence of thromboembolic stroke and anemia.

Exercising Could Improve Sperm Quality

Exercising Could Improve Sperm Quality

Investigators have found that moderate exercise may increase sperm production and quality but heavy exercising may harm sperm characteristics.

Undescended Testes Raise Testicular Cancer Risk

The malignancy is three times more likely to develop in boys with cryptorchidism.

Testicular Cancer, Pot Smoking Linked

Those who had ever smoked marijuana were almost twice as likely as non-users of marijuana to develop the disease.

Radiotherapy Relapse Rare in Stage II Testicular Seminoma

Radiotherapy Relapse Rare in Stage II Testicular Seminoma

The relapse-free survival at 10 years was 83% and 54% for stage IIA and IIB patients, respectively.

Which do you think is better for preoperative male genital hair removal?

A recent study published in the Journal of Sexual Medicine tested which is the better way to perform preoperative genital hair removal on men.

Older Men's Sperm Benefit from Micronutrients

Older Men's Sperm Benefit from Micronutrients

A new study suggests that a healthy intake of micronutrients is strongly associated with improved sperm DNA quality in older men.

Walnuts Found to Improve Sperm Health

Walnuts Found to Improve Sperm Health

A diet rich in walnuts may significantly help improve vitality, motility, and morphology of sperm in health men aged 21-35.

Walnuts May Improve Sperm Health

Researchers observe improvement in vitality, motility, and morphology.

Insulin Treatment May Cause Sexual Dysfunction in Women

Insulin Treatment May Cause Sexual Dysfunction in Women

Investigators report that diabetic women receiving insulin treatment may be at higher risk for specific complications of lubrication and orgasm.

Marijuana Use Linked to Higher Risk of Testicular Cancer

Marijuana Use Linked to Higher Risk of Testicular Cancer

Risk highest for nonseminoma and mixed histology tumors.

Psoriasis Raises Sexual Dysfunction Risk

Compared with men who do not have psoriasis, those with the condition had a 27% increased risk of sexual dysfunction.

Late Puberty Lowers Testicular Cancer Risk

Researchers believe their findings suggest post-natal risk factors modify testicular cancer risk.

Testicular Exams Often Omitted from Physicals

More than one quarter of adolescent and adult males aged 15-45 report not having a testicular exam during a routine physical in the previous 12 months as recommended in American Cancer Society guidelines, according to data presented at the American Urological Association 2012 annual meeting.

Semen Quality Diminished by Too Much Saturated Fats

Semen Quality Diminished by Too Much Saturated Fats

Diets high in saturated fats may be associated with reduce semen quality, according to researchers at Massachusetts General Hospital.

Too Much Fat May Harm Sperm Quality

Higher total fat intake was negatively related to total sperm count and concentration in an analysis of data from 99 men.

Severe Pelvic Fracture Impairs Sexual Function

SAN FRANCISCO—Men and women who suffer an acute pelvic fracture that is severe enough to require surgery have a significantly increased risk of a decrease in sexual function, British investigators reported here at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting,

Moderate Exercise May Bolster Sperm Motility

ORLANDO, Fla.—Men who engage in moderate exercise have better sperm motility than sedentary men, according to a new prospective study presented at the American Society for Reproductive Medicine annual meeting.

Low Sperm Count May Decrease Likelihood of Siring a Son

ORLANDO, Fla.—As a man's sperm production declines, so does the proportion of sperm bearing the Y chromosome, thus decreasing the likelihood of siring a son, according to new data presented at the American Society for Reproductive Medicine annual meeting.

Improved Semen Quality Linked to Better Nutrition

Improved Semen Quality Linked to Better Nutrition

ORLANDO, Fla.—Better nutrition may make for better semen, according to two new studies presented at the American Society for Reproductive Medicine annual meeting.

Testosterone Therapy May Not Improve Erectile Dysfunction

ORLANDO, Fla.—Testosterone supplementation in elderly men with borderline low testosterone levels may not improve erectile dysfunction (ED) compared with placebo, new findings suggest.

Testosterone Lower in Men with Varicocele

A study comparing 325 men with palpable varicoceles and 510 men with vasectomy reversal without varicoceles revealed that men with varicocele had significantly lower testosterone levels than the comparison group (mean 416 vs. 469 ng/dL).

Vitamin D Levels May Affect Sperm Motility

Serum levels of vitamin D are positively associated with sperm motility, suggesting a role for this nutrient in human sperm function, researchers reported in Human Reproduction (2011;26:1307-1317).

New Study Suggests Cell Phone Use May Reduce Male Fertility

New Study Suggests Cell Phone Use May Reduce Male Fertility

A study by Austrian and Canadian investigators suggests that cell phone use may reduce male fertility.

TESE/ICSI Helps Male Cancer Survivors with Fertility

TESE/ICSI is effective in improving fertility in male cancer survivors, according to New York researchers.

Semen Quality Declines in Some Places

A new study suggests that semen quality may be deteriorating in some parts of the world.

Antioxidant Supplements May Benefit Subfertile Men

A new review suggests that men who are subfertile and trying to conceive a child may benefit from taking antioxidant supplements.

Saliva Test Identifies Hypogonadism in ESRD Patients

Salivary testosterone (Sal-T) can be used to diagnose androgen deficiency reliably in men with end-stage renal disease (ESRD), according to a Brazilian study.

Male Cancer Patients May Need More Advice on Sperm Banking

Many male cancer patients may not be getting adequate advice and guidance when it comes to sperm banking. John Schieszer has the story in today's Medical Minute.

FDA Clears Testosterone Gel

The FDA has approved a testosterone replacement therapy gel, a colorless and odorless preparation applied with one finger to the front and inner thighs.

Standardization: The Future of Testosterone Testing

Endocrinologist William Rosner, MD, Professor of Medicine at Columbia University in New York, explains to Renal & Urology News what impending testosterone-testing standardization—and the current lack of it—means to urology practice and research.

Predictors of Sperm Cryopreservation Success

DENVER—Raw semen total motile count (TMC) is the best predictor of sperm motility and TMC after cryopreservation of sperm, according to study findings presented at the American Society of Reproductive Medicine annual meeting.

High Fat Diets May Harm Sperm

DENVER—Sperm quality may be related to the amount of dietary fat that men consume, according to researchers.

Healthy Habits May Improve Urinary, Sexual Function

SAN FRANCISCO—Healthy lifestyle choices, such as not smoking and exercising regularly, may significantly impact urinary and sexual function, two studies suggest.

Drug May Help Subfertile Overweight or Obese Men

Drug May Help Subfertile Overweight or Obese Men

DENVER—Clomiphene citrate may enable subfertile men who are overweight or obese to increase testosterone levels and possibly improve semen parameters, according to a new study presented at the 66th Annual Meeting of the American Society for Reproductive Medicine.

Heavy Smoking Reduces Sperm Proteins Needed for Fertility

Men who smoke more than 20 cigarettes a day have a 14% lower concentration of the protamine P2 than their nonsmoking counterparts, according to a study of 53 smokers and 63 nonsmokers.

Anejaculation After RT Common

Most men who undergo radiation therapy (RT) for prostate cancer will develop anejaculation, a new study shows.

Testicular Cancer Treatments May Incur Risks

CHICAGO—Testicular cancer survivors treated with chemotherapy and radiotherapy are at increased risk for cardiovascular disease (CVD), researchers reported at the American Society of Clinical Oncology annual meeting. These patients also are at higher risk for hypertension and diabetes.

New Varicocele Technique Shows Promise

New Varicocele Technique Shows Promise

Recurrence rates after percutaneous embolization are similar to those of surgery, researcher says.

Alfuzosin Improves Ejaculatory Dysfunction

BARCELONA—Alfuzosin 10 mg once-daily (OD) improves ejaculatory dysfunction in sexually active men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH), according to new findings presented here at the 25th Anniversary European Association of Urology Congress.

High-Grade Prostate Cancer Linked to Male Infertility

Infertile men may be at increased risk for high-grade prostate cancer (PCa), according to researchers at the University of California-San Francisco.

Hypogonadism Linked to Statin Use

Statin therapy may induce primary hypogonadism and should be considered a possible confounding factor when evaluating testosterone levels in patients with erectile dysfunction (ED), according to Italian researchers.

Circumcision Offers Little Clinical Benefit

Adult circumcision appears to have little clinical benefit in terms of preventing urinary tract infections, sexual transmitted diseases, and penile cancer, according to a systematic review of eight studies.

Vasectomy Reversal With Robotic Help

Vasectomy Reversal With Robotic Help

Single-surgeon series shows it can decrease operative time compared with traditional procedures.

AUA Creates Circumcision Task Force

The American Urological Association (AUA) has formed a Male Circumcision Task Force and is collaborating with major international health care agencies to bolster adult male circumcision services in sub-Saharan Africa to combat the spread of AIDS.

Retrieved Sperm No Better Than Ejaculated Sperm

Men with severe oligoasthenospermia may be able to avoid testicular sperm retrieval, data suggest.

Shock Wave Therapy Found to Relieve ED

Shock Wave Therapy Found to Relieve ED

LYON, FRANCE—Israeli researchers have reported promising preliminary results using low-intensity shock wave therapy to treat vasculogenic erectile dysfunction (ED).

Cell Phone Use Could Damage Semen

Handsets in talk mode while in a trouser pocket could decrease sperm motility, a study suggests.

Testosterone Treatment May Have Non-Sexual Benefits

In elderly hypogonadal men, it can improve components of the metabolic syndrome, a study found

Circumcision May Help Stop HIV Spread

Protection may stem from a decrease in the number of HIV target cells following the procedure.

Topical Spray for PE Safe, Effective

Topical Spray for PE Safe, Effective

Men suffering from premature ejaculation had a sixfold increase in intravaginal ejaculatory time.

Shock Waves Relieve Peyronie's Pain

Extracorporeal shock wave therapy prevented increases in plaque size and curvature versus placebo.

Buccal Mucosa Grafting Effective for Peyronie's Disease

Plaque incision and grafting with buccal mucosa may be a safe and effective treatment option for men with Peyronie's disease (PD).

Testosterone Therapy After RP May Work

Testosterone Therapy After RP May Work

TORONTO—Testosterone replacement therapy (TRT) may be effective in improving testosterone levels in hypogonadal men following radical prostatectomy (RP)

ART Informed Consent Form Developed

The Society for Assisted Reproductive Technology (SART) has developed an informed consent form for use by physicians when offering a host of assisted reproductive technology (ART) services, including in vitro fertilization (IVF), intracytoplasmic sperm injection, assisted hatching, and embryo cryopreservation.

New Approach May Predict IUI Success

SAN FRANCISCO—Multiplying total motile sperm count by the percent of normal sperm determined by strict morphology (TM×SM) may be a significant predictor of pregnancy when sperm morphology is less than 5%, according to a new study by Texas researchers.

Sexuality in Men with Spina Bifida

With medical advances in spinal-closure techniques, shunting procedures for hydrocephalus, and renal preservation, a child born with spina bifida (SB) today has a 75%-90% chance of reaching adulthood. As a result, more males with SB are reaching sexual maturity and transitioning from pediatric to adult urologists. These individuals are in need of urologic care.

Laser Therapy May Improve Fertility

SAN FRANCISCO—Low-level laser therapy (LLLT) may perk up sperm and improve fertility rates, according to a newly released study.

Environmental Chemicals Bad for Sperm

Environmental Chemicals Bad for Sperm

SAN FRANCISCO—Three chemicals that are used in manufacturing and wind up in the environment may significantly decrease sperm motility and viability, new findings suggest.

Proteins Hold Secrets to Male Infertility

Understanding how various sperm proteins function could lead to new methods of diagnosing and treating infertility, according to researchers.

Cell Phone Use By Men May Decrease Fertility

Cell Phone Use By Men May Decrease Fertility

Evidence from our latest study has demonstrated a cause-and-effect relationship between cell-phone usage and poor semen quality, recognized as a common cause for male factor infertility.

Unlocking Secrets Of Sperm Proteins

Understanding how various sperm proteins function could lead to new methods of diagnosing and treating infertility, according to researchers.

PDE-5 Inhibitors Effective in Women

Off-label use of sildenafil (Viagra) relieved the sexual side effects of antidepressants for women in a recent clinical trial.

Higher BMI May Not Affect Fertility

Higher BMI May Not Affect Fertility

SAN FRANCISCO—Overweight men are no more likely to be infertile than normal-weight men, according to study findings presented here at the annual meeting of The Endocrine Society.

Gastric Bypass Has Sexual Benefits

Gastric Bypass Has Sexual Benefits

ORLANDO—Morbid obesity can cause sexual dysfunction in men, but new findings suggest that weight loss resulting from gastric bypass surgery may normalize sexual function.

Low Testosterone Increases Mortality Risk

SAN FRANCISCO—Low serum testosterone levels may be associated with an increased risk of death from cardiovascular causes and cancer, independent of age and other risk factors, according to a recent population-based study.

Varicocele Embolization Efficacious

WASHINGTON D.C.—Percutaneous varicocele embolization is safe and effective for treating painful varicoceles and may improve sperm concentration in infertile men, according to Canadian researchers.

Anabolic Steroids: What Urologists Should Know

Anabolic Steroids: What Urologists Should Know

The consequences of anabolic steroid use is a treatment reality for many clinicians, including urologists. Although anabolic steroid use among professional athletes gets the lion's share of attention in the media, many more casual competitors partake as well.

Gastric Bypass Good for Male Hormones

Gastric Bypass Good for Male Hormones

WASHINGTON, D.C.—Weight loss which is achieved through Roux-en-Y gastric bypass surgery (GBS) may reverse abnormal reproductive hormone profiles in obese men, according to researchers.

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