Male Sexual Health Male Sexual Health

NON-PROFIT ORG.
U.S. POSTAGE
PAID
NEW YORK, NY
PERMIT# 8048
The Post-Graduate Medical School of the New York
Universit y School of Medicine is committed to improving
patient care through continuing ­m edical education.
Spons ored by t he NY U Po st-G r ad u ate Med i cal Sch o ol
Course Description
Erectile function is an important quality of life issue for men and their
partners. The PDE-5 inhibitor has revolutionized the treatment of ED.
Though it simplified the treatment of erectile dysfunction, the primary
care provider (PCP) has been, by default, now drawn into the field of
sexual medicine, as men and their partners are now bringing to their
attention issues of loss of libido, hypogonadism, ejaculatory dysfunction
and orgasmic dysfunction. The goals of this course are to educate the
PCP in all areas of male sexual health.
Target Audience
Primary care and internal medicine physicians.
550 First Avenue, New York, NY 10016
Clinical Challenges in
Visit the NYU Post-Graduate Medical School website at
www.med.nyu.edu/courses/cme/malexsexualhealth
S a t urda y, N o ve m be r 8, 2 00 8
N e w Yo rk , N Y
Health
Male
Sexual
Male
Sexual
Clinical Challenges in
Post-Graduate Medical School,
Statement of Need
Health
• Hypogonadism
• Erectile Dysfunction
• Ejaculatory Dysfunction
• Low Libido
• Orgasmic Problems
Saturday, November 8, 2 00 8
New York, NY
Erectile Dysfunction is highly prevalent, with 50% of men over the age
of 40 experiencing some ED. ED has been linked to endothelial disease
and may be a predictor of coronary artery disease. As many as 35%
of men will never adequately respond to the PDE-5 inhibitors; and as
the underlying diseases responsible for erectile dysfunction progress,
an increasing number of men are now failing the oral treatments.
Non-urologists now account for over 85% of the treaters of Erectile
Dysfunction, and as the primary care physician encounters patients who
are failing treatment, PCP’s should be able to initiate second line therapy.
When the first and second line therapies don’t work, the PCP should be
able to counsel his patients on injection therapy and penile prosthesis
implantation. Hypogonadism has major health issues for the aging male
in addition to sexual dysfunction. There exists an irrational amount of
hysteria surrounding testosterone replacement and the risk of prostate
cancer that needs to be addressed by the PCP. Ejaculatory Dysfunctions
are increasingly discussed between patients and their PCP’s, so the
physician should be up-to-date on current treatment options.
Educational Objectives
• Describe the increasing body of evidence linking ED to endothelial
disease and the importance of establishing the diagnosis to improve
overall health of the patient
• Recognize reasons for initial PDE-5 failure and ways to maximize
initial response based on pharmacokinetic properties of different
medications, and explain to long-term patients why failure has
occurred; and the associated health implications
• Implement intraurethral and injection therapy as second line therapy
• Counsel patients on the newest data on injection therapy and review
risks and benefits of contemporary penile prosthesis surgery
• Identify the signs and symptoms of hypogonadism and the risk and
benefits of treatment, as well as the evidence-based risk of treating
hypogonadism and the risk of prostate cancer
• Describe current and future treatments for premature ejaculation
Faculty
Agenda
7:30 am
Registration and Continental Breakfast
Oral Therapy
8: 00
Andrew McCullough, MD
8: 05 Update on Oral Therapy in Past 10 Years
Andrew McCullough, MD
8: 20 Welcome & Introduction
Link Between Erectile Dysfunction and Other Disease States
Steven Lamm, MD
8:40 Why Do Men Fail Oral Therapy?
Joseph Alukal, MD
9: 00
Case Presentations and Panel Discussions
9: 20 Risks of PDE-5 Inhibitors
Andrew McCullough, MD
9:40 Coffee Break
Second Line Therapy for the Primary Care Provider
10 :30 Vacuum Erection Device
James Barada, MD
11: 20 11:40 12: 00 pm
Intraurethral Alprostadil
Andrew McCullough, MD
11: 00 12:15 Combination Therapy Rationale and Efficacy
Joseph Alukal, MD
Case Presentations and Panel Discussions
Lunch Break
Live Demonstration of Second Line Therapy
Hypogonadism
1: 00 Health Implications of Hypogonadism
Ridwan Shabsigh, MD
1: 20 Treatment Options
Martin Miner, MD
1:40 Do I Need to Worry About Prostate Cancer?
Herbert Lepor, MD
2: 00 Case Presentations and Discussions
2: 20
Coffee Break
Ejaculatory and Libido Issues
2:40 Premature Ejaculation Treatment
James Barada, MD
3: 20 Premature Ejaculation Epidemiology and Pathophysiology
Joseph Alukal, MD
3: 00 Delayed or No Ejaculation and Low Libido
Ridwan Shabsigh, MD
3:40 4: 00 pm Andrew McCullough, MD
Associate Professor of Urology
NYU School of Medicine
New York, NY
Guest Faculty
James Barada, MD
Director
Albany Center for Sexual Health
Albany, New York
Martin Miner, MD
Clinical Associate Professor
of Family Medicine
Warren Alpert School of Medicine
Brown University
Co-Director, Men¹s Health Center
Miriam Hospital
Providence, RI
Case Presentations and Discussion
Adjourn
Register online at www.med.nyu.edu/courses/cme/malesexualhealth
Ridwan Shabsigh, MD
Director, Division of Urology
Maimonides Medical Center
Brooklyn, NY
NYU School of Medicine
Faculty
Joseph Alukal, MD
Assistant Professor of Urology
Steven Lamm, MD
Clinical Assistant Professor of Medicine
Male Sexual Health , Course #382, November 8, 2008
(Please do not reduce or enlarge this form)
­PLEASE PRINT ALL INFORMATION CLEARLY IN BLOCK LETTERS AND NUMBERS.
Name
FIRST
M.I.
LAST
Address
Herbert Lepor, MD
Professor and Martin Spatz
Chairman of Urology
City
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What Is the Case for Daily Therapy?
Steve Lamm, MD
10 : 00 Course Director C O U R S E R E G I S T R AT I O N F O R M
General Information
Location
NYU School of Medicine
Schwartz Lecture Hall, Classroom F
401 E. 30th Street
New York, NY 10016
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