Urology

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• What Is the Maximum Safe Dose of Opioids? Clinicians must consider a number of patient characteristics when dosing opioid pain medications.
  Pharmacotherapy, February 2008
• Sex and Antidepressants How often do SSRIs cause sexual dysfunction? When reducing the dosage does not help, what can you do? What options are best for which kinds of patients?
  Depression, Bipolar Disorder, and Schizophrenia, March 2007
• Combining Long-acting Opioids That Are Active at Different mu Receptors for Pain Management OxyContin and methadone work on different opioid receptors, so could the combination of these agents be clinically advantageous?
  Pharmacotherapy, March 2006
• Combining Methadone With Other Long-acting and Short-acting Opioids for Pain Management Why am I seeing more and more patients with prescriptions for massive amounts of pain medication who are taking methadone plus narcotics?
  Pharmacotherapy, March 2006
• Keratinizing Squamous Metaplasia What is the best course of treatment for this 47-year-old male patient with squamous metaplasia, bladder inflammation, and recurrent UTIs?
  General Urology, February 2006
• Perineal Pain During Ejaculation What is the likely explanation for this patient's deep perineal pain during ejaculation?
  General Urology, January 2006
• Vascular Anastamosis in Patient With Nephrectomy and Uretero-Cystoplasty? What are the options for renal transplant vascular anastomosis in patient who underwent right nephrectomy and uretero-cystoplasty along with appendico-vesicostomy with stoma in the right iliac region?
  Kidney Transplantation, September 2005
• Need for Antireflux Surgery Before Kidney Transplantation Should antireflux surgery be done before kidney transplantation in a patient with neurogenic bladder and grade V left vesicoureteral reflux?
  Kidney Transplantation, July 2005
• Post-Void "Ejaculate-Like Substance" A soldier deployed in Afghanistan complained of emissions of a substance resembling ejaculate after urination. Dr. Ira Sharlip discusses the possibilities.
  General Urology, July 2005
• What Should I Tell My Patients About "Male Menopause"? Is there such a thing as male menopause? If so, is it a natural occurrence? How is it treated?
  Primary Care for Advanced Practice Nurses, July 2005
• Donor Kidney With Multiple Renal Arteries Could the donor's anomaly be the reason for renal failure in this kidney transplant recipient?
  Kidney Transplantation, June 2005
• Rare Nonmotile Sperm After Vasectomy What to tell a postvasectomy patient when the semen analysis yields dead nonmotile sperm.
  General Urology, April 2005
• Urinary Retention After Removal of Foley Catheter What treatment is appropriate for women who experience urinary retention after the removal of a catheter? David Ginsberg, MD, has some suggestions.
  General Urology, March 2005
• Recurrent UTI In Diabetic Kidney Transplant Recipient What is the appropriate management of recurrent urinary tract infection in a diabetic kidney transplant patient who is more than 3 years posttransplantation?
  Kidney Transplantation, February 2005
• Increasing Bladder Capacity in Patient With Long-term Anuria Before Kidney Transplantation How can we increase bladder capacity before kidney transplantation in a patient who has been anuric for 10 years?
  Kidney Transplantation, March 2004
• Management of Hepatitis C Virus Infection in Patients With Renal Failure? Emmet B. Keeffe, MD, discusses the recommended guidelines for the management of chronic hepatitis C in patients with chronic renal failure.
  Liver Disease, March 2004
• Vesicoureteral Reflux After Kidney Transplantation? What is the current recommendation for the procedure for vesicoureteral reflux after kidney transplantation?
  Kidney Transplantation, November 2003
• Current Management of Peyronie's Disease PD is usually seen in males between the ages of 40 and 70 years, with prevalence of 3.2%. Despite many treatments being available, it has remained a therapeutic dilemma.
  General Urology, October 2003
• Pain, Medications, and Impotence How do you treat ED in patients with reflex sympathetic dystrophy and who take multiple medications as well as use electrical stimulation for pain control, but who fail sildenafil therapy?
  General Urology, October 2003
• Testosterone Replacement Therapy for Hypogonadal Erectile Dysfunction When administering testosterone replacement therapy for hypogonadal erectile dysfunction, what general comparisons can be made between the available testosterone formulations?
  General Urology, October 2003

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