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Male Sexual Dysfunction

This section covers the operative half of male sexual-dysfunction practice, split by clinical condition. Choose a sub-page below to access the Decision Framework and searchable Treatment Database for that condition. For pathophysiology, evaluation, and natural history, see the corresponding articles in Clinical Conditions; for implant-specific operative deep-dives, see the Penile Implants subsection; and for medical-therapy hubs (PDE5i, ICI, MUSE, testosterone, androgen adjuncts, plaque-modifying agents, priapism management), see Pharmacology — Sexual Medicine & Andrology.

  • Erectile DysfunctionStepwise framework from lifestyle modification → PDE5 inhibitors → ICI / MUSE / VED → regenerative therapy → penile prosthesis (3-piece IPP, 2-piece, malleable). Includes IPP device-selection sub-comparison and the Mulcahy salvage length-preservation hierarchy.
  • Peyronie's DiseasePhase determination, acute-phase intralesional and mechanical therapy (CCH, RestoreX, CCH+RestoreX), stable-phase surgical algorithm (plication vs. plaque incision/grafting vs. IPP with adjunctive straightening), and graft-material selection.
  • Priapism Shunts & DecompressionOperative taxonomy for refractory ischemic priapism: Winter, Ebbehoj, T-shunt, Al-Ghorab, Burnett snake maneuver, penoscrotal decompression, proximal shunts, and early prosthesis transition.
  • Penile Implants SubsectionPreoperative evaluation (CURSED), intraoperative setup (no-touch), approaches (PS / IP / SC), reservoir placement (SoR / HSM), models database, infection management, revision scenarios, complications.