Lower urinary tract symptoms and Benign Prostatic Hyperplasia

Old problems, new solutions. Benign prostatic hyperplasia is a common cause of lower urinary tract symptoms (LUTS). Newer medications and minimally invasive treatments are now available in Australia, although the long-term outcomes are as yet unknown. Common questions asked by GPs and patients are answered here. Lower urinary tract symptoms (LUTS) affect millions of men […]

Peyronie’s Disease: Underdiagnosed and Untreated

The development of a bent erection, usually for no obvious reason, causes real concern to men who develop Peyronie’s disease (PD), and there is reluctance to talk about it. François Gigot de La Peyronie first described the condition in 1743, but we still do not understand it fully and it has proven resistant to ‘cure’. […]

Peyronie’s Disease: Watch out for the Bend

Peyronie’s disease is a relatively common condition in urological practice, but is still poorly identified and understood in the wider medical community and by most of the public. Identifying the condition and appropriate referral for expert opinion can significantly lessen the physical and psychological effect on patients. The objective of this article is to provide […]

Adult male stress and urge urinary incontinence – A review of pathophysiology and treatment strategies for voiding dysfunction in men

Male urinary incontinence adversely affects health-related quality of life and is associated with significant psychosexual and financial burden. The two most common forms of male incontinence are stress urinary incontinence (SUI) and overactive bladder (OAB) with concomitant urge urinary incontinence (UUI). The objectives of this article are to briefly review the current understandings of the […]

Much more than prescribing a pill… Assessment and treatment of Erectile Dysfunction by the general practitioner

Erectile dysfunction is a common but often neglected condition. Prevalence increases with age, but is not insignificant in younger men. This article will broadly describe the epidemiology, classification and risk factors of erectile dysfunction. It will also discuss assessment and current treatment modalities, with a particular focus on the unique role of the general practitioner […]

Physiology and Management of Erectile Dysfunction

Anatomy and Physiology The physiology of erections is a complex interaction between the penile anatomical compartments, vessels and nerves. The penile anatomical compartments involved in erections are principally the corpora cavernosa. These are paired cylinders of smooth muscle encased in the tunica albuginea which function as the erection chambers and are separate from the glans […]