Andrology for the Clinician consists of two parts:

In Part One the busy clinician can easily find the problem-orientated information he or she needs on such issues as male factor fertility problems, male contraception, and male genital tract infection and tumours.

Part Two contains in-depth subject-orientated information and adds important scientific background information to the recommendations received in Part One.

Contents

Part I: Diagnosing and Solving Clinical Problems

Gender Dysphoria and Disorders of Sexual Differentiation

• Gender dysphoria
• Disorders of sexual differentiation

Abnormal Pubertal Development

• Physiology
• Precocious puberty
• Delayed puberty

Male Factor Fertility Problems

• Consensus-based approach to standardized diagnosis and management of the infertile male
• WHO recommended diagnostic flow chart
• Implications of multifactorial aetiology in the diagnosis and management of male infertility
• Sexual dysfunction and male fertility
• Reference values of semen variables and their interpretation
• Normal spermatozoa and isolated abnormalieies of seminal plasma
• Immunological causes
• Iatrogenic causes of abnormal spermatozoa
• Systemic causes of male infertility
• Congenital disorders and male infertility
• Acquired testicular damage
• Cause: varicocele
• Infection/inflammation of the accessory sex glands
• Endocrine factors
• Oligo-astheno-tereatozoospermia with no demonstrable cause

Sexual Dysfunction

• Erectile dysfunction
• Erectile deformity, including Peyronie's Disease
• Ejaculatory dysfunction
• Orgasm dysfunction
• Abnormal libido
• Sexual deviation and paraphilias

Male Contraception

• Controversies regarding post-vasectomy management
• Vasectomy reversal
• Male contraception
• Traditional methods

Reproductive Tract Infections

• Reproductive tract infections/sexually transmitted diseases
• HIV infections

Emergencies in Andrology

• Testicular torsion
• Blunt testicular trauma
• Penile fracures
• Priapism
• Testicular pain and related pain syndromes

Benign Lesions and Malignant Tumors of the Male Genital Tract

• Scrotal benign lesions, epididymal cysts, epididymal tumors
• Testicluar cancer, CIS, microcalcifications, TNM classification
• Penile inflammations
• Penile cancer
• Circumcision

Diseases of the Prostate

• Benign prostatic hyperplasia and prostatic cancer
• Prostatitis

Male breast disorder

• Gynecomastia and benign breast hyperplasia including iatrogenic causes
• Skin diseases of the male nipple
• Male breast cancer

Male Aging

• Neuroendocrine regulation of testicular function
• Male aging: wear and tear
• Organ failure and common disease of the aging male

Part II: Rationale

Understanding Normal Anatomy and Function

• Anatomy and histology of the male genital tract
• Sexual differentiation and development
• Physiology of spermatogenesis
• Physiology of sexual function
• Endocrine regulation
• Immunology of the testis and excurrent ducts
• Male contributions to the biology of conception and fertilization

Mechanism of Dysfunction and Pathology

• Disorders of prenatal sexual development
• Endocrine disorders and the rold of hormone disrupters
• Infection/inflammation of the male genital tract as cuase of abnormal spermatozoa
• Urethritis, sexually transmitted diseases, acquired immunodeficiency syndrome
• Disorders of blood flow
• Effects of lifestyle and toxicants
• Influence of systemic diseases and iatrogenic factors on sexual and reproductive functions
• Mechanisms of pathogenesis of uro-genital cancers

Diagnostic Tools

• History and examination for andrological problems
• Semen analysis and sperm function tests
• Cytomorphological semen analysis
• Clinical microbiology
• Hormonal evaluation in infertility and sexual dysfunction
• Tumor markers in andrology
• Technical investigations including imaging procedures: Doppler, MRI, PET, Echo for tumors
• Technical investigations including imaging procedures: Color flow doppler and thermography for the detection of reflux in varicocele
• Evaluation of testicular biopsy samples from the clinical perspective
• Technical investigations including imaging procedures:Genetics and male infertility

Therapeutic Options

• Introduction to surgical section
• Surgical procedures in andrology
• Vasectomy technique
• Vasovasostomy and vasoepididymostomy
• Nonsurgical cure of varicocele by transcatheter embolization of the internal spermatic vein(s) with a tissue adhesive
• Hormonal treatment of infertility
• Hormonal male contraception
• Treatment of gender dysphoria
• Treatment of sexual dysfunction
• Therapeutic options for benign prostate hyperplasia (BPH) and prostatic cancer
• Partial androgen deficiency of the aging male (PADAM) and testosterone supplementation: Use, misuse or abuse?
• Abuse of androgens
• Exotic hormones
• Anti-aging nutrition and food supplements
• Nutraceuticals and food supplements in the treatment of the infertile man
• Assisted reproductive techniques
• Cryopreservation of spermatozoa and testicular tissue including auttransplantation of germinal epithelium
• Current research and future prospects for gene therapy in andrology
• Behavioral therapy and counseling
• Donal insemination, egg and embryo donation
• Aesthetic andrology: surgical interventions
• Aesthetic andrology: skin care for men - male cosmetics and cosmetic dermatologic procedures

Index

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