Telemedicine has rapidly integrated into healthcare,overcoming initial barriers such as regulatory restrictions and technological limitations.Its role in sexual medicine,especially urology,has been accelerated by tech...Telemedicine has rapidly integrated into healthcare,overcoming initial barriers such as regulatory restrictions and technological limitations.Its role in sexual medicine,especially urology,has been accelerated by technological advances and the COVID-19 pandemic.However,as telehealth continues to expand,key ethical challenges emerge,including concerns over privacy,healthcare equity,and informed consent.These challenges are particularly important in sexual medicine,where sensitive patient data and intimate conditions are involved.We aimed to examine the ethical implications of telemedicine in sexual medicine,focusing on data security,consent processes,and healthcare disparities.We further emphasize the importance of maintaining high ethical standards while integrating telemedicine as a complement to traditional care,ensuring that patient outcomes are not compromised.展开更多
Supersonic transporter(SST)deformity,also known as floppy glans syndrome,represents a persistent source of post‐operative dissatisfaction among patients undergoing inflatable penile prosthesis(IPP)implantation.Althou...Supersonic transporter(SST)deformity,also known as floppy glans syndrome,represents a persistent source of post‐operative dissatisfaction among patients undergoing inflatable penile prosthesis(IPP)implantation.Although infection and mechanical failure rates have declined with advances in device design and surgical technique,SST deformity remains a challenging anatomical complication.It results primarily from inadequate corporal dilation,undersized or malpositioned cylinders,or true glans hypermobility due to disruption or weakness of the corporo‐glanular ligament.Diagnosis is largely clinical,supported by adjunctive imaging when needed,while the glans hypermobility scale has emerged as an objective tool for intra‐operative grading and decision‐making.Conservative approaches such as observation,phosphodiesterase type‐5 inhibitors,intraurethral vasoactive agents,and vacuum therapy may offer benefit in mild cases,but durable correction is most consistently achieved through glanulopexy techniques,which now demonstrate success rates exceeding 85%–95%with low morbidity.This review synthesizes historical perspectives,evolving diagnostic approaches,and contemporary surgical management strategies for SST deformity.Future research into minimally invasive fixation and injectable bulking agents may further expand the treatment armamentarium for this complex but correctable cause of dissatisfaction following IPP implantation.展开更多
文摘Telemedicine has rapidly integrated into healthcare,overcoming initial barriers such as regulatory restrictions and technological limitations.Its role in sexual medicine,especially urology,has been accelerated by technological advances and the COVID-19 pandemic.However,as telehealth continues to expand,key ethical challenges emerge,including concerns over privacy,healthcare equity,and informed consent.These challenges are particularly important in sexual medicine,where sensitive patient data and intimate conditions are involved.We aimed to examine the ethical implications of telemedicine in sexual medicine,focusing on data security,consent processes,and healthcare disparities.We further emphasize the importance of maintaining high ethical standards while integrating telemedicine as a complement to traditional care,ensuring that patient outcomes are not compromised.
文摘Supersonic transporter(SST)deformity,also known as floppy glans syndrome,represents a persistent source of post‐operative dissatisfaction among patients undergoing inflatable penile prosthesis(IPP)implantation.Although infection and mechanical failure rates have declined with advances in device design and surgical technique,SST deformity remains a challenging anatomical complication.It results primarily from inadequate corporal dilation,undersized or malpositioned cylinders,or true glans hypermobility due to disruption or weakness of the corporo‐glanular ligament.Diagnosis is largely clinical,supported by adjunctive imaging when needed,while the glans hypermobility scale has emerged as an objective tool for intra‐operative grading and decision‐making.Conservative approaches such as observation,phosphodiesterase type‐5 inhibitors,intraurethral vasoactive agents,and vacuum therapy may offer benefit in mild cases,but durable correction is most consistently achieved through glanulopexy techniques,which now demonstrate success rates exceeding 85%–95%with low morbidity.This review synthesizes historical perspectives,evolving diagnostic approaches,and contemporary surgical management strategies for SST deformity.Future research into minimally invasive fixation and injectable bulking agents may further expand the treatment armamentarium for this complex but correctable cause of dissatisfaction following IPP implantation.
