The journal of sexual medicine
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Penile fracture is described as a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. ⋯ Fracture penis is not uncommon as an emergency that must be repaired either immediately or delayed. Clinical diagnosis is more predictive than ultrasound in diagnosis and determining the site of the tear. Ultrasound may be of value in patients where there is clinical doubt.
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End-stage renal disease (ESRD) is a serious illness which has severe negative effects on patients' lives and quality of life. ⋯ This study shows that women with ESRD have higher risk of sexual dysfunction than healthy women. Thus, women with ESRD should be consulted for sexual dysfunction to improve the quality of life.
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Use of opiates/opioids is associated with hypoactive sexual desire, erectile and orgasmic dysfunction. ⋯ Men on MMT, but not BMT, have high prevalence of ED, related to hypogonadism and depression. Practitioners should screen for sexual dysfunction in men receiving opioid replacement treatment. Future studies of sexual dysfunction in opioid-treated men should examine the potential benefits of dose reduction, androgen replacement, treatment of depression, and choice of opioid.