Penile low-intensity extracorporeal shockwave therapy or phosphodiesterase type-5 inhibitors in the treatment of postprostatectomy erectile dysfunction

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Created on Monday, 20 November 2017 10:54

Written by доц. д-р Пенчо Генов д.м. - Уролог

Stoykov B.A. 1 , Kolev N.H. 1 , Genov P. 1 , Dunev V.R. 1 , Vanov A. 1 , Atanasov J.A. 1 , Koleva M.I. 2

1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2Clinic Physiomed, Dept. of Physiotherapy, Pleven, Bulgaria

Introduction & Objectives: The experience gained in recent years with low-intensity extracorporeal shock wave therapy (LI-ESWT) demonstrates its safety, efficacy and good tolerance in the treatment of erectile dysfunction (ED). The aim of our study was to compare LI-ESWT with phosphodiesterase type-5 inhibitors (PDE5I) in terms of their efficacy and safety in patients with bilateral nerve-sparing radical retropubic prostatectomy (BNSRRP).

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Erectile function and overall satisfaction 12 months after radical retropubic prostatectomy

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Created on Monday, 20 November 2017 10:53

Written by доц. д-р Пенчо Генов д.м. - Уролог

Stoykov B.A. 1 , Kolev N.H. 1 , Genov P. 1 , Dunev V.R. 1 , Kotsev R.P. 1 , Tonchev P.T. 2 , Vanov A. 1 , Atanasov J.A. 1

1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2Medical University Hospital, Dept. of Surgery, Pleven, Bulgaria

Introduction & Objectives: Erectile dysfunction occurs in 25-75% of men undergoing radical retropubic prostatectomy (RRP). This study aims to assess by erectile function (EF) and overall satisfaction domains of the international index of erectile function (IIEF), how EF influences the overall satisfaction (OS) in patients 12 months after RRP.

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Basic sexual function of patients candidates for bilateral nerve-sparing radical retropubic prostatectomy

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Created on Monday, 20 November 2017 10:50

Written by доц. д-р Пенчо Генов д.м.- Уролог

Stoykov B.A. , Kolev N.H. , Genov P. , Dunev V.R. , Kotsev R.P. , Vanov A. , Atanasov J.A. , Al-Shargabi F.

Medical University Hospital, Dept. of Urology, Pleven, Bulgaria

Introduction & Objectives: Necessity of preoperative evaluation of the sexual function in patients undergoing bilateral nerve sparing radical retropubic prostatectomy (BNSRRP) is bеing more emphasized because of the fact that in the last few years prostate cancer is more frequently diagnosed in young patients. The aim of our study is to make objective evaluation of the basic sexual function in patients with clinically localized prostate cancer which are candidates for BNSRRP, using internationally validated questionnaires. To find correlation on one hand between these questionnaires and the individual judgement of candidates and on the other hand between comorbidities of the patients and degree of erectile dysfunction (ED).

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Influence of urinary incontinence on the sexual activity in obese women with reproductive problems

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Created on Monday, 20 November 2017 10:49

Written by доц. д-р Пенчо Генов д.м.- Уролог

Stoykov B.A. 1 , Gincheva D.H. 2 , Genov P.P. 1

1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2Medical Center Clinical Institute for Reproductive Medicine “St. Elissaveta”- Pleven, Bulgaria, Dept. of Gynecology, Pleven, Bulgaria

Introduction & Objectives: A number of up-to-date statistics show that a large number of obese women with reproductive problems have urinary incontinence. The objective of this study was to present the importance of urinary incontinence on sexual activity in obese women with reproductive problems.

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A rare clinical case of penile gangrene in a patient with chronic renal failure and diabetes mellitus

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Created on Monday, 20 November 2017 10:48

Written by доц. д-р Пенчо Генов д.м.- Уролог

Dunev V.R. 1 , Vanov A. 1 , Kolev N.H. 1 , Stoykov B. 1 , Genov P. 2 , Atanasov J.A. 1

1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2UMHAT RUSE, Dept. of Urology, Ruse, Bulgaria

Introduction & Objectives: Penile gangrene is a disease difficult to be treated. Its genesis might be infectious, traumatic or vascular. Usually, diabetes mellitus causes vascular changes with subsequent vascular atherosclerosis and chronic renal failure. The calcium-phosphate metabolism is disrupted by small cell vessel calcification in 1-4% of cases.

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Use of unmeshed split-thickness skin grafts in patients with paraffinoma of male genitalia

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Created on Monday, 20 November 2017 10:45

Written by доц. д-р Пенчо Генов д.м.- Уролог

Dunev V.R. 1 , Kolev N.H. 1 , Genov P. 2 , Stoykov B.A. 1 , Rachev I.P. 3 , Tonchev P.T. 3 , Vanov A. 1 , Atanasov J.A 1

1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2UMHAT RUSE, Dept. of Urology, Ruse, Bulgaria, 3Medical University Hospital, Dept. of Burns and Plastic Surgery, Pleven, Bulgaria

Introduction & Objectives: More than 100 patients with paraffinoma of male genitalia (PMG) have been operated in the Department of Urology, University Hospital “G. Stranski”, Pleven, Bulgaria for the last 10 years. The main surgical techniques used for the plastic reconstruction of the penis are: Simple excision, Bilateral scrotal flaps, Modified Cecil’s and plastic with Meshed split-thickness skin grafts (mSTSG). The objective of the present study is to report early results using unmeshed split-thickness skin grafts (STSG) for penile plastic in patients with paraffinoma of male genitalia.

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Discontinuation rate of dapoxetine in patients with lifelong premature ejaculation: 1-year observational study

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Created on Monday, 20 November 2017 10:43

Written by доц. д-р Пенчо Генов д.м.- Уролог

Genov P. 1 , Kolev N. 2 , Dunev V. 2 , Stoykov B. 2 , Vanov A. 2 , Atanasov J. 2

1MHAT Ruse, Dept. of Urology, Ruse, Bulgaria, 2UMHAT "Georgi Stranski", Dept. of Urology, Pleven, Bulgaria

Introduction & Objectives: Premature ejaculation is the most common sexual dysfunction in men, however it is not well understood. Although Dapoxetine is the only oral pharmacological agent approved for the treatment of premature ejaculation, which is considered a "gold standard" and a first choice agent with high efficacy, the incidence of discontinuation of treatment with it is very high. Our aim was to investigate the discontinuation rate of Dapoxetine in patients with premature ejaculation and the reasons for stopping treatment in real practice.

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Quality of sexual life in men with lifelong premature ejaculation treated with dapoxetine

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Created on Monday, 20 November 2017 10:43

Written by доц. д-р Пенчо Генов д.м.- Уролог

Genov P. 1 , Kolev N. 2 , Dunev V. 2 , Stoykov B. 2 , Vanov A. 2 , Atanasov J.2

1MHAT Ruse, Dept. of Urology, Ruse, Bulgaria, 2UMHAT , Dept. of Urology, Pleven, Bulgaria

Introduction & Objectives: Although premature ejaculation (PE) is a common male sexual dysfunction, it is poorly understood. Men with PE report low satisfaction with their sexual relationship, low satisfaction with sexual intercourse, difficulty relaxing during intercourse, and less frequent intercourse. However, the negative impact of PE extends beyond sexual dysfunction. PE can have a detrimental effect on self-confidence and the relationship with the partner, and may sometimes cause mental distress, anxiety, embarrassment and depression. Our aim was to investigate the quality of sexual life in men with lifelong PE treated with dapoxetine, using the Brief Male Sexual Functional Inventory (BMSFI).

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