41
17
th
Congress of the European Society for Sexual Medicine
Workshops
5 February 2015
WS-01
Workshop
08:30–10:00
Auditorium 12
Premature ejaculation, delayed ejaculation and an-
ejaculation
Expert: Marcel Waldinger, The Netherlands
Chair:
Ege Can Serefoglu, Turkey
Audience:
The workshop has been designed for clinicians
who treat men with complaints of premature ejaculation,
delayed ejaculation and/or anejaculation.
The contents include three parts of each dysfunction:
1. The symptomatology of the disorder
2. The options for treatment
3. A number of clinical cases. Apart from application of
evidence-based medicine proposed guidelines, the work-
shop will show that clinical experience is an important
factor in diagnosis and treatment of these ejaculatory
complaints, and that recommendations of guidelines
may not always lead to disappearance of the complaint.
Aim:
In daily clinical practice, a substantial number of pa-
tients do not present with textbook-like ejaculatory comp-
laints. There might be comorbidity, patients may provide
only minimal information of their complaints, or present
with complaints that are related to non-ejaculatory disorders.
In an interactive session, the audience will learn that a
critical view towards official diagnostic criteria and treatment
standards is a requirement for daily clinical practice with
patients suffering from ejaculatory disorders.
Learning objectives
e
To learn the subtle clinical symptoms of the four different
premature ejaculation subtypes
e
To learn the symptoms of primary and secondary delayed
ejaculation and anejaculation
e
To learn to differentiate between ejaculation-induced er-
ectile dysfunction and other erectile disorders
e
To learn how to deal with medication induced side effects
e
To learn how to deal with non-responders
Summary of contents
There are four premature ejaculation subtypes, each with
its own characteristic symptomatology. In addition, there
are two types of delayed ejaculation, the well-known lifelong
an acquired form. Although textbooks describe their symp-
toms, subtle characteristics have hardly been described as
these subtle symptoms are often difficult to objectivate.
Nevertheless, it are these subtle nuances that are important
for a clinician for making a diagnosis that is based on cli-
nical experience and scientific research. Although hardly
investigated, also the two forms of delayed ejaculation and
anejaculation can be recognized by symptoms that are not
always presented in textbooks. The aforementioned subtle
and subjective manifestations of ejaculatory disorders will
be discussed in detail.
WS-02
WORKSHOP
10:00–11:00
Auditorium 12
Erectile dysfunction: Difficult cases
Expert: Dimitris Hatzichristou, Greece
Chair: Ilan Gruenwald, Israel
Audience:
The workshop has been designed for physicians
who treat regularly patients with erectile dysfunction. The
contents include two parts: a) an introductory 20min “tips
and tricks” session, and b) a number of well-designed cli-
nical cases. The second part will allow the participants to
understand why clinical experience is a significant comple-
mentary component of the evidence-based medicine.
Aim:
In the everyday clinical practice, physicians deals with
several challenging cases. Quite commonly, there are theo-
retically easy straightforward cases to deal with, however in
reality we fail to manage such cases. Sexual history may not
reveal the real cause(s) of the problem, existence of a co-mor-
bidity leads us to characterize incorrectly a case as of orga-
nic origin, a diagnostic procedure may lead to false positive
results and a typical treatment may not work. After presen-
ting the principles and personal experience in the manage-
ment of such cases, we will run a number of cases, where
the audience will be asked to express their views. At the end
of the workshop, we will summarize some critical steps
“never-to-forget” in our everyday clinical practice.
Learning objectives
e
To learn the secrets of the sexual history
e
To learn how to differentiate the psychogenic
component in organic cases
e
To learn the secrets of the diagnostic procedures,
e.g. triplex ultrasonography
e
To learn how to evaluate non-responders to
pharmacotherapy
e
To learn how to treat truly non-responders
e
To learn how to teach intracavernosal injections
to your patients
e
To discuss cases that treatment did not worked
for them
