I

IHR

M

EBneaaisROsfiDafR5rcocmCwhmb

d

PIT

C

EBmiroaMtwbpmeuReIohtaaCbe

crd

d

ATC

DG

EBdcaemMbHmtRac(tipeClkcsnisi

d

OP

A

a

b

EBd(lsirsMJ

3

SMH Congress 2010 Abstracts

ISMH World Congress 2010 Abstract 145MPACT OF FOOD AND NUTRIENT INTAKES AND LIFESTYLEABITS ON THE HEALTHY AGING OF ELDERLY POPULATION OFAJASTHAN (INDIA)

anju Lata ∗, A.L. Bhatia

Department of Zoology, M.S.J.College, University Of Rajasthan, Jaipur

-mail address: dhanju5@yahoo.com (M. Lata).ackground: Food is the chief source of essential materials, which the bodyeeds for its well being. Each stage of the life cycle has specific nutri-nt needs. As the population of elderly increase in number and greaterge, nutritional needs must be met to minimize certain disease statesnd assure the quality of life. Nutrition associated health risks have beendentified for coronary heart disease, cancer and diabetes mellitus. Thistudy is regarding the main constituent of diet taken by aged person ofajasthan along with the effect thereof.bjective: To describe, by intake assessment, nutritional status and lifetyle habits of Rajasthani elderly and to compare the data to other studiesndings.esign: Dietary intake was assessed in 143 (83 males, 60 females, averagege 78.6 years) elderly according to data collected by using structured foodrequency questionnaires.esults: Daily energy intake was 2.43 0.48 Mcal and energy density was.67 kcal/g. Energy derived from protein and fat was 13.6% and 39.8%,espectively. Dietary fiber consumption was very low, 3.92 g/Mcal. Cal-ium intake of all of the subjects, andmagnesium, zinc and copper intakesf most of them were low. In this study 45.83 percent were protein defi-ient Out of which 54.67 percent were female and 45.33 percent wereale.onclusions: 8.02%have been belowBMI and 28.7%were obese.38.8% femalesere anaemicand 38.75% suffered from arthiritis,43.58%suffering fromypertension out of these 51.11% females. Females are more deficient oficronutrient than male. One of the main reasons is their traditionalehavior.

oi:10.1016/j.jomh.2010.09.146

ISMH World Congress 2010 Abstract 146ROSTPECTIVE FOLLOW-UP OF 11 PATIENTS FOR EFFICACY OFNTRANASAL OXYTOCIN ADMINISTERED DURING COITUS FORREATMENT-RESISTANT MALE ANORGASMIA

. Zappavigna, R. Shamloul, R. Gerridzen, I. Cagiannos, A.J. Bella ∗

University of Ottawa, Ottawa, Canada

-mail address: abella@ohri.ca (A.J. Bella).ackground: A report by Ishak et al (J Sex Med 2008;5:1022-1024) com-unicated improvement in anorgasmia parameters with treatment by

ntranasal oxytocin, a nine-peptide hormone originating from the poste-ior pituitary gland. There is information to support a potential impact onrgasmic function by this molecule, which was investigated prospectivelys an option for these difficult-to-treat patients.ethods: Detailed patient review of anorgasmia history did not iden-ify concurrent DSM IV conditions and baseline hormonal profiles wereithin normal range.Potential risks and benefits of proposed treatmentased on the Ishak report and possible alternatives were reviewed for 11atients; patients were consented for off-label use of oxytocin spray. For-ulation was 24 IU administered during intercourse at the point whenjaculation was sought as previously reported; one puff per nostril wastilized for drug delivery.esults: All patients attempted to modulate anorgasmia on a minumum ofight different occasions using themetered-dose inhaler for delivery of 24U oxytocin. There were no serious side-effects; four patients complainedf nasal congestion/runny nose, four had intermittent mild to moderateeadache, and one repeatedly experienced an odd taste associated with

reatment. Three patients noted improvement in the ability to orgasm,lthough this was inconsistent; the remaining eight did not demonstrateny improvement in orgasmic function.onclusions: Positive and negative results in the medical literature need toe reported in order to establish efficacy. In this case series, the beneficialffects of 24 IU of intranasal oxytocin during intercourse were not highly

fotmr

28 jmh Vol. 7, No. 3, pp. 282–351, October 2010

orroborated and placebo effect cannot be ruled out in the initial caseeport. Further study is warranted for this potential orgasmmodulator orownstream orgasm-associated molecular targets.

oi:10.1016/j.jomh.2010.09.147

ISMH World Congress 2010 Abstract 147NALYSIS OF CANADIAN PHYSICIAN PRACTICE PATTERNS IDEN-IFIES NEED FOR CONTINUED INNOVATION IN MEN’S HEALTHARE DELIVERY STRATEGIES

. Hickling, G.B. Brock, M.B. Greenspan, I. Cagiannos, C. Morash, R.erridzen, A.J. Bella ∗

B3 Urology - Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y4E9, Canada

-mail address: abella@ohri.ca (A.J. Bella).ackground: The relationship between endothelial dysfunction and erectileysfunction (ED) is irrefutable and the importance of case-finding for EDannot be underestimated, especially in the third through fifth decades,s ED is associated with a marked increase in the risk of future cardiacvents. We have serially analyzed physician-practice patterns for 1644en, with a specific focus on ED, and present updated data.ethods: Through 2005 to 2008, 1644 Canadian men were surveyedy third-party national data-gathering organizations (2005-2007 Maritzealth and 2008 IPSOS, Canada). Data from patient encounters with pri-ary care, urologist or other physicians regarding ED evaluation and

reatment were gathered .esults: Physican initiated evaluation for erectile dysfunction remains poors greater than 85% of all ED evaluation (Question “Who initiated the dis-ussion of ED”) was initiated by the patient. ED screening or case-findingED as part of the patient visit) was rare as part of periodic health evalua-ions (routine check-up). Of note, by 2008 “first” information on ED via thenternet rose to 15%; other second-line sources of information includingharmacists, printmedia etc, play aminor role in the Canadian healthcarenvironment in this context.onclusions: Erectile dysfunction causes decreased quality of life on severalevels, both for patient and partner(s). The endothelial/ED relationship is aey aspect ofmen’s health; a diagnosis of EDmay help identify andmodifyardiovascular risk factors prior to onset of morbidity. Delivery of qualityexual healthcare and endothelial health/screening is an unmet patienteed in many cases and Men’s Health leadership groups must continue tonnovate on local and national levels for educating the patient, our non-pecialist colleagues, and increasing general public awareness in order tomprove male health care.

oi:10.1016/j.jomh.2010.09.148

ISMH World Congress 2010 Abstract 148UTCOME ANALYSIS FOR SAME-DAY DISCHARGE THREE-PIECEENILE PROSTHESIS SURGERY

.J. Bellaa,∗, G. Henryb

Division of Urology, Department of Surgery, University of Ottawa, Canada,Regional Urology, Shreveport, LA, United States

-mail address: abella@ohri.ca (A.J. Bella).ackground: Hospital stay post inflatable penile implant (IPP) surgery hasecreased over the past decade, as trends are towards 23-hr admissions“outpatient” procedure by some hospital systems). No data has been pub-ished to date comparing IPP patient experiencewith these patients versusame-day discharge (SDD) surgery. SDD for IPPmay be an attractive optionf outcomes are consistent with current treatment pathways and withegards to health care delivery costs. We report the a large evaluatoryeries for 3-piece IPP SDD compared to 23-hr admission procedures.ethods: A comparison of 57 23-hr admit IPP patients (previously reportedUrol 181(3): 1264) versus 57 SDD procedures done 2 years later was per-

ormed. Primary endpoints were surgical complications, device infectionr failure and rates and cause for re-admission for SDD patients. A keyechnicalmodificationwas the change from tape dressing and drain place-ent to soft dressing “cast wrap” with no drain. The dressing was was

emoved in the outpatient clinic the next morning for the SDD cohort.