Choice For Men Research Articles

Exploratory Study of gendered-linked differences in word choice in a popular Panamanian talk show

Differences between men's and women's word choices have always motivated sociolinguistic studies that correlate these variations to the gender roles or stereotypes that generate social judgments about people's expressions. This exploratory study examined gendered-linked differences in word choices when discussing daily life issues. The data was collected using a descriptive statistics table that compiled all the euphemisms, diminutives, descriptive adjectives, and politeness markers used by four conductors (two men and two women) of a popular Panamanian TV show in six discussion forums. The information was later analyzed for response patterns, similarities, and differences within and across the two groups. Our findings indicate remarkable gendered-linked differences in the use of these words, evidence of word choice variation across genders. We conclude that these variations are part of daily life communication and illustrate the effect of social behaviors and ideologies on the use of language.

Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA.

Nonobstructive azoospermia (NOA) is considered the most challenging clinical scenario for infertile men and current treatments leave many men unsuccessful at being able to achieve a pregnancy with their partner using their own sperm. Microdissection testicular sperm extraction (micro-TESE) is the choice for men with NOA desiring to father children with their own gametes. Micro-TESE results in the highest numbers of sperm cells retrieved for use with in vitro fertilization/intracytoplasmic sperm injection. With suboptimal micro-TESE success rates of sperm retrieval and then pregnancy and live birth using the retrieved sperm with in vitro fertilization/intracytoplasmic sperm injection, advances to improve outcomes are necessary. This article comprehensively reviews the technologies investigated to date to improve the outcomes for men undergoing micro-TESE.

Community perceived barriers to uptake of health services among men at Sedibeng district in South Africa.

This qualitative study aimed to investigate the barriers that hinder men's utilisation of healthcare services in the Sedibeng district of South Africa. The study was conducted using flyers with questions posted on the Best Health Solutions' Facebook page for two weeks. A convenience sampling method was used and a total of 104 comments were collected from 64 respondents. The authors analysed the participants' self-reported data thematically on demographics, geographic area, and reasons for men not using healthcare services. The findings revealed that sociocultural norms played a significant role in men's reluctance to seek medical help, as it was perceived as a sign of weakness. The scarcity of male healthcare professionals hinders open discussions. Stigma and discrimination were identified as substantial barriers. Convenience, trust, and confidentiality concerns, along with the influence of intimate partners, also influence men's decision-making. This study highlights the complex interplay between various barriers that impact men's utilisation of healthcare services in the district. By addressing these factors, healthcare providers and policymakers can enhance healthcare access and promote better health outcomes for men in Sedibeng district. The manuscript's primary contribution lies in uncovering multifaceted barriers to men's healthcare utilisation in Sedibeng district. It explores socio-cultural norms, healthcare worker demographics, stigma, discrimination, convenience factors, trust, confidentiality concerns, and the influence of intimate partners on men's healthcare choices. These insights illuminate the complex factors affecting men's healthcare access, providing valuable knowledge for healthcare providers and policymakers.

Candesartan upregulates angiotensin-converting enzyme 2 in kidneys of male animals by decreased ubiquitination.

Candesartan is a common angiotensin-II receptor-1 blocker used for patients with cardiovascular and renal diseases. Angiotensin-converting enzyme 2 (ACE2) is a negative regulator of blood pressure (BP), and also a major receptor for coronaviruses. To determine whether and how candesartan upregulates ACE2, we examined BP and ACE2 in multi-organs from male and female C57BL/6J mice treated with candesartan (1 mg/kg, i.p.) for 7 days. Relative to the vehicle, candesartan lowered BP more in males than females; ACE2 protein abundances were increased in kidneys, not lungs, hearts, aorta, liver, spleen, brain, or serum, only from males. Ace2-mRNA was similar in kidneys. Candesartan also decreased BP in normal, hypertensive, and nephrotic male rats. The renal ACE2 was increased by the drug in normal and nephrotic male rats but not spontaneously hypertensive ones. In male mouse kidneys, ACE2 was distributed at sodium-hydrogen-exchanger-3 positive proximal-convoluted-tubules; ACE2-ubiquitination was decreased by candesartan, accompanied with increased ubiquitin-specific-protease-48 (USP48). In candesartan-treated mouse renal proximal-convoluted-tubule cells, ACE2 abundances and activities were increased while ACE2-ubiquitination and colocalization with lysosomal and proteosomal markers were decreased. The silence of USP48 by siRNA caused a reduction of ACE2 in the cells. Thus, the sex-differential ACE2 upregulation by candesartan in kidney from males may be due to the decreased ACE2-ubiquitination, associated with USP48, and consequent degradation in lysosomes and proteosomes. This is a novel mechanism and may shed light on candesartan-like-drug choice in men and women prone to coronavirus infections.

All we crave is pleasure! The motivation behind millennial men's clothing store choices when purchasing semi‐formal/smart workwear for themselves

AbstractMulti‐method research was conducted in South Africa to explore the personal values that shape millennial men's clothing retail store choices when purchasing semi‐formal/smart workwear for themselves. The qualitative phase comprised in‐depth, personal interviews with 25 participants, implementing soft laddering to elicit the preferred attributes and desired consequences that drive clothing retail store choices. These ‘easier to communicate’ properties formed the crux of the phase 2 measuring instrument. The online quantitative questionnaire, an interactive version of the established Association Pattern Technique (APT), was completed by 408 millennial men as part of the means‐end chain (MEC) procedure. The stepwise process produced a series of hierarchical value maps (HVMs), disclosing two prominent underlying personal values that drive millennial men's clothing store choices. ‘Pleasure’ emerged as the most prominent personal value, signalling millennials' high regard for enjoyable shopping experiences. The importance of a sense of ‘security’ should also be noted. Accordingly, the underlying forces that drive this financially lucrative cohort's clothing retail store choices extend beyond the marketing principles taught in business schools. Retailers will, therefore, have to delve deeper to understand their target markets' needs to prosper in a highly competitive marketplace.

Evolution of Informal Employment from a Gender Perspective based on LSTM

This study provides an in-depth examination of gender differences in informal employment and its time evolution in Brazil, uses an LSTM model to quantitatively predict gender differences in informal employment and its evolution in Brazil, and explores the deeper reasons that lead to gender differences in informal employment based on labor market segmentation theory and gender role theory. The predictive analysis shows that Brazilian male and female informal employment will show a slight downward trend from the fourth quarter of 2023 to the third quarter of 2026, and that male informal employment is generally higher than that of females throughout the time series. In addition, market segmentation theory reveals that the structural segmentation of the informal employment market as a peripheral component of lower wages and social security affects the sexes differently, while gender role theory further expands on socio-cultural expectations of men's and women's behaviors and occupational choices, highlighting the reinforcement of gender differences by these structural barriers. Ultimately, the study makes policy recommendations to promote gender equality and improve the conditions of informal employment in support of the sustainable development goals.

(405) Penile Prosthesis Implantation and Peyronie's Disease: How to Approach the Residual Curvature – A Detailed Demonstration of Moulding Technique and Grafting Procedure

Abstract Introduction Insertion of a penile prosthesis is the treatment of choice in men with Peyronie’s disease and concomitant erectile dysfunction. The aim of surgery is to straighten the penis and allow adequate rigidity for sexual intercourse. A conundrum arises when there is residual curvature during device testing. Objective This video highlights strategies that will aid the implanter when faced with these intraoperative challenges. Methods This video illustrates three different scenarios and suggests strategies that can be used when there is a residual penile curvature following inflatable penile prosthesis insertion: 1) Manual moulding – In this scenario, a persistent left lateral curvature is successfully straightened by moulding the plaque following device insertion. The cylinders are fully inflated and the tubes to the pump are double clamped. One hand is positioned distal to the apex of the curvature while the other is proximal. The penis is manipulated in the opposite direction to the curvature. 2) Residual curvature after manual moulding – The plaque can be incised at the point of maximal curvature and grafted If there is a significant persistent curvature (>30 degrees) following moulding. A fibrin sealant patch was used in this patient and it offers a quick and effective choice for grafting the tunical defect. 3) Upfront plaque incision and grafting - Some patients are not suitable for moulding following penile prosthesis insertion. Examples include ventral penile curvature and ossified plaques. In this patient with a ventral curvature, the plaque was incised and the tunical defect grafted with bovine pericardial graft prior to corporal dilatation. Results All three patients had an uneventful post-operative outcome. They were encouraged to cycle the device from 3 weeks and allowed to commence sexual intercourse after 6 weeks post-surgery. Conclusions Manual moulding is a safe and effective first line option for residual penile curvature following inflatable penile prosthesis insertion. Plaque incision and grafting can be considered if moulding fails or where manual moulding is contraindicated. There are several choices for graft material including fibrin sealant patch or bovine pericardium. Disclosure No

Eliciting men's preferences for decision-making relative to treatments of localized prostate cancer with a good or moderate prognosis.

In diseases where there is no real consensus regarding treatment modalities, promoting shared decision-making can contribute to improving safety and quality of care. This is the case in low- or intermediate-risk localized prostate cancer (PC) treatment. The aim of this study was to investigate the preferences guiding men's decisions regarding the characteristics of the treatment strategies for PC to help physicians adopt a more patient-centered approach. This prospective multicenter study used a discrete choice experiment (DCE). The attributes and the modalities were identified from a qualitative study and a literature review. Relative preferences were estimated using a logistic regression model. Interaction terms (demographic, clinical and socio-economic characteristics) were added to the model to assess heterogeneity in preferences. 652 men were enrolled in the study and completed a questionnaire with 12 pairs of hypothetical therapeutic alternatives between which they had to choose. Men's choices were significantly negatively influenced by the risk of impotence and urinary incontinence, death, and the length and frequency of care. They preferred treatments with a rescue possibility in case of deterioration or recurrence and the use of innovative technology. Surprisingly, the possibility of undergoing prostate ablation negatively influenced their choice. The results also highlighted differences in trade-offs according to socio-economic level. This study confirmed the importance of considering patients' preferences in the decision-making process. It appears essential to better understand these preferences to allow physicians to improve communication and promote case-by-case decision-making.

The Prospect Theory and The Stock Market

This paper is aimed to investigate the important principle of behavioral economics , prospect theory and applies prospect theory to stock market. Based on the former studies, there are three features at the core of prospect theory, and they are in turn the reference point, a principle of diminishing sensitivity and loss aversion. Prospect theory focus on how people make decisions in an uncertain situation and it combines psychology to research economic man's choice behavior rather than research rational people’s economic behavior like expected utility theory. Therefore, the prospect theory has more value and more practical to apply in the stock market and be studied to predict investors behavior. In this essay, case analysis method and theoretical analysis method will be used to explore the prospect theory and stock market. It found that prospect theory can conduct investors gain more profit because of stock reverse transaction strategy. And loss aversion, the most important factor of reversal effect, point out that when face the uncertainty, people won’t keep completely rational as the utility theory said. What’s more, it suggests the exist of reverse effect in Chinese stock market. The research contributed to present understanding of the prospect theory in China's stock market, and further explores that the stock reversal strategy is more conducive to investors' profits in China's stock market. A large part of the reasons for this phenomenon can be explained by prospect theory, while expected utility theory cannot.

Can Urinary Stones Change History?

Urolithiasis is a common disorder born with the first hominids and the earliest texts describing symptoms date back to 3200 BC in Mesopotamia. The symptoms have always been the same, whereas the possibility of treatment has changed throughout the history. Gaius Plinius Secondus, known as Pliny the Elder, in his work "Naturalis Historia," described the pain produced by a urinary stone as an excruciating torment. When there was not an effective remedy, could this atrocious torment change the lives and choices of men? When the affected people were kings, powerful, or artists, could renal colic affect their political decisions or their artistic works? I answer positively to these questions. I will set some historical facts to demonstrate this. We will see how the surgical treatment of urolithiasis contributed to separating medicine from surgery in medieval Europe. I will tell how an archer's life was saved by perineal lithotomy surgery. I will try to prove that Michelangelo Buonarroti left traces of his stone disease in the Sistine Ceiling. Finally, I will connect the foundation of Rome, capital of the Kingdom of Italy, to bladder stones. A cultural-scientific game, not a historical treatise, in which I will try to connect some important events to urinary calculi.

Moral awareness polarizes people's fairness judgments.

How does moral awareness affect people's fairness judgments? Using a simple model of identity utility, I predict that if individuals differ in their personal fairness ideals (equality versus efficiency), reflecting over what one thinks is right should not only make people's choices less selfish but also more polarized. On the other hand, people's desire for conforming with the behavior of their peers could help mitigate polarization. I test these conjectures in a laboratory experiment, in which participants can pursue different fairness ideals. I exogenously vary (i) whether participants are prompted to state their moral opinions behind the veil of ignorance, and (ii) whether they are informed about the behavior of their peers. I find that moral introspection makes choices more polarized, reflecting even more divergent moral opinions. The increase in polarization coincides largely with a widening of revealed gender differences as introspection makes men's choices more efficiency-oriented and women's more egalitarian. Disclosing the descriptive norm of the situation is not capable of mitigating the polarization.

ШЛЯХИ ПОДОЛАННЯ СМЕРТІ В РЕЛІГІЯХ СВІТУ

To explain the essence of religion, we have to answer the questions: why do we need a religion and what part does a religion play in human life? Religion researchers compiled an excellent list of religious functions. The author of this research focused on only one function of religion. This is to answer the eternal human question about life and death. The man wants to live and to overcome. He invests many resources in this goal's achievement. Every religion tries to explain the essence of death and tries to answer the question of its negotiation. The followers of most religions in the world are sure that God created man for eternal and immortal life. But in the past, a bad case happened. Its consequence was human death. In Christianity, this case is called an original sin. Ever since people first sinned, they have begun to die. The original sin changed the material part of man because it brought death to him. But it could not change the human essence. Because God wanted to create an immortal man, a man always wants to have eternal life and has a negative attitude towards death. The mission of religion is not only to give a theoretical explanation, but primarily to create a practical means of salvation. That is why religions not only explain how death entered human reality, but also offer ways for humans to be saved. All religions in the world explain the causes of death in the same way. On the other hand, they explain the methods of salvation in different ways. The author of this research defines four classical answers to the question of human salvation. The first answer concerns the group of religions that includes Christianity, Judaism, Islam, and Zoroastrianism. The followers of this religion see salvation in the resurrection of the dead. God loves people so much that he disagrees with a man's death. God tolerates man's choice to do what he did in the moment of original sin. Therefore, man will necessarily die. However, God gives him one more possibility. It is man's resurrection for eternal life. The second answer concerns the group of Indian religions (Hinduism, Buddhism, and Jainism). The followers of this religion are sure that death is inevitable. If the man was born, he would have to die. To not die, a man must not be born. Because the followers of the Indian religions believe in reincarnation, they call upon their followers to live so as to achieve nirvana, i.e., leave the regeneration circle. Then man will not be born; therefore, he will not die. The third answer concerns Plato's philosophical doctrine and Gnostics. They are sure that the material body is the cause of all man's misfortune and death. Though death is bad, it is good to die, because a dying man gets rid of death for ever. The fourth answer concerns the followers of many ancient religions. Their ideas about death were hazy and buried. They were sure that death was not the end of human life, but their representation of the afterlife was pessimistic.

Direct-to-Consumer Telemedicine Practices in the Health and Fertility of Men: A Systematic Review of the Literature.

Men are increasingly turning toward online direct-to-consumer (DTC) men's health platforms to fulfill their health needs. Research surrounding these platforms is lacking and the motivations and predictors underlying this online health-seeking behavior is largely unknown. This review scopes the existing literature concerning DTC men's health and identifies factors influencing engagement, as well as health outcomes of this platform. A structured search was performed following PRISMA guidelines. CINAHL via EBSCO, Embase, MEDLINE via Ovid, PsycINFO, PubMed and Web of Science were searched. Peer-reviewed quantitative and qualitative studies with a focus on demographics and characteristics of those using DTC men's health platforms, as well as studies related to patient outcomes using such platforms, were included. Ten of the 3,003 studies identified met the inclusion and exclusion criteria. Four cross-sectional descriptive studies evaluated the motivations behind men's engagement with DTC platforms. Convenience, embarrassment and health motivation were identified as predominant factors associated with DTC platform use. The review identified a lack of qualitative studies, and major limitations were noted in the quantitative studies that impacted the accuracy of findings. Six further quantitative studies explored the quality of care provided by DTC platforms. DTC platforms were found to have a varying level of adherence to established clinical guidelines, but appeared to provide satisfactory patient outcomes with low levels of patient-reported side effects and adverse events. There is a lack of research within the DTC men's health space given the infancy of the field. Important predictors and motivations underlying men's choices in accessing these platforms have been noted across several studies. However, further studies need to be conducted to investigate the psychosocial underpinnings of this behavior. Studies across a wider variety of male health conditions treated by these platforms will also help to provide insights to guide patient-centered care within the DTC landscape.

From the reproduction of social class to the production of locality: Focusing on the narratives of young working class men in rural Japan

This paper reveals how young working-class men in Japan choose to work after high school instead of going to university. Through fieldwork and retrospective interviews, we interpreted young men's school experiences and career choices. We found that they did not conform to school norms but based their prospects on informal relationships outside school and the information available. This reality was lived and talked about as a process of acquiring the senses and social techniques necessary to live locally. These young peoples’ experiences and choices have traditionally been understood as a reproduction of social classes. In the context of their narratives, however, it is a process of becoming familiar with local sensibilities and social techniques, in other words, a process of producing locality. This raises new debates on class reproduction.

Do Self-Assessments for Informed Study Decisions Actually Inform Study Decisions? A Model for Evaluating the Consequential Validity Aspect

Pre-enrolment self-assessments are a promising way to address student commitment and retention in an early stage. Such assessments aim to inform study decisions by evoking reflection and providing advice for further preparation. Though these assessments require a solid validation process, so far the consequential validity aspect tends to be ignored. To address this gap, the current study investigates self-assessment impact on study choice certainty and enrolment as well as self-assessment fairness. Prospective students (N = 662) orienting towards studying in higher online education took a self-assessment consisting of six subtests. The impact appeared in line with the assessment's purpose for 68.9% of the prospective students: their study choice certainty was adapted or remained unchanged in accordance with their obtained scores. Study choice certainty after the self-assessment related positively to enrolment probability. Additionally, the impact appeared fair (similar across subgroups), though men's study choice certainty appeared relatively robust against unfavourable scores.

To choose, or not to choose, a nearby activity option: Understanding the gendered role of proximity in urban settings

Although proximity by densification is a leading strategy to promote sustainable mobility, knowledge of the gendered and situated use of proximity is scarce. This study explores how women and men use nearby amenities in urban environments varying in amenity concentration. We use survey data from cities in western Sweden to analyse how amenity density, socioeconomic factors, and attitudinal factors affect women's and men's choices of activity location, and to explore the motives underlying these choices. Applying a time-geographic understanding of the role of proximity in everyday life, we consider two activities situated in different time–space contexts: grocery shopping and leisure activities. Results indicate that the roles of gender and density vary. The choice of regular grocery store appears gendered to only a limited extent: women and men choose a regular grocery store within a similar distance from home; distances are affected by similar factors; and actual choice is motivated by similar reasons. Density promotes proximate use among both women and men. High economic status, habitual car use, and being foreign born induce women and men to travel farther. For women, environmental concern is associated with reduced travel distances, while experiencing time pressure in everyday life is associated with greater distances. Distinct gender differences are found in chosen leisure activities: men engage in regular leisure activities farther from home than women do, and women's local choices are affected by amenity density while no such association is found among men. Men more seldom cite time-constraint and mode-access reasons for their choice of leisure activity location. Location choices are generally made primarily with regard to quality of service rather than, for example, the possibility of walking or biking. We conclude that proximity is important for both women and men, but that its role varies with activity and gender, reflecting the dynamic relationship between proximity, inherent qualities of the activity, and individual values and conditions. Swedish women, to a larger degree than men, experience limitations regarding access to the city. Policy and planning to promote proximity should consider the gendered contexts of everyday activities and the heterogeneity among women and men regarding needs and desires for and constraints on local living.

"Why are you single, baby?" Reasons for being single based on a Brazilian research

Single people are often asked about the reasons for non-marriage, in a context where, despite several changes in the field of intimacy, adults are still expected to marry. Based on a thesis study on the subject of singleness in Brazil, in the city of Salvador, Bahia, this text presents the main reasons for singleness, declared by single middle-class adults who live alone in this city. The study used a feminist perspective, with the category gender as the basis for data analysis, in an intersectional way with social class, race, generation, sexuality and territoriality. It used mixed methods with a combination of instruments: questionnaire, focus groups, biographical interviews, and field observations. The findings collaborate to observe gender differences and closeness in reasons for singleness: relational reasons prevailing for women and being single as a choice for men.

Transformation of the myth of the Minotaur in “Gene” by Stel Pavlou

Fantasy of the XXI century becomes more attentive to the socio-political realities of our time. The resultant vector of the genre's problematic spectrum becomes a widely understood problem of memory - from generic, national civilization. The genre potential of fantasy gives the writer high opportunities, primarily mythological. Stel Pavlou interprets the issues of personal and cultural memory in an original way, touches the actual problem of the “beast” in man in the novel “Gene” - a representative work of Minotaurianism of the first decades of the XXI century. The purpose of our article is to determine for the first time the features of the author's version (associative model) of the Minotaur myth in the novel “Gene” by S. Pavlou against the background of the typology of modern Minotaurians, the specifics of the author's picture of the world and the accompanying philosophical subtext. In the interpretation of the key legendary-mythological image "Gene" we turn to the teaching of C. G. Jung. We show that the reinterpretation of the Minotaur's image is organically relevant to modern trends, actualizing the question of the meaning of existence, memory, man's choice of the future. In "Gene," man comprehends his essence (the Minotaur as unconscious) and recognizes the animal in himself as evil, suffers disappointment in himself and history, but must endure through love and forgiveness. We see the precondition for this original approach in Minotauri in the universalization in the twentieth century. (J. L. Borges, R. Sheckley, S. Sherrill, etc.) of the Image of the Labyrinth. Further study of the prose of S. Pavlou promising as an important component of the new world fantasy.

Factors Associated with Decision Aid Use in Localized Prostate Cancer.

Decision aids have been found to improve patients' knowledge of treatments and decrease decisional regrets. Despite these benefits, there is not widespread use of decision aids for newly diagnosed prostate cancer (PCa). This analysis investigates factors that impact men's choice to use a decision aid for newly diagnosed prostate cancer. This is a retrospective analysis of a PCa registry from the Michigan Urological Surgery Improvement Collaborative (MUSIC). We included data from men with newly diagnosed, clinically localized PCa seen from 2018-21 at practices offering a PCa decision aid (Personal Patient Profile-Prostate; P3P). The primary outcome was men's registration to use P3P. We fit a multilevel logistic regression model with patient-level factors and included urologist specific random intercepts. We estimated the intra-class correlation (ICC) and predicted the probability of P3P registration among urologists. A total of 2629 men were seen at practices that participated in P3P and 1174 (45%) registered to use P3P. Forty-one percent of the total variance of P3P registration was attributed to clustering of men under a specific urologist's care. In contrast, only 1.5% of the variance of P3P registration was explained by patient factors. Our model did not include data on socioeconomic, literacy or psychosocial factors, which limits the interpretation of the results. These results suggest that urologists' effect far outweighs patient factors in a man's decision to enroll in P3P. Strategies that encourage providers to increase decision aid adoption in their practices are warranted.

V07-09 PENILE PROSTHESIS IMPLANTATION AND PEYRONIE'S DISEASE: HOW TO APPROACH THE RESIDUAL CURVATURE; A DETAILED DEMONSTRATION OF MOULDING TECHNIQUE AND GRAFTING PROCEDURE

You have accessJournal of UrologySexual Dysfunction & Transgender (V07)1 Sep 2021V07-09 PENILE PROSTHESIS IMPLANTATION AND PEYRONIE'S DISEASE: HOW TO APPROACH THE RESIDUAL CURVATURE; A DETAILED DEMONSTRATION OF MOULDING TECHNIQUE AND GRAFTING PROCEDURE Giovanni Chiriaco, Enya Maher, Wai Gin Lee, and David Ralph Giovanni ChiriacoGiovanni Chiriaco More articles by this author , Enya MaherEnya Maher More articles by this author , Wai Gin LeeWai Gin Lee More articles by this author , and David RalphDavid Ralph More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002034.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Insertion of a penile prosthesis is the treatment of choice in men with Peyronie’s disease and concomitant erectile dysfunction. The aim of surgery is to straighten the penis and allow adequate rigidity for sexual intercourse. A conundrum arises when there is residual curvature during device testing. This video highlights strategies that will aid the implanter when faced with these intraoperative challenges. METHODS: This video illustrates three different scenarios and suggests strategies that can be used when there is a residual penile curvature following inflatable penile prosthesis insertion: 1) Manual moulding – In this scenario, a persistent left lateral curvature is successfully straightened by moulding the plaque following device insertion. The cylinders are fully inflated and the tubes to the pump are double clamped. One hand is positioned distal to the apex of the curvature while the other is proximal. The penis is manipulated in the opposite direction to the curvature. 2) Residual curvature after manual moulding – The plaque can be incised at the point of maximal curvature and grafted If there is a significant persistent curvature (>30°) following moulding. TachoSil sealant matrix was used in this patient and it offers a quick and effective choice for grafting the tunical defect. 3) Upfront plaque incision and grafting - Some patients are not suitable for moulding following penile prosthesis insertion. Examples include ventral penile curvature and ossified plaques. In this patient with a ventral curvature, the plaque was incised and the tunical defect grafted with bovine pericardial graft prior to corporal dilatation. RESULTS: All three patients had an uneventful post-operative outcome. They were encouraged to cycle the device from 3 weeks and allowed to commence sexual intercourse after 6 weeks post-surgery. CONCLUSIONS: Manual moulding is a safe and effective first line option for residual penile curvature following inflatable penile prosthesis insertion. Plaque incision and grafting can be considered if moulding fails or where manual moulding is contraindicated. There are several choices for graft material including TachoSil or bovine pericardium. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e553-e553 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Giovanni Chiriaco More articles by this author Enya Maher More articles by this author Wai Gin Lee More articles by this author David Ralph More articles by this author Expand All Advertisement Loading ...