Psychosexual Counseling in Andrological Surgery

This book combines concise descriptions of the various andrological surgical interventions in the adolescent and adult with detailed analysis of the pre- and postoperative psychosexual counseling of the patient and his family that is appropriate to each procedure. It offers a multidisciplinary approach to the candidate for andrological surgery that reflects the everyday experiences of an andro-sexology team. Each chapter focuses on a particular surgical procedure. Succinct description of the disease and its epidemiology, diagnosis, and treatment is followed by extensive discussion of all aspects of psychosexual relevance and the required counseling. Topics addressed include, for example, the impact of diagnosis, body image issues, fears relating to the surgical procedure and its outcome, the risk of excessive expectations and consequent disillusionment, relationship issues and communication problems, and the role of the sexologist. The analysis and guidance offered in this book will beof particular value to the less experienced andrologist and will assist in achieving postoperative patient satisfaction.

Elena Longhi is a fully qualified professional psychologist and psychotherapist, with specialist training in Sexological Psychotherapy and Systemic and Family Psychotherapy. Since 2000 she has been a Professor at the International Institute for Sexology, Florence, Italy and has worked at the Sexual Medicine Center, Università Vita Salute San Raffaele, Milan. One of her key areas of interest has been the rehabilitation of patients who have undergone andrological surgery. Giorgio Franco is Associate Professor in the Department of Urology, Sapienza University of Rome, Italy. After completing his medical degree, Dr. Franco specialized in Urology and General Surgery. He is a Fellow of the European Board of Urology and was a member of the scientific committee of the Italian Society of Andrology (SIA) from 1999 to 2002 and from 2004 to 2006. He has published more than 270 publications on Urology and Andrology, including 67 in peer-reviewed journals. Fulvio Colombo is Head of the Andrology Unit at Policlinico Sant'Orsola Malpighi (University Hospital), Bologna, Italy and Professor at the Postgraduate School of Urology, University of Bologna. From 2004 to 2007 Dr. Colombo was chief of the scientific academy of Italian Society of Andrology and he is a Fellow of the Surgical Committee of the European Society for Sexual Medicine. He has vast experience in urological andrology and reconstructive genital surgery as well as transgender surgery and has authored or co-authored approximately 250 journal articles and scientific videos.

MULTIDISCIPLINARY APPROACH TO THE ADOLESCENT PATIENT AND THE FAMILY.- General aspects, legal and sexological ones.- Surgical and radiological correction of symptomatic varicocele.- Circumcision and the simple correction of phymosis.- Simple Corporoplasty for the correcion of congenital curvature of the penis.- Orchidopexy for the treatment of retractile or undescended testis.- Orchifunicolectomy for testicular malignancy.- Andro-sexological aspects associated with delayed puberty and "small penis".- MULTIDISCIPLINARY APPROACH TO THE ADULT PATIENT AND THE PARTNER.- Surgical and radiological correction of varicocele in infertile male.- Sperm retrieval in the azoospermic patient.- Penile prosthesis implant following pelvic surgery.- Penile prosthesis implant in neurologic patients.- Penile prosthesis implant for severe erectile dysfunction .- Penectomy for penile malignancy.- Orchifunicolectomy for testicular malignancy .- Male to Female genital reassignment surgery for Gender Identity Disorders.- Consideration about fix an appropriate follow up of the andrological patient.- The role of Sexology in surgical Andrology.