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.

Prof. Elena Vittoria Longhi is a psychologist and psychotherapist specializing in Sexual Medicine, Family Therapy, and Psycho-Oncology. She works at IRCCS San Raffaele Hospital, Milan, Italy, and has been involved with the Sexual Medicine Center since its founding. Prof. Longhi treats patients with psychogenic sexual disorders, those suffering from chronic diseases, and individuals undergoing post-surgical cancer rehabilitation. Additionally, she teaches Clinical Sexology in the master's program at the Faculty of Psychology at Vita-Salute San Raffaele University and the Master of Science in Surgery and Clinical Sexology at the University of Trieste, Faculty of Medicine, Italy.

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.