Module 5: Male sexual dysfunction
This module describes how to distinguish between the types of erectile and ejaculation dysfunctions and how to diagnose and manage these conditions. It also suggests techniques to encourage discussion about sensitive topics such as sexual problems considering barriers and society norms. The relationship between erectile function/dysfunction and metabolic and vascular health is explored. Tools to assist with diagnosis and clinical management are provided. The module includes what to look for when making a physical evaluation and possible causes of erectile dysfunction. Penile erection aids including injections, oral medications, vacuum devices, prostheses and shockwave therapy are listed including options, contraindications and possible side effects. The third unit focuses on ejaculation physiology and disorders and explores the psychological contributors and treatment options for premature ejaculation.
Module 6: Depression in men
Men find it hard to express emotion. This module suggests various techniques to open discussion about feelings, emotions and depression with male patients. It includes how to diagnose and manage depression. Factors contributing to men’s mental health and the ways men cope with the stigma of mental health are discussed. Screening all men for depression and suicide risk is suggested, especially as illness, medications or relationship changes may increase the risk of mental health issues. Evaluation and screening tools are provided along with supportive care and treatment strategies. Bipolar depression symptoms and treatment options including psychotherapy are addressed, along with suicide and homicide risk factors. The relationship between obesity, hypogonadism, Cushing’s syndrome, hyperglycemia, diabetes with depression is detailed. Unit four focuses on patient compliance, guidelines, monitoring, team based care and referral options.
Module 7: Fitness and exercise in older men
This module assesses the effects of ageing in men and explores the physical capacities as men age. Statistics for causes of death are listed and how exercise can lead to better health outcomes. Unit two suggests ways that a medical practitioner can overcome barriers to facilitate lifestyle changes and suggests motivation tools. Guidelines for the level of physical activity for the older male are outlined including the complexities related to remoteness and socioeconomic status. The effects of fitness and mortality on the older population including cancer, prostate cancer, dementia, cardiovascular and anxiety/depression are addressed. Unit four suggests how a medical practitioner can make a difference in health outcomes for the older male. Guides are provided aimed at male patients, including the right questions to ask, intensity levels, stages of change, barriers and enablers, getting started and ‘sticking with it’.
Module 8: Male anatomy and clinical problems Part 1
This module focuses on the male genital anatomy and applying this knowledge to clinical presentations including benign swellings, cancer, pain and impaired vascular supply. Unit 1 focuses on the urethra including constrictions, obstructions, micturition, incontinence and visceral pain. Unit 2 focuses on the prostate gland and explains the zones and glands, benign hypertrophy and prostate cancer, hazards of prostatectomy and referred pain. Unit 3 is about the penis, its anatomy, the prepuce issues, circumcision and peyronie’s disease. Unit 4 explains erectile tissue and mechanism, erectile dysfunction including priapism and end artery considerations. This includes venous drainage, nerves, lymph vessels and erectile dysfunction. Unit five covers the ejaculatory pathway and clinical problems including deferent duct, seminal vessels and the ejaculation function. The anatomy of each organ is examined in detail to enhance the understanding of clinical problems and the symptoms to look for. The module also outlines how each of these organs work together.