In both cases, rape was employedsystematically against the women of a certain group, as part of anorganized campaign to destroy that group. In these ways, genocidal rapists twist the way inwhich women are pivotal to the life of a community, rendering thempivotal to its destruction” (Miller 2009, 513–514). In these andother cases, according to MacKinnon, the rape of female civilians isoften “a humiliation rite for the men on the other side whocannot (in masculinity’s terms) ‘protect’ theirwomen. The latter is frequently practiced both by official armies(as in the enslavement of mostly Korean and Chinese women and girls byJapanese forces during World War II) and by rebel militias (as in theabduction of women and girls as “bush wives” for rebels inSierra Leone). In short, the ideologyheld that “Native women can only be free while under thedominion of white men, and both Native and white women have to beprotected from Indian men, rather than from white men” (Smith,23). If this statistical significance is clinically significant needs to be critically assessed by the clinician upon the treatment planning and decision making. It appears that there is no certain magnitude of initial probing pocket depth where nonsurgical periodontal therapy is no longer effective. The aim of this review is to search for systematic reviews which evaluate these therapeutic modalities and discuss their efficacy. Some have puzzled over how war rape aimed at enforced pregnancy andbirth can be genocidal, since it aims to produce rather than preventbirths within the targeted population. Goodhart argues that therapist-fathers have violated the rights not only of the women theyrape, but also of the children thereby produced. In Rwanda, theinterahamwe raped hundreds of thousands of women and girlsbelonging to the Tutsi ethnic group, as part of an effort toexterminate the Tutsi people entirely. A four-question version of the Ejaculation subscale also is available to measure ejaculatory dysfunction.63 For the man with ED, validated questionnaires are recommended to assess the severity of ED, to measure treatment effectiveness, and to guide future management. With the possible exception of serum testosterone, glucose/hemoglobin A1c, and in some cases serum lipids, no routine serum study is likely to alter ED management. Digital rectal examination (DRE) is not required for evaluation of ED; however, BPH is a common comorbid condition in men with ED and may merit evaluation and treatment. General consistency of the penile tissue can be assessed. Clearly, sexuality is no longer discussed and mystified in positive terms as the great metaphor for desire and happiness. The heights of ecstasy and transgression for which the generations caught up in the sexual revolution yearned are now viewed through critical eyes conditioned by concern with such issues as gender difference, sexual violence, the experience of sexual abuse, and the risk of HIV infection. Somewhat older readers will remember the hullabaloo referred to in the late sixties as the "sexual revolution". The supposedly whole and complete sexual form is fragmented again and again in order to ascribe new desires and meanings to it, to implant new urges and new fields of experience, to market new practices and services. I really feel that it strengthens every relationship. It was packed and before I knew it, everyone was having sex all around me. When you talk about swinging it makes it so much easier to discuss other issues in the relationship.” FGM refers to all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons . We therefore need a change in our approach to the prevention of this practice that can have a devastating impact not only on girls and women, but can adversely affect men and communities as well. FGM is a transnational public health, human rights, and gender injustice issue, which more than 125 million girls and women in 29 countries of Africa and the Middle East have been subjected to . As such, our findings do not include reference to child sexual abuse or marital rape, though existing data indicates both forms of violence are relatively common in Uganda (UBOS and ICF, 2012; ACPf, 2014). Most often in our data, women’s use of VAC was considered an acceptable way to control behavior (aligned with parenting roles that emphasize discipline as a normative and important function). This divergence perhaps reflects the differential power dynamics between couples—in which an aspiration for more equal power at times emerges—and between parents and children, where in any parent-child relationship, parents retain a legitimate role in guiding their children. Perhaps most notably, while both forms of violence are highly normalized, tolerance for VAC as a form of discipline was more conclusive, frequently considered a fundamental parenting function and largely accepted by parents and children themselves (despite at times acknowledging the emotional consequences). In the support group, 23% reported improvement, 57% stayed the same, and 20% reported worsening symptoms. In the intensive group, 22% reported an improvement of ED, 70% stayed the same, and 8% reported worsening symptoms. Measures of free testosterone, serum sex hormone-binding globulin, and serum total testosterone also improved in the high-intensity group. At two years of follow-up, men in the intervention group had improved endothelial function and inflammatory markers (C-reactive protein) compared to the control group. Intervention trials and cohort studies assessing the OHRQoL data of adults with periodontitis, enduring non-surgical periodontal treatment (NSPT) were eligible for inclusion. Kevin said that he had undergone five surgeries with Elist, including two upgrades, a revision and a removal, and his penis no longer functioned. Elist testified with brio about his victimization at the hands of Cornell, who’d violated “the sanctuary” of his operating theater; the judge ruled with Penuma’s attorneys that the negative experiences of patients like Mick were irrelevant to the question of theft at hand. Two men said they’d needed a second surgery to replace their implants when complications arose, and one continued to volunteer as a patient advocate even though he’d had his Extra Extra Large removed. Most studies report postoperative pain in up to 4-6 weeks after surgery.Elist’s hands seemed reassuringly delicate, but Mick wanted to see the implant before it was put inside him.Although approximately 11,000 men participated in vacuum device studies, two post-marketing surveys accounted for more than half of these patients (approximately 7,000 men).587, 601We’ve witnessed previous nonsurgical male enhancement treatments before—who could forget Scrotox, which uses neurotoxin, and the P-Shot, which involves PRP?The objectives and inclusion criteria of the review were clear and relevant sources were searched for studies.A prospective single-blind study.It is also a process in which the patient and the clinician together determine the best course of therapy based on a discussion of the risks, benefits and desired outcome.This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction.First, they regard thedeprivation of women’s bodily sovereignty—in particular,male control over the sexual and reproductive uses of women’sbodies—as a central defining element of patriarchy (Whisnant2007). Non-monogamous relationships have been gaining interest and popularity among people looking for love. The Perito Urology surgeon training program offers opportunities for urologists around the world to learn the minimally invasive Perito Implant® Technique. The acknowledgment by the European Patents Office adds a layer of legitimacy to the technique, opening doors for wider adoption and acceptance within the medical community worldwide. Clinicians should counsel men with ED prior to beginning VED treatment about the potential occurrence of AEs. Sample sizes were extremely small across studies. Three randomized designs and one observational study evaluated the use of VED in men who were post-prostatectomy. Three studies did not specify diabetes type. Khayyamfar, Forootan (2013) reported on 1,530 men at an unspecified follow-up duration.583 Statistically significant improvements in all the IIEF subscales were reported with vacuum device use. Preclinical studies (e.g., animal models), commentary, and editorials were excluded. Data from studies published after the literature search cut-off will be incorporated into the next version of this guideline. A systematic review was conducted to identify published articles relevant to the diagnosis and treatment of ED. The Wrongs and Harms of Rape Also, Van der Velden (2005) defined periodontitis as the presence of inflamed pathological pockets ≥4 mm deep in conjunction with attachment loss. In retrospect, more details on baseline disease characteristics would have provided more insight into the population of this study. These two factors have a significant negative impact on the treatment outcome (Tables 3 and 4). The present study did not find such a large difference in mean percentage bleeding scores between smokers (15%) and non‐smokers (13%) (Table 4). They observed following non‐surgical periodontal therapy in non‐smokers a pocket depth reduction of 2.5mm as compared to a reduction in smokers of 1.9mm. Note that questionnaires will not generate a valid score for the man who is not sexually active. Questionnaires also can provide an opportunity to initiate a conversation about ED when sexual concerns are not the presenting issue. These instruments, or incorporation of their content as part of history and follow-up interviews, are useful to measure treatment effectiveness and to adjust management plans based on outcomes over time. Thyroid function studies (i.e. thyroid-stimulating hormone, free T4) and PSA may be appropriate for some men with ED. However, serum studies are an important component of evaluation because they may provide information on the etiology of ED and reveal the presence of additional conditions that require treatment. Outcomes were reported overall and at two to four years, four to six years and more than six years. Review outcomes were treatment success (complete or incomplete healing) and treatment failure (uncertain or unsatisfactory healing) defined using published criteria (detailed in the review). Most studies included a combination of tooth types. For men with ED who are considering ICI therapy, an in-office injection test should be performed. Men with ED should be informed regarding the treatment option of intracavernosal injections (ICI), including discussion of benefits and risks/burdens. Men with ED should be informed regarding the treatment option of intraurethral (IU) alprostadil, including discussion of benefits and risks/burdens. Men with ED should be informed regarding the treatment option of a vacuum erection device (VED), including discussion of benefits and risks/burdens. When men are prescribed an oral PDE5i for the treatment of ED, instructions should be provided to maximize benefit/efficacy. I have put together some steps for your first conversation to help you set yourself up for a productive, sensitive, and useful conversation for your relationship. And this has been my experience working with various clients who are interested in non-monogamy or are in non-monogamous relationships. This can intentionally or unintentionally ignore the various relationship structures that do not conform to traditional assumptions around there being a ‘main’ or primary partner or relationship. (Theinfluence of rape myths on people’s definitions of rape explainswhy most men who report engaging in “sexually assaultive,abusive, or coercive behavior in order to procure sexualintercourse” (1999, 816) do not define their own behavior asrape.) Feminists have coined the term ‘rape culture’ todescribe the pervasiveness and acceptability of rape-supportivemessages in media and popular discourse. Feminists have long claimed that, in patriarchal cultures, rape is notanomalous but paradigmatic—that it enacts and reinforces, ratherthan contradicting, widely shared cultural views about gender andsexuality. As Barry observes, such situations include battering relationships,most prostitution, and the sexual abuse of girl children, all of whichare common around the world. Old pathological entities such as sadomasochism or transsexualism have disintegrated and reappeared as neosexualities. Modes of sexual and gender-based response once categorized as typically heterosexual, homosexual or perverse for lack of a more differentiated matrix have since drifted away from these prescribed orbits, defining and diversifying themselves as lifestyles. The diversification of socially accepted lifestyles and forms of sexuality necessarily led the way to differentiation within the old categories of hetero- and homosexuality, the previously monolithic character of which was shown in practical terms to be theoretical, in the sense that it was a product of culture. In my view, the impact of the economic strategy of perpetual flexibilization quite obviously extends into the spheres of sexuality and gender as well. A six months Village Empowerment Program was conducted by TOSTAN in Senegal on human rights, problem-solving process, basic hygiene, and women’s health . Intervention studies involving men had an important positive effect on men’s attitudes towards abandonment of this practice. Similarly, male healthcare workers in Gambia belonging to traditionally practising communities were more likely to support the continuation and medicalisation of FGM, and intended to cut their daughters . Prevalence of FGM varied amongst Muslims with different ethnic backgrounds from 12 % to 98 % in a study of 993 men in Gambia . A school-based study of adolescent boys in Oman revealed that they were more likely to support FGM if they lived in rural areas and their parents had lower level of education . Systematic Review of Surgical and Nonsurgical Interventions in Normal Men Complaining of Small Penis Size Today, insiders suggest that practically all of the major pharmaceuticals companies are keeping allegedly sex-enhancing substances under wraps. It will be a wonder indeed if the miracle drug Viagra does not suffer a similar fate within the next ten years, despite its discoverers' claims that Sildenafil, the active ingredient marketed under the Viagra name, demonstrably intervenes in the local penile engorgement process. The new verdict on autoinjection therapy, that "marvelous new technology" (, p. 97), was already coming in even before Viagra arrived on the market. Yet as has been the case with all of the techniques and preparations welcomed as remedies for impotence with such enthusiastic clamor in the modern era, these dreams faded as well (cf. ). Results from a hemodynamic prospective study. Results of a long-term European study. Follow-up of injection therapy. A retrospective study. The effect of penis size on partner sexual satisfaction: a literature review Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers. The authors noted that both HA and PLA fillers had significantly enhanced effects in patients with micro penile syndrome 24 weeks after HA and PLA injections, and encephalitis was a severe side effect without serious adverse effects. Among these patients who received HA treatments, 4.3% experienced complications such as subcutaneous bleeding, subcutaneous nodules, and infection throughout the 6-month follow-up period. Satisfaction with penile appearance and sexual life was significantly higher in the HA groups. In addition, in the context of gay culture, penile size may influence sexual attractiveness, particularly among men who have sex with men. Schott takes a different approach to explaining the genocidal natureof military rape aimed at enforced pregnancy, drawing centrally onHannah Arendt’s concept of natality. Cardalso develops and expands Beverly Allen’s proposal (1996) thatmilitary rape aimed at enforced pregnancy employs sperm as a weapon ofbiological warfare. Thus, she seeks to explain the genocidalnature of rape aimed at enforced pregnancy without appealing toperpetrators’ beliefs about the ethnic identity of any resultingchildren. Thus, husbands were close to three times more likely than wives to be the extramaritally involved party. Of the 184 cases of EMS reported, 120 reflected husband’s EMS, 42 cases wife’s EMS, and 22 cases both spouses’ EMS (not shown in Table 1). Many of the focal independent variables, such as EMS or marital quality measures, were time-varying covariates that were automatically missing for those not followed up after 1980. Therefore, for consistency in the statistical treatment of the data, results using the simpler imputation strategy are presented throughout this paper. This was initially handled by simple replacement of missing data with sample means (or modes, for categorical variables), specific to gender and time interval, where appropriate. Alleging gross negligence and incompetence, the board accused Elist of, among other lapses, recommending that patients treat what appeared to be post-op infections with Neosporin, aloe vera and a bloodflow ointment; asking them to remove their own sutures; and deterring them from seeking outside medical care. Multiple patients who said they’d turned to Elist for a functional issue alleged that they’d been upsold enhancement procedures that resulted in their disfigurement. As both teams began conscripting high-volume implanters as allies and expert witnesses, the fraternity of sexual medicine was sundered into warring camps. Patients who reported impact and no impact were invited to participate in focus group discussions (FGDs). The datasets generated during and/or analyzed during the current study are publicly available. Recognizing the limitations of the current evidence and employing a multidisciplinary approach is crucial for better assessment of patient eligibility and meeting patient expectations. Given the mixed results of cosmetic procedures for SPA, clear communication about the potential effects, risks, and psychological impacts of these treatments is vital. Collaboration is crucial to comprehensively understand a patient's condition and effectively manage their expectations. Apart from the fact that it caused massive "venous leaks" in the penile blood circulation system, autoinjection therapy appeared to work under any given circumstances. Within only a few years, hundreds of publications appeared, and patients lined the streets along the triumphal parade route by the thousands. Before the era of Viagra, hundreds of thousands of patients all over the world were treated in this manner. The Data On the conference circuit, where the goals of the revolution were the subject of fervid debate, Penuma surgeons argued that urologists were at a crossroads. Elist’s first big catch was Steven Wilson, formerly a professor of urology at the University of Arkansas, who, until his apparent unseating by Paul Perito, a spirited upstart in Miami, was feted as the highest volume implanter in the country. Bryan, who later referred to himself as Elist’s “spokespenis,” told me he also moderated content on My New Size, an online forum for male enhancement, where Elist’s invention was often extolled. A month later, when the agency cleared the device for the “cosmetic correction of soft tissue deformities,” the word “penis” did not appear in its indications for use. The overall satisfaction with successful postbaseline intercourse attempts was determined.Findings demonstrate that co-occurring violence is common in the study community, reflecting a constellation of intra-familial dynamics frequently resulting in poly-victimization (physical and emotional) of women and children.Duration of follow-up varied widely within individual studies (for example, six months to 12 years).Treating physicians must take into account variations in resources, and patient tolerances, needs, and preferences.Yet the neosexual revolution produced more than antierotic fragments and prosthetics, more than hypocrisy, fear, and overestimation.In the treatment group, significant reductions in penile curvature and pain level were seen, as well as an increase in penile length.Non-surgical penile enhancement using dermal fillers is a growing trend, yet traditional techniques often result in uneven volume distribution, poor integration, increased risk of filler migration and/or vascular complications. Interestingly, a 2018 study published in the Journal of Social and Personal Relationships found that the type of non-monogamous relationship individuals engage in significantly influences their level of sexual satisfaction. This not only recognizes the merit of the UroFill™ penile girth enhancement but also signifies a positive step towards revolutionizing the landscape of non-surgical approaches to men’s sexual health by board-certified urologists. The controversial issue of precedence in the treatment of male sexual dysfunctions. Haahr et al. (2016) reported findings from a six-month study of 17 men post-RP administered stem cells obtained from abdominal fat.1002 Eight of 17 men recovered sufficient erectile function to complete intercourse by six months post-procedure. In studies that reported responder rates at various follow-up durations post-surgery, short-term high positive response rates generally declined rapidly over time. DebraBergoffen (2012) points out that, in addition, the ICTY verdictcreated a new human right to sexual self-determination--a rightgrounded neither in the agency of an autonomous and inviolable subject(implicitly gendered male) nor in an assumed feminine weakness needingmale protection, but rather in the dignity of a humanly sharedvulnerability. Ittakes many forms, including the mass rape of female civilians asrecreation and/or as a prize for military victory, the mass rape offemale civilians as a strategy or weapon of war, and the enslavementof women and girls to provide sexual service for soldiers andofficers. The post-Civil War terror campaign of lynching, which continuedthrough the 1930’s, was frequently claimed to be punishment forblack men who had raped white women, although in fact only a minorityof lynching victims were even accused of having done any such thing(Hall 1983, 334; Davis 1981, 189), and of those, many had in fact hadconsensual relationships with white women (Hall 1983, 340). This same racial ideology stereotyped black menas savagely oversexed and thus sexually dangerous, especially to whitewomen. Collins points out,however, that unlike lynching, black women’s sexual abuse bywhite men during and after slavery did not become a central oruniversally understood icon of American racism. In 2021, Khalil et al. investigated a new adjuvant surgical technique for graft-less penile girth restoration and thickening through assisted expansion of the tunica albuginea. As such, AMS™ LGX 700® IPP insertion and postoperative vacuum device treatment is a safe and highly satisfactory combination approach to maintain penile size. The remaining 20 men formed the control group and received only penile implants. General penile prosthesis implantation involves prosthesis insertion into the cavernous body of the penis. 1. Research setting and participants Since unsuccessful treatment is frequently seen in infertility, longitudinal studies would be necessary to examine marital relationship and its determinants, specifically, among infertile females with treatment failure. Regarding marital relations in infertile females, most studies mainly focused on the effect of treatment, which indicated lower marital satisfaction to be very common in infertile females in comparison with their partners or with fertile females. Therefore study on infertile males’ marital relationship should be given more attention via increasing participants’ response and implementing longitudinal studies to explore the marital relationship and factors influencing it. The purpose of this systematic review was to provide an overview of studies that addressed the impact infertility diagnosis and subsequent treatment on marital relationship. In studies on infertility, marital issues are increasingly reported to be in part due to the impact of infertility per se, and also due to the importance of mutual support provided during the process of infertility treatment (8). The Panel will revisit these treatments each time the guideline is updated and re-evaluate the available evidence base.As we describe, similar language is used to characterize the rationale for IPV and VAC, essentially blaming women and children for violating expected (submissive) identities/behaviors and, at the same time, validating violence as a legitimate form of social control.Outcomes were reported across the whole duration of follow-up and subgrouped by follow-up intervals (two to four years, four to six years and over six years).The controversial issue of precedence in the treatment of male sexual dysfunctions.Only 3 patients never used their prosthesis, even though it was functional.One of the positives about this kind of relationship is financial.Elist testified with brio about his victimization at the hands of Cornell, who’d violated “the sanctuary” of his operating theater; the judge ruled with Penuma’s attorneys that the negative experiences of patients like Mick were irrelevant to the question of theft at hand. Although oral treatments are an attractive option due to the ease of delivery, the evidence of outcomes from published series has proved disappointing. It remains to be seen in future trials whether VED is more efficacious with CCH as opposed to either treatment alone. Raheem and colleagues48 evaluated a shortened modified protocol of CCH in combination with VED showing an equal efficacy across all categories of curvatures as compared with the IMPRESS trials. The role of vacuum erection device (VED) as a treatment for PD is less well established than PTT. Penile curvature was found to improve significantly after the first three treatment cycles but not the fourth, suggesting that further trials with fewer cycles may need further consideration. Other outcomes accompanying this physical change were significant improvements in self-confidence and self-esteem, as well as high levels of long-term patient satisfaction with minimal and manageable adverse events (Fig. 6). Elist et al. reported an infection rate of 3.3%, similar to that of inflatable and noninflatable penile implants (4.6%). The penis is then bent, and additional sharp stripping is performed to expose the surface of the suspensory ligament. Given the seemingly high rates of complications with ADM grafting, grafting does not appear to be viable despite the successful enhancement of penile girth. However, one disadvantage of HADM is that penile girth increases significantly in the flaccid state, but less significantly during erection. Advocacy by men and collaboration between men and women’s health and community programs may be important steps forward in the abandonment process. Social obligation and the lack of dialogue between men and women were two key issues that men acknowledged as barriers to abandonment. Social obligation and the silent culture between the sexes were posited as major obstacles for change. Injectables and surgery should remain a last option, considered unethical outside of clinical trials. Structured counseling should be always performed, with extenders eventually used by those still seeking enhancement. Specifically, differential target multiplexed therapy resulted in a 67% reduction in LBP compared to baseline while traditional SCS resulted in a 43% reduction from baseline (PFurther published studies evaluating the efficacy of differential target multiplexed programming in a RCT setting with longer-term follow-up (minimum of 12 to 24 months) and refinements of the study population are needed to evaluate the long-term effectiveness in treating axial LBP and nonsurgical LBP. The recent systematic review demonstrated low-quality evidence that 10-kHz is effective beyond six months for axial LBP reduction in patients with predominantly axial spine pain and those with mixed axial low back and leg pain.16 A non-industry funded SCS study examining 10-kHz HF to traditional SCS demonstrated no difference in global pain reduction at one year.68 However, back pain scores were not reported separately.68 Two small retrospective case series with 12 months follow-up also demonstrated limited efficacy in patients with PLPS.25,43 The responder rates based on each study definition for PLPS was 22–33% and in one series many patients aborted HD programming. The earlier studies with HD suggested limited efficacy in treating PLPS patients with LBP and leg pain (Table 3).25,43,45 In two retrospective case series with a minimum of 12 months follow-up, HD programming was shown to have positive effects on pain scores.25,43 However, when specifically analyzing PLPS patients with low back and leg pain, response rates and pain reduction were not as great as those seen with individuals suffering from other neuropathic pain states (eg CRPS). Here MacKinnon speaks to a broader debate in feminist legal theory, inwhich some feminists have argued for the adoption of a“reasonable woman standard” in matters ranging from sexualharassment to stalking, battering, and rape. According to MacKinnon, a mens rea requirement meansthat “the man’s perceptions of the woman’s desiresdetermine whether she is deemed violated,” and this approach isproblematic because “men are systematically conditioned not evento notice what women want” (1989, 180–81). In short, if a man does not engage in communicative sexuality, then hedoes not really know whether his partner is consenting; thus, if henonetheless believes that she is consenting, then that belief isunreasonable. Communicative sexuality is most likely to berewarding for both parties, allows them to promote each other’ssensual ends non-manipulatively and non-paternalistically, andobserves norms appropriate to friendship and trust. One study demonstrated that male factor infertility did not have a negative marital impact after controlling for male age, partner's age, race, religion, educational level, employment status, prior pregnancy, duration of infertility, and prior paternity (51). In total, all studies described at least two demographic variables and most described at least two clinical variables of interest. In the studies on infertile couples, the sample sizes ranged from 20 (43) to 525 (46); and in studies on infertile individuals, the sample sizes ranged from 18 (47) to 520 (48). All studies had been conducted in a clinical setting, of which, thirteen studies (39–51) were cross-sectional, and five (52–56) were longitudinal. Qualitative studies are needed to explore how different family members experience intersecting violence and how normative beliefs and interpersonal dynamics can fuel (and resist) violence in the family. Feminist analysis underscores the numerous ways in which patriarchal gender norms and “hegemonic masculinities” (Connell 1987)—normative ideals that define and reinforce certain men’s dominance, privilege and power—serve to produce gender hierarchies and validate men’s use of violence against women. Both intimate partner violence (IPV) against women and violence against children (VAC) are human rights abuses with far reaching consequences for the health and wellbeing of women, children, their families and communities (Ki-moon 2006; Ellsberg et al., 2008; UNICEF, 2014). We find that the patriarchal family structure creates an environment that normalizes many forms of violence, simultaneously infantilizing women and reinforcing their subordination (alongside children). The current study aims to advance empirical and conceptual understanding of intersecting IPV and VAC within families in order to inform potential programming. An added advantage of aperformative account is that it suggests that sexual consent is not awoman’s implied default state, but rather must be actively andaffirmatively granted. A vital task on the feminist agenda has been to challengeand discredit such ideas—to deny that what a woman wears, whereshe goes and with whom, or what sexual choices she has made in thepast have any relevance to whether she should be seen as havingconsented to sex on a particular occasion. For instance,“rape shield” laws now restrict the admissibility ofevidence about a victim’s sexual history, and most jurisdictionshave eliminated the “prompt reporting” requirement, thecorroboration requirement, and the reciting of the traditional“cautionary rule” (that rape is a charge easy to make andhard to disprove). Sadly, the rate of rape reporting remains low; studies using randomsample surveys of large numbers of women find reporting rates rangingfrom 16% to 36% (Anderson 2003, 78). “To fully consent to a procedure, the patient needs someone to tell him everything,” Walsh said. But Thomas Walsh, a reconstructive urologist and director of the Men’s Health Center at the University of Washington, was not. Elist’s consent forms included a provision releasing the clinic from “any liability” if a patient receives post-op treatment elsewhere, but Mick, confused about whom to trust, online or off, decided to seek out a second professional opinion — and then a third, a fourth and a fifth. Eighty-one percent of the subjects who responded to the questionnaire indicated “high” or “very high” levels of satisfaction. Victims who do not reveal their rapes to others, whether dueto shame or to the expectation that they will not be believed,experience profound isolation and lack of support; and indeed, manywho do report their rapes are disbelieved or blamed by friends,family, and/or police. A distinctive set of harms enters the picture when, as is increasinglycommon, women and girls are violated while unconscious, often withpictures or videos taken and circulated. Similarly, this approach emphasizes thatrape victims are real crime victims, not vaguely titillating peoplewho had some overly rough sex and might just have liked it. It bears noting that successful rape prosecutions depend not only onhow rape is legally defined but, at least equally importantly, on thegeneral public’s willingness to believe women’s testimony(rather than seeing them as lying or confused) and to recognizeparticular encounters as instances of the applicable legal definition(that is, to see this behavior as force, or thisutterance as expressing nonconsent). Black women’s unrapeability was not only written into law, butreinforced by a racial ideology that defined them as lascivious andpromiscuous by nature. Ultimately, as Collins observes, “Black women as a classemerged from slavery as collective rape victims” (2005, 223),and the rape of black women, like the lynching of black men, was acenterpiece of Klan activity post-Emancipation. He contends that thestate’s obligation to advance justice requires that it takesteps to redistribute fear so that women no longer bear it as anunfair and disproportionate burden; furthermore, he claims, since menas a class are overwhelmingly the cause of women’s fear, most orall of the costs of such redistribution should be borne by men. Because BPH/LUTS are commonly comorbid and detected at the same time as ED, appropriate evaluation and therapy for these conditions should be considered. Common risk factors for ED include vascular disease, tobacco use, neurologic disease, endocrinopathies, medication-related side effects, and psychosocial issues. Medical, sexual, and psychosocial history. Given that many men are uncomfortable broaching the topic of sexual concerns with a physician, it is critical that the physician initiate the inquiry.46, 47 For these reasons, thoughtful, detailed, and compassionate inquiry regarding sexual concerns is necessary. Further studies are currently being carried out to assess the optimal protocol; with a recently published study adopting three intralesional injections of CCH (0.9 mg) given at 4-weekly intervals using a new modified injection technique in an attempt to reduce cost and number of patient visits. One study has been performed to evaluate the impact of combined use of PTT with CCH.47 Utilization patterns, attrition, and compliance issues were noted to be relevant factors impacting efficacy. Daily PTT was assessed in men with PD who also underwent IFN α2b, however this study showed that PTT did not change penile girth. Complete responders were defined as men able to have intercourse without the use of oral or IU or ICI medications and without a vacuum device. The man and his partner (if present) should understand that although the penile implant will enhance shaft rigidity, it does not generally enhance glans rigidity or enhance or improve the processes of orgasm and ejaculation. AE reporting was variable and sparse with many studies not addressing AEs, and of the studies that did address AEs, most did not indicate the severity of AEs. The available data were contributed by observational designs and the majority of studies were retrospective. In addition, common reasons why men might perceive penile shortening should be discussed. There is a continually expanding literature on ED; the Panel notes that this document constitutes a clinical strategy; it is intended to be interpreted with appreciation for the dynamic, evolving understanding of ED causes and treatments. For men with ED, platelet-rich plasma (PRP) therapy should be considered experimental. For men with ED, low-intensity extracorporeal shock wave therapy (ESWT) should be considered investigational. For men with ED who are considering the use of IU alprostadil, an in-office test should be performed. For men who are prescribed PDE5i, the dose should be titrated to provide optimal efficacy. Recovery Times: Comparing Non-Surgical and Surgical Procedures Previous studies have shown that infection-delaying coatings can reduce infections by up to 50%. However, unlike Siegal's study, Elist et al. did not apply a triple-antibiotic or rifampin solution to the implants. Another new type of scrotal incision implantation involves making a 1- to 2-cm longitudinal incision in the upper scrotum on the left or right base of the penis. The distal end of the penile implant can be aligned with the episcleral and glans sulcus connections before alignment. In responseto the threat of rape, women scrutinize and restrict their ownchoices—what they wear, where they go and with whom, whetherthey drink, what “messages” they may be inadvertentlysending men, and so on—to ensure that they are following theunwritten rules that govern female behavior and that (supposedly)distinguish the bad girls who get raped from the good girls who donot. Card arguesthat rape is a terrorist institution, one which—despite itsadmitted differences from acts more normally labeled terrorism, suchas bombing and hijacking—advances its political purpose, thecontinued subordination of women, by terrorizing a target population(1991). Dworkin contends that, due to thethreat of rape, “all women live in constant jeopardy, in avirtual state of siege” (1976, 37); and several feminists havedrawn analogies between rape and lynching as forms of terrorizing,group-based social control (Burgess-Jackson 2000, ). This underlyinggender ideology helps to explain why, when men and boys are raped(almost always by other males), they are often seen as having beenfeminized, treated like women and thus rendered shamefullywoman-like. Elective systemic antimicrobial medication consisting of a combination of amoxicillin (375 mg) and metronidazole (250 mg) three times daily for seven days was provided after the treatment sessions at the indication of the periodontist responsible for the treatment. Involved patients had provided permission in advance that their treatment outcome could be used for analysis. Active non‐surgical periodontal therapy in patients with adult periodontitis resulted in approximately one third of the cases in the success endpoint of PPD ≤ 5mm. Overall 39% of the patients reached the successful treatment objective and a mean bleeding on pocket probing tendency of 14%. To evaluate the results of active non‐surgical treatment in patients diagnosed with adult periodontitis treated in a specialized clinic for periodontology. Our aim was to compare experiences of patients who received these two treatment modalities using a qualitative approach.For the 6-month postprocedure time point, paired t tests were used to examine differences in perception of actual penis size (erect length, nonerect length, girth) and what an individual believed their penis size should be, and their ideal size (as measured by the SDQ).Information regarding time to first sexual intercourse and first orgasm after activation was collected retrospectively during the telephone interview.West Palm Beach, FL Kenneth Beer, MD says it’s not a treatment he recommends as the possible risks are serious if done improperly.All the other bills got paid on time.Men with ED should be informed regarding the treatment option of a vacuum erection device (VED), including discussion of benefits and risks/burdens. Men with ED should be informed regarding the treatment option of an FDA-approved oral phosphodiesterase type 5 inhibitor (PDE5i), including discussion of benefits and risks/burdens, unless contraindicated. Clinicians should counsel men with ED who have comorbidities known to negatively affect erectile function that lifestyle modifications, including changes in diet and increased physical activity, improve overall health and may improve erectile function. Using this approach, all men should be informed of all treatment options that are not medically contraindicated to determine the appropriate treatment. It is also a process in which the patient and the clinician together determine the best course of therapy based on a discussion of the risks, benefits and desired outcome. The findings indicated when both partners were infertile women expressed less marital satisfaction than their husbands. Another study presented the incidence of partnership disorders within marriage was not different between infertile and fertile males, but the marital dysfunction of infertile males should be given more attention in males over 30, lower education and infertility lasting 3–6 years (50). Three studies were on infertile males’ marital relationship among the 18 studies, using a cross-sectional design. The most reported demographic variables were age, ethnicity, economical status, education and duration of the marital relationship. The mean satisfaction rate across studies of implanted malleable models was somewhat lower at 75.1%. The mean satisfaction rate across studies of implanted inflatable models was 86.2%. Men should understand that this treatment choice is best conceptualized as irreversible; although prostheses can be removed, it is unlikely that a man's penis will be reliably responsive to other ED therapies after prosthesis explant. ICI combination therapy was developed to improve efficacy as a result of the synergistic effects of the drugs and to reduce side effects as a result of using lower dosages of each agent. Men considering ICI therapy should first have an in-office injection test to determine the appropriate dose and medication(s) to produce sufficient duration of response and to minimize AEs. One woman described the guilt and trauma both she and her young step-son suffered when she forced him to leave home alone in the early morning to find his father, whom she presumed to be sleeping at his girlfriend’s home.It is necessary for patients to heal for about eight weeks after surgery before activating the IPP.However, the effect was different for the circumference of the penile head (9.3 ± 0.86 vs. 8.8 ± 0.66 cm).In the support group, 23% reported improvement, 57% stayed the same, and 20% reported worsening symptoms.In addition, family studies indicated there was difference between the male's and female's perceptions of the aspects of marital relationship (23, 24).The outcome variable is the log hazard of disruption in a given time interval.The clinician should be aware that when PDE5i studies were examined in aggregate, the differences in response rates between dose groups were extremely small, rarely statistically significant, and generally not clinically significant.In the current series, 36 patients with volume depletion of the periorbit were treated with HA dermal fillers to restore the smooth arc of the upper periorbit.The vacuum erection device involves inserting the penis into a cylinder and applying a vacuum to create negative pressure. In the three years since his Penuma removal, he estimates that he’s regained about 80% of the sensation in his penis, but his anger and sense of powerlessness have remained. Elist said through his attorney that innovative procedures like his are routinely reviewed by regulators; that many specifics in the complaint are false; and that a previous medical board complaint against him was resolved in 2019, when he agreed to improve his recordkeeping. Nobody hears about the happy implantees, he said, because “unfortunately people are not willing to come out and talk about penile enlargement.” The spokesperson disputed some particulars of Mick’s account (Mick waived his medical privacy rights so that Elist could discuss his records) and said this article “cherry-picks and sensationalizes” outlier cases. Sections of his website and of a book he self-published in 2015, “A Matter of Size,” are devoted to chronicling the macabre complications that can result from skin grafts and fat injections to the penis. For this type of study, formal consent is not required. Material preparation, data collection and analysis were performed by João Botelho, Vanessa Machado and Leandro Chambrone. All authors contributed to the study conception and design. This systematic review brings forward summary evidence that NSPT improves the OHRQoL in adults with periodontitis from a patient-centred perception and remain stable in the short term. Our aim was to compare experiences of patients who received these two treatment modalities using a qualitative approach. This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction. With these advancements, penis enlargement surgery might become safer and more effective, benefiting from new technologies such as gene editing, stem cell therapy, nanotechnology, 3D printing, and mature biotissue engineering. Most (96.4%) patients who underwent cosmetic procedures for SPA reported worsened or unchanged SPA symptoms. Short-term results of a randomized, double-blind, sham controlled study. The role of dorsal-penile-vein ligation and spongiosolysis for impotence. Comparison with Inhibizone-impregnated AMS penile implants. Rates were generally high for inflatable models (AMS 700 series - 83.3% and studies that used other, multiple, or unspecified inflatable models - 88.2%), and the AMS Spectra malleable model (89.5%). Another choice for the man with ED is the surgical implantation of a penile prosthesis. One complexity encountered with the use of combination medications is the need for the pharmacy to compound these agents because there are no combination ICI drugs currently approved by the FDA. However, the mean baseline curvature was 33°, with change following treatment deemed as between 0° and 4° decrease in curvature.71 Initial studies showed some objective improvement in penile curvature, however similar findings were also seen in the placebo groups.57–62 This raised the possibility that observed therapeutic effects seen with intralesional steroid injection were likely related to the mechanical effect of the injection rather than the drug on PD remodelling. Intralesional injections, specifically IFN α2b, verapamil and CCH have proved more effective than topical and oral medications in the treatment of PD. The EAU guidelines state that oral treatment with potassium para-aminobenzoate may result in a significant reduction in penile plaque size and penile pain, as well as penile curvature stabilization with level 1b evidence.40 Consensus statements on VED from the ICSM in 2015 suggested that, with the limited data available in PD, it could have a role as a primary treatment or postoperatively after incision or excision and grafting surgery.15 These advancements, which are characterized by fewer complications, more effective results, shorter operation time, and higher patient satisfaction, are pivotal for the development of treatment options. Perovic et al. also performed a second penile widening among 12 patients using a biodegradable scaffold containing enlarged autologous scrotal sarcolemma cells. At the end of the study, the median penile length and girth were 17 and 11 cm, respectively. In a 2014 study by Hsu et al., 35 patients underwent extensible penile implantation. Penile implant surgery does not reduce penile size compared with presurgical stretching measures, instead preserving or increasing penile size for most patients. Sometimes their mother annoys you, you grab and hold her (in a way that causes pain) and when your child … notices she runs to hold you or the mother while at the same time crying, and because of anger you end up kicking that child as well. However, a time comes, you get used to the canes and no longer feel the pain … and you have this feeling that even if they beat me nothing will happen to me. While men tended to highlight childhood experiences to justify their use of VAC (e.g., reflecting that their parent’s use of violent discipline was “effective” in moderating their own behaviors), a few women shared different perspectives. Of the 36 study arms that reported outcomes, only nine explicitly excluded men with comorbidities.The phrasing of the questions differs, but essentially question 1 asks whether the study medication has improved erections and question 2 asks whether, if the treatment has improved a man's erections, has his ability to engage in sexual activity improved.Three patients (2.4%) did show signs (warmth, redness) of a possible infection short after the implantation.In the paperwork Mick had initialed on the day of the surgery, a clause said, “The clinic highly discourages seeking information elsewhere as the information provided can be false, misleading, and inaccurate.” One day, though, Mick opened Google and searched “Elist,” “Penuma,” “numb.”This can be problematic as the marital relationship is seen as the most important source of support in the context of infertility treatment (1, 8).This also applies to several other time-varying covariates of importance, such as wife’s employment status and marital quality.Overall, the CDS technique, paired with a hybrid HA-PLLA formulation, represents a significant evolution in penile filler procedures.Table 2 shows patients who present for medical treatment due to small penis size.“It’s been 70 days since surgery and yet it feels like a shrimp,” he wrote in November. Some rapes cause pregnancy or sexually transmitted diseases(including HIV infection), and some rapists physically injure theirvictims. Survivors of sexualviolations, Alcoff contends, suffer damage to their ability to developand live out, in a caring, reflective, and flexible way, their ownsexual selfhood. Our central concern with sexual violationsshould be their inhibiting and transformative effects on sexualsubjectivity or our self-making capacities” (2018, 111). Alcoff contends that “As aconcept, sexual subjectivity provides an alternative to the singularfocus on the violation of our consent, desire, the capacity forpleasure, or will . Linda Martín Alcoff, too, emphasizes rape’s specificallysexual harm, arguing in particular that sexual violations can be bothidentified and criticized on the basis of their damage tovictims’ sexual subjectivity. Consistent with the unconstrained hazard function of the Cox model, time intervals were represented by dummies in the model, with the first (1980 – 1983) interval as the reference category. However, when survival times are grouped into intervals, an appropriate estimator of the underlying model is the complementary log-log regression function applied to person-period data. Answers to the item may also reflect a nonexclusive sexual arrangement that was initially acceptable to both spouses, but nevertheless eventuated in problems for the marriage. Although it is possible to calculate time to disruption in years (see, e.g., Amato & Rogers, 1997; Previti & Amato, 2004), information on the timing of EMS is limited to its occurrence being reported in a given survey wave. Those who are very religious, those who are less sexually permissive, and those with a more idealistic view of marriage are most likely especially traumatized by the experience. Most AEs follow a dose-response pattern such that men in active treatment arms reported statistically significantly higher rates of AEs than did men in placebo arms and the percentage of men reporting a particular AE increased as dose increases. Tadalafil was the only medication for which there were substantial on demand vs. daily dosing studies. A subgroup of studies used global assessment questions (GAQ 1 and 2) or global efficacy questions (GEQ 1 and 2). Durable and clinically significant improvement in erectile function is a less optimal but still desirable goal if total recovery is not an option. The advent of safe hyaluronic acid (HA)-based dermal filler has, in the authors' opinion, revolutionized treatment for this group of oculoplastic patients. SCS, spinal cord stimulation; NASS, North American Spine Society; LBP, low back pain; HD, high density; 10-kHz HF, 10 kHz high-frequency therapy; CMM, conservative medical management; QALY, quality adjusted life year; IPG, internal pulse generator; FBSS, failed back surgery syndrome; PLPS, post laminectomy pain syndrome. Finally, the minimal invasiveness of neurostimulation remains a compelling reason for patients to seek this treatment option for the treatment of axial low back pain. Further published studies evaluating the efficacy of differential target multiplexed programming in a RCT setting with longer-term follow-up (minimum of 12 to 24 months) and refinements of the study population are needed to evaluate the long-term effectiveness in treating axial LBP and nonsurgical LBP. Although the practice has gained attention and popularity in blogs and internet forums in recent years, there is no scientific evidence that it is an effective way to permanently increase the size of one’s penis.Thus, husbands were close to three times more likely than wives to be the extramaritally involved party.Feminists are committed to ensuring that women’s andgirls’ experiences of sexual violation are taken seriously assuch, that the harm they suffer therein is recognized, and that thosewho inflict that harm are held accountable.“My triad relationship is only about three weeks old, but I’ve been married for two and a half years.Finally, because many rapes donot involve overt extrinsic violence, the “violence, notsex” slogan may make it more difficult for people to recognizeless obviously violent experiences of sexual force as rape.He contends that thestate’s obligation to advance justice requires that it takesteps to redistribute fear so that women no longer bear it as anunfair and disproportionate burden; furthermore, he claims, since menas a class are overwhelmingly the cause of women’s fear, most orall of the costs of such redistribution should be borne by men.Yet the classical image of the offender is still that of "the man", which is not at all surprising in view of the fact that the structures of patriarchism have endured despite all progress toward modernization and that the scandalous discrimination against the female gender increases at times of economic crisis.Towards this end, we hope to deepen understanding of how “terrains of power” (Hunnicutt, 2009) operate within the patriarchal family, at times creating conditions for maternal aggression as well as other coping strategies that can put children at risk.Implantation of a penile prosthesis is a valid, third-line therapeutic option for patients with ED, refractory to classic treatment. Underlying the inclusion of a nonconsentrequirement over and above the force requirement, according to West,is the view that “women consent to forced sex all thetime—so forced sex alone can’t be rape” (239). Furthermore, she points out, women are oftenportrayed in both pornographic and mainstream media as enjoying, and(the assumption is) therefore consenting to, forceful and even violentsex; such assumptions often derail rape cases, as when a defendantclaims that the encounter was simply “rough sex” that wasenjoyed by the victim. Theprevailing conception, which she calls the“aggressive-contractual model,” holds that women’ssexually provocative behavior generates enforceable agreements to havesex, that male sexuality is uncontrollable past a certain point, andthat women are not to be trusted in matters of sexuality. Husak and Thomas (1992) argue that there are social andbehavioral conventions (or “courtship rituals”) by whichwomen manifest their willingness to have sex, and that where a womanhas engaged in such conventions, it is reasonable for a man to believeshe is consenting to sexual intercourse. Furthermore, some radical feminists’description of prostitution as “commercial sexualviolence” (Jeffreys 1997) reflects an expansive understanding ofthe economic and other coercive pressures that often compelwomen’s consent to sexual acts in prostitution (even wherephysical violence does not play a role). At 6 months postprocedure, 2 patients met criteria when the eating disorder exclusion was not applied (11%), but this became zero patients when this criterion was included. As seen in Table 1, 3 patients met criteria for BDD preprocedure based on the BDDQ when the eating disorder exclusion was not applied (“Is your main concern with your appearance that you aren’t thin enough or that you might become too fat?”; 16%), with 2 patients (11%) meeting criteria when this criterion was applied. The various impacts on the lives of the men who underwent penile girth augmentation are shown in Table 2. Seven participants (37%) completed both pre- and postprocedure penile girth size measurements. The discrepancies were significantly smaller at postprocedure compared with preprocedure for girth and flaccid length, but not erect length. The size discrepancies between “actual” and “should,” and “actual” and “ideal” were also compared at the pre- and postprocedure time points (see Table 4). Percentages do not sum to 100% because participants reported impacts that were coded into multiple themes. “Difficulties during sex” and “unexpected results” were the next most common negative impacts. The comparisons made were (1) dimensions of sexual satisfaction, (2) emotional stability, (3) satisfaction with the prosthesis, and (4) relationship changes. We evaluated 49 women whose sexual partners were organically impotent and subsequently received either an inflatable or noninflatable penile prosthesis. Understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis. Individuals in open relationships—having more than one sexual or romantic partner at a time—felt as sexually satisfied as individuals in monogamous relationships. In fact, in some cases, jelqing may actually cause damage to the penis, so it is a good idea to get all the facts before setting off to try it. Although the practice has gained attention and popularity in blogs and internet forums in recent years, there is no scientific evidence that it is an effective way to permanently increase the size of one’s penis. The term “jelqing” refers to a set of penis stretching exercises that some believe can make the penis bigger. This can be an unhealthy and often unnecessary fixation, especially because most men who think their penises are too small have perfectly normal-sized penises. Beginning in 2007, Casavantes et al. administered PMMA injections to enhance penile girth in 752 men and conducted follow-up reports over 7 years. At 24 weeks, the average increase in penile girth was 2.1 ± 1.0 cm in the HA group and 1.6 ± 0.9 cm in the PLA group. The study also reported 5 cases of mild, transient acute encephalitis, but no severe acute cerebrovascular accidents. Although complications of HA injection are minor and rare, they emphasize the importance of preoperative preparation and surgical techniques and that these complications can affect postsurgical patient satisfaction. The authors attributed the decline in satisfaction to an erectile stiffness disorder because the postoperative cavernous body was covered with a softer HA. The quality of the included studies was assessed using the criteria checklist (Table 1), which was derived from some systematic review studies (33–38), and adjusted to fit the research questions. Secondly, the full-text of selected studies were further evaluated to decide whether they fulfilled the inclusion criteria. Some studies were excluded at this stage as they were scarce of evidence with regard to the inclusion criteria. Firstly, the titles and abstracts following with the search strategy were evaluated for the selection of eligible studies. Along with an average increase in girth size of 3.29 cm, around half the men reported positive impacts on their lives, particularly self-confidence and sexual pleasure. As discussed above, the men in the study possibly wanted even more HA filler injected to increase their girth size further, but aesthetic outcomes are still very important to patients. As reported in our previous research, 47% of men were motivated to undergo the procedure to improve self-confidence and 33% to improve their sexual function/pleasure.13 Thus, it appears that at least some of the men experienced the outcomes they desired. The data from 3 men were excluded from the study as they had not undergone a penile girth augmentation at the 6-month time point and this study specifically focused on the procedure outcomes. Data for all men completing baseline measures were reported in Sharp et al.13 This study reports only on participants who underwent the penile girth augmentation and provided 6-month follow-up data. For the individual patient, dose titration is a key step to optimize efficacy. It should also be explained that the medications differ in onset of action, duration of action, and whether food intake limits efficacy (see the Table 3 below). In contrast, all three studies reported that PDE5i use non-significantly reduced prostate cancer recurrence rates. Men post-RP reported higher rates of AEs in response to sildenafil than in response to other PDE5i. Most AEs followed a dose-response pattern such that men in active treatment arms reported statistically significantly higher rates of AEs than did men in placebo arms, and the percentage of men reporting a particular AE increased as dose increased.