Infertility, defined as the inability to conceive after one year of unprotected intercourse, affects approximately 15% of couples worldwide, with male factors contributing to nearly 50% of cases. Understanding the evaluation and management of male infertility is crucial for healthcare professionals involved in reproductive medicine. This article aims to address the course learning objectives by exploring the etiologies, anatomy, physiology, treatment options, and surgical interventions related to male infertility.

The SMSNA is proud to announce the 2023 Foundation Research, supported by SMSNA, and Research Fellowship in Andrology, supported by Endo!

Congratulations to the very deserving individuals who were presented with awards during the 24th Annual Fall Scientific Meeting of SMSNA! 

At the 24th Annual SMSNA Fall Scientific Meeting, Daniela Orozco Rendon presented the outcomes of a randomized survey study comparing the preference and effectiveness of two different penile constriction devices. Penile constriction devices offer a noninvasive approach to enhance sexual performance and erectile function, making them an attractive option for men. Recognizing the clinical value and patient satisfaction associated with these devices, this study aimed to assess the preferences and efficacy of two specific devices, FirmTech and Eddie by Giddy.

At the 24th Annual SMSNA Fall Scientific Meeting, Dr. Rachel Rubin spoke on the topic "Couples Approach to Testosterone Therapy," advocating the idea that "couples who testosterone together stay together." While the American Urological Association (AUA) Guideline on Testosterone Deficiency supports testosterone replacement therapy for men with low testosterone levels, Dr. Rubin highlighted the limited support for testosterone therapy in women, particularly in improving their sexual health and overall well-being.

The 24th Annual SMSNA Fall Scientific Meeting marked a significant milestone with the inaugural Spanish Language Session, a collaborative effort with our partner SLAMS (Sociedad Latinoamericana de Medicina Sexual). This session featured case-based panel discussions covering a range of topics presented by urologists fluent in Spanish.

During the Potpourri Session at the 24th Annual SMSNA Fall Scientific Meeting today, Dr. Amy Pearlman delved into the evolving landscape of sexual wellness and technology in her presentation titled "Sexual Enhancement Products: What Are They and How Can They Help My Patients?" Dr. Pearlman addressed the historical taboo surrounding "sex toys" and highlighted the shifting terminology towards sexual wellness and sex tech, making these products more accessible to patients and healthcare providers.

Today at the 24th Annual SMSNA Annual Fall Scientific Meeting, Dr. Raúl Fernández-Crespo and Dr. Omer Raheem presented opposing viewpoints on the topic: Delayed Presentation of Penile Fracture. It's 7 days later, do you operate? Dr. Fernández-Crespo spoke in favor of operating 7 days after a penile fracture, while Dr. Raheem spoke against it.

At the 24th Annual SMSNA Fall Scientific Meeting's LGBTQ+ session, Dr. Tami Rowen shed light on sexual dysfunction in women who have sex with women (WSW). Dr. Rowen challenged the use of the term WSW, acknowledging its outdated nature in considering gender identity, gender expression, and anatomical sex. She dispelled myths, emphasizing that sexual practices among WSW are fluid. Therefore, it is more important to know who patients have sex with than to focus on their identity as WSW or lesbian.

Today at the 24th Annual SMSNA Fall Scientific Meeting, Dr. Hossein Sadeghi-Nejad addressed the decline in resident autonomy in urology and sexual medicine. Residents in urology appear to be graduating with diminished confidence, and are less likely to be assigned to independently handle major surgical cases. The trend of decreasing resident autonomy has been consistent from 2004 to 2019, with the percentage of resident-only surgical cases dropping from 31.3% to 18.6%.

Integrative medicine incorporates complementary and alternative medicine with traditional, well-researched therapies to create a comprehensive treatment plan. This method has gained traction in recent years as a holistic approach to healthcare. While it encompasses a wide range of practices and therapies, integrative medicine offers promising avenues for improving sexual health.

Genito-pelvic pain is a health issue that affects women around the world, and it can have a negative impact on their sexual functioning. Experts in the field of female sexual dysfunction may characterize genito-pelvic pain in women as dyspareunia (i.e., painful sex, including superficial and deep dyspareunia), or as vaginismus (i.e., muscle spasms around the vagina caused by a hypertonic pelvic floor).