A Novel Treatment Program for the Management of Acute Male Genital Edema/Lymphedema

Liang L*, Aftab-Hashmi M and Mirsaeidi H

Clinical Occupational Therapy, Keck Medical Center of USC, University of Southern California, California, USA

*Corresponding Author:
Liang L
Associate Professor of Clinical Occupational Therapy
USC Chan Division of Occupational Science and Occupational Therapy
University of Southern California, 1500 San Pablo Street
Los Angeles, California 90033, USA.
Tel: (323) 442-8500, Extn. 60115
E-mail: [email protected]

Received date: July 25, 2017; Accepted date: August 03, 2017; Published date: September 15, 2017

Citation: Liang L, Aftab-Hashmi M, Mirsaeidi H (2017) A Novel Treatment Program for the Management of Acute Male Genital Edema/Lymphedema. J Hosp Med Manage. Vol. 3 No. 2:13

 
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Abstract

Therapists certified in lymphedema management are skilled and prepared to address male genital edema mainly through manual lymphatic drainage and compression bandaging. That being said, there remains a need to further develop and establish treatment protocols in this area of edema management, especially in inpatient, acute care hospital settings. Many individuals who are hospitalized for various conditions may experience acute genital edema. Acute genital edema is a painful and self-limiting condition, which is difficult to treat. Early diagnosis and proper conservative management is essential to success and can even prevent surgery. At present, in circumstances when acute male genital edema (AMGE) is acknowledged, treatment methods are typically limited to medical intervention with use of medications such as diuretics, or compression slings are provided by therapists during acute hospital stays. This article describes a strongly effective, conservative method of reducing and resolving genital edema

Dear Editor

Obstetrics is a field of medicine that deals with pregnancy, childbirth and postpartum periods while Gynecology deals with health of female reproductive system and the breast. As the field deals with female reproductive organs, gender bias is inevitable during routine clinical practice hence it is important to be aware of the issues of gender equity that continues to be prevalent globally.

The specialty of obstetrics and gynecology (OB/GYN) shows significant gender redistribution as women constitute 81% of the obstetrics and gynecology (OB/GYN) resident population [1]. There is an increasing opinion among patients, doctors, and the general population that women are more qualified to be gynecologist and obstetricians because only women can experience the issues faced by other women. From this viewpoint, women make better obstetrics and gynecology (OB/GYN) doctors than men by virtue of their gender alone [2].

Women have an inherent advantage because of experience and exposure to physiological processes such as the menstrual cycle and reproduction through life. With regards to the advantages female professionals have in this field, naturally they score better on the test and exams conducted. Patients interact more freely and openly with another female not only because they feel that this way their doctor can empathize with them but also because of societal and religious norms and traditions. Menses and contraception are taboo topics in a lot of societies and women only feel comfortable discussing their intimate matters with other women. We can’t expect the patient to submit, the patient reserves the right to demand another doctor if they feel uncomfortable or unsafe. The female patient may feel vulnerable while exposing herself to a male doctor and this cannot be changed instantaneously, what can be slowly changed is the general public’s perception of male gynecology students and doctors and provide a safe and free environment for the patient. But people’s reactions cannot be anticipated or gauged correctly in such situations. It is the cultural expectations from both genders that may be influencing the assessment of their clinical performance.

Many studies suggest that male medical students experience gender bias from patients in the obstetrics and gynecology (OB/GYN) ward. Male students also felt socially excluded from female-dominated clinical groups [3]. The female patients straightforwardly refuse to let male students observe their procedures but also reserved details during history and are hesitant for letting a male student examine them. This resulted in a decreased interest in the clerkship and also affects the choice of any male student when choosing residencies. Quickly and easily understanding basic concepts of most gynecological and obstetric issues results is a peak in interest in female students and the patient’s preference over male students also boosts confidence.

Lastly, we suggest that, Obstetrics and gynecology (OB/GYN) instructors need to encourage and persuade patients to accept medical student participation regardless of gender. Obstetrics and gynecology faculty needs to be vigilant for minute gender bias observed in everyday practice and should make sure that equal participation for both male and female medical students occurs in routine practice [4].

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