Dr Roger Goucke

Surgical Management of Erectile Dysfunction

The aetiology of erectile dysfunction (ED) is largely organic. ED is increasingly common in an ageing population with more widespread cardiovascular risk factors. As well, there has also been a cultural shift towards awareness and a willingness to address the condition. Despite this, ED remains undertreated (about 50% of affected men) and of those who seek treatment, a proportion drop out and remain unsatisfied.... Read More...

Update: urethral stricture

Strictures of the male urethra are one of the oldest known surgical afflictions and are a major cause of morbidity and mortality throughout the world. Untreated, strictures may lead to urinary retention, sepsis, bladder and renal failure. Today, the correct approach is to consider reconstruction at the outset.... Read More...

Testosterone use for women

Sexual dysfunction is common in both men and women. When it comes to exploring sexual dysfunction, most clinicians can identify the man’s sexual dysfunction problems. In females, this subject is not greatly understood and knowledge is lacking. Testosterone in women is clearly beneficial in HSDD and the currently available 1% transdermal preparation is safe and easy to use. More data is needed to assess long-term side effects of testosterone in women... Read More...