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For most family physicians, almost nothing is certain in practice. Even a “usual” day at the office can vary widely. On Monday, we might see mostly well patients, while on Tuesday it’s a mix of patients with chronic conditions and acute symptoms. Perhaps we’ll make rounds in the hospital later in the week, or attend a delivery or inject a knee as the weekend comes. Wherever we practice and whatever we might do during our days, variety is a reality in family medicine, with few guarantees included.

Of the limited certainties in the field, most of us will see at least some men throughout our careers. Men’s health is a wide-ranging field and could include prevention and treatment of heart disease and cancers, the two leading causes of death in men. A treatise on men’s health could analyze accidents and unintentional injury, another significant cause of mortality, or it could address hypertension, obesity, or smoking, which affect 52%, 41%, and 16% of men in the United States, respectively.1 Approximately 12% of US men report being in overall fair or poor health, and more than 13% of US men younger than 65 years are uninsured. All of these are critical topics for physicians treating men.

This edition of FP Essentials focuses on conditions related to men’s genitourinary health. Section One discusses updates to prostate cancer screening recommendations. Section Two covers diagnosis and treatment of benign prostatic hyperplasia. Section Three reviews common scrotal and testicular conditions, including those with benign, malignant, and infectious causes, as well as other must-not-miss diagnoses. Finally, Section Four explores sexual dysfunctions, including low sexual desire, erectile dysfunction, and premature ejaculation, among others.

I hope you find this edition of FP Essentials useful in your varied practice.

Kate Rowland, MD, FAAFP, Associate Medical Editor
Associate Professor, Department of Family Medicine
Rush University, Chicago, Illinois

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