Summary
How the evaluation worksThe ErecTrack is set up to accommodate automated patient evaluations. This allows practitioners to email the patient a link to the ErecTrack. The patient completes the ErecTrack in their personal patient EVAL portal (me.eval.health). Based on the patient's response to the questions, results will appear instructing the patient accordingly. Additionally, the results will be automatically sent for practitioner review in the practitioner portal (eval.health). The practitioner may see additional results that the patient cannot see to guide in management based on how the questions were answered by the patient. For more details on how the ErecTrack is set up, click on the green button called, "Builder" in the upper right to inspect the code. Questions & ChoicesQuestionsChoicesPatient ResultsPractitioner Results1. Are you currently using penile injection therapy? No NOT currently using penile injection therapy. (Moderate Flag) Yes Currently using penile injection therapy. (Low Flag)2. When was your last injection (shot)? Enter number of days.## Days ago Last injection was ⪰ 90 days (Moderate Flag)ORLast injection was ≤ 90 days (Low Flag)3. What medication did you inject? Trimix Trimix ## dosage (Low Flag) Bimix Bimix ## dosage (Low Flag) Papaverine Papaverine ## dosage (Low Flag) Caverject Caverject ## dosage (Low Flag) Edex Edex ## dosage (Low Flag) Invicorp Invicorp ## dosage (Low Flag) I don't know I don't know the name of my injection medication (moderate Flag)Triggers if selected4. How many units of X (medication above) are you using?enter ## 5. How often did you inject (give yourself a shot) per month?enter ## per month Injected > 12 times a month (Urgent)ORInjected < 4 times a month (Moderate Flag)ORInjected 4-12 times a month (Low Flag)6. How long have you had your current bottle of medicine (months)?enter ## months Medication > 6 months old (Low Flag)ORMedication < 7 months old (Low Flag)7. What was the hardest you could get with the injection (shot)?0-10 Hardest erection < 6 (Moderate Flag)ORHardest erection > 5 (Low Flag)8. How often do you get NO response after injecting (giving yourself a shot)? On a scale of 0 to 100.enter ### % of the time No response to injection > 10% of the time. (Moderate Flag)ORNo response to injection < 11% of the time. (Low Flag)9. How long were you able to stay at penetration hardness (usually about a 6 or greater)?0-14 minutes Penetration hardness ⪰ 90 minutes (Moderate Flag)ORPenetration hardness ≤ 89 minutes (Low Flag) 15-29 minutes 30-44 minutes 45-59 minutes 60-74 minutes 75-89 minutes 90-104 minutes 105-120 minutes > 2 hoursCRITICAL: Stop medication. Call Clinic due to an erection lasting more than 2 hours. + InstructionsCRITICAL: Stop medication. Call Clinic due to an erection lasting more than 2 hours. (Critical Flag)10. Have you had a penetration hardness erection (6 or greater) for longer than 2 hours? No Penetration hardness < 2 hours (Low Flag) Yes 11. Have you had any bruising where you gave yourself the injection (shot)? No No bruising or swelling (Low Flag) YesBruising or swelling + InstructionsBruising or swelling (Low Flag)12. Do you have pseudoephedrine (Sudafed®) at home? No No pseudoephedrine (Moderate Flag) Yes Pseudoephedrine (Low Flag)13. Do you use or have the medication trazodone? No No trazadone (Low Flag) Yes Trazadone (Urgent Flag)14. Do you use medication to help with depression that belongs to the monoamine oxidase inhibitors (MAOI) class? No No MAOI (Low Flag) Yes MAOI (Urgent Flag)15. Do you take any new blood thinner medications? No No blood thinner medication (Low Flag) YesBlood thinner medication + InstructionsBlood thinner medication (Low Flag)16. Have you been diagnosed with closed angle glaucoma? No No closed angle glaucoma (Low Flag) Yes Closed angle glaucoma (Urgent Flag) Additional Results: Your results will be reviewed within 72 business hours. +instructions Results appear in the following orderCRITICAL: Stop medication. Call Clinic due to an erection lasting more than 2 hours. (Critical Flag) - Patient & PractitionerBruising or swelling (Low Flag) - Patient & PractitionerBlood thinner medication (Low Flag) - Patient & PractitionerYour results will be reviewed within 72 business hours. - Patient & PractitionerClosed angle glaucoma (Urgent Flag) - Practitioner onlyTrazadone (Urgent Flag) - Practitioner onlyMAOI (Urgent Flag) - Practitioner onlyInjected > 12 times a month (Urgent Flag) - Practitioner onlyInjected < 4 times a month (Moderate Flag) - Practitioner onlyLast injection was ⪰ 90 days (Moderate Flag) - Practitioner onlyHardness erection < 6 (Moderate flag) - Practitioner onlyPenetration hardness ⪰ 90 minutes (Moderate Flag) - Practitioner onlyNo response to injection > 10% of the time. (Moderate Flag) - Practitioner onlyNo pseudoephedrine (Moderate Flag) - Practitioner onlyCurrently using penile injection therapy. (Low Flag) - Practitioner onlyMedication Name ## dosage (Low Flag) - Practitioner onlyI don't know the name of my injection medication (moderate Flag) - Practitioner onlyNOT currently using penile injection therapy. (Moderate Flag) - Practitioner onlyMedication > 6 months old (Low Flag) - Practitioner onlyLast injection was ≤ 90 days (Low Flag) - Practitioner onlyInjected 4-12 times a month (Low Flag) - Practitioner onlyMedication < 7 months old (Low Flag) - Practitioner onlyHardest erection > 5 (Low Flag) - Practitioner onlyPenetration hardness < 2 hours (Low Flag) - Practitioner onlyNo response to injection < 11% of the time. (Low Flag) - Practitioner onlyPenetration hardness ≤ 89 minutes (Low Flag) - Practitioner onlyNo bruising or swelling (Low Flag) - Practitioner onlyPseudoephedrine (Low Flag) - Practitioner onlyNo trazadone (Low Flag) - Practitioner onlyNo MAOI (Low Flag) - Practitioner onlyNo blood thinner medication (Low Flag) - Practitioner onlyNo closed angle glaucoma (Low Flag) - Practitioner only About MSKMen commonly experience changes in sexual and reproductive health during and after cancer treatment. Whether you are facing physical consequences such as erectile dysfunction or emotional effects such as lack of interest in sexual activity, you are not alone. Experts at Memorial Sloan Kettering Cancer Center are dedicated to supporting men as they adjust to life during and after cancer treatment. Through this challenging time, our men’s sexual and reproductive medicine team can help you cope with the impact of cancer on you and your intimate relationships. We can provide therapies for dealing with the physical side effects and strategies for managing the emotional issues that may arise as a result of treatment. Common Sexual Health Issues for Men with CancerThe most common physical problems that men face following cancer treatment include:erectile dysfunction, or the inability to achieve or maintain an erectionpremature or delayed ejaculationphysical deformities, such as curvature of the penis during erection (Peyronie’s disease), which can occur as a result of certain prostate cancer therapiesfertility problemslow testosterone levels The anxiety surrounding a cancer diagnosis and the fatigue that accompanies treatment can also disturb your hormones and emotions, decreasing your desire for sexual activity. For example, the hormone adrenaline is released when you are worried, stressed, or angry — feelings that people with cancer may experience during various stages of the disease. Unfortunately, adrenaline is also a powerful hormone that prevents an erection from occurring. Some men may also experience a loss of sexual confidence after cancer and its treatment. Restoring this self-assurance is a complex process that involves not only the patient, but his partner as well. Personalized Sexual Health Resources at Memorial Sloan KetteringOur men’s sexual and reproductive medicine team includes urologists, nurse practitioners, mental health professionals, social workers, and couples’ therapists who collaborate to provide individualized care for each patient. This group is led by urologist and microsurgeon John Mulhall. Most men can be successfully treated for cancer-related sexual problems. In fact, our experts have treated men of all ages with various types of cancer. Your care team will take a multidisciplinary approach to discussing and addressing your physical and emotional concerns related to sexual health. We will also take a full medical history to identify additional risk factors for sexual health problems, such high blood pressure, high cholesterol, and diabetes. We use this information to develop a personalized treatment plan to help you manage the effects of cancer on your sexual health. Our strategies include:medications to treat erectile and ejaculatory dysfunctionhormone replacement for low testosterone levelsfertility preservation, including sperm extractionpost-surgery rehabilitation programs, such as penile rehabilitation after prostate cancer surgerycounseling for individuals and couplessuggestions to enhance communication and intimacy with current or future partners Our male sexual health specialists can provide these and other treatment options to help you overcome any barriers preventing you from achieving a high quality of life when it comes to your sexual health.If you have sexual or reproductive health concerns related to cancer treatment, take action. Speak with someone on your medical team who can refer you to the Male Sexual Reproductive Medicine Program. You can also contact us directly at 646-888-6024.