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058 Safe Space: LGBTQ training at the University of Miami

2016, The Journal of Sexual Medicine

S28 Proceedings of the 21st Annual Fall Scientific Meeting of SMSNA, Las Vegas, Nevada, USA, November 19-22, 2015 differences in the rate of BMSI decline when patients were stratified by decade of age, HTN, DM, CAD, BPH, or smoking. Conclusions: Among those patients  50 years, older age, HTN, DM, CAD, BPH, and a smoking history were associated with lower BMSI score. Interestingly, the rate of decline in BMSI scores was similar among all men, regardless of age or comorbid conditions. Disclosure: Work supported by industry: no. 058 SAFE SPACE: LGBTQ TRAINING AT THE UNIVERSITY OF MIAMI Tappy, E.1; Irwin, R.1; Symes, S.1; Kenya, S.1,* 1 University of Miami Miller School of Medicine, USA Objectives: In 2014, an online questionnaire was distributed to University of Miami (UM) medical students to assess the LGBTQ (lesbian, gay, transgender, bisexual, transsexual and/or questioning) campus climate. Based on the survey findings, UM implemented several educational initiatives targeting practicing physicians, residents, and medical students. One initiative was a ‘Safe Space’ interactive training program for administration, faculty and staff. The goal of such training is to improve knowledge about issues affecting the LGBTQ community and provide tools for participants to combat homophobia and heterosexism at UM. Materials & Methods: To date, over 100 UM faculty and staff have participated in the Safe Space training. To assess program efficacy and impact on learners, we developed pre and post training evaluation questionnaires that were modeled on existing instruments. While data analysis is still ongoing, in this abstract we present preliminary findings from the first 21 participants. Results: The number of participants who believe that LGBTQ individuals are significantly impacted by discrimination increased from 4% to 65%; those who consider themselves knowledgeable of unique challenges faced by LGBTQ students increased from 19% to 70% and that those who felt able to respond to situations pertaining to sexual orientation or gender identity increased from 38% to 65%. All participants also expressed interest in changing their language and behavior after the training. Based on these preliminary findings, the Safe Space curriculum was also used to inform the LGBTQ cultural competency curriculum for medical residents and we are currently adapting Safe Space curriculum to be used to train medical students. Conclusion: Within a one year period, it was feasible to develop and incorporate an effective LGBTQ sensitivity training program at UM. Preliminary data suggests that the Safe Space program increased participants’ knowledge of LGBTQ issues and enhanced their preparedness to provide guidance in situations involving sexual orientation or gender identity. This LGBTQ sensitivity training program has subsequently spawned additional training LGBTQ programs for future clinicians. Combined, these programs have the potential to improve the quality of care LGBTQ individuals receive from UM providers. Disclosure: Work supported by industry: no. 059 THE EFFECT OF HYPOGONADISM ON POSTPROSTATECTOMY ERECTILE FUNCTION IN MEN TREATED WITH PENILE REHABILITATION Najari, B.B.1; Lee, D.J.1,*; Schulster, M.L.1; Paduch, D.A.1 1 Weill Cornell Medical College, USA Objective: Preoperative hypogonadism has been associated with worse recovery of erectile function after radical prostatectomy in older series. We sought to determine whether hypogonadal status was associated with functional outcomes in a contemporary cohort treated with penile rehabilitation. Materials and Methods: We reviewed the records of 121 men who underwent radical prostatectomy and had preoperative morning serum testosterone. Hypogonadal men were defined by 2014 ISSM criteria of serum total testosterone (eugonadal (EU) 346ng/dL, hypogonadal (HG) <231ng/dL, and borderline (BD). All men were recommended postoperative daily tadalafil 5 mg. Erectile function was assessed by question 2 of the SHIM. We evaluated erectile function at baseline, 3, 6, and 12 months. Results: 17 (14%) were hypogonadal, 37 (21%) were borderline and 67 (55%) were eugonadal. Baseline clinical and pathologic characteristics were similar between the three groups, including baseline IIEF (HG 48.3 ±22.7 vs BD 54.2 ±18.7 vs EU 53.9 ±21.3), with the exception of body mass index being lower in eugonadal men. Follow up was available for 117 (97%) men at 3 months, 69 (57%) men at 6 months, and 52 (43%) men at 1 year. All three groups had similar erectile function at 3 months (HG 1.9 ±1.3 vs BD 1.5 ±1.3 vs EU 1.6 ±1.4, p¼0.57). This was true at 6 months (HG 2.3 ±1.6 vs BD 2.1 ±1.5 vs EU 2.2 ±1.4, p¼0.92), and 1 year (HG 3.1 ±1.3 vs BD 2.8 ±1.5 vs EU 2.8 ±1.1p¼0.78). There was also no difference between the three groups patients when accounting for all time points with mixed ANOVA analysis (p¼0.99). Conclusions: In a contemporary series of men offered penile rehabilitation after robotic prostatectomy, there was no difference in erectile function after radical prostatectomy between eugonadal, borderline, and hypogondal men. Disclosure: Work supported by industry: no. 060 THE IMPACT OF SURGICAL APPROACH ON CORPORAL SIZING FOR INFLATABLE PENILE PROSTHESIS INSERTION Pagano, M.J.1,*; Weinberg, A.C.1; Hernandez, K.H.2; Valenzuela, R.J.3 1 Columbia University Medical Center, USA; 2Washington Heights Urology, USA; 3Columbia University Medical Center and Washington Heights Urology, USA Objectives: Although true corporal length is considered an inflexible value in IPP placement, various aspects of surgical approach J Sex Med 2016;13:S1eS71