Faculty Rank: Professor
Medical or Graduate Education:
All India Institute of Medical Sciences
Boston University School of Medicine - Surgery
Maimonides Medical Center - Urology
Boston University School of Medicine - Neuro-Urology and Female Urology; Male Sexual Dysfunction and Infertility
Below is a list of scientific publications for which this practitioner was either the primary author or a contributor. Citations come from PubMed, a database of biomedical literature, life science journals and online books. PubMed is a service of the US Library of Medicine at the National Institutes of Health. Click on the title of the cited work for more information (this will take you directly to PubMed.gov). Listings go back five years.
All men with vasculogenic erectile dysfunction require a cardiovascular workup. Miner M, Nehra A, Jackson G, Bhasin S, Billups K, Burnett AL, Buvat J, Carson C, Cunningham G, Ganz P, Goldstein I, Guay A, Hackett G, Kloner RA, Kostis JB, LaFlamme KE, Montorsi P, Ramsey M, Rosen R, Sadovsky R, Seftel A, Shabsigh R, Vlachopoulos C, Wu F Am. J. Med. 2014 Mar 127(3):174-82. Diagnosis and treatment of erectile dysfunction for reduction of cardiovascular risk. Nehra A, Jackson G, Miner M, Billups KL, Burnett AL, Buvat J, Carson CC, Cunningham GR, Goldstein I, Guay AT, Hackett G, Kloner RA, Kostis J, Montorsi P, Ramsey M, Rosen RC, Sadovsky R, Seftel AD, Vlachopoulos C, Wu FC. J Urol. 2013 2013 Jun 189(6):2031-8. doi: 10.1016/j.juro.2012.12.107. Epub 2013 Jan 9. Hemodynamic effect of avanafil and glyceryl trinitrate coadministration. Swearingen D, Nehra A, Morelos S, Peterson CA Drugs Context 2013 Feb 26 2013:212248. North American Consensus Document on Infection of Penile Prostheses. Darouiche RO, Bella AJ, Boone TB, Brock G, Broderick GA, Burnett AL, Carrion R, Carson, Christine B, Dhabuwala CB, Hakim LS, Henry G, Jones LA, Khera M, Montague DK, Nehra A Urology 2013 Aug 16 Long-term infection outcomes of 3-piece antibiotic impregnated penile prostheses used in replacement implant surgery. Nehra A, Carson CC 3rd, Chapin AK, Ginkel AM. J Urol. 2012 2012 Sep 188(3):899-903. doi: 10.1016/j.juro.2012.04.116. Epub 2012 Jul 20. RE: Long-Term Infection Outcomes of 3-Piece Antibiotic Impregnated Penile Prostheses Used in Replacement Implant Surgery [Letter to the Editor JU-12-1703]. Nehra A. J Urol. 2012 2012 Nov 28. doi:pii: S0022-5347(12)05628-5. 10.1016/j.juro.2012.11.119. [Epub ahead of print] No abstract available. MRI and its role in the evaluation and surgical decision making in patients with challenging IPP presentations: descriptions of MRI findings and algorithm for patient management. McPhail EF, Nehra A, Bruner BC, Kawashima A, King BF, Kim B. BJU Int. 2012 2012 Jun 109(12):1848-52. doi: 10.1111/j.1464-410X.2011.10683.x. Epub 2011 Oct 28. Prognostic utility of erectile dysfunction for cardiovascular disease in younger men and those with diabetes. Miner M, Seftel AD, Nehra A, Ganz P, Kloner RA, Montorsi P, Vlachopoulos C, Ramsey M, Sigman M, Tilkemeier P, Jackson G. Am Heart J. 2012 2012 Jul 164(1):21-8. doi: 10.1016/j.ahj.2012.04.006. Epub 2012 Jun 7. Review. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Nehra A, Jackson G, Miner M, Billups KL, Burnett AL, Buvat J, Carson CC, Cunningham GR, Ganz P, Goldstein I, Guay AT, Hackett G, Kloner RA, Kostis J, Montorsi P, Ramsey M, Rosen R, Sadovsky R, Seftel AD, Shabsigh R, Vlachopoulos C, Wu FC. Mayo Clin Proc. 2012 2012 Aug 87(8):766-78. doi: 10.1016/j.mayocp.2012.06.015. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis. Gupta BP, Murad MH, Clifton MM, Prokop L, Nehra A, Kopecky SL. Arch Intern Med. 2011 2011 Nov 14 171(20):1797-803. doi: 10.1001/archinternmed.2011.440. Epub 2011 Sep 12. Central nervous system agents and erectile dysfunction. Kumar R, Nehra A. Urol Clin North Am. 2011 2011 May 38(2):165-73. doi: 10.1016/j.ucl.2011.03.006. Review. Low testosterone associated with obesity and the metabolic syndrome contributes to sexual dysfunction and cardiovascular disease risk in men with type 2 diabetes. Wang C, Jackson G, Jones TH, Matsumoto AM, Nehra A, Perelman MA, Swerdloff RS, Traish A, Zitzmann M, Cunningham G. Diabetes Care. 2011 2011 Jul 34(7):1669-75. doi: 10.2337/dc10-2339. Review. No abstract available. Guideline-based management of male infertility: Why do we need it? Trost LW, Nehra A. Indian J Urol. 2011 2011 Jan 27(1):49-57. doi: 10.4103/0970-1591.78426. Statin use and decreased risk of benign prostatic enlargement and lower urinary tract symptoms. St Sauver JL, Jacobsen SJ, Jacobson DJ, McGree ME, Girman CJ, Nehra A, Roger VL, Lieber MM. BJU Int. 2011 2011 Feb 107(3):443-50. doi: 10.1111/j.1464-410X.2010.09598.x. Epub 2010 Aug 26. Defining sexual function after radical retropubic prostatectomy. Dwyer ME, Nehra A. Urol Oncol. 2010 2010 Sep-Oct 28(5):469-72. doi: 10.1016/j.urolonc.2010.01.007. Epub 2010 May 6. No abstract available. Priapism: pathogenesis, epidemiology, and management. Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. J Sex Med. 2010 2010 Jan 7(1 Pt 2):476-500. doi: 10.1111/j.1743-6109.2009.01625.x. Review. The association between statin use and the diagnosis of prostate cancer in a population based cohort. Breau RH, Karnes RJ, Jacobson DJ, McGree ME, Jacobsen SJ, Nehra A, Lieber MM, St Sauver JL. J Urol. 2010 2010 Aug 184(2):494-9. doi: 10.1016/j.juro.2010.03.149. Epub 2010 Jun 17. Longitudinal evaluation of sexual function in a male cohort: the Olmsted county study of urinary symptoms and health status among men. Gades NM, Jacobson DJ, McGree ME, St Sauver JL, Lieber MM, Nehra A, Girman CJ, Jacobsen SJ. J Sex Med. 2009 2009 Sep 6(9):2455-66. doi: 10.1111/j.1743-6109.2009.01374.x. Epub 2009 Jun 29. Surgical and minimally invasive treatments for Peyronie's disease. Kumar R, Nehra A. Curr Opin Urol. 2009 2009 Nov 19(6):589-94. doi: 10.1097/MOU.0b013e3283314a87. Review. Smoking and acute urinary retention: the Olmsted County study of urinary symptoms and health status among men. Sarma AV, Jacobson DJ, St Sauver JL, Lieber MM, Girman CJ, Nehra A, Jacobsen SJ. Prostate. 2009 2009 May 15 69(7):699-705. doi: 10.1002/pros.20914. Associations between C-reactive protein and benign prostatic hyperplasia/lower urinary tract symptom outcomes in a population-based cohort. St Sauver JL, Sarma AV, Jacobson DJ, McGree ME, Lieber MM, Girman CJ, Nehra A, Jacobsen SJ. Am J Epidemiol. 2009 2009 Jun 1 169(11):1281-90. doi: 10.1093/aje/kwp085. Epub 2009 Apr 24. Presumed circle area ratio of the prostate in a community-based group of men. St Sauver JL, Jacobson DJ, McGree ME, Girman CJ, Nehra A, Lieber MM, Jacobsen SJ. BJU Int. 2009 2009 Jul 104(1):58-62. doi: 10.1111/j.1464-410X.2009.08354.x. Epub 2009 Feb 11. Alpha-blocker use is associated with decreased risk of sexual dysfunction. Kumar R, Nehra A, Jacobson DJ, McGree ME, Gades NM, Lieber MM, Jacobsen SJ, St Sauver JL. Urology. 2009 2009 Jul 74(1):82-7. doi: 10.1016/j.urology.2008.12.080. Epub 2009 May 9. The aging male hypothalamic-pituitary-gonadal axis: pulsatility and feedback. Veldhuis JD, Keenan DM, Liu PY, Iranmanesh A, Takahashi PY, Nehra AX. Mol Cell Endocrinol. 2009 2009 Feb 5 299(1):14-22. doi: 10.1016/j.mce.2008.09.005. Epub 2008 Sep 17. Review. Erectile dysfunction and cardiovascular disease: efficacy and safety of phosphodiesterase type 5 inhibitors in men with both conditions. Nehra A. Mayo Clin Proc. 2009 2009 Feb 84(2):139-48. doi: 10.1016/S0025-6196(11)60822-7. Review. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Inman BA, Sauver JL, Jacobson DJ, McGree ME, Nehra A, Lieber MM, Roger VL, Jacobsen SJ. Mayo Clin Proc. 2009 2009 Feb 84(2):108-13. doi: 10.4065/84.2.108. Further experience with an operation for the cure of certain types of impotence. O.S. Lowsley, and A. Rueda. Glina S, Tan HM, El-Sakka AI, Nehra A. J Sex Med. 2009 2009 Aug 6(8):2096-101. doi: 10.1111/j.1743-6109.2009.01387.x. No abstract available. The associations between serum sex hormones, erectile function, and sex drive: the Olmsted County Study of Urinary Symptoms and Health Status among Men. Gades NM, Jacobson DJ, McGree ME, St Sauver JL, Lieber MM, Nehra A, Girman CJ, Klee GG, Jacobsen SJ. J Sex Med. 2008 2008 Sep 5(9):2209-20. doi: 10.1111/j.1743-6109.2008.00924.x. Epub 2008 Jul 4. Pharmacoangiographic evidence of the presence and anatomical dominance of accessory pudendal artery(s). Nehra A, Kumar R, Ramakumar S, Myers RP, Blute ML, McKusick MA. J Urol. 2008 2008 Jun 179(6):2317-20. doi: 10.1016/j.juro.2008.01.117. Epub 2008 Apr 18. Benign and malignant epididymal masses evaluated with scrotal sonography: clinical and pathologic review of 85 patients. Alleman WG, Gorman B, King BF, Larson DR, Cheville JC, Nehra A. J Ultrasound Med. 2008 2008 Aug 27(8):1195-202.
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To watch a brief video of Ajay Nehra, MD, click the play button at the lower left corner of the video frame below.
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The most prevalent reason a patient would come to see a urologist is they’re getting up at night more frequently than they used to. Their urine stream is low. Alternatively the next most common is change in erections.
It’s not infrequent men will never see a physician in their lifetime and suddenly at the age of 50, 52, 53, a switch turns on — and it’s important for men to realize prevention is going to be the ideal strategy for us to promote a healthy lifestyle. What we do know is that the presence of loss of erections can be the first harbinger of not-yet-evident heart disease.
Video is a great way to educate patients about overall disorders. We use video links to educate them, graphics to educate them. So, I’m able to show them exactly what’s happening in the prostate, what’s happening with respect to erections, what’s happening with incontinence issues. We’re able to show them and patients are very happy that they’re able to visualize exactly what you’re telling them.