data of American patients. This study also disallows a widely held opinion that downsized cylinders should be the usual choice for Asian men. Disclosure: Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (consultant for Abreon, AMS, Coloplast, NeoTract). 340 TELESURGERY: A MODERN TAKE ON HISTORICAL SURGICAL EDUCATION Christine, B., MD, 1 ; Graziano, C., MD, 2 ; Barrett-Harlow, B., MD 1 1 Urology Centers of Alabama; 2 Anne Arundel Urology Introduction: Surgical education takes multiple forms. In the past, amphi- theaters with seating for multiple observers, all watching a master surgeon at work, was common. While these stadium seating type operating rooms are no longer used for educating surgeons, direct observation remains an important educational tool. The advent of widespread access to the internet has once again enabled large numbers to observe surgeons as they conduct procedures, both complex and simple. Now, however, observers need not be physically present to watch, learn and question the operating physician. Telesurgery as an educational tool is a reality. Objective: We describe two telesurgery educational events that were con- ducted in 2019 and discuss the impact of telesurgery on surgical education. Methods: In April 2019, the implantation of an artificial urinary sphincter for the treatment of post-prostatectomy stress urinary incontinence was conducted as a telesurgery teaching event. This procedure was aired over the internet and observing physicians provided commentary and submitted questions via a live on-line chat room. In June 2019, two separate surgeries demonstrating the implantation of an inflatable penile prosthesis were aired back-to-back via internet live stream; again, questions and comments from observers were submitted via a chat room. In the case of the artificial urinary sphincter procedure, the operating surgeon responded to questions via the chat room (through an un-scrubbed assistant). In the case of the two penile implants, the surgeon responded directly to queries by voice. All three pa- tients signed consents for recoding and streaming of their procedures. Results: The total physician viewers, for all events, was 773. These physi- cians watched from 33 different countries across the globe. The penile implant procedures allowed non-physician participants; this accounted for an additional 98 viewers. During the artificial urinary sphincter surgery, over 30 questions/comments were submitted. A total of 15 questions/comments were submitted during the penile prosthesis surgeries. Average view time was 31.8 minutes per procedure. Conclusion: Telesurgery as a tool for surgical education is a viable option. With high-speed internet connectivity now commonly available, the case, as it unfolds, is easily accessed. Real time queries and comments from viewers are possible. We recommend surgical societies such as the SMSNA, and surgical educators, invest effort and resources into developing telesurgery as one method of educating future and current surgical practitioners. Disclosure: Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (Boston Scientific, Corp Coloplast, Corp Gesiva, Corp). 341 "DOC, IF IT WERE YOU, WHAT WOULD YOU DO?": A SURVEY OF MEN’S HEALTH SPECIALISTS’ PERSONAL PREFERENCES REGARDING TREATMENT MODALITIES Towe, M. 1 ; El-Khatib, F.M. 2 ; Osman, M.M. 2 ; Huynh, L.M. 2 ; Carrion, R. 3 ; Ward, S. 4 ; Reisman, C. 5 ; Serefoglu, E.C. 6 ; Pastuszak, A. 7 ; Yafi, F.A. 2 1 University of California Irvine; 2 University of California, Irvine; 3 University of South Florida; 4 St Jan Kliniek; 5 Amstelland Hospital; 6 Bahceci Health Group; 7 Baylor College of Medicine Introduction: Little data exists evaluating the attitudes that andrologists have towards the current treatment modalities available for managing men’s health conditions. Objective: To survey men’s health providers to assess their treatment preferences. Methods: An online survey was sent out via SurveyMonkey to members of the Sexual Medicine Society of North America (SMSNA) and through Social Media blasts to members of the European Society for Sexual Medicine (ESSM). The survey consisted of 37 questions and assessed 6 domains of men’s sexual health e Erectile dysfunction, ejaculatory dysfunction, Peyr- onie’s disease (PD), Hypogonadism, Benign Prostatic Hyperplasia (BPH), and urinary incontinence. Respondents were asked to complete the survey as if they were a patient being treated for such conditions. A total of 128 members responded to the survey (67 from SMSNA and 61 from ESSM). Results: 114 respondents proceeded on with survey completion after the first question. In terms of demographics, 80.6% of respondents were male, 61.1% practiced in the United States (US) and 23.2% in Europe, 43.9% were <40 years old, and 59.8% were fellowship trained. When considering Phosphodiesterase-5 inhibitor (PDE5i) treatment for ED, most preferred Tadalafil, both daily (40.8%) and on demand (38.8%), or Sildenafil (33.0%). 73.1% of respondents would opt for intracavernosal injections as second line therapy if unresponsive to PDE5i. Approximately 67.0% of respondents would be interested in pursuing low intensity shockwave ther- apy. Most providers (76.1%) would prefer a 3-piece inflatable penile pros- thesis (IPP), and 65.5% a penoscrotal approach. For ejaculatory dysfunction, the most commonly chosen management strategy was sex/behavior therapy for both premature (35.9%) and delayed (51.7%) ejaculation. However, for US-based practitioners, topical therapy was preferred for premature ejacu- lation (35.6%). The most preferred option for stable PD with preserved erectile function with a 30, 60, and 90 degree curvature was no intervention (45.2%), intralesional Collagenase Clostridium Histolyticum (CCH) (30.6%), and plaque incision/excision (32.1%), respectively. Fellowship trained individuals, however, tended to prefer a plication procedure over CCH therapy. Regarding hypogonadism treatment, a selective estrogen re- ceptor modulator was preferred if fertility preservation was desired (39.3%). If fertility preservation was not a concern 86.9% would pursue testosterone replacement therapy and 45.2% of those would administer it topically. 69.4% of respondents would still pursue testosterone therapy if they had borderline testosterone (300-400 ng/dL). About 45.0% of individuals chose Urolift and 13.8% chose Rezum for management of BPH symptoms if antegrade ejaculation preservation was a concern. Finally, for post-prosta- tectomy urinary incontinence, Kegel exercises, urinary sling and artificial urinary sphincter were preferred for mild (83.1%), moderate (59.0%) and severe (69.5%) incontinence, respectively. Conclusion: Based on our survey’s results, it seems many men’s health specialists would pursue the least invasive options before considering pro- cedural intervention for any given condition. For milder issues, behavioral or no intervention was a more popular option for management of PD, in- continence, and ejaculatory dysfunction. The results of studies like these can be used to assess the current landscape of practice patterns and habits of urologists, and help to identify evaluation and treatment gaps in men’s health. Disclosure: Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (Coloplast, Antares Pharma, Endo Pharmaceuticals). 342 SELF-REPORTED SEXUAL PROBLEMS PREDICTS HIGHER LEVELS OF DISTRESS, FATIGUE AND INSOMNIA IN PATIENTS WITH CANCER Hughes, M. 1 ; De La Garza, R. II 1 1 UT MD Anderson Cancer Center J Sex Med 2020;17:S76-S120 S88 20th Annual Fall Scientific Meeting of SMSNA