By Tobias S. Köhler, Kevin T. McVary
Now in a revised and improved moment variation, this finished medical guideremains a cutting-edge synthesis of the literature, overlaying all features of treating erectile disorder (ED) and different comparable male sexual dysfunctions. Cardiovascular, hormonal, mental and way of life components are every one thought of in analysis and remedy, together with pharmacological, surgical and prosthetic administration options. the consequences of prostate melanoma and its therapy also are mentioned, as are Peyronie’s sickness, priapism and ejaculatory problems. New chapters during this version talk about the profound results of way of life switch on sexual functionality, replacement and net medications that impact sexual functionality, endovascular methods to ED, penile size issues, the impact of radiation on erectile functionality, and optimizing ED examine. providing a greater realizing of what explanations erectile disorder and the powerful medicinal drugs and non-medication remedies used to regard the situation, this necessary identify deals all physicians, citizens, and fellows – or even clinical scholars and different healthiness pros corresponding to nurse practitioners and health care provider assistants – a vital reference for reinforcing analysis and remedy of this universal and debilitating disorder.
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Extra resources for Contemporary Treatment of Erectile Dysfunction: A Clinical Guide
This will likely have led to significant relationship problems as partners often worry that they have become unattractive to the man, the man has fallen out of love with them or is interested in another partner, etc. S. T. 1007/978-3-319-31587-4_3 29 30 sitting in front of his physician has a complicated story to tell. As a result, the physician must realize that taking the time to allow the man to completely tell his story is of the utmost importance. Yet, this can be quite challenging in this day and age of medical practice (at least in the United States) where office visits have become more rushed and time limited, and medical/sexual history taking may suffer.
Biol Reprod. 2007;76:915–23. Thomas PK, King RH, Sharma AK. Changes with age in the peripheral nerves of the rat. An ultrastructural study. Acta Neuropathol. 1980;52:1–6. Wang YJ, Zhou CJ, Shi Q, Smith N, Li TF. Aging delays the regeneration process following sciatic nerve injury in rats. J Neurotrauma. 2007;24: 885–94. Lin JS, Tsai Y-S, Lin Y-M, Lin C-S, Chow N-H. Ageassociated changes in collagen content and its subtypes within rat corpora cavernosa with computerized histomorphometric analysis.
The input is carried via C- and A-delta fibers . These fibers coalesce to form the dorsal nerve of the penis, which extends into the pelvis to join the pudendal nerve. The pudendal nerve carries sensory signals to the spinal cord via spinal roots S2–S4 and terminates in the gray matter of the lumbosacral cord . Hemodynamics of Erection Flaccid State The flaccid state of the penis is characterized by blood flow sufficient to meet nutritional and other physiologic needs, but insufficient for penile erection.
Contemporary Treatment of Erectile Dysfunction: A Clinical Guide by Tobias S. Köhler, Kevin T. McVary