By Fouad R. Kandeel
ISBN-10: 0824724399
ISBN-13: 9780824724399
ISBN-10: 1420015087
ISBN-13: 9781420015089
Even though impotence could be the most generally famous manifestation of male sexual disorder, many different kinds of sexual problems don't contain the erectile mechanism, from deficiencies of wish to disturbances in ejaculatory functionality to the failure of detumescence. With any such myriad-and frequently co-existing-number of problems, the winning therapy of male sexual disorder calls for not just an intensive realizing of the underlying body structure and pathophysiology, but in addition the coordinated efforts of a number of specialties, together with endocrinology, andrology, urology, radiology, intercourse remedy, or even occasionally psychiatry, cardiology, or oncology. Male Sexual disorder: Pathophysiology and therapy offers the collective services of greater than 60 overseas specialists in one landmark textual content. From foundations within the anatomy of the male genital tract to the newest neuroimaging info, readers will savor the great details detailing the large advances made within the delineationof sexual functionality and its problems in addition to the professional descriptions of useful and low in cost scientific, surgical, and mental recommendations for the therapy of all varieties of male sexual disorder.
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Additional resources for Male Sexual Dysfunction: Pathophysiology and Treatment
Sample text
In: Montague D, ed. Disorders of Male Sexual Function. , 1988:2–19. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. Male Sexual Anatomy 19 Federman DD. Impotence: etiology and management. Hosp Prac 1982; 17(3):155–159. Siroky MB, Krane RJ. Neurophysiology of erection. In: Krane RJ, Siroky MB, Goldstein I, eds. Male Sexual Dysfunction. Boston: Little, Brown and Company, 1983:9–20. Siroky MB, Krane RJ. Physiology of male sexual function. In: Krane RJ, Siroky MB, eds. Clinical Neuro-Urology.
Further, the orgasmic phase is split into the physical function of ejaculation and the psychological sensation of orgasmic pleasure. In this manner, the normal male sexual response cycle can be divided functionally into five interrelated events that occur in a defined sequence: libido, erection, ejaculation, orgasm, and detumescence. Since the functional classification of the male sexual cycle is the most clinically relevant one, it will constitute the basis for the following discussion. Libido or Sexual Desire Libido is defined as the biological need for sexual activity (the sex drive) and is expressed frequently as “sex-seeking” behavior.
Evidence suggests that activation of the postsynaptic α-1 and α-2 adrenergic receptors by norepinephrine and epinephrine is involved in the local control of corpus cavernosum smooth-muscle tone (24,25). The sympathetic innervation to the prostate, the seminal vesicles, and the related structures is the chief neural system involved in regulation of ejaculation. Stimulation of the postganglionic fibers leads to contraction of the ejaculatory duct with a concomitant contraction of the bladder neck musculature, resulting in expulsion of the seminal fluid and prevention of the seminal fluid from retrograde deposition into the bladder.
Male Sexual Dysfunction: Pathophysiology and Treatment by Fouad R. Kandeel
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