By Culley C. Carson
ISBN-10: 1846283981
ISBN-13: 9781846283987
Administration of Erectile disorder in medical perform is a quick consultant to erectile disorder (ED) and its administration overlaying basic functionality and disorder, overview, remedies and interventions. ED is a symptom, now not a disorder and should have underlying factors reminiscent of high blood pressure, coronary artery illness, diabetes, persistent renal impairment, continual arthritis, power alcoholism, a number of sclerosis. This e-book could be an important reference for kin practitioners and citizens in urology.
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Additional info for Management of Erectile Dysfunction in Clinical Practice
Example text
Unless t h e r e is a strong temporal relationship betw^een the introduction of a new^ drug and t h e onset of ED, it is unlikely that w^ithdraw^ing a d r u g w^ill be of benefit. T h e r e are theoretical grounds for suggesting that alpha^blockers, such as doxazosin, are less likely to cause E D than other agents. However, there is a potential interaction between alpha^blockers and P D E 5 inhibitors that may result in significant hypotension 24 Erectile dysfunction — etiology and risk factors in some patients.
Some vs^ill give up before they have given the treatment a fair trial, while others will discover that there are other obstacles to their sexual expression than just ED. These issues should be 53 M a n a g e m e n t of E r e c t i l e D y s f u n c t i o n i n C l i n i c a l P r a c t i c e addressed at follow-up. Some will move on to other therapies, or require referral, but many will need further education, explanation, and experience. T h e importance of choice for individuals and couples Individuals and couples w^ill have their own preference for a Consider the couple's choice of treatment, as it will probably reflect their sexual lifestyle particular therapy, as it may suit their ow^n sexual lifestyle.
E D is a common problem following radical prostatectomy. Studies have reported E D rates of 30—100% foUow^ing such surgery T h e problem usually develops immediately foUow^ing surgery; suggested mechanisms for this are intraoperative injury to the cavernous nerves and/or arteries, and structural alterations to the corpora cavernosal t h a t are disruptive of the venO'Occlusive mechanism [34]. Nerve^sparing procedures may reduce the risk of post'Operative ED. Radical radiotherapy is also associated w i t h E D in about 40%) of men, although the onset is often delayed for 6—18 months.
Management of Erectile Dysfunction in Clinical Practice by Culley C. Carson
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