TAILIEUCHUNG - Chapter 049. Sexual Dysfunction (Part 3)

Neurogenic Disorders that affect the sacral spinal cord or the autonomic fibers to the penis preclude nervous system relaxation of penile smooth muscle, thus leading to ED. In patients with spinal cord injury, the degree of ED depends on the completeness and level of the lesion. Patients with incomplete lesions or injuries to the upper part of the spinal cord are more likely to retain erectile capabilities than those with complete lesions or injuries to the lower part. Although 75% of patients with spinal cord injuries have some erectile capability, only 25% have erections sufficient for penetration. Other neurologic disorders. | Chapter 049. Sexual Dysfunction Part 3 Neurogenic Disorders that affect the sacral spinal cord or the autonomic fibers to the penis preclude nervous system relaxation of penile smooth muscle thus leading to ED. In patients with spinal cord injury the degree of ED depends on the completeness and level of the lesion. Patients with incomplete lesions or injuries to the upper part of the spinal cord are more likely to retain erectile capabilities than those with complete lesions or injuries to the lower part. Although 75 of patients with spinal cord injuries have some erectile capability only 25 have erections sufficient for penetration. Other neurologic disorders commonly associated with ED include multiple sclerosis and peripheral neuropathy. The latter is often due to either diabetes or alcoholism. Pelvic surgery may cause ED through disruption of the autonomic nerve supply. Endocrinologic Androgens increase libido but their exact role in erectile function remains unclear. Individuals with castrate levels of testosterone can achieve erections from visual or sexual stimuli. Nonetheless normal levels of testosterone appear to be important for erectile function particularly in older males. Androgen replacement therapy can improve depressed erectile function when it is secondary to hypogonadism however it is not useful for ED when endogenous testosterone levels are normal. Increased prolactin may decrease libido by suppressing gonadotropin-releasing hormone GnRH and it also leads to decreased testosterone levels. Treatment of hyperprolactinemia with dopamine agonists can restore libido and testosterone. Diabetic ED occurs in 35-75 of men with diabetes mellitus. Pathologic mechanisms are primarily related to diabetes-associated vascular and neurologic complications. Diabetic macrovascular complications are mainly related to age whereas microvascular complications correlate with the duration of diabetes and the degree of glycemic control Chap. 338 . Individuals with .

• Y học thường thức
• Sexual Dysfunction
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Female sexual function
• Female sexual dysfunction
• Physical diagnosis
• Medical therapies
• Erectile dysfunction
• Surgical treatments
• BMC Women's Health
• Idiopathic cerebellar ataxia
• Sexual response
• Movements during sexual intercourse
• Sexual cycle desire
• Sexual activity
• Anonymous questionnaire
• Vulvovaginal atrophy
• Genitourinary syndrome of menopause
• Hormonal therapy
• BMC Cancer
• Psycho educational
• Fex Can intervention
• Fertility related distress
• ABC of sexual heath
• Sexual pain disorders
• Gender dysphoria
• Transgender health
• Psychosexual thrapy
• Textbook of Endocrinology
• Hormone action
• The evolutionary perspective
• Human sexual response cycle
• Physiologic mechanisms
• Physiology of physical sexual arousal
• Pregnant women
• Communication intervention
• Postpartum period
• Sexual Intervention model
• Rectal cancer
• Autonomic nerves
• Intraoperative monitoring
• Urinary dysfunction
• Fecal incontinence
• Preclinical Research
• Animal Models
• Sexual Medicine
• Physiology of Erection
• Luận án Tiến sĩ Y học
• Effectiveness of TD0014 hard pills
• Summary of new aspect of the thesis
• Male sexual dysfunction
• psychosexual nursing
• Psychosexual anxiety
• Altered sexual interest
• Psychosexual nursing skills
• psychosexual care
• Ambulatory gynecology
• Basic infertility evaluation
• Hormone replacement therapy
• Clinical genetics for the gynecologist
• Sexual minority health
• Breast cancer
• Cognitive behavioral therapy
• Internet based
• Prostate cancer
• Sexual health
• Resistance training
• Aerobic exercise
• Psychosexual support
• Cohort study
• Sexual function
• Young adults
• Anal cancer
• Anal squamous cell carcinoma
• Following definitive chemoradiation
• Bowel dysfunction
• Accelerated bone loss