Download PDF by Culley C. Carson: Management of Erectile Dysfunction in Clinical Practice

By Culley C. Carson

Administration of Erectile disorder in scientific perform is a quick advisor to erectile disorder (ED) and its administration overlaying basic functionality and disorder, overview, therapies and interventions. ED is a symptom, now not a illness and should have underlying explanations equivalent to high blood pressure, coronary artery affliction, diabetes, persistent renal impairment, power arthritis, continual alcoholism, a number of sclerosis. This publication can be a vital reference for kinfolk practitioners and citizens in urology.

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Urological problems Benign prostatic hyperplasia: Benign prostatic hyperplasia (BPH) is a conunon condition in the aging male and is associated w^ith a range of sexual dysfunctions. In one study, over 4 4 % of men w i t h severe L U T S complained of unsuccessful coitus, compared w^ith only 1 3 % of those w^ith milder symptoms. How^ever, a direct causal relationship between BPH, L U T S and E D seems unlikely [32]. Loss of sexual drive, orgasmic and ejacidatory problems have been reported in untreated BPH, as w^ell as E D [19].

After 5 years of ED, is it unreasonable to w a n t to make love three times a w^eek for a few^ w^eeks? Once a regular p a t t e r n of erections and sexual behavior has been established, the frequency of intercourse is likely to settle down to the pre^ED value. T h e r e is no evidence that treating E D increases the frequency of sexual activity. Ask men to make a foUow^-up appointment, preferably w i t h their partner, once they have had the opportunity to use the treatment on a nmnber of occasions.

Psychosexual issues may also affect erection in men w^ith coronary heart disease. They, and their partners, may be afraid that the exertion and excitement of intercourse could precipitate a further coronary episode. T h e vast majority of men w^ith coronary h e a r t disease can safely resume sexual activity and use ED therapies. Education and appropriate counseling about sex should be given to all men w^ith coronary heart disease so that t h e majority can continue to enjoy this important aspect of their relationship [6].

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