Male Sexual Dysfunction Introduction
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by Tom F. Lue, MD
A better understanding of male sexual dysfunction has been made possible by innovative laboratory and clinical research in the mechanism, neurophysiology, and pharmacology of penile erection. Erectile function can now be evaluated in the office setting by intracavernous injection of vasoactive agents or the response to oral phosphodiesterase inhibitor at home. Improved diagnostic tests can differentiate among types of impotence. More oral and transurethral drugs are being developed, and the latest generation of penile prostheses is more sophisticated and durable than earlier ones. Continuing research may offer a more physiologic and disease-specific solution to various types of erectile dysfunction (ED).
- Introduction
- Physiology of Penile Erection
- Innervation of the Penis
- Anatomy & Hemodynamics of Penile Erection
- Mechanism of Penile Erection
- Hormones & Sexual Function
- Neurotransmitters & Pharmacology of Erection
- Molecular Mechanism of Smooth-Muscle Contraction & Relaxation
- Signal Transduction in Penile Erection
- Intercellular Communication
- Innervation of the Penis
- Male Sexual Dysfunction
- Male Sexual Dysfunction Epidemiology
- Classification & Pathogenesis
- Psychological Disorders
- Neurogenic Disorders
- Hormonal Disorders
- Arterial Disorders
- Cavernosal Disorders
- Other Causes
- Classification & Pathogenesis
- Diagnosis & Treatment
- Nonsurgical Treatment of Erectile Dysfunction
- Lifestyle Changes
- Changing Medications
- Psychosexual Therapy
- Hormonal Therapy
- Phosphodiesterase (PDE) Inhibitors
- Yohimbine
- Trazodone
- Apomorphine
- Transurethral Therapy
- Intracavernous Injection
- Vacuum Constriction Device
- Lifestyle Changes
- Penile Vascular Surgery
- Penile Prosthesis
- Male Sexual Dysfunction Involving Emission, Ejaculation, & Orgasm
- Physiology of Emission, Ejaculation, & Orgasm
- Disorders Affecting Emission, Ejaculation, & Orgasm
- Treatment
- Physiology of Emission, Ejaculation, & Orgasm
- References
Revision date: June 18, 2011
Last revised: by Jorge P. Ribeiro, MD
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