Diagnosis and Treatment of Erectile Problems

Segraves, Robert; Schoenberg, Harry W.

doi:10.1007/978-1-4615-9409-3_1

Cited by 7 publications

(3 citation statements)

References 119 publications

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“…Table 2 lists the clinical manifestations and the most common etiological categories for sexual dysfunction in the male. Identification of the sexual response component central to the dysfunction can significantly reduce the number of investigations required to characterize the underlying etiology(s) (97). However, the exact contribution of each etiological category to the genesis of a given dysfunction may be difficult to establish, but the knowledge of its presence is essential to treatment planning.…”

Section: Disorders Of Male Sexual Functionmentioning

confidence: 99%

“…Psychogenic conditions leading to a desire deficiency state in men (previously termed desire inhibition) include psychiatric illnesses such as depression or psychosis, preoccupation with life crisis or grief, maternal transference to sexual partners, gender identity conflicts, and aging-related psychological issues (57, 97,101). Another form of secondary desire disorder caused by psychological factors is termed "excitement inhibition" and is seen in patients who have sexual drive but cannot maintain excitement.…”

Section: A Disorders Of Desirementioning

confidence: 99%

“…Such questionnaires are helpful in identifying psychological contributions to erectile dysfunction. The coexistence of more than one condition is a frequent occurrence (97). A well structured psychosocial interview with the patient alone, and if possible conjointly with his partner, should follow the administration of any sexual questionnaire to ensure the most complete understanding of all possible predisposing, precipitating, and/or maintaining psychological factors.…”

Section: Selective Investigations For Male Sexual Dysfunctionmentioning

confidence: 99%

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Male Sexual Function and Its Disorders: Physiology, Pathophysiology, Clinical Investigation, and Treatment

2001

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This review is designed to help the reproductive endocrinologist integrate his or her professional activity with those of other disciplines including urology, radiology, neurology, and psychology in order to successfully manage all of the inseparable aspects of male sexual and reproductive functioning. Significant advances in the field of male sexual physiology and pathophysiology and new methods of investigation and treatment of male sexual disorders are outlined. The review synthesizes available data on the following: norms of sexual organs, aging and sexuality, role of central and peripheral neurochemicals in each stage of the sexual cycle, role of corporeal smooth muscles in the hemodynamic control of erection and detumescence, influence of psychological factors, drugs, and disease on all aspects of sexual functioning, and use of nocturnal penile tumescence monitoring, imaging investigations, and neurophysiologic studies in the diagnostic workup of males with sexual dysfunction. Clinical algorithms are presented where appropriate. Extensive discussions on newly developed strategies in psychological and behavioral counseling, drug therapy, tissue engineering, nonsurgical devices, and surgical treatments for all forms of sexual disorders are also provided. Lastly, the effect of sexual dysfunction and its treatment on quality of life in affected men is addressed, along with recommendations for future research endeavors.

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Section: Disorders Of Male Sexual Functionmentioning

confidence: 99%

Section: A Disorders Of Desirementioning

confidence: 99%

Section: Selective Investigations For Male Sexual Dysfunctionmentioning

confidence: 99%

See 1 more Smart Citation