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Erectil dysfunction

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https://www.readbyqxmd.com/read/29457841/erectile-dysfunction-they-don-t-talk-we-don-t-ask
#1
A Rakovac Tisdall, T F J King, W A W Mahmood, C S Keat, R Ali, R Abdin, C M Koo, M Alali, S Sreenan, J H McDermott
Erectile dysfunction is an under-reported complication of diabetes mellitus affecting over half of male patients [1]. Although many men with diabetes consider that erectile dysfunction has a negative influence on their quality of life, they are reluctant to report it; and while most would like treatment, they prefer physicians to start the conversation [2-4]. Erectile dysfunction predicts future cardiovascular disease, and screening for erectile dysfunction is advocated in several cardiovascular risk assessment algorithms [5]...
February 19, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29454526/predicting-sexual-problems-in-young-adults-with-an-anorectal-malformation-or-hirschsprung-disease
#2
M J Witvliet, S van Gasteren, D van den Hondel, E Hartman, Lwe van Heurn, Afw van der Steeg
AIM: The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease. MATERIAL AND METHODS: In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used...
January 31, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29453817/endocrine-and-psychological-aspects-of-sexual-dysfunction-in-klinefelter-patients
#3
A Ferlin, R Selice, S Angelini, M Di Grazia, N Caretta, F Cavalieri, A Di Mambro, C Foresta
Klinefelter syndrome is a frequent cause of hypogonadism, but despite hundreds of publications on different aspects of Klinefelter syndrome, only a few studies dealt with sexual dysfunction. In particular, testosterone is critical for various aspects of sexual response, but its role on sexuality in Klinefelter syndrome patients is debatable and no studies have evaluated the efficacy of testosterone treatment on sexual dysfunction in these subjects. Furthermore, the impact of psychological and relational aspects on sexual function of Klinefelter syndrome subjects is poorly defined...
February 17, 2018: Andrology
https://www.readbyqxmd.com/read/29452979/3-piece-inflatable-penile-prosthesis-placement-following-radical-cystoprostatectomy-and-urinary-diversion-technique-and-outcomes
#4
Jeffrey Loh-Doyle, Mukul B Patil, Hari Sawkar, Kevin Wayne, Stuart D Boyd
BACKGROUND: After radical cystoprostatectomy (RC), postoperative erectile dysfunction (ED) is a common consequence with multiple contributing etiologies. The inflatable penile prosthesis (IPP) offers patients a definitive treatment option when ED is refractory to medical therapies. Because of the hostile postoperative anatomy of these patients, a careful surgical approach is necessary for successful outcomes and to avoid adjacent organ injury. To date, there is no series describing the outcomes of 3-piece IPP placement in patients with urinary diversions...
February 13, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29449032/re-extracorporeal-shock-wave-therapy-eswt-in-urology-a-systematic-review-of-outcome-in-peyronie-s-disease-erectile-dysfunction-and-chronic-pelvic-pain
#5
https://www.readbyqxmd.com/read/29448969/prevalence-of-erectile-dysfunction-and-associated-factors-among-diabetic-men-attending-the-diabetic-clinic-at-felege-hiwot-referral-hospital-bahir-dar-north-west-ethiopia-2016
#6
Bizuayehu Walle, Kidist Reba Lebeta, Yamrot Debela Fita, Hordofa Gutema Abdissa
OBJECTIVE: Even though several scholars have conducted study in different part of the world on erectile dysfunction in patients diagnosed with diabetes mellitus, it's magnitude vary among their finding with the range between 20 and 90%. This study aimed at assessing the prevalence of erectile dysfunction and associated factors among diabetic clients. RESULTS: A cross sectional study was conducted from January 2016 to March, 2016. Systematic random sampling technique was used...
February 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29442076/erectile-dysfunction-is-associated-with-subclinical-carotid-vascular-disease-in-young-men-lacking-widely-known-risk-factors
#7
Feng-Juan Yao, Ya-Dong Zhang, Zi Wan, Wei Li, Hong Lin, Chun-Hua Deng, Yan Zhang
This study aimed to gain insight into the underlying pathogenesis of erectile dysfunction in young men under the age of 40 years without widely-known risk factors. Compared with normal controls, patients with erectile dysfunction had increased carotid intima-media thickness, fasting levels of blood glucose and insulin, and homeostatic model assessment index, as well as lower flow-mediated vasodilation and testosterone levels (P < 0.05), though all of these values were within their respective normal range...
February 9, 2018: Asian Journal of Andrology
https://www.readbyqxmd.com/read/29438589/baus-consensus-document-for-the-management-of-male-genital-emergencies-penile-fracture
#8
REVIEW
R W Rees, G Brown, T Dorkin, M Lucky, R Pearcy, M Shabbir, C J Shukla, D J Summerton, A Muneer
Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on-site expertise in genitourethral surgery available. The aim of these consensus statements is to provide a best practice guidance for urological surgeons based in the UK and developed by an expert consensus. Penile fracture is a rare emergency and in the majority of cases requires prompt exploration and repair to prevent erectile dysfunction and penile curvature...
February 13, 2018: BJU International
https://www.readbyqxmd.com/read/29432870/risk-stratification-for-erectile-dysfunction-after-pelvic-fracture-urethral-injuries
#9
Paul H Chung, Cody Gehring, Reza Firoozabadi, Bryan B Voelzke
OBJECTIVE: To compare the frequency and severity of erectile dysfunction (ED) among pelvic fracture patients with and without urethral injuries and to identify potential risk factors for ED in the setting of pelvic fracture injury. METHODS: A retrospective review was conducted of male patients treated for pelvic fractures with and without urethral injuries at a Level 1 trauma center between 2005 and 2016. The International Index of Erectile Function (IIEF-5) questionnaire was administered to patients by telephone to assess post-injury ED...
February 9, 2018: Urology
https://www.readbyqxmd.com/read/29430679/seeking-certainty-through-narrative-closure-men-s-stories-of-prostate-cancer-treatments-in-a-state-of-liminality
#10
Ilkka Pietilä, Raisa Jurva, Hanna Ojala, Teuvo Tammela
Radical treatments of prostate cancer often lead to a pervasive liminal state that is characterised by multiple uncertainties that relate both to a possible recurrence of cancer and recovery from side effects, such as erectile and urinary dysfunctions. Liminality can make it difficult for cancer patients to narrate their experiences, as their stories lack a definite ending. After interviews with 22 Finnish men who had undergone radical prostatectomy, we analysed how men produce closure in their illness narratives...
February 11, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29430157/pregnancy-outcome-of-home-intravaginal-insemination-in-couples-with-unconsummated-marriage
#11
Kaberi Banerjee, Bhavana Singla
Unconsummated marriage are mainly due to vaginismus or erectile dysfunction. They contribute to about 5% of couples in an infertility clinic. Their incidence is increasing in the metropolitan cities because of stressful lifestyles. Many of couples are advised intrauterine insemination as fertility treatment. However, home insemination is a simple, inexpensive and effective way of achieving pregnancy in such couples. We present the first study to document pregnancy rates of artificial home intravaginal insemination in couples with unconsummated marriage...
October 2017: Journal of Human Reproductive Sciences
https://www.readbyqxmd.com/read/29427285/effect-of-tadalafil-on-seizure-threshold-and-activity-of-antiepileptic-drugs-in-three-acute-seizure-tests-in-mice
#12
Katarzyna Socała, Dorota Nieoczym, Mateusz Pieróg, Elżbieta Wyska, Małgorzata Szafarz, Urszula Doboszewska, Piotr Wlaź
Tadalafil, a selective phosphodiesterase type 5 inhibitor, is a long-acting oral agent for the treatment of erectile dysfunction of multiple etiologies. Although generalized tonic-clonic seizures were reported in a healthy man after taking tadalafil, the influence of tadalafil on seizure susceptibility has not been studied so far. Therefore, the aim of the present study was to investigate the effect of tadalafil on seizure threshold as well as on the activity of some first- and second-generation antiepileptic drugs in three acute seizure tests in mice...
February 9, 2018: Neurotoxicity Research
https://www.readbyqxmd.com/read/29425665/newly-diagnosed-bipolar-disorder-and-the-subsequent-risk-of-erectile-dysfunction-a-nationwide-cohort-study
#13
Po-Hsun Hou, Frank Chiahung Mao, Geng-Ruei Chang, Min-Wei Huang, Yao-Ting Wang, Shiau-Shian Huang
BACKGROUND: Although erectile dysfunction (ED) is a common problem in men with mental disorders, there are few reports in the literature on the relation between bipolar disorder (BD) and ED. AIMS: To establish the incidence rate of ED in men with BD and assess the risk of ED in patients with BD according to type of treatment offered or no active treatment with medication during the 1st year of onset. METHODS: We identified 5,150 men with newly diagnosed BD using Taiwan's National Health Insurance Research Database...
February 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29425663/sexual-rehabilitation-after-nerve-sparing-radical-prostatectomy-free-of-charge-phosphodiesterase-type-5-inhibitor-administration-improves-compliance-to-treatment
#14
Giampaolo Siena, Andrea Mari, Aude Canale, Nicola Mondaini, Andrea Chindemi, Isabella Greco, Omar Saleh, Sergio Serni, Giulio Nicita, Andrea Minervini, Marco Carini
BACKGROUND: In December 2006, the region of Tuscany (Italy) authorized the free-of-charge provision of phosphodiesterase type 5 inhibitors (PDE5I) for all patients with Tuscan citizenship who undergo nerve-sparing radical prostatectomy (NSRP). OBJECTIVE: To compare sexual rehabilitation outcomes in patients with low risk of erectile dysfunction and minimal comorbidities who received PDE5Is free of charge (PDE5I-F) with those who paid for PDE5Is (PDE5I-P) after bilateral NSRP...
February 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29417263/superselective-transcatheter-artery-embolization-in-patients-with-non-ischemic-priapism
#15
Renguang Pei, Min Yang, Chao Wang, Jian Wang, Xiaoqiang Tong, Yinghua Zou
PURPOSE: To investigate the efficacy and safety of superselective transcatheter artery embolization in patients with non-ischemic priapism. MATERIALS AND METHODS: We retrospectively reviewed a cohort of 17 consecutive patients with non-ischemic priapism from September 2006 to August 2017. The median follow-up time was 8 months. RESULTS: Sixteen patients underwent superselective transcatheter artery embolization, and all had complete resolution of non-ischemic priapism...
February 7, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29417194/-sphincter-and-corpus-cavernosum-prostheses-as-components-of-endoprosthetics-in-urology
#16
T A Ludwig, R Dahlem
Artificial urinary sphincters and penile corpus cavernosum prostheses are effective for patients who are not adequately treated by conservative treatment or pharmacotherapy. Both of these devices show good results concerning functional outcome if used within the correct patient selection. Penile prostheses are meant to be the last line of treatment for severe erectile dysfunction after failure of conventional treatment. Artificial urinary sphincters are the treatment of choice for severe urinary stress incontinence...
February 7, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29410690/shear-wave-elastography-can-it-be-a-new-radiologic-approach-for-the-diagnosis-of-erectile-dysfunction
#17
Rustu Turkay, Ercan Inci, Mustafa Gurkan Yenice, Volkan Tugcu
Introduction: Erectile dysfunction (ED) is a common health problem among males, and radiology has limited use in its diagnosis and treatment. Shear wave elastography (SWE) is a new sonographic technique. In this study, we examined the significance of SWE in the diagnosis of ED. Methods: The study included a total number of 70 participants. The mean age of the participants was 54.14 ± 8.03 years (range: 39 and 71 years old). We composed two groups. Group 1 had 35 patients who presented to the urology clinic in our hospital complaining of ED, and had a score of 17 or lower from the International Index of Erectile Function (IIEF) questionnaire...
August 2017: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/29409064/randomised-trial-of-cpap-and-vardenafil-on-erectile-and-arterial-function-in-men-with-obstructive-sleep-apnea-and-erectile-dysfunction
#18
Kerri L Melehan, Camilla M Hoyos, Garun S Hamilton, Keith K Wong, Brendon J Yee, Rob I McLachlan, Shamus O'Meagher, David Celermajer, Martin K Ng, Ronald R Grunstein, Peter Y Liu
Context: Erectile function is important for life satisfaction and is often impaired in men with obstructive sleep apnea (OSA). Uncontrolled studies show that treating OSA with continuous positive airway pressure (CPAP) improves erectile function. Phosphodiesterase type 5 inhibitors (e.g. vardenafil) are the first-line therapy for erectile dysfunction (ED), but may worsen OSA. Objective: To assess the effects of CPAP and vardenafil on ED. Design: Sixty one men with moderate-to-severe OSA and ED were randomised to 12 weeks of CPAP or sham CPAP, and 10mg daily vardenafil or placebo, in a 2x2 factorial design...
February 1, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29407273/targeting-testosterone-measurements-to-patients-with-type-2-diabetes-mellitus-and-moderate-to-severe-symptomatic-erectile-dysfunction
#19
Raman Kumar, Nitin Malhotra, Jubbin J Jacob
In this study among patients with erectile dysfunction (ED) and type 2 diabetes mellitus, all 25 patients with mild ED were eugonadal. Among patients with moderate ED, 25% were eugonadal while the rest had hypogonadism; while in the severe group only 1 (3%) was eugonadal. This suggests that testosterone measurements in patient with diabetes are better targeted in patients with moderate to severe ED.
February 2, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29406063/sexual-dysfunction-behavioral-medical-and-surgical-treatment
#20
REVIEW
Nelson Bennett
Sexual dysfunction affects both men and women and is responsible for 1 in 5 visits to urologist and/or gynecologists. It is important that treating providers use a logical and methodical approach to the diagnosis and treatment of this disorder. Behavioral therapy, coupled with oral medications, are very successful in treating erectile dysfunction. Complex and invasive therapies are used for more severe cases of sexual dysfunction and are best deployed by specialists.
March 2018: Medical Clinics of North America
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