Erectile dysfunction
| Subclass of | male sexual dysfunction, reproductive system symptom, disease  |
|---|---|
| Health specialty | urology, psychiatry, psychology, sexology |
| Possible treatment | psychotherapy |
| ICPC 2 ID | Y07 |
Erectile dysfunction (ED), dem sanso refer to as impotence, be a form of sexual dysfunction insyd males wey be characterized by de persistent anaa recurring inability to achieve anaa maintain a penile erection plus sufficient rigidity den duration for satisfactory sexual activity. E be de most common sexual problem insyd males wey fi cause psychological distress secof ein impact on self-image den sexual relationships. De term erectile dysfunction no dey encompass oda erection-related disorders, such as priapism.
De majority of ED cases be attributed to physical risk factors den predictive factors. Dese factors fi be categorized as vascular, neurological, local penile, hormonal, den drug-induced. Notable predictors of ED dey include aging, cardiovascular disease, diabetes mellitus, high blood pressure, obesity, abnormal lipid levels insyd de blood, hypogonadism, smoking, depression, den medication use. Approximately 10% of cases be linked to psychosocial factors, wey dey encompass conditions such as depression, stress, den problems within relationships.[1] ED be reported insyd 18% of males aged 50 to 59 years, den 37% insyd males aged 70 to 75.[1]
Treatment of ED dey encompass addressing de underlying causes, lifestyle modification, den addressing psychosocial issues.[2] Insyd chaw instances, medication-based therapies be used, specifically PDE5 inhibitors such as sildenafil.[3] Dese drugs dey function by dilating blood vessels, wey dey facilitate increased blood flow into de spongy tissue of de penis, analogous to opening a valve wider to enhance water flow insyd a fire hose. Less frequently employed treatments dey encompass prostaglandin pellets dem insert into de urethra, de injection of smooth-muscle relaxants den vasodilators directly into de penis, penile implants, de use of penis pumps, den vascular surgery.[2][4]
References
[edit | edit source]- 1 2 Rosen, RC; Khera, M (2023). "Epidemiology and etiologies of male sexual dysfunction". In O'Leary, MP; Cummingham, GR (eds.). UpToDate. Post, TW. Waltham, MA: UpToDate.
- 1 2 Chowdhury SH, Cozma AI, Chowdhury JH. Erectile Dysfunction. Essentials for the Canadian Medical Licensing Exam: Review and Prep for MCCQE Part I. 2nd edition. Wolters Kluwer. Hong Kong. 2017.
- ↑ Vardi, M.; Nini, A. (2007-01-24). "Phosphodiesterase inhibitors for erectile dysfunction in patients with diabetes mellitus". The Cochrane Database of Systematic Reviews. 2007 (1): CD002187. doi:10.1002/14651858.CD002187.pub3. ISSN 1469-493X. PMC 6718223. PMID 17253475.
- ↑ Montague DK, Jarow JP, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, Milbank AJ, Nehra A, Sharlip ID (July 2005). Smith J Jr (ed.). "Chapter 1: The management of erectile dysfunction: an AUA update". The Journal of Urology. 174 (1). Elsevier: 230–39. doi:10.1097/01.ju.0000164463.19239.19. ISSN 1527-3792. PMID 15947645. S2CID 1761196.
Read further
[edit | edit source]- Carson, Culley; Faria, Geraldo; Hellstrom, Wayne J. G.; Krishnamurti, Sudhakar; Minhas, Suks; Moncada, Ignacio; Montague, Drogo K. (1 January 2010). "Implants, Mechanical Devices, and Vascular Surgery for Erectile Dysfunction". Journal of Sexual Medicine. 7 (1). Wiley: 501–523. doi:10.1111/j.1743-6109.2009.01626.x. PMID 20092450.
External links
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