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Male Sexual Function and Its Disorders: Physiology, Pathophysiology, Clinical Investigation, and Treatment
Ist Teil von
Endocrine reviews, 2001-06, Vol.22 (3), p.342-388
Ort / Verlag
Bethesda, MD: Endocrine Society
Erscheinungsjahr
2001
Link zum Volltext
Quelle
Electronic Journals Library
Beschreibungen/Notizen
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.