Impotence: Physiological, Psychological, Surgical Diagnosis and TreatmentImpotence. The word strikes at the bedrock of a man's worth. Its implications far exceed the inability to have a penile erection. The man is without power-inef fectual. Ancient statues represented with an oversized erect penis attest to the his toric conscious meaning of the phallus. Magnificent spires, memorial monuments, and the awe generated by the sight of rockets and missiles attest to the unconscious meaning. At the medical-superstitious level, men have invoked countless strategies for improving or restoring potency. They have included ritualistic dances, concoctions, and mechanical aids. Some survive to the present. More recently, verbal therapies have taken their place, ranging from simple exhortation to the uncovering of complex unconscious symbolic conflicts. Other therapies borrow from theories of learning, based on experiments with mice and men. The growth of modern endocrinology, with the isolation of "sex steroids," heralded another treatment strategy: hormones. Later, engineers entered with sur gically implantable mechanical devices. And, most recently, the technology of microsurgery has offered the possibility of physiological restoration of a compro mised vascular supply, a necessary component of erection. |
Contents
Presenting Syndromes | 1 |
Anatomy | 7 |
Physiology and Endocrinology | 25 |
Copyright | |
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Impotence: Physiological, Psychological, Surgical Diagnosis and Treatment Gorm Wagner No preview available - 2012 |
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alcohol androgen Antabuse arterial insufficiency arteriography blood flow cavernous bodies cavernous tissue Chapter circumference clinical coitus decrease detumescence diabetes mellitus disease disorders distal Doppler dorsal artery Ebbehøj effect ejaculation erectile dysfunction erectile failure erectile function erectile problems etiology evaluation factors Figure flaccid full erection genital glans GORM WAGNER hormone implant impotence increase indicate infusion cavernosography intercourse internal iliac internal pudendal artery intracavernous pressure Jensen Journal of Urology lesions male Masters and Johnson measurement Medical Michal nerves neurological normal occlusion occur partner patients PBPI pelvic penile arteries penile blood pressure penile erection penile tumescence penis peripheral Peyronie's disease phase placebo plasma potency priapism prolactin prosthesis psychological reflex reported response sexual activity Sexual Behavior sexual dysfunction sexual function smooth muscle somatic spongiose body strain gauge surgery surgical symptoms systematic desensitization testosterone tion treatment tunica albuginea urethral Urology vaginal vascular venous Vignette visual sexual stimulation washout