Erectile dysfunction vascular disease

By comparison, erectile dsyfunction (ED) is an example of how social dissatisfaction can be transformed into medical dysfunction and then remedied by a pill. On the one hand, it is certainly true that, in some cases, ED is the consequence of organic causes, including peripheral vascular diseases, hypertension, drug-side effects, hormonal imbalance, and diabetes. The MMAS suggests, for example, that 10 per cent of American males have complete inability to achieve erection of the penis (Feldman et al. 1994). But ED is primarily a socially constructed condition based on a socially constructed male "problem." As one commentator has explained, " [T]he more anxiety a corporation can produce, the larger its market. In other words, worrying about ED may in fact cause ED" (Loe 2004). 

Erectile dysfunction (ED), a common and widespread health problem that affects approximately 30 million men in the United States [1], is suggested to represent an early clinical manifestation of a diffuse vascular disease [2,3],... 

Moxisylyte is an alpha-adrenoceptor antagonist with vasodilatory activity (1). It is used orally in the treatment of peripheral vascular disease and by intracavernosal injection in erectile dysfunction. 

Diseases that compromise vascular flow to the corpora caver-nosum (e.g., peripheral vascular disease, arteriosclerosis, and essential hypertension) are associated with an increased incidence of erectile dysfunction. Diseases that impair nerve conduction to the brain (e.g., spinal cord injury or stroke) or conditions that impair peripheral nerve conduction to the penile vasculature (e.g., diabetes mellitus) can result in erectile dysfunction. 

A physical examination of the patient should include a check for hypogonadism (i.e., signs of gynecomastia, small testicles, and decreased body hair). The penis should also be evaluated for diseases associated with penile curvature (e.g., Peyronie s disease), which are also associated with erectile dysfunction. Femoral and lower extremity pulses should be assessed to provide an indication of vascular supply to the genitals. Anal sphincter tone and other genital reflexes should be checked to provide an indication of the integrity of the nerve supply to the penis. 

Problems within diabetes treatment can usually be divided into two phases, namely (i) acute and short-term treatment of patients and related to well-being and near-perfect physical abilities for professional and leisure activities, most often related to good metabolic control, (ii) On the other hand, the long-term perspective is preventive treatment of complications, both microvascular and vascular complications. Under special situations such as pregnancy, treatment is critical. A number of co-morbid situations are important heart disease (although not always specifically related to diabetes), obesity (an increasingly important problem), and lipid management (very common). Since 1991, we have seen a rapid development in the treatment of one important issue, namely treatment of erectile dysfunction, which is even more important in diabetic than in nondiabetic individuals. 

Moxisylate Peripheral vascular disease Erectile dysfunction... 

Erectile dysfunction is a multi-factorial disorder and a common presentation for several systemic illnesses, particularly vascular ocdusive diseases such as diabetes, arterial hypertension, and atherosclerosis. Few patients consult their dortor, and only a small proportion of them receive treatment Only few doctors take the initiative to discuss the question of their patients sex life (Costa et al. 2005). In fact, the dinician must be familiar with the pathophysiologic mechanisms of erectile dysfunction, its associations with other systemic diseases, the indications for spedalist referral, and the role of specialized testing to diagnose and treat this disorder effectively (Lobo and Nehra 2005). 

Hakim LS (2002) Peyronie s disease an update. The role of diagnostics. Int J Impot Res 14 321-323 Hatzichristou D, Hatzimouratidis K, Bekas M et al (2002) Diagnostic steps in the evaluation of patients with erectile dysfunction. J Urol 168 615-620 Kadioglu A, Tefekli A, Erol H et al (2000) Color Doppler ultrasound assessment of penile vascular system in men with Peyronie s disease. Int J Impot Res 12 263-267 Lobo JR, Nehra A (2005) Clinical evaluation of erectile dysfunction in the era of PDE-5 inhibitors. Urol Clin North Am 32 447-455, vi... 

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