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Failure of Erection

The organic causes of erectile impotence can be grouped into endocrine, drug, local, neurological, and vascular causes (Table 60.1). [Pg.547]

In addition, the efficacy of acupuncture on penile erection has been tested. Organic disease was excluded by a combination of nocturnal penile tumescence monitoring and pharmacologically enhanced duplex ultrasonography. Twenty-nine patients with a mean age of 40 years received a series of ten treatments over a 4-week period. If no improvement was observed, they received a second course of ten treatments. Mean follow-up was 8 months. Of the patients, 69% demonstrated successful results, defined as having two or more erections per week that were satisfactory for intercourse (Crimmel et al., 2001). [Pg.547]

Central-acting sympatholytics (e.g., clonidine and methyldopa) Peripheral-acting sympatholytics (e.g., guanadrel) p-blockers Thiazides Anticholinergics Antidepressants [Pg.548]

Monoamine oxidase inhibitors Tricyclic antidepressants Antipsychotics [Pg.548]

Central nervous system depressants Sedatives (e.g., barbiturates) [Pg.548]


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