By Roger S. Kirby
Written by means of Roger Kirby, An Atlas of Erectile disorder, moment version offers clinicians with easy accessibility to the knowledge they should comprehend the reasons, pinpoint the prognosis, and start up secure and powerful remedy. Dr. Kirby explores the new, speedy adjustments within the knowing of the pathophysiology and the administration algorithms bearing on the main acceptable and cost effective method of coping with erectile disorder. The atlas includes diagrams which are sincerely defined and straightforward to appreciate and notable illustrations and colour photos, which makes this atlas a must-read for a person treating sufferers with struggling with erectile disorder.
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Additional info for An Atlas of Erectile Dysfunction
How satisfied have you been with your overall sex life? 14. How satisfied have you been with your sexual relationship with your partner? 15. How do you rate your confidence that you could get and keep an erection? , 1997 Table III Quality of life and erectile dysfunction Item list 1. 2. 3. 4. 5. 6. 7. 8. I feel frustrated because of my erection problem My erection problem makes me feel depressed I feel like less of a man because of my erection problem I have lost confidence in my sexual ability I worry that I won’t be able to get or keep an erection My erection problem is always on my mind I feel that I have lost control over my erections I blame myself for my erection problem 2=A few times (much less than half the time) 3=Sometimes (about half the time) 4=Most times (much more than half the time) 5=Almost always/always 0=No intercourse 1=No enjoyment 2=Not very enjoyable 3=Fairly enjoyable 4=Highly enjoyable 5=Very highly enjoyable 0=No sexual stimulation/intercourse 1=Almost never/never 2=A few times (much less than half the time) 3=Sometimes (about half the time) 4=Most times (much more than half the time) 5=Almost always/always 1=Almost never/never 2=A few times (much less than half the time) 3=Sometimes (about half the time) 4=Most times (much more than half the time) 5=Almost always/always 1=Very low/none at all 2=Low 3=Moderate 4=High 5=Very high 1=Very dissatisfied 2=Moderately dissatisfied 3=About equally satisfied and dissatisfied 4=Moderately satisfied 5=Very satisfied 1=Very low 2=Low 3=Moderate 4=High 5=Very high 1=Very low 2=Low 3=Moderate 4=High 5=Very high 1=Very low 2=Low 3=Moderate 4=High 5=Very high APPENDIX Item list 9.
AC activity is dependent on guanidine nucleotide binding protein (G protein). Both cAMP and cGMP lower intracellular calcium (Ca2+). In contrast, norepinephrine acts via the α-adrenoceptor. Activation of this G-protein-linked receptor stimulates production of inositol phosphate (IP3) by a phospholipase C (PLC)-dependent mechanism. IP3 acts to increase intracellular Ca2+, thereby inducing contraction of intracavernosal smooth muscle cells 44 Figure 18 Norepinephrine is released from dense-core vesicles in sympathetic nerve terminals within the corpora.
Whatever blood is entering is drained through the walls of the tunica albuginea by subtunical vessels. (b) Cross-section of penis: the box indicates the area shown enlarged in (a) and (c). (c) Hemodynamics of erection: dilatation of the helicine arteries and relaxation of the trabeculae allow the lacunar spaces to fill. Their engorgement compresses the obliquely oriented subtunical veins against the tunica albuginea. This veno-occlusive mechanism prevents venous leakage and facilitates the development of a full and rigid erection 49 50 51 Figure 25 Schematic representation of the hemodynamics of flaccidity and erection.
An Atlas of Erectile Dysfunction by Roger S. Kirby