By Roger S. Kirby
Written via Roger Kirby, An Atlas of Erectile disorder, moment version offers clinicians with quick access to the knowledge they should comprehend the factors, pinpoint the prognosis, and begin secure and potent treatment. Dr. Kirby explores the new, quick alterations within the realizing of the pathophysiology and the administration algorithms relating the main applicable and good value method of coping with erectile disorder. The atlas comprises diagrams which are essentially defined and straightforward to appreciate and remarkable illustrations and colour pictures, which makes this atlas a must-read for somebody treating sufferers with being affected by erectile disorder.
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Extra info for An Atlas of Erectile Dysfunction
Impotence: Diagnosis and Management of Male Erectile Dysfunction. Oxford: Butterworth-Heinemann, 1991:109–16 FDA Sildenafil Summary Basis of Approval, Study 148–227 Feldman HA, Goldstein I, Hatzichrisou DG, et al. Impotence and its medical and psychological correlates: Results of the Massachusetts Male Aging Study. J Urol 1994;151:54–61 Finasteride Study Group. Finasteride (MK-906) in the treatment of benign prostatic hyperplasia. Prostate 1993;22:291–9 Furchgott RF, Zawadski JV. The obligatory role of endothelial cell in the relaxation of arterial smooth muscle by acetylcholine.
Somatic fibers travel in the pudendal nerves and their cell bodies are situated in the S2–S4 segments 41 Figure 15 The hypogastric nerves are vulnerable during retroperitoneal lymph node dissection. Both sympathetic and parasympathetic nerves merge in the pelvic plexus and pass posterolateral to the prostate gland in the so-called neurovascular bundles of Walsh, where they may be damaged during radical prostatectomy and cystoprostatectomy 42 Figure 16 Cavernosal smooth muscle tone is the most important determinant of penile blood flow.
On their ventral surface lies the corpus spongiosum, which surrounds the urethra Section 2: Erectile Dysfunction lllustrated 33 Figure 2 Each corpus cavernosum comprises a thick fibrous sheath, the tunica albuginea, which surrounds the erectile tissue. Each corpus has a centrally running cavernosal artery, which supplies blood to the multiple lacunar spaces, which are interconnected and lined by vascular endothelium Figure 3 The corpus spongiosum is firmly attached to the undersurface (ventral aspect) of the corpora cavernosa and expands distally to form the glans penis.