erectile dysfucntin

Question 1

division

Answer 1

1.organic
- vascular , hypertension, diabetes, lipidemia, smoking
- neuroendocrine - hypogonadism, hyperprolactinemia, thyroid problems - especially hypothyroidsim)

-neurogenic , stroke, brain/spinal cord injury

• medications: antidepressants, antihypertensives like bb

medical procedures TURP

alcohol abuse

trauma , pelivic fracture

peyroines disease

2. psychogenic - depression, axiety(performace related)
3. mixed

Question 2

questionnaire

Answer 2

international index of erectile dysfunction questionnaire

22-25 - no ED
5-7 SEVERE ED

Question 3

1ST LINE

2nd line

Answer 3

viagra

intracavernous injections

Question 3

1ST LINE

2nd line

Answer 3

viagra

intracavernous injections

Question 4

the most common disorders of sexual dysfunction is i

Answer 4

Most common sexual disorders in men is premature ejaculation and
erectile dysfunction.

Question 5

def ED

Answer 5

consistent or
recurrent men’s inability to achieve and maintain an erection sufficient for satisfactory sexual
activity.

Question 6

def priapism

Answer 6

painful erection >4 h that is unrelated to sexual stimulation

Question 7

compartment syndrome

Answer 7

occurs when the pressure within a compartment increases, restricting the blood flow to the area and potentially damaging the muscles and nearby nerves.

in this context we are talking about priapsim

Question 8

which part of penis if affected in priapsism

Answer 8

Only corpus cavernosum is affected. Corpus spongiosum is normal.

Question 9

which part of penis if affected in priapsism

Answer 9

Only corpus cavernosum is affected. Corpus spongiosum is normal.

Question 10

whats the pathiphys of priapism

Answer 10

normal influx of blood by artery but outflow venous is restricted

Question 10

whats the pathiphys of priapism

Answer 10

normal influx of blood by artery but outflow venous is restricted

Question 11

what surrounds the urethra

Answer 11

spongiosum

Question 11

what surrounds the urethra

Answer 11

spongiosum

Question 12

whats the diff between priapism and a norma erection

Answer 12

normal : glans penis is also hard

Question 13

whats the diff between priapism and a norma erection

Answer 13

normal : glans penis is also hard

Question 14

types of priapism and which one is urgent

Answer 14

ischemic (low flow) - emergency

non ischemic (high flow)

intermittent (stuttering)

Question 15

which people are at risk for priapism

Answer 15

sickle cell
thalsemia, leukemia, MM

metabolic issues like gout and amyloidiosis

Question 16

medications and priapsim

Answer 16

side effects of certain meds contribute especially to ischemic

• intracavernous injections for ED like papaverin
• antidepressants
• medications to treat ADHD

Question 16

medications and priapsim

Answer 16

side effects of certain meds contribute especially to ischemic

• intracavernous injections for ED like papaverin
• antidepressants and antipsychotics
• medications to treat ADHD

Question 17

Other random causes of priapism

Answer 17

A spider bite, scorpion sting or other toxic infections
Metabolic disorders including gout or amyloidosis
Neurogenic disorders, such as a spinal cord injury or syphilis
Cancers involving the penis

Question 18

what nerve is responsible for having an erection

Answer 18

pudendal nerve which is also called dorsal penile nerve

Question 19

types of erections

Answer 19

1. Reflexogenic erections: These erections happen when something physically touches the genitals, triggering arousal.
2. Psychogenic erections: These occur in response to mental stimuli, such as sexual memories or fantasies.
3. Nocturnal erections: As the name implies, these happen during sleep. (Morning erections are typically the last nocturnal erection a man experiences during sleep.)

Question 20

factors that can hinder an erection

Answer 20

diabtes, hypertentsio

age

anxiety , stress

drinking alcohol and antidperesants

Question 21

what is premature ejaculation

Answer 21

either happens before or when the penis is in vagina the definition in terms of time is variable because its dependant on the PERSON and how satisfied he/partener is

people feel a loss of voluntary control over themselves

Question 22

causes of premarure ejaculation

Answer 22

1. an extra senitive penis
2. eretile dysfucntion
3. hormonal problems = oxytoxin
4. low dopamine and seratonin

performance anxiety,

Question 23

tx for premature ejecultation

Answer 23

behavioural therapy- tries to delay the ejaculation so teaches you how to ocntrol your body,like start and stop, squeeze therapy

counselling
medications- PRILIGY (dapoxetine) it inhibits the seratonin transporter so it has longer time to act

Question 24

phases of erection

Answer 24

1. emission - sperm travels from epididymis to the prostate to be mixed with seminal fluid
2. expulsion - pelvic muscles contract to propel the sperm out

Question 25

what happens if you have bothe ED AND PE

Answer 25

the ED should always be treated first because in many men with the treatment of the ED the PE willl naturally imporvs

Question 26

what seems to be the main key player in PE

Answer 26

SERARTONIN

high levels - prolong ejaculation
low levels - quicken ejaculation

Question 27

delayed ejaculation points

Answer 27

unable to ejaculate with partner or masturbation at all or it takes you long time, its normal to have a delayed one from time to time

some men can only ejaculate with mastrubation

again no universal def but 30 minss is around the ball park

Question 28

causes of delayed

Answer 28

older age

diabetes

endocrine - hypothyrodisim, hyper prolactinemia

psychological - especially if you can get it by yourself
drugs- antidepressants

Question 28

causes of delayed

Answer 28

older age

diabetes

endocrine - hypothyrodisim, hyper prolactinemia

psychological - especially if you can get it by yourself
drugs- antidepressants

Question 29

anejaculation

Answer 29

Anejaculation is defined as the inability to ejaculate semen; . you have the sperm produced you just can’t expel it out

it’s possible to have an orgasm but no semen