Erectile Dysfunction Flashcards
normal male erections rely on what three things:
intact autonomic and somatic nerve supply
arterial blood flow
muscles of the cavernosa and pelvic floor
Erection is caused and maintained by what
increased arterial flow
relaxation of muscle w/in sinusoids of cavernosa
increased venous resistance
what is the key neurotransmitter that initiates and sustains erections?
nitric oxide
what are the often overlapping, two etiologies of ED?
organic and psychogenic
ED can be an early sign of what disease?
cardiovascular disease
what would indicated an androgen deficiency?
loss of libido
loss of erections may result from what 5 causes?
arterial
venous
neurogenic
hormonal
psychogenic causes
what is the most common cause of ED
decrease in arterial blood flow from progressive vascular disease
what type of medications are associated with ED?
antihypertensive, antidepressants, opioid agents
what is the term for loss of seminal emission?
anejaculation
anejaculation may result from what?
androgen deficiency by decreasing prostate, and seminal vesicle secretions
sympathetic denervation from spinal cord injury, diabetes, pelvic surgery or radiation
What are some HX to be taken with ED patients?
severity, intermittency, timing
lifestyle factors
who would manage hormonal replacement for ED?
urology
offered to men with hypogonadism
what type of patients would benefit from sexual health therapy or counseling
men psychogenic component
what are the oral agents we give for ED?
Phosphodiesterase 5 Inhibitors (sidenafil, vardenadil, taladafil)
other treatments:
prostaglandin E2 urethral injection
Vacuum Erection device
prosthetics
vascular reconstruction
