Erectile Dysfunction Flashcards

1
Q

Definition of ED

A

-inability to maintain erection

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2
Q

What is primary ED

A

-no previous sexual intercourse

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3
Q

What is secondary ED

A

-has previous sexual intercourse

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4
Q

What is the main causes of ED

A

-psychogenic
-organic

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5
Q

What is the different between psychogenic and organic ED based on onset

A

-acute
-gradual

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6
Q

What is the different between psychogenic and organic ED based on morning erection

A

-present
-absent

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7
Q

What is the different between psychogenic and organic ED based on non-coital erection

A

-rigid
-poor

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8
Q

What is the different between psychogenic and organic ED based on social problem

A

-primary
-secondary

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9
Q

What is the developmental causes of psychogenic ED

A

-paternal or maternal dominance
-traumatic history
-homosexual
-gender identity crisis

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10
Q

What is the cognitive causes of psychogenic ED

A

-sexual ignorance

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11
Q

What is the affective causes of psychogenic ED

A

-anxiety and depression
-phobia

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12
Q

What is the interpersonal causes of psychogenic ED

A

-poor communication
-hostility
-divergent sexual preference

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13
Q

What is the miscellaneous causes of psychogenic ED

A

-premature ejaculation
-widower syndrome

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14
Q

What is arteriogenic vasculogenic ED

A

-decrease arterial blood flow to the cavernous tissue

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15
Q

What is the normal erectile arterial blood flow

A

-60ml/min

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16
Q

What are the causes affected in arteriogenic vasculogenic ED

A

-atherosclerosis of the cavernous artery bed
-trauma
-pelvic steal syndrome

17
Q

What is the main age affected in arteriogenic vasculogenic ED caused by atherosclerosis

A

->40

18
Q

What are the risk factors affected in arteriogenic vasculogenic ED caused by atherosclerosis

A

-DM
-hypertension
-hyperlipidemia

19
Q

What are the site of fracture and the injured vessel affected in arteriogenic vasculogenic ED caused by trauma

A

-pelvic fracture
-internal pudendal artery

20
Q

What is the main age affected in arteriogenic vasculogenic ED caused by trauma

A

-20-40

21
Q

What is venogenic vasculogenic ED

A

-excessive penile venous outflow

22
Q

What is the affected site of lesion in neurogenic ED

A

-brain
-parasympathetic sacral spinal cord

23
Q

What are the risk factor in neurogenic ED

A

-MS
-spinal cord injury
-prostatectomy
-DM

24
Q

What are the causes affected in endocrinal organic ED

A

-hypogonadism
-hyperprolactinemia
-DM

25
Q

What is the most common cause of organic ED

A

-DM

26
Q

What is the main factor cause of DM affecting ED

A

-vascular factor

how?
-atherosclerosis of the illiac artery
-microangiopathy to the penile artery

27
Q

What are the causes affected in mechanical ED

A

-anoererection
-micropenis
-penile elephantiasis
-curvature penis (traumatic or congenital)

28
Q

What are the drug-induced ED

A

-neuroleptics
-antidepressant
-antihypertensive (B blocker)
-antihyperlipidemia

29
Q

What are the oral medical ttt for ED

A

-central acting alpha adrenergic blocking agents
-selective PDE inhibitor

30
Q

What are the intraurethral medical ttt for ED

A

-PGE1 and PGE2

31
Q

What are the ICI medical ttt for ED

A

-papaverine
-phentolamine
-PGE1

32
Q

What is the main side effect of papaverine

A

-hepatotoxicity