Male Sexual Dys Flashcards
Penis Sympathetic innervation is ___ while para is ___. They form ___ plexus
T11-L2
S2-S4
pelvic
The ___ are branches of pelvic plexus that innervate the penis
The cavernosal nerves
Parasympathetic stimulation causes
____; sympathetic activity causes _____
erection
ejaculation
detumescence is
(loss of erection).
the increased pressure within the intracavernosal spaces causes:
preventing penile venous outflow from emissary veins.
It is likely for a man to lose his erection if distracted during ____ phase
excitement
The most noticeable change in the penis during orgasm is the ____
ejaculation of semen
Muscular tension usually is fully relaxed within ___ after orgasm
five minutes
Inability to be re-stimulated to ejaculation or even maintain an erection.
Refractory period
persistent inability to achieve or maintain a
penile erection sufficient for sexual intercourse.
impotency
The initial obligatory event required for male
sexual activity
the acquisition and maintenance of penile erection
Erection is a ____ phenomenon, triggered by ___ signals
vascular, neurologic
Which ED is sudden
Psychological
Which ED has absent nocturnal erection?
Organic
Which ED is associated with normal ejaculation with masturbation?
Psychological
Arteriogenic Cause of ED include
Hyperlipidemia
pelvic trauma
Hypertension
Neurogenic causes of ED include
Lesions of medial preoptic nucleus, paraventicular nucleus.
MS
Spinal trauma
Endocrine causes of ED
Hypogonadism
Tadalafil is a ___ inhibitor
Phosphodiesterase type 5 inhibitors
PDE5 Inhibitors Side Effects include
priapism
blue halo
PDE5 Contraindications
Nitrates
predisposition to prolonged erection (Sickle cell, leukemia, Multiple myeloma)
hypotension/CV event
Where is Alprostadil injected and why?
around the side of the penis, increased neurovascularized
Alprostadil can be
intraurethral and intracavernosal
the most common of the ejaculatory disorders,
premature ejaculation
early warning sign of future cardiovascular events.
ED
urethritis is a major side effect of which of
Intraurethral
Increased pedundal a flow is in which phase?
1: latent
erection forms in which phase?
Tumescent
intracavernous pressure starts rising in
Tumescent
penis elongate in phase
1
list the phases?
FLACCID LATENT TUMESCENT FULL ERECTION RIGID ERECTION DETUMESCENT
Ischiocavernous muscles contract in phase
4
DETUMESCENT phase occur following
ejaculation
