Therapy for Erectile Dysfunction: Pocketbook

Book Cover......Page 1
Half-Title......Page 2
Title......Page 3
Copyright......Page 4
Contents......Page 6
Preface......Page 8
Types of erection......Page 10
Peripheral nervous control of erections......Page 11
Neurochemical control of penile erection......Page 13
Summary......Page 14
Psychogenic ED......Page 16
Diabetic ED......Page 17
Hypertension and hyperlipidaemia......Page 18
Endocrine ED......Page 19
Iatrogenic ED......Page 20
How common is ED?......Page 22
The prevalence of erectile dysfunction increases with age......Page 23
ctors (Table 7) .........Page 24
Erectile function is associated with a number of lifestyle issues (Table 7)......Page 25
Summary......Page 26
Philosophy of patient assessment......Page 27
Sexual history......Page 28
Medical history......Page 29
Examination......Page 30
Fasting lipid profile......Page 31
Prolactin......Page 32
Endocrine evaluation......Page 33
Vascular testing......Page 34
Nocturnal penile tumescence testing (NPT)......Page 35
Summary......Page 36
A plan of treatment......Page 38
Oral therapy......Page 39
Mechanism of action......Page 40
Potency and selectivity......Page 41
Clinical results of PDE5 inhibitors......Page 42
Tadalafil......Page 43
Using PDE5 inhibitors......Page 44
Apomorphine......Page 45
Intracavernosal injection......Page 46
Intraurethal therapy......Page 47
Vacuum erection devices......Page 48
Penile prostheses......Page 49
Vascular surgery......Page 51
How do we identify those men with primarily psychogenic ED?......Page 53
What is the place of medical treatment?......Page 54
Hormone therapy......Page 55
The male menopause......Page 56
Summary......Page 57
The cardiac effects of sexual intercourse......Page 59
Erectile dysfunction in men with cardiac disease......Page 60
Retrograde ejaculation......Page 62
Anorgasmia......Page 63
Further reading......Page 64
Index......Page 66