By R. Taylor Segraves
This booklet is the results of an off-the-cuff organization among the editors which extends again to 1974. initially, it used to be a tenuous alliance among physicians in particularly diversified scientific subspecialties-urology and psychiatry. because the alliance used to be solid, subspecialty rivalries and distrust have been changed by means of a standard medical curiosity within the analysis and therapy of erectile difficulties. We fast grew to become conscious of the excessive incidence of such problems, how poorly ready we have been to make actual and re sponsible analysis and healing procedures, and the way complex an etiol ogical prognosis may well turn out to be. numerous organic and mental affects undergo on sexual functionality, and in lots of medical contexts, prognosis and therapy making plans consists of attention of advanced interactive var iables. the necessity for an elevated multidisciplinary staff turned noticeable. The needful wisdom base prolonged throughout too many subspecialty barriers, and the required info was once no longer to be had in a conve nient resource. As we begun gathering the data base, we grew to become acutely aware that this knowledge may be of worth to different physicians. The authors benefit from the luxurious of a tutorial atmosphere within which designated services will be conveniently assembled. Such assets are frequently unavailable to the health practitioner in perform. therefore, it really is our wish that this article can function a multi uniqueness workforce for the medical professional in solo perform. R. TAYLOR SEGRAVES New Orleans, Louisiana HARRY W.
Read Online or Download Diagnosis and Treatment of Erectile Disturbances: A Guide for Clinicians PDF
Best diagnosis books
Snapshot processing is a hands-on self-discipline, and how one can study is by means of doing. this article takes its motivation from clinical purposes and makes use of actual scientific pictures and occasions to demonstrate and make clear thoughts and to construct instinct, perception and realizing. Designed for complex undergraduates and graduate scholars who turns into end-users of electronic picture processing, it covers the fundamentals of the foremost scientific imaging modalities, explaining how the pictures are produced and bought.
Even if vaginitis and its comparable stipulations are the most typical purposes ladies search care from their gynecologists, it is common for them to work out their basic care health practitioner or a nurse practitioner for those stipulations. Written by way of a world-renowned writer, Vaginitis: Differential analysis and administration is a device for comparing and handling the sufferer with vaginitis.
Regardless of advances in scientific and surgical remedies, infective endocarditis is still a huge scientific challenge. It has an in-hospital mortality of 10–20%, and plenty of sufferers would require valve surgical procedure in the course of long term follow-up. analysis is hard because it relies on a number of findings, none of which on my own are pathognomonic.
Extra resources for Diagnosis and Treatment of Erectile Disturbances: A Guide for Clinicians
The significance of this isolated report is difficult to assess. It is of note that priapism has been associated with trazodone. 212 40 R. TAYLOR SEGRAVES et al. LITHIUM Two separate investigators have reported erectile impotence to be associated with the use of lithium carbonate in affective disorders. In both reports, the effect was substantiated under double-blind conditions in therapeutic serum lithium levels. Vinarova and associates 21l first noted the problem of impotence in an open clinical trial of lithium therapy in bipolar affective illness.
However, the case report form did not specifically inquire about sexual problems. The mechanism by which cimetidine interferes with sexual function is unclear. Several authors219,222 have reported gynecomastia in patients on this drug. Elevated prolactin levels have been suggested as a mechanism. 222,223 Adaikan and Karim 224 pointed out that the evidence that the sacral parasympathetics are cholinergic is equivocal and that histamine could be the neurotransmitter. In vitro studies indicate that histamine both contracts and relaxes smooth muscle of the corpus cavernosa.
The effects of drugs on these sexual activities will also be reviewed. A more complete knowledge of the interactive effects of hormones and other biochemical processes in normal sexual behavior would obviously enhance our understanding of the actions of pharmacological agents R. TAYLOR SEGRAVES • Department of Psychiatry, Tulane University Medical Center, New Orleans, Louisiana 70112. ROBERT MADSEN. Department of Surgery, University of Iowa, Iowa City, Iowa 52240. C. SUE CARTER. Departments of Psychology and Ecology, Ethology and Evolution, University of Illinois, Champaign, Illinois 61820.