Download Diagnosis and Treatment of Erectile Disturbances: A Guide by R. Taylor Segraves PDF

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.

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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.

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