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Limitation: Where a Sexologist has evidence that a colleague has acted unprofessionally is incompetent or otherwise acting inappropriately, the matter should be irst discussed with that colleague and, if necessary, brought to the at-- tention of relevant authorities. Application: Within the con-- text of the professional relationship the Sexologist must act with integrity at all times. A Sexologist must not engage in intimate relations with a client, research participant, student or patient, or otherwise place them in a position where the professional relationship is compromised. When the service is of a psychotherapeutic nature a Sexologist should not provide services to a close family member. Principle 9 the sexologist shall respect and uphold the autonomy and dignity of those receiving their professional services. Application: This principle applies irrespective of age, gender, race, ethnicity, educational level, sexual orientation, social circumstances, or political afiliation. It obliges the Sexologist to facilitate the exercise of autonomy through providing necessary and suficient information to enable rational decision-making. Limitation: Individual autonomy is limited by the recognition of the rights of others and the avoidance of harm. It is also limited through the capacity of an individual to make rational decisions on their own behalf. Informed consent must be irst obtained prior to disclosing information to third parties. Limitation: Under certain jurisdictions there is a legal obligation to report particular activities to certain authorities. Such decisions should be based on the legal and political circumstances and on what is deemed to be the greater good. Application: Prior to implementing any action the Sexologist should provide suficient and necessary information on the rec-- ommended activities and alternatives. The Sexologist may disclose which option is, in their professional opinion, the optimum action within a particular context. Limitation: Where the person is not in a position to provide informed consent, an advocate may act on their behalf. Application: Sexologists will maintain re-- cords on clients, client groups, patients or research participants. Such records may be used for research purposes when prior, written consent has been obtained. Principle 13: Sexologists will provide information on their fee schedule to potential clients Applica-- tion: Prior to the provision of services, information on fee schedules, insurance rebates and tax provisions, where relevant. Principles for the conduct of ethical research Principle 14: Sexologists shall employ recognized research protocols Application: All research ac-- tivities should follow an acknowledged research protocol that is deemed by peers to be appropriate to the nature of the study. Principle 15: Sexologists shall employ recognized protocols in the use of human research subjects Application: the use of human subjects requires adherence to the Helsinki Declaration, which includes the following: informed consent, potential beneit(s) must outweigh potential risk(s), freedom to withdraw without 200 comitte 4. Application: the use of animal subjects requires adherence to the protocol set down for the humane treat-- ment of experimental animals, which includes the following: appropriate housing of the animal subject mini-- mization of pain and discomfort and appropriate disposal at the conclusion of the study Principle 17: Sexologists shall utilize peer review to evaluate their work. Application: Research pro-- posals and research reports should be made available for expert and peer review. Principle 18: Sexologists have an obligation to provide support for, or to conduct research and to disseminate indings Application: Sexologists should contribute to the development of the body of knowl-- edge through the conduct of appropriate research and through dissemination of indings. This the inluence of culture on sexual behavior has sample has been utilized by many researchers to been extensively studied and documented. In a make sense of the variability observed amongst classic book reporting the differences on a variety cultures. Sociology has studied culture in several ways but Murdok and White and performed several statistical one of the clearest concepts proposed to study the analyses to attempt to identify culturally variable relationship of culture with human sexual behavior is sexual scripts, and culturally invariable sexual the concept of “sexual script” that basically proposes scripts [10]. Reiss conclusion after this analysis that members of a group are prescribed how to was that the following propositions could be held behave in terms of what to do, with whom to do it, after the analysis: 1. Societies judge stable social when and how to do it and with a rationale to do it to relationships as of great importance. Thus, culture acts through sexual physical pleasure and self disclosure as the building scripts at an individual level. Physical pleasures and self-disclosure are the common outcomes of A large number of anthropological and sociological sexual behavior. Therefore, sexual behavior will studies have documented the variability of sexual be seen as important due to its ability to promote behavior that can be attributable to culture [7]. Such stable bonding between the objective of this review is not to present a full genetic males and females produces a context for account of the cultural variability of human sexual the nurturance of offspring- 6. Stable heterosexual behavior, there is a need for the clinician working in relationships are the rudimentary bases for sexual medicine to be aware of the fact that culture husband-wife and parent-child roles; and thus in this has a very signiicant impact on how sexuality is sense, kinship an gender roles are derivative from understood and experienced in people?s lives. This need is particularly important for practitioners Important social relationships are culturally deined of sexual medicine who serve culturally diverse in ways that are intended to institutionalize protective populations. Therefore, marital sexuality I would be out of the scope of this chapter to cover the will involve jealousy norms concerning the ways, if amount of information which is published that refers any, to negotiate extramarital sexual access without to the speciic differences among cultural groups. A clinician, who inds and ways of practice, remains a classic example himself or herself in a situation where he or she is where cultural values collide with the minimum serving a patient from a culture not familiar to him, requirements to attain sexual health. Vaginal dryness is promoted by were originally isolated in a single cultural milieu) certain cultures as means of increasing male sexual have encountered a process of acculturation that pleasure but the health consequences on the female has made that the westernized cultural view of have been documented as deleterious [12]. Achieve recognition of sexual pleasure as a component of holistic health and well-being 1. The right to sexual pleasure should be universally Sexual rights are an integral component of basic recognized and promoted. Advance toward gender equality and equity of Interest in Medical Research, Education, and Practice; Institute of Medicine Sexual health requires gender equality, equity and 2. Gender-related inequities and imbalances scribing Among Ofice-Based Physicians Arch Intern Med. New york: Continuum International Publishing education and sexual health information and services throughout the life cycle. Dry sex in Zimbabwe and implica-- programs must be broadened to address the various tions for condom use. In addition, the Committee is charged to produce observations, conclusions and recom-- mendations regarding the economic aspects. Research should ket or consumer behavior and the identiication of also explore cultural and ethnic determinants in the inluencing factors economics of these conditions and societal impact of their treatment. Cost-effectiveness analyses can be investigation of a consumer or market response. Fe-- 2005-2006 comprised of 1455 men 57-85 years male sexual dysfunction involves disorders of sexual of age surveyed adults about sexual function and desire, arousal, orgasm and dyspareunia, which lead behavior via in-home interviews [7]. Approximately 9 to 25% of younger than 59 years to 61% in those older than sildenail responders discontinued successful 70 years old. In order to obtain accurate data of keep an erection adequate for sexual intercourse. In all regions, distress, bother, frustration and/or the avoidance of except Central/South America and Southeast Asia, sexual intimacy. The most international survey of 13,882 women 40-80 years remarkable increase is expected to occur in Japan, of age found that 39% of women reported a problem where in 2050; more than 1 in every 3 persons aged with sexual activity. It is disorders of sexual desire, world (Fig 1) projecting substantial increase in old arousal, orgasm and pain that lead to personal men and women with sexual dysfunctions. Sexual desire disorder include low desire, with a prevalence of 43% of women between 57- 85 years of age. Sexual arousal disorders, characterized mainly by vaginal dryness, have been reported in 39% of women. Sexual pain disorders include dyspareunia and vaginismus, which is reported to Fig. The United Nations has reported over 374 million a) Diabetes men worldwide aged 65 years and older by 2025, Erectile dysfunction is common in men with an increase of 164 million from the current number. Prevalence rates range from 20 to 85% in In 2002, the global proportion of men aged over 65 men. Epidemiological A linear trend was observed for the prevalence of and clinical studies suggest that smoking causes the disorder ranging from 1. Women’s lack of pleasure is also higher among different policy issues around the world. Having some college education lowers opportunities for pharmaceutical companies to women’s performance anxiety by half or more relative justify drug coverage. Also, to control drug cost may be challenged and health women with high school or equivalent education had inequalities could emerge.
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Kockott erectile dysfunction treatment by injection purchase 100 mg manforce with visa,198082 42 Examined psychophysiological In patients with primary psychogenic 2 parameters upon viewing of an erectile dysfunction do erectile dysfunction pumps work generic manforce 100 mg mastercard, all parameters erotic ilm in 42 patients and 24 were lower than in the controls controls indicating that anxiety may act detrimentally on genital arousal parameters erectile dysfunction caused by hemorrhoids order manforce cheap. Munjack importance of being earnest buy manforce online now, 197883 35 Personality proiles of ejaculatory Both premature and retarded 2 dysfunction patients were measured ejaculators were found to be on various standardized inventories more anxious, depressed and and compared to a group of normal psychologically disturbed. Munjack, 198184 90 Personality proiles of erectile Results showed that sexually 2 dysfunction patients were dysfunctional patients were more measured on various standardized pervasively disturbed than control inventories and compared to a subjects. While depression scores group of psychiatric patients and a were signiicantly higher, anxiety group of normal controls. Fahrner, 198385 86 41 female and 45 male sexual Results indicated that general 3 dysfunction patient’s levels of social nonassertiveness is not a common insecurity and self-uncertainty were symptom of sexual disorders. Rather, measured on two standardized insecurity is restricted to speciic areas psychological inventories relevant to sexual functioning. Murphy, 198187 20 Twenty women diagnosed The groups differed signiicantly on 3 as sexually aversive and 35 anxiety and self-concept proiles controls were compared on the indicating that sexually aversive dimensions anxiety, self-concept, women experience higher levels of and sociosexual information anxiety and have more dificulty with with a battery of psychological identity and self-acceptance. Kaplan, 1995161 414 Summarizes the sexual dysfunction Of the 414 patients that met the criteria 3 diagnoses and associated disorders for sexual aversion disorder, 35% had of all 5,580 patients seen in the concomitant diagnoses of anxiety human sexuality programs in which disorder. The incidence of anxiety the author was involved between disorders in the remaining diagnostic 1972 and 1992. Van Minnen, 27 The sexual functioning of 27 women Both patient groups were found to 2 200091 with panic disorders was compared have lower sexual desire and lower to the sexual functioning of 17 frequency of sexual contact and in women with obsessive-compulsive anxiety patients, hypoactive sexual disorders and 34 controls on a desire or sexual aversion disorders number of self-report instruments. Patients with anxiety disorders are more at risk of sexual dysfunctions and do not corroborate the indings from experimental studies that anxiety may facilitate sexual arousal. Campillo,199992 200 The study evaluated the hypothesis Signiicantly higher levels of 2 thatsexualdisordersaresigniicantly depression and trait anxiety in the related to emotional problems. Trudel, 199793 20 Twenty couples with low desire The low desire subjects showed 2 problems were compared with normal levels of depression and 20 control couples on several moderate levels of anxiety. While there was underwent a clinical psychiatric no signiicant relationship between evaluation. Lykins, 200698 1062 The association between depressed Most women experienced a negative 3 mood and sexual -interest assessed association between depression/ in 663 college females, and the anxiety and sexual function. A small results compared to the association number experienced a positive among 399 college men. Beggs, 1987105 19 In 19 sexually functional women, Results showed signiicant increases 3 genital sexual arousal during sexual in genital arousal in both conditions, anxiety stimuli was compared to but increases in the pleasure condition sexual arousal in response to sexual were signiicantly greater than those pleasure stimuli. Palace, 1990106 16 In 16 sexually dysfunctional women Anxiety preexposure enhanced 2 and 16 controls, the effects of sexual genital, but not subjective, arousal anxiety on physiological and subjective in both groups. Functional subjects sexual arousal were determined reported higher levels of genital under 2 stimulus conditions: an arousal in both conditions. The results anxiety-evoking and neutral-control suggest that anxiety may enhance preexposure stimulus, each paired sexual arousal through the facilitation with a sexually arousing stimulus. Meston, 1995108 35 The effects of sympathetic activation In 35 sexually functional women, 3 following acute exercise on the effects of acute exercise on physiological and subjective sexual physiological and subjective sexual arousal in women arousal were determined. Acute exercise signiicantly increased genital responses to an erotic stimulus, thus providing support for a facilitatory role of sympathetic activation for female sexual arousal. Meston, 1996109 36 The study examined the time course While acute exercise had no effect on 3 of the effect of acute exercise on sexual arousal 5min post-exercise, it female sexual arousal in a group of signiicantly increased genital arousal 36 sexually functional women. Meston, 1998110 20 In 20 sexually functional women, The results indicate that ephedrine 3 the effect of the alpha and beta- signiicantly increased physiological, adrenergic agonist ephedrine on but not subjective, responses to genital and subjective sexual arousal erotic stimuli and seems to be able was examined. Contrary to men had high levels of state anxiety as well as trait the indings from clinical studies that indicate an anxiety, but only trait anxiety correlated statistically inhibition effect of anxiety, the laboratory evidence with the severity of the erectile disorder. In general, what appears to be a highly signiicant predictor of injection eficacy. There What sex therapists consider performance demand, have been few recent articles that have examined fear of inadequacy or spectatoring are all forms of the relationship between anxiety and other types situation-speciic, task-irrelevant, cognitive activities of male sexual dysfunction. However, Althof and which distract dysfunctional individuals from task- Rosen [100] concluded in their review article that the relevant processing of stimuli in a sexual context evidence that was available suggested a relationship, [103]. In summary, the cognitive-information processing c) Summary: Anxiety in sexually dysfunctional models of sexual anxiety assert that sexual arousal men and women is dependent upon ‘task-relevant’ processing of a sexual stimulus. In sexually dysfunctional subjects, From these results it can be concluded that the sexual stimuli induce a performance demand, which majority of sexually dysfunctional individuals exhibit in turn leads to a shift of attentional focus away from heightened levels of anxiety suggesting a central the sexual content of a situation, inhibiting arousal. Anxiety inluences genital responses, also not clear if it is generalized anxiety, or anxiety but not subjective responses. Attentional focus that is more closely related to the sexual content that seems inluential in cognitive processing [104]. In these studies, anxiety is dysfunctional women is mixed, with the suggestion induced either by shock threat or by performance that it is more negative than facilitory [111]. Sexual arousal is assessed with implications of anxiety as it relates to sexual psychophysiological (penile tumescence or vaginal behavior. In addition, results indicate that Laboratory data indicate that the sexual arousal the anxiety – sexual response relationship is process operates differently in sexually functional complex and that the term ‘anxiety’ is too broad for 134 comitte 3. Whereas moderate levels and 90-R and an instrument assessing lifetime affective relatively ‘safe’ settings may catalyze sexual arousal, and schizophrenic disorders. Although none of the higher levels, less feelings of personal control or a patients manifested any clinical affective disorder at longer history of anxiety very likely impair sexual the time of assessment, the proportion of low desire functioning [91]. It is generally agreed that the and Schiavi [118] suggested that a past history of relationship between depressive mood and sexual depression may contribute to the pathogenesis dysfunction is bi-directional and further complicated of low desire or that both disorders result from the by the sexual side effects of antidepressants [114]. Depression has a powerful impact on all aspects of male and female sexual response: desire, arousal one of the most recent and intriguing studies looking and orgasm. Examining sexual function in 134 at the relationship between depression and sexual depressed men and women who were not taking function in women was that of Frohlich and Meston [120]. Results showed in sexually explicit material, sexual fantasies and that the depressed group reported more desire for masturbation. It remains to The most common sexual pattern associated with be established whether similar results would be depression is loss or reduction of sexual interest obtained with a population of male students. Beck [116] found low sexual Table 4 provides an overview of the studies that interest in 61% of severe depressives compared have been conducted looking at sexual dysfunction with 27% of non-depressed controls. Data from the Massachusetts Male Aging Study [121] showed to a sample of 325 patients (199 men and 126 that depression and anger were highly correlated women). Beck, 966 A depression inventory was Loss of libido was found in 27% of nondepressed 3 1967116 administered to 966 psychiatric patients as compared to 61% of patients with patients and the incidence of ‘loss severe, 58% with moderate, and 38% with mild of libido’ was determined in relation depressive symptoms. Loss of libido correlated to the degree of depression highly with loss of appetite, and loss of interest in other people. Derogatis, 325 199 male and 126 female Abnormal levels of psychological distress and 3 1981117 patients seeking treatment for between one third and one half of the sample sexual dysfunction underwent were assigned psychiatric diagnoses. Schreiner- 46 The lifetime history of None of the patients showed any clinical affective 3 Engel, psychopathology in 22 male and disorder, the proportion of patients with histories 1986118 24 female low desire patients was of major and intermittent depression was twice compared to 36 matched controls as high as that of controls. Hayes,119 356 Study was designed to estimate Low desire was more frequent in women in 3 2008 prevalence and factors associated relationships for 20-29 years. Frolich, 94 Compared sexual function among Women with depressive symptoms reported 2 2002120 47 women with depressive more problems with sexual desire, arousal, symptoms not receiving medication orgasm, pain, and less sexual satisfaction and to 47 aged matched controls. The psychosocial correlates in a prevalence of complete impotence tripled from 5 general population are provided. The Massachusetts Male Aging Subject age was the variable most strongly Study was a community based, associated with impotence. After adjustment random sample observational for age, a higher probability of impotence was survey of noninstitutionalized men directly correlated with indexes of anger and 40 to 70 years old conducted in the depression. In men who present with one of these two problems it is crucial to ask about While the exact direction of causality is dificult the other because of their frequent coexistence. The authors suggest depressive episodes but no previous diagnosis of that clinicians treating patients with anxiety and sexual dysfunction were studied. Evaluation included depression be aware of the high rate of sexual both questionnaire (the Arizona Sexual Experience dysfunction and consider augmenting treatment by Scale) and physician observation. The available Rasmussen and Tsuang [133] reported that 32% had information consistently indicates higher levels of sexual impulses that conlicted with their values. In psychological distress and a substantial overlap a comparable study, 36% of the sample patients had with symptoms of mental disorders in sexually sexual obsessions [131]. In addition, in some There is a marked lack of research regarding the studies, mixed diagnostic groups and small samples sexual attitudes, behavior, and relationships of were used, while others did not employ matched patients with histrionic personality disorders. They also had signiicantly greater In addition to the disorders described above, there sexual preoccupations, lower sexual desire, more are a wide array of precipitating factors that may sexual boredom, greater orgasmic dysfunction, “tip the balance” from satisfactory sexual function to and were more likely to enter in to an extramarital dysfunction. Apt and Hurlbert concluded that, although all) are life stage stressors such as childbirth, infertility, these patients are inordinately concerned with their divorce or loss, unemployment, extra-relationship physical attractiveness and sexual appeal, their affairs, humiliating or traumatic sexual experiences, sexual behavior varies widely and tends to run the partner sexual inadequacy or clumsiness and most gamut from unresponsive to promiscuous. Sensation seeking, often In assessing individuals and couples with sexual associated with narcissistic personality disorders, problems, clinicians often identify the presence of has been associated with increased sexual desire anger in the individuals and relationship.
Ann N Y Acad Sci 2002;962(pp 378 novel combination of L-arginine glutamate and yohimbine 388):-388. The role of androgen deprivation therapy combined dysfunction in anticoagulated cases: a study of with prostate brachytherapy. Phosphodiesterases as discontinuing intracavernous injection therapy with therapeutic targets. What is the incidence of sexual dysfunction Lenze E J, Karp J F, Mulsant B H et al. Somatic symptoms in in males following rectal excision for benign and late-life anxiety: Treatment issues. A goal-oriented, cost- on sexual experiences and nocturnal penile effective approach to the diagnosis and treatment of 24 male tumescence and rigidity in erectile dysfunction. Potential confusion between erectile Evaluation 2004;2(8):223 dysfunction and premature ejaculation: An evaluation of men presenting with erectile difficulty at a sex therapy clinic. The prospective and randomized control study of Viagra combined with Andriol in the treatment Manning M, Junemann K P, Scheepe J R et al. Chinese Journal of Andrology term followup and selection criteria for penile 2003;17(3):194-196. Impotence after radical pelvic surgery: physiology and function, and response to treatment in men receiving management. Journal of Clinical Endocrinology & Metabolism Lukkarinen O, Tonttila P, Hellstrom P et al. Predictors of Scandinavian Journal of Urology & Nephrology 1998;32(1):42 erectile function improvement in obstructive sleep 46. Impotence following pelvic fracture urethral injury: Maan Z, Arya M, Shergill I et al. The pathophysiology Vardenafil (Levitra) for erectile dysfunction: a of erectile dysfunction related to endothelial dysfunction and systematic review and meta-analysis of clinical trial mediators of vascular function. Moxisylyte: A review of its pressure and arterial wave reflection in treated hypertensive pharmacodynamic and pharmacokinetic properties, men. Andrological findings in young patients under long-term antidepressive therapy with clomipramine. Visual erotic stimulation test for initial screening of psychogenic erectile dysfunction: a Manasia P, Pomerol J, Ribe N et al. Br J Urol and safety of 90 mg versus 20 mg fluoxetine in the treatment of 1997;157(1):134-139. Medical treatment of erectile release bupropion for selective serotonin reuptake dysfunction. Drugs of the Future dysfunction after radical prostatectomy: Prevalence, treatments, 2004;29(6):628-629. Term Effect of Doxazosin, Finasteride, and Combination Therapy on the Clinical Progression of Benign Prostatic Melman A, Bar-Chama N, McCullough A et al. Reproduction & Genetics 1992;9265A Intracavernous papaverine/phentolamine-induced priapism can be accurately predicted with color McMahon C G. Treatment of Erectile Dysfunction with Chronic Meyhoff H H, Rosenkilde P, Bodker A. Priapism associated with concurrent use of phosphodiesterase inhibitor drugs and intracavernous injection Migliari R, Muscas G, Usai E. Drugs of the Future 2004;29(6):633 medications or devices for erectile dysfunction among long-term prostate cancer treatment survivors: Mealy N E. Drugs of the Future 2004;29(6):631 potential influence of sexual motivation and/or indifference. Current and prostate specific antigen at 6-12 months: a new marker for early Future Strategies for Preventing and Managing success in hormonally treated patients after prostate Erectile Dysfunction Following Radical brachytherapy. Int J Impot Res 1999;11(1):29 Phosphodiesterase Type 5 Inhibitors Cure Erectile 32. Vardenafil for sildenafil citrate (Viagra) demonstrate no increase in risk of the treatment of erectile dysfunction: A critical review myocardial infarction and cardiovascular death compared with of the literature based on personal clinical experience. Sildenafil dehydroepiandrosterone sulfate, and growth hormone levels in (Viagra) for male erectile dysfunction: a meta-analysis ambulatory men. Impotence: Organic factors and management Montejo-Gonzalez A L, Llorca G, Izquierdo J A et al. Sexual & Marital Therapy 1991;6(2):97 induced sexual dysfunction: fluoxetine, paroxetine, sertraline, 106. Partner responses to sildenafil citrate Salvador, northeastern Brazil: a population-based (Viagra) treatment of erectile dysfunction. Erectile dysfunction after radical Vellas, Bruno (Ed); Albarede, J 1992;-L(Ed):1992 prostatectomy. Sublingual apomorphine for the treatment of randomized double-blind trial of risperidone vs. Improving the streptococcal septicemia following intracavernous accuracy of vascular testing in impotent men: correcting injection therapy for erectile dysfunction in diabetes. Lancet forskolin: Role in management of vasculogenic impotence 1999;353(9155):840 resistant to standard 3-agent pharmacotherapy. A dose- response study of the effect of flutamide on benign Mulhall J P, Levine L A, Junemann K P. The erectile response to erotic stimuli in men with erectile dysfunction, in relation to age and in comparison Nicolosi A, Moreira E D, Shirai M et al. Psychopharmacology (Berl) Epidemiology of erectile dysfunction in four 1994;115(4):471-477. The erectile response to erotic stimuli in Nieschlag E, Swerdloff R, Behre H M et al. Flutamide administration at management of antidepressant-associated erectile 500 mg daily has similar effects on serum testosterone to 750 dysfunction. Journal of Vascular & Depression, antidepressant therapies, and erectile Interventional Radiology 2000;11(8):1053-1057. Erectile Dysfunction and Comorbid year update on the safety of sildenafil citrate (Viagra). Sildenafil in the high plasma catecholamines do not impair pharmaco treatment of sexual dysfunction induced by selective serotonin induced erection of psychogenic erectile dysfunctional reuptake inhibitors: An overview. Mov Disord 1998;13(3):536 erectile dysfunction in married impotent patients: 539. Is Hypogonadism a Risk Factor for Sexual prostatic hyperplasia: results from the proscar long- Dysfunction?. The external of and tolerance to sildenafil in patients with erectile vacuum device in the management of erectile dysfunction. Int J Clin Pract Frequency and determinants of erectile dysfunction in 1999;Supplement. The Scandinavian Prostate Cancer Group Ozdel O, Oguzhanoglu A, Oguzhanoglu N K et al. Sympathetic methylprednisolone on return of sexual function after nerve- activation by sildenafil. The role of endothelial dysfunction in the pathophysiology of erectile Pittler M, Ernst E. Trials have shown yohimbine is dysfunction in diabetes and in determining response to effective for erectile dysfunction [14]. Clinical sildenafil on retinal blood flow and flicker-induced & Laboratory Haematology 2004;26(5):335-340. General quality of life 2 years following treatment for prostate cancer: what influences Pollack Mark H, Reiter Stewart, Hammerness Paul. Sexuality and intimacy following radical prostatectomy: Patient Pomara G, Morelli G, Montorsi F et al. Health Psychol F, Salonia A, Briganti A, Barbieri L, Zanni G, Surdi 2002;21(3):288-293. Vardenafil for the treatment of erectile dysfunction: A critical review of Perimenis P, Athanasopoulos A, Papathanasopoulos P et al. Gabapentin in the management of the recurrent, refractory, Eur Urol 2005;47:612-21 (multiple letters). Drug devices for intracavernosal pharmacotherapy: operational Benefit Trends 2002;14(10):33+40 classification and safety considerations. Eau Update Series moclobemide and doxepin in major depression with special 2004;2(2):56-63.
Diseases
- Sensory neuropathy type 1
- Fitzsimmons Guilbert syndrome
- Toxopachyoteose diaphysaire tibio peroniere
- Batten disease
- Infundibulopelvic stenosis multicystic kidney
- Hypophosphatasia, infantile
- Telangiectasia, hereditary hemorrhagic
- Perinatal infections
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- Mucopolysaccharidosis type I Hurler/Scheie syndrome
Impact on sexual and Sexual Side Effects: How Many of these are related to function of holmium laser enucleation versus transurethral a Nocebo Phenomenon? Watchful waiting and health quality of life following anatomical radical retropubic related quality of life for patients with localized prostate prostatectomy: results at 10 years. Quality of life and treatment outcomes: prostate prostate cancer: the Scandinavian prostate cancer group- carcinoma patients’ perspectives after prostatectomy or 4 randomized trial. Impotence following radical the development of erectile dysfunction in men treated for prostatectomy: insight into etiology and prevention. A randomized of cancer treatment on quality of life outcomes for patients trial comparing radical prostatectomy with watchful waiting with localized prostate cancer. Laparoscopic and robot life after a diagnosis of prostate cancer among men of assisted radical prostatectomy: establishment of a lower socioeconomic status; results from the Veterans structured program and preliminary analysis of outcomes. Comparison of quality 263 Namiki S, Takegami M, Kakehi Y, Suzukamo Y, Fukuhara of life following laparoscopic and open prostatectomy for S, Arai Y. Prostatectomia to managing lower urinary tract symtoms and erectile radical asistida por robot: Resultados funcionales. Erectile function Before and After Radical Retropubic Prostatectomy: outcome reporting after clinically localized prostate cancer A Systematic Review of Prognostic Indicators for a treatment. Urinary and Interposition of sural nerve restores function of cavernous sexual function after radical prostatectomy for clinically nerves resected during radical prostatectomy. Islaparoscopicunilateral frol 2003;55(4):239-50 sural nerve grafting during radical prostatectomy effective 291 Ghavamian R, Knoll A, Boczko J, Melman A. Retropubic prostatectomy: a new extravesical prostatectomy and radical retropubic prostatectomy: single technique report on 20 cases. Patient- tectomy: long-term cancer control and recovery of sexual reported urinary continence and sexual function after and urinary function ("trifecta"). Laparoscopic term outcomes of penile prostheses and intracavernosal radical prostatectomy--the experience of the German injection therapy. Sexual function after surgery for prostate or consecutive radical retropubic prostatectomies. Recovery of sexual carcinoma: comparison of radical prostatectomy to function after prostate cancer treatment. Curr opin Urol hormonobrachytherapy with and without external beam 2006;16:444-448. Laparoscopic radical prostatectomy: bundle preservation with robotic laparoscopic radical assessment after 550 procedures. Combined reporting of cancer control and functional results of radical prostatectomy. Int J the relationship between erectile dysfunction and dose Radiat Oncol Biol Phys 2002;52:681-693 (LoE 3). An analysis double-blind, placebo-controlled, cross-over study to of erectile function after intensity modulated radiation assess the eficacy of tadalail (Cialis®) in the treatment of therapy for localized prostate carcinoma. Prostate Cancer erectile dysfunction following three-dimensional conformal Prostatic Dis 2007;10:189-193. Elucidating the etiology of erectile cavernosa do not correlate with erectile dysfunction after dysfunction after deinitive therapy for prostatic cancer. Int external beam radiotherapy for prostate cancer: results J Radiat Oncol Biol Phys 1998;40:129-133. A comparison of radiation dose to the neurovascular low-dose-rate prostate brachytherapy. Int J Radiat oncol bundles in men with and without prostate brachytherapy- Biol Phys 2009;73:1468-74. A comparison of radiation dose to the bulb of Radiother and Oncol 2007;84:107-113 (LoE 4). Int J Radiat oncol Biol Phys After External Beam Radiotherapy for Prostate Cancer. Androgen diation received by the bulb of the penis correlates with deprivation with radiation therapy compared with radiation risk of impotence after three-dimensional conformal ra-- therapy alone for locally advanced prostatic carcinoma: diotherapy for prostate cancer. Complications after and radiation dose to penile base structures: a lack of treatment with external-beam irradiation in early-stage correlation. In J Radiat Oncol Biol Phys 2004;59:1039- prostate cancer patients: a prospective multiinstitutional 1046. Three-dimensional stereotactic posterior citrate (Viagra) and erectile dysfunction following external- ischiorectal space computerized tomography guided beam radiotherapy for prostate cancer. Eficacy of sildenail in an of life and sequelae in patients treated with brachytherapy open-label study as a continuation of a double-blind study and external beam irradiation for localized prostate cancer. Minimally invasive double-blind, placebo-controlled, cross-over study to treatment for localized adenocarcinoma of the prostate: re-- assess the eficacy of tadalail (Cialis®) in the treatment of view of 1048 patients treated with ultrasound-guided Pal-- erectile dysfunction following three-dimensional conformal ladium-103 brachytherapy. Tadalail (Cialis) and erectile of life after interstitial radiation therapy for prostate cancer. The current state of hormonal ther-- analysis of conformal high-dose-rate brachytherapy boost apy for prostate cancer. Minimally invasive with observation after radical prostatectomy and pelvic treatment for localized adenocarcinoma of the prostate: lymphadenectomy in men with node-positive prostate review of 1048 patients treated with ultrasound-guided cancer. Managing Complications of Androgen implantation for patients with localized prostate cancer. Skeletal Potency after permanent prostate brachytherapy for fracture associated with androgen suppression induced localized prostate cancer. Int J Radiat oncol Biol Phys osteoporosis: the clinical incidence and risk factors for 2001;50:1235-1242. Changes in bone permanent radioactive seed implantation for treatment of mineral density, lean body mass and fat content as mea-- prostate cancer. Risk of new- injection for men with sexual dysfunction following onset diabetes mellitus and worsening glycaemic variables irradiation: a preliminary report. Int J Radiat oncol Biol for established diabetes in men undergoing androgen- Phys 1991;21:1311-1314. 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Total or partial prostate sparing cystectomy Adjuvant radiotherapy is associated with increased sexual for invasive bladder cancer: long-term implications on dysfunction in male patients undergoing resection for rectal erectile function. The long-term voiding function and sexual non-nerve-sparing radical retropubic prostatectomy or function after pelvic nerve-sparing radical surgery for cystectomy—results of a randomized prospective study. Urinary diversion: evidence-based cancer treated by preoperative radiotherapy: A longitudinal outcomes assessment and integration into patient prospective study. Total mesorectal excision preserves male 469 DiFabio F, Koller M, Nasccimbeni R, Talarico C, Salerni genital function compared with conventional rectal cancer B.
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