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Books > Medicine > Clinical & internal medicine > Urology & urogenital medicine
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Textbook of Erectile Dysfunction (Hardcover, 2nd edition)
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Textbook of Erectile Dysfunction (Hardcover, 2nd edition)
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Erectile dysfunction (ED) affects 20-30 million American men, most
of whom are over 50 years of age. In a UK-based study, 32% of
British men had difficulty obtaining an erection, 20% with
maintaining an erection. In recent years the physiology and
pathophysiology of ED have changed our understanding of what ED is
from a purely psychological-based disorder to a multifactorial one,
with neurological, endocrinological, psychological factors and the
role of the vascular system. Recently identified risk factors
include diabetes, cardiovascular disease, spinal cord injury,
smoking, depression, atherosclerosis, hypertension, pelvic surgery
and trauma, pharmacological medications, arthritis, peripheral
vascular disease, substance abuse, endocrine abnormalities and
peptic ulcer disease. Many ED patients have a combination of these
risk factors, thus exacerbating ED further. The treatment of ED was
revolutionized in 1998 with the introduction of sildenafil. Beside
these oral treatments, newer injectable agents are being
investigated as are topical preparations. However, not all patients
are tolerant of oral agents, many patients still require penile
reconstruction with penile implants, an option with low
complications and morbidity. There are options for all patients and
this excellent, updated text, edited by some of the world's leading
authorities - Culley Carson, Roger Kirby and Irwin Goldstein -
discusses them all.
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