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Endocrine Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Impotence is a common symptom. Endocrinopathy is suggested by accompanying features of androgen deficiency (loss of secondary sexual hair, gynaecomastia, loss of libido and erectile dysfunction, and anaemia)
Bladder Cancer
Published in Pat Price, Karol Sikora, Treatment of Cancer, 2020
The predominant acute symptoms are radiation cystitis associated with urinary frequency, urgency and dysuria, proctitis, and lethargy. In the long term, bladder function may deteriorate as a result of organ shrinkage related to fibrosis. Superficial telangiectasia in the bladder may give rise to hematuria, and late bowel damage may result in bleeding, which may occasionally be profound and require operative intervention. Impotence may also occur, although the precise incidence is not well-documented.
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Impotence (also called erectile dysfunction), which is the inability to achieve or maintain an erection, is most frequently psychogenic, although several physical disorders such as diabetes mellitus and hypothyroidism may be involved as well.
Erectile Dysfunction and Partner-Directed Behaviors in Romantic Relationships: The Mediating Role of Suspicious Jealousy
Published in The Journal of Sex Research, 2022
Gavin Vance, Virgil Zeigler-Hill, Rachel M. James, Todd K. Shackelford
Erectile dysfunction (ED) refers to the inability to maintain an erection sufficient for satisfactory sexual intercourse (NIH Consensus Development Panel on Impotence, 1993). Although the risk of ED increases with age and is often comorbid with physical health problems (e.g., diabetes, heart disease; Nicolosi et al., 2003), it is not restricted to older men. For example, up to 10% of men under the age of 40 report ED (e.g., Lewis et al., 2010). ED is also often comorbid with psychological health problems in men (e.g., depression, anxiety) and with low sexual and emotional satisfaction in both men and their partners (Althof, 2002). In turn, sexual dissatisfaction is associated with overall relationship dissatisfaction (Young et al., 1998). Further, low relationship satisfaction is associated with infidelity (Pereira et al., 2014) as well as infidelity-related online behaviors (McDaniel et al., 2017).
Post-Radical Prostatectomy Erectile Dysfunction Assessed Using the IIEF-5 Questionnaire – A Systematic Literature Review
Published in International Journal of Sexual Health, 2022
Tomasz Jurys, Bartlomiej Burzynski, Anna Potyka, Andrzej Paradysz
It is estimated that prostate cancer is responsible for almost 650,000 cases of cancer per year in economically developed countries (Jemal et al., 2011). A patient diagnosed with prostate cancer may be eligible for various types of therapy, depending on his clinical condition. Options include active surveillance, watchful waiting, radical prostatectomy, external beam radiotherapy, brachytherapy, and hormone therapy (Chen & Zhao, 2013). The chosen method of treatment will affect the likelihood of occurrence of complications and the quality of life of the patient. In the case of radical prostatectomy, the most common postoperative symptoms are urinary incontinence and erectile dysfunction (Torvinen et al., 2013). As defined in 1992 by the National Institutes of Health (NIH), erectile dysfunction is the inability to achieve and maintain an erection of sufficient strength for intercourse (“Impotence”, 1993). The frequency of dysfunction after radical prostatectomy may depend on the patient’s clinical condition, the level of experience of the operating surgeon, and the chosen methods of prostatectomy and of nerve sparing (of the vasomotor bundles) (Ayyathurai et al., 2008; Barocas et al., 2010; Bianco et al., 2005; Zippe et al., 2006). One of the most frequently used tools to assess erectile dysfunction of various etiologies, including patients after radical prostatectomy, is the International Index of Erectile Function-5 (IIEF-5) questionnaire.
Gay men’s experiences of sexual changes after prostate cancer treatment—a qualitative study in Sweden
Published in Scandinavian Journal of Urology, 2019
Carina Danemalm Jägervall, Jelmer Brüggemann, Ericka Johnson
The inability to achieve an erection was spoken about as an impetus to developing or strengthening existing practices aimed at physical closeness and emotional intimacy. Some of the men spoke about their own and their partner’s needs for caring and intimacy and in relation to these discussed how physical contact through hugs, kisses and caressing was important, as was their emotional support of each other. Such intimacy was often described by men as present in more stable relationships. As discussed above, impotence could become a handicap in the men’s search for temporary, short-term or spontaneous sexual interactions, either as a single person or outside of an existing relationship. This was particularly poignant in their discussion of erectile dysfunction pharmaceuticals. ‘The spontaneity is gone. It is as if you have to schedule your sex life. To go out and try to pull someone, that would simply not work’. Yet, the lack of ejaculate also became a potential problem in the light of trying to attract new sexual partners. ‘It is about being attractive on the market in some way, and about being able to come with something [ejaculate]. So of course it can be a little more difficult then’.