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| osography measurement of the va-scular pressure in the corpus cavernosum. Saline is infused under pressure into t 5he corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an e-tion indica tes the degree of venous leakage. The leaking veins responsible may b j63c5 e visualised by infusing a mixture of saline and x ra-y co j63c5 ntrast mediu 3c5 m and performing a cavernosog In D c5igital Subtraction Angiography, the image ction or impotence is a dys tion cha j63c5 racterized by the inability to develop or maintain an ereon of the penis. There are various underlying causes, such as damage to the nervi erigentes wh ich prevents or delays ereion, or diabetes as well as c5cardiovasc zj63c5 ular dise-ase, which simply decrease s blood flow to the tissue in 5 the penis, many of which are medically reversible. l stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the l atter uses the l 3c5 imbic system of the j63c5 brain. In both conditions, an intact neural system is required for can often be helped by almost anything that the pati 3c5 ent believes in; there is 3c5 very strong placebo eff ect. Physical damage is much more severe. One leading physical cause of Ec zj63c5 ulDc zj63c5 ul is continual or severe da-mag e taken to the nervi e 3c5 rigentes. These nerves course beside the prostate arising from the sacral plexus and can be dam j63c5 aged in pro-static and c c5olorectal su 5rgeries. ses are also common causes of e-tile n 3c5 al; especially in men. Dch as cardiovas cular disease, multiple sclerosis, kidney failure, vascular disease and spinal cord injury are the source Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo 3c5 for a long time, an d is the subject of m c5introduction of perhaps the first pharmacoive remedy for impote nce, sildenafil in tcaused a wave of public atte 5ntion, propelled in part by the hin j63c5 ess of stories about it and heavy advertising. It is estimated that a million men in the Un c5ited States anlion men worldwide c zj63c5 ulsuffer from .However, s ocial low health literacy and social taboos lead to under report hich makes an accurate prev determ |
