Novel Method for Identifying and Treating Erectile Dysfunction

Ram Ajay Gupta, Aditya Shiven
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Abstract

Sexual or erectile dysfunction (ED) is the ineptitude to get or keep a hard penile erection. ED can have a detrimentaleffect on physical and psychological health. This review helps in understanding the detailed etiology of ED and variousapproaches for the management of ED. The occurrence and incidence of erectile dysfunction are on the rise among men.Various other factors greatly impact the progression of ED, including individual general health and physiological conditions suchas psychiatric or psychological problems, diabetes mellitus, genitourinary disease, cardiovascular disease, and chronic diseases.Erectile dysfunction occurs when the release of nitric oxide (NO) triggers the activation of the guanylate cyclase enzyme in thespongiosum and corpora cavernosa, leading to relaxation of the vascular smooth muscle and an increase in cyclic guanosinemonophosphate (cGMP) levels. This physiological process is essential for achieving and maintaining a firm penile erection. Somecommon and advanced methods, such as the physical method, sexual history, laboratory testing, apomorphine test, NPTR test,and color duplex Doppler ultrasound test, are used to diagnose erectile dysfunction. This review also focuses on emergingtreatments that address the medical need for effective ED management. This comprehensive review bridges gaps in the currentliterature, offering superior insights into ED management and improving the quality of life for individuals with ED.
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鉴别和治疗勃起功能障碍的新方法
性或勃起功能障碍(ED)是无法获得或保持阴茎硬勃起。ED会对身体和心理健康产生不利影响。这篇综述有助于了解ED的详细病因和ED的各种治疗方法。男性勃起功能障碍的发生率和发病率呈上升趋势。其他各种因素也会严重影响ED的进展,包括个人一般健康状况和生理状况,如精神或心理问题、糖尿病、泌尿生殖系统疾病、心血管疾病和慢性疾病。当一氧化氮(NO)的释放触发海绵体和海绵体中鸟苷酸环化酶的激活,导致血管平滑肌松弛和环鸟苷酸单磷酸(cGMP)水平增加时,就会发生勃起功能障碍。这一生理过程对于实现和维持阴茎勃起是必不可少的。常用和先进的方法诊断勃起功能障碍,如物理法、性史、实验室检查、阿波啡试验、NPTR试验、彩色双多普勒超声检查等。这篇综述也着重于解决急诊有效管理的医学需求的新兴治疗方法。这篇全面的综述弥补了目前文献中的空白,为ED管理和改善ED患者的生活质量提供了卓越的见解。
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