Prof. Dr.Mohamed Hamdy Abouel-Hassan

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5. 04( CCIV) - Ccgpc4. 1 C, Aveln Arterial supply of the penis 1 t h•P urtsr , 0 14 tpQrr; v. 0 Co. ! : r a A - fItr - , v 1-tJell ( jrierr , o -Ler tiC CO: Cross Section •PVC? ) , . IJ 4 P ti, " rrtrreA41 telet Trout F4 f J I (when penis is flaccid) •l t) % pc -C . 4 - n e vole4 , e s y a ■■••••• ■• COrpC4. 11 J'err Lacy r p, st ultrNs , , , f :^ 45. 1. 41 : Jr -, . pth. ? oexiArsusn 8u iDto ftiJ rl . ftCef , 41 u c -t a rir. 01, 1, 1 - v ry ( X? : A Cross Sec tion (during e re-ction) PI el. } r w , en, it Review ( Figure (3,): Penile arterial supply cross section of the penis [Devine CJ Jr, Angermeier KW (1994) from, Campbell's urology update # 2004]. After giving off a branch to the perineum. The three branches of the penile artery are the dorsal, the bulb urethral, and the cavernous arteries. The cavernous artery is responsible for tumescence of the corpus cavernosum and the dorsal artery for engorgement of the glans penis during erection. The bulbourethral artery supplies the bulb and corpus spongiosum. The cavernous artery enters the corpus cavernosum at the hilum of the penis, trfy . xr; ( 24-. ? Vliterature 18
whet , , 5'47 , 4 Otra . a■ it tiss•sc4 17r: 4 " c De t ail " . , C a Ca. r sAITCS, 1 11 l. jne•II'y i , - Z: a t C s w n, par a .1 : ra 1 I -. Llaeo v s C. 21-`1 .. , ik t . ma ra. : we. 1 C r. . 3. 4 S 1f. S19Y-11. 1: 1ffl• : t upernei a0 0% 41 JI kr b: . K: pres , e a Review of literature the two crura merge. Distally, the three branches join to form a vascular ring near the glans. Along its course, the cavernous artery gives off many helicine arteries, which supply the trabecular erectile tissue and the sinusoids. These helicine arteries are contracted and tortuous in the flaccid state and become dilated and straight during erection. Venous drainage of the penis Cross S Venous drainage of the penis Figure (4): Shows longitudinal section of venous drainage of the p Angermeier KW (1994)] The venous drainage from the three corpora originates in tiny venules leading from the peripheral sinusoids immediately beneath the tunica albuginea see fig. (4), these venules travel in the trabecula between the ectbn enislfrom Devine CJ Jr, Lymphatic drainage of the penis: The penis drains into the inguinal lymph nodes. These nodes may be divided into a superficial and deep group, which are separated by the deep fascia of the thigh (fascia lata). In relation to the external pudendal, superficial inferior epigastric, and superficial circumflex iliac vessels, the superficial nodes lie at the saphenofemoral junction. At the saphenous opening (fossa ovalis) in the fascia l ata, the greater saphenous vein joins the 19
Page 1 and 2: I - ERECTILE DYSFUNCTION - DIAGNOSI
Page 3: INDEX OF CONTENTS Acknowledgment RI
Page 6 and 7: , ist of Abbreviations AVSS Audiovi
Page 8 and 9: SHBG SSR! s U/ S SHIM Sex-Hormone B
Page 10 and 11: Rigiscan, buckles TABLE 18 The resp
Page 12 and 13: Introduction Erectile Dysfunction:
Page 14: Aim of the Study Introduction and A
Page 17 and 18: Review literature o DSM-IV also ask
Page 19 and 20: t P; I -i _10 t / t 0 4 • Review
Page 21 and 22: Review o/ literature Table (1) show
Page 23 and 24: 1-1 Male Sexual Anatomy A- Gross an
Page 25 and 26: was 8.8 t m Review of literature fl
Page 27 and 28: Review of l Augmenting the septum t
Page 29: periphery. In the flaccid state, th
Page 33 and 34: Review of literature Hatzichristou
Page 35 and 36: Review of literature 1. Dilatation
Page 37 and 38: Nerves in penis (dorsal penile nerv
Page 39 and 40: Review of literature damaged during
Page 41 and 42: Ischiocavernosus Bulbocavernous Rev
Page 43 and 44: Review of l and A 1 C -adrenergic r
Page 45 and 46: tetrahydrobiop amino acid sequence.
Page 47 and 48: Phosphodiesterase During, the retur
Page 49 and 50: Serotonin Review of literature Raph
Page 51 and 52: Review of literature prolactin's ac
Page 53 and 54: Review of l (Montorsi et al (2002)
Page 55 and 56: Review of literature Mannino and co
Page 57 and 58: arteriogenic most likely related to
Page 59 and 60: veno-occlusive 1991). In animal mod
Page 61 and 62: Revicw of literature fibrosis v and
Page 63 and 64: CHAPTER: 2 Review of literature DIA
Page 65 and 66: • Neurological • Endocrine dise
Page 67 and 68: • Risk factor for atherosclerosis
Page 69 and 70: Review o f literature 2- If either
Page 71 and 72: Interpretation of the results Revie
Page 73 and 74: Review o f literature The basic ass
Page 75 and 76: Chapter -3 Definitions A-PRIAPISM R
Page 77 and 78: AUA GUIDE LINE FOR PRIAPISM EVALUAT
Page 79 and 80: Review of literature blood cells, l
Page 81 and 82:
Review o frog leg position, screeni
Page 83 and 84:
therapeutic aspiration (with or wit
Page 85 and 86:
Al-Ghorab Review of literature Of t
Page 87 and 88:
B- RAPID EJACULATION Review of lite
Page 89 and 90:
Review a ff literature investigatio
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Review of l McCarthy (1998) suggest
Page 93 and 94:
Self Help Techniques ivien Review o
Page 95 and 96:
Corpus c Corpus s ponglosum Tunica
Page 97 and 98:
Clinical Course Review of literatur
Page 99 and 100:
Review of literature perious and in
Page 101 and 102:
CHAPTER: 4 TREATMENT OF ERECTILE DY
Page 103 and 104:
Review of literature interaction is
Page 105 and 106:
Tolerability Review of literature N
Page 107 and 108:
Review of literature Sildenafil and
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Review ( Tadalafil should be used w
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Atter Review of literature sildenaf
Page 113 and 114:
4-Phentolamine, Phentolearnine, Rev
Page 115 and 116:
Revieiv of literature used for test
Page 117 and 118:
ased upon the etiology. The e The p
Page 119 and 120:
E-Hormonal treatment Review of lite
Page 121 and 122:
Review of literal lire satisfaction
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Review of literature covers these d
Page 125:
Indications: Review of literature I
Page 128 and 129:
2--Identification 1-Sexual Health I
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If yes how many packs per day and i
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Patients and Methods C-Liver functi
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Patients and Methods AMS Ambicore i
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In ally patients, ICI of phenylephr
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2-After treatment failure Patients
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Patients and Methods Criteria used
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Patients and Methods fatty) and he
Page 144 and 145:
Peyrone's Disease Patients Patients
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Patients and Methods Treatment resp
Page 148 and 149:
Penile prostheses patients Patients
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Patients and Methods 4-Next full-st
Page 152:
EMLA Table (8) shows the S SRIs, Pa
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Table (9): Shows the ED presentatio
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( 73/ 459) . Low Table (11): , S'ho
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Results ejaculation ,7 with ED Peyr
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RIGISCAN RESULTS From our total 459
Page 163 and 164:
! --, ntfr. stt: m • " • i t t
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of organic disease see table (17) .
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While there was a highly positive (
Page 169 and 170:
Fierq Wsppto it Thirty- nine p pr 7
Page 171 and 172:
Results cm/s (arteriogenic ED) see
Page 173 and 174:
Dr. Frederic J. Levine 25-Feb-1983.
Page 175 and 176:
Results Table (22): Shows the Table
Page 177 and 178:
So , negative buckle test diagnosed
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81% 19% Results AMS 700 3 piece inf
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80 70 60 50 40 30 20 10 testosteron
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Results Regarding to treatments out
Page 185 and 186:
Results Initial therapy failed in a
Page 187 and 188:
Results 3 piece inflatable 700 AMS
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Results Paroxetine and/or Sertralin
Page 192 and 193:
Discussion sexual dysfunction was a
Page 194 and 195:
Both arterial insufficiency and c o
Page 196 and 197:
Discussion Historically, hypogonadi
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Rigiscan testing was more sensitive
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Recently, PSV was found to be a mor
Page 202 and 203:
Discussion erectile function domain
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Discussion A report on 210 patients
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Discussion Implanted inflatable pen
Page 208 and 209:
Discussion infection, but device ex
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epiF Discussion For individuals on
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Discussion corpus spongiosum and co
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Discussion upon logical solutions (
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SUMMARY AND CONCLUSION Conclusion T
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Conclusion Sixty nine men presented
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Conclusion • Sildenafil citrate i
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1114411111311111
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References Anderson KE, Holmquist F
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Bechara A, et al, (1996): Prostagla
Page 229 and 230:
References Broderick G.A & Harkaway
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References Chung W.S., Sohn J.H. &
Page 233 and 234:
References Dinsmore WW, Hodges M, H
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Hind AC, (1984): Cavernosal alpha-b
Page 237 and 238:
J m Gray A, Feldman HA, McKinlay &
Page 239 and 240:
Helistrom Hellstrom Helistrom Helis
Page 241 and 242:
References Jarow J P, Pugh V W, Rou
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Kloner Kloner Kloner RA, Hutter IS
Page 245 and 246:
References c Lin CS, Lau A, Tu R, &
Page 247 and 248:
Melis References McVary KT, Carrier
Page 249 and 250:
Morisaki N, Kawano M. & Koyama N, (
Page 251 and 252:
References Padma-Nathan H, Kaufman
Page 253 and 254:
Piper PJ, (1973): Distribution and
Page 255 and 256:
References Roose S P, Glassman A H,
Page 257 and 258:
References Schramek P, Dorninger W
Page 259 and 260:
Soderdahl References DW, Thrasher'
Page 261 and 262:
Toblli Taylor S, Sutherland GR, G M
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Wagner G& Uhrenholdt A, (1980): Blo
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- Patient's Name No sexual activity
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DEPRESSION INVENTORY Instructions f
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Do you have a high blood pressure?
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1999_L U , t< 11 . 0 ! ; 3 . 1. J "
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0 = & * J i 4 l t 4 4 ) 1 = k p i j
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Prof. Dr.Mohamed Hamdy Abouel-Hassan

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