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Prof. Dr.Mohamed Hamdy Abouel-Hassan

Prof. Dr.Mohamed Hamdy Abouel-Hassan

Prof. Dr.Mohamed Hamdy Abouel-Hassan

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1.<br />

3-Pathophysiologv<br />

Review of literature<br />

untreated arthritis. It similarly increased the probability for men on cardiac,<br />

antihypertensive or vasodilator medications.<br />

Physiology<br />

of Erectile Function<br />

The penile erectile tissue, specifically the cavernous smooth musculature<br />

and the smooth muscles of the arteriolar and arterial walls, plays a key role<br />

in the erectile process. In the flaccid state, these smooth muscles are<br />

tonically contracted, allowing only a small amount of arterial flow for<br />

nutritional purposes. The flaccid penis is in a moderate state of contraction,<br />

as evidenced by further shrinkage in cold weather and after phenylephrine<br />

injection. Sexual stimulation triggers release of neurotransmitters from the<br />

cavernous nerve terminals. This results in relaxation of these smooth<br />

muscles and the following events (Fig.5):<br />

Figure (5) The mechanism of penile erection A in the flaccid. B in the erect state

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