The ageing male and erectile dysfunction

被引：6

作者：

Montorsi, F ^{[1
]}

Salonia, A ^{[1
]}

Deho, F ^{[1
]}

Briganti, A ^{[1
]}

Rigatti, P ^{[1
]}

机构：

[1] Univ Vita Salute San Raffaele, Dept Urol, I-20132 Milan, Italy

来源：

WORLD JOURNAL OF UROLOGY | 2002年 / 20卷 / 01期

关键词：

erectile dysfunction; impotence; ageing;

D O I：

10.1007/s00345-002-0251-x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Erectile dysfunction (ED) is common in the ageing man and reliable therapies are needed. The pathophysiology of erectile dysfunction in this patient group mainly includes chronic ischaemia, which triggers the deterioration of cavernous smooth muscle and the development of corporeal fibrosis. The assessment of the ageing man with erectile dysfunction who seeks medical treatment should include a thorough medical and sexual history, a systemic and focused physical examination and selected blood tests. An extensive discussion of the various therapeutic options should follow in order to allow the patient to identify the most suitable alternative. Oral drug therapy represents a safe and efficacious option for most elderly patients.

引用

页码：28 / 35

页数：8

共 63 条

[1] PHYSIOLOGY OF PENILE ERECTION [J].

ANDERSSON, KE ;

WAGNER, G .

PHYSIOLOGICAL REVIEWS, 1995, 75 (01) :191-236

[2]

[Anonymous], J AGING HLTH, DOI DOI 10.1177/089826439200400107

[3] Study of etiologic relationship of arterial atherosclerosis to corporal veno-occlusive dysfunction in the rabbit [J].

Azadzoi, KM ;

Siroky, MB ;

Goldstein, I .

JOURNAL OF UROLOGY, 1996, 155 (05) :1795-1800

[4] Decreased trabecular smooth muscle and caveolin-1 expression in the penile tissue of aged rats [J].

Bakircioglu, ME ;

Sievert, KD ;

Nunes, L ;

Lau, A ;

Lin, CS ;

Lue, TF .

JOURNAL OF UROLOGY, 2001, 166 (02) :734-738

[5] Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications [J].

Basson, R ;

Berman, J ;

Burnett, A ;

Derogatis, L ;

Ferguson, D ;

Fourcroy, J ;

Goldstein, I ;

Graziottin, A ;

Heiman, J ;

Laan, E ;

Leiblum, S ;

Padma-Nathan, H ;

Rosen, R ;

Segraves, K ;

Segraves, RT ;

Shabsigh, R ;

Sipski, M ;

Wagner, G ;

Whipple, B .

JOURNAL OF UROLOGY, 2000, 163 (03) :888-893

[6]

BENET AE, 1995, UROL CLIN N AM, V22, P699

[7]

BIERMAN BL, 1991, HARRISONS PRINCIPLES, V1, P992

[8] Gene transfer of prepro-calcitonin gene-related peptide restores erectile function in the aged rat [J].

Bivalacqua, TJ ;

Champion, HC ;

Abdel-Mageed, AB ;

Kadowitz, PJ ;

Hellstrom, WJG .

BIOLOGY OF REPRODUCTION, 2001, 65 (05) :1371-1377

[9] Erectile and ejaculatory dysfunction in a community-based sample of men 50 to 78 years old: Prevalence, concern, and relation to sexual activity [J].

Blanker, MH ;

Bosch, JLHR ;

Groeneveld, FPMJ ;

Bohnen, AM ;

Prins, A ;

Thomas, S ;

Hop, WCJ .

UROLOGY, 2001, 57 (04) :763-768

[10]

Boolell M, 1996, Int J Impot Res, V8, P47

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