Juszczak Kajetan, Wyczółkowski Marek, Filipek Marek, Thor Piotr J
Department of Pathophysiology, Medical College Jagiellonian University, Kraków, Poland.
Folia Med Cracov. 2008;49(3-4):67-77.
The increase of life intensity and its stressful impact, a great number of various risk factors of ED - erectile dysfunction and aging men population lead to a high prevalence and incidence of ED worldwide. It is well known that ED in men is a condition of heterogenous aetiology, which determines ED substantial diagnostic and therapeutic clinical problem. However, in most cases, ED may be managed quite well by the primary care physician who has proper understanding of the pathophysiology of ED. This article is intended especially for primary care physicians. It reviews physiology of erection and then explores pathophysiologic changes that are likely to cause inadequate erection, which enables better understanding of ED and consequently is essential for appropriate management.
生活强度的增加及其带来的压力影响、大量导致勃起功能障碍(ED)的各种风险因素以及老年男性群体,致使ED在全球范围内具有较高的患病率和发病率。众所周知,男性ED病因各异,这决定了ED在诊断和治疗方面存在重大临床问题。然而,在大多数情况下,对ED病理生理学有正确理解的初级保健医生能够很好地处理ED问题。本文专为初级保健医生撰写。文章先回顾了勃起的生理过程,然后探讨了可能导致勃起功能不足的病理生理变化,这有助于更好地理解ED,从而对于合理管理ED至关重要。