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衰老与勃起功能障碍。

Aging and Erectile Dysfunction.

机构信息

Basic Sciences, Universidad CES, Medellin, Colombia.

Urology, Universidad CES, Medellin, Colombia.

出版信息

Sex Med Rev. 2016 Jan;4(1):63-73. doi: 10.1016/j.sxmr.2015.10.011. Epub 2016 Jan 8.

DOI:10.1016/j.sxmr.2015.10.011
PMID:27872006
Abstract

INTRODUCTION

Erectile dysfunction (ED) has been identified as the most common sexual problem that affects mainly men older than 40 years. According to this, there is a strong evidence linking ED with a number of medical conditions and related risk factors that had been described in the literature, yet there is limited information about the specific mechanism involved in the establishment of ED among healthy older men.

AIM

The purpose of this study is to review the literature and mainly focus on the basic physiologic and vascular alterations and morphologic changes related to aging and its related risk factors, summarizing the main and the latest findings in basic research of tissue remodeling process involved in ED pathophysiology.

METHODS

Data from the pertinent literature were examined to inform our conclusions.

MAIN OUTCOME MEASURE

This article defines the morphologic and physiologic mechanisms involved in the process of aging, which play a key role in the development of sexual dysfunction.

RESULTS

ED has been considered as a nonlife-threatening condition, but the recognition of its multiple comorbid conditions, the importance of aging process over the male sexual performance among them its relation with vascular and nitric oxide content alteration, as well as penile morphologic changes, and the fact that it is a widespread under-reported disease, have established the need of an early diagnosis and treatment of this common sexual problem within the general male population.

CONCLUSION

In this case, morphologic and physiologic mechanisms that are involved in the aging process play a key role in the development of sexual dysfunction in the absence of any other clinical or medical condition.

摘要

简介

勃起功能障碍(ED)已被确定为最常见的影响主要是 40 岁以上男性的性功能问题。根据这一点,有大量证据表明 ED 与许多医学状况和相关的危险因素有关,这些在文献中已有描述,但关于健康老年男性中 ED 建立的具体机制的信息有限。

目的

本研究旨在综述文献,主要关注与衰老及其相关危险因素相关的基本生理和血管改变以及形态变化,总结 ED 病理生理学中组织重塑过程的基础研究的主要和最新发现。

方法

检查了相关文献中的数据以提供我们的结论。

主要观察结果

本文定义了衰老过程中涉及的形态和生理机制,这些机制在性功能障碍的发展中起着关键作用。

结果

ED 被认为是一种非危及生命的疾病,但认识到其多种合并症、衰老过程对男性性功能的重要性,以及与血管和一氧化氮含量改变以及阴茎形态变化的关系,以及它是一种广泛未被报告的疾病,这就需要在普通男性人群中对这种常见的性功能问题进行早期诊断和治疗。

结论

在这种情况下,参与衰老过程的形态和生理机制在没有任何其他临床或医学条件的情况下,在性功能障碍的发展中起着关键作用。

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