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| osography measurement of the va-scular pressure in the corpus cavernosum. Saline is infused under pressure into t 4he corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an e-tion indica tes the degree of venous leakage. The leaking veins responsible may b tmue4 e visualised by infusing a mixture of saline and x ra-y co tmue4 ntrast mediu ue4 m and performing a cavernosog In D e4igital Subtraction Angiography, the image ction or impotence is a dys tion cha tmue4 racterized by the inability to develop or maintain an ereon of the penis. There are various underlying causes, such as damage to the nervi erigentes wh ich prevents or delays ereion, or diabetes as well as e4cardiovasc ltmue4 ular dise-ase, which simply decrease s blood flow to the tissue in 4 the penis, many of which are medically reversible. l stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the l atter uses the l ue4 imbic system of the tmue4 brain. In both conditions, an intact neural system is required for can often be helped by almost anything that the pati ue4 ent believes in; there is ue4 very strong placebo eff ect. Physical damage is much more severe. One leading physical cause of Ec ltmue4 ulDc ltmue4 ul is continual or severe da-mag e taken to the nervi e ue4 rigentes. These nerves course beside the prostate arising from the sacral plexus and can be dam tmue4 aged in pro-static and c e4olorectal su 4rgeries. ses are also common causes of e-tile n ue4 al; especially in men. Dch as cardiovas cular disease, multiple sclerosis, kidney failure, vascular disease and spinal cord injury are the source Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo ue4 for a long time, an d is the subject of m e4introduction of perhaps the first pharmacoive remedy for impote nce, sildenafil in tcaused a wave of public atte 4ntion, propelled in part by the hin tmue4 ess of stories about it and heavy advertising. It is estimated that a million men in the Un e4ited States anlion men worldwide c ltmue4 ulsuffer from .However, s ocial low health literacy and social taboos lead to under report hich makes an accurate prev determ |
