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Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
The review states that the condition affects 20% of men under the age of 30, 25% of men in their 30s, 40% of men in their 40s, 60% of men over the age of 50 and 80% of men after their 60th birthday.
Venous leak, also called venogenic erectile dysfunction and penile venous insufficiency, is one category of vasculogenic impotence — a cause of erectile dysfunction in males. [2] It affects all ages, being particularly awkward in young men. [ 3 ]
Both sexes experience reduced sexual desire after SCI, [31] and almost half of men and almost three quarters of women have trouble becoming psychologically aroused. [7] [11] Depression is the most common cause of problems with arousal in people with SCI. [55] People frequently experience grief and despair initially after the injury. [56]
Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity.
Shift workers, who split their days and nights or work entirely overnight, often experience chronic sexual dysfunction — and that applies to both men and women.
During sexual arousal, arterial blood flow to the clitoris is increased, and within the clitoris, the arteries further branch to supply the erectile tissues. The trabecular smooth muscles of the erectile tissue relax increasing blood flow to fill the vascular spaces, and expanding the erectile tissues until they are fully engorged with blood. [7]
Men who reported severe erectile dysfunction—difficulty getting and keeping an erection—improved 4.9 points on a scale of 6-30, with higher scores indicating better function.