Disorders of the erectile component of the copulatory cycle

Disorders of the erectile component of the copulatory cycle are less common in disorders of other components and are observed in diseases of the spinal cord, the cauda equina and anatomically associated extra-spinal sections, as well as the cavernous warmth of the penis (often vascular, less traumatic, inflammatory, toxic or associated origin, as in induratio Penis plastica).

Diagnosis is based on the presence of a combination of parallel reduction of both spontaneous and adequate erections with local (focal) symptoms of spinal cord injury or vascular apparatus of the penis (confirmed by endourethral thermometry, measurement of penial arterial pressure, intensity of local blood flow, rheophallography, phallopletisimography and invasive roentgenography of major vessels And cavernous bodies of the penis).

Treatment. Vascular forms use various methods of angiosurgery (aimed at increasing arterial influx or limiting venous outflow) or implanting internal prostheses. In the initial stages of moderately expressed local vascular insufficiency, it is possible to achieve functional stabilization by timely application of pneumomassage by means of LD (local decompression). With spinal forms in an acute period, surgical intervention may be required - a laminectomy to remove a tumor or perform meningoradiculolysis; in the period of stabilization, along with general rehabilitation measures (self-service training, self-movement, etc.) - local physiotherapy and medication (mud rectal tampons, Segmental massage, acupuncture, endoluminal or endosacral injections of proserino-strychnine mixture), sexual reeducation (training in the methods of mechanical stimulation of erogenous zones in optimal rhythm and finding the most convenient positions for the sexual intercourse), in some cases, the use of removable prostheses (erectors).

Impotence - the inability of a man to perform sexual intercourse or ensure the achievement of sexual satisfaction with a partner The development of impotence is most often due to impaired erection (its weakening), ejaculation (acceleration or delay), and a decrease in sexual desire. The term "impotence" in modern sexological literature is out of use. This is due to both its uncertainty (it denotes a very wide range of disorders - from infertility to various forms of sexual disharmony), and its use in various ways (as a symptom, a syndrome and even a nosological form).