SHAHRYAR COHANZAD MD SexUrologist PARS HOSPITAL Tehran Iran
- Slides: 22
SHAHRYAR COHANZAD, MD Sex-Urologist PARS HOSPITAL Tehran -Iran Company LOGO
MALE SEXUAL DYSFUNCTION COMPANY LOGO
PREVALENCE • 52% 40 -70 YEARS OF AGE • 10 MILLION AMERICAN MEN COMPANY LOGO
MALE SEXUAL FUNCTION DEPENDS ON AN INTACT: • • • 1 -NERVOUS SYSTEM 2 -CARDIOVASCULAR SYSTEM 3 -ENDOCRINOLOGICAL SYSTEM 4 -GENITAL &REPRODUCTIVE SYSTEM 5 -PSYCHOLOGIC-PERSONALITY SYSTEM COMPANY LOGO
DEFINITION Lack of ability to achieve or maintain erection with sufficient rigidity for completing a satisfactory sexual life COMPANY LOGO
PENILE VASCULATURE ARTERIAL COMPONENT • Internal Iliac Artery • Internal Pudendal Artery A- Pelvic B- Ischiorectal C- Gluteal D-Perineal COMPANY LOGO
VENOUS VASCULAURE COMPONENT • Superfacial Plexus/ drains to Saphenous Vein • Intermediate Plexus/ Periprostetic plexus • Deep Plexus / Internal Iliac COMPANY LOGO
ANATOMY OF ERECTIN & DETUMESCENCE COMPANY LOGO
PENILE VASCULATURE VENOUS COMPONENT COMPANY LOGO
INNERVATION COMPANY LOGO
VEO-OCCLUSIVE MECHANISM COMPANY LOGO
GENERAL QUOT • ERECTION IS A PURE PARASYMPATHETIC EVENT • EJACULATION IS TOTALLY SYPATHETIC IN ORIGIN COMPANY LOGO
HORMONES OTHER THAN TESTOSTERONE ESTROGEN etc… • 1 -VIP-VASOACTIVE INTESTINAL PRPTIDE • 2 -ENDOTHELIAL DERIVED RELEASING FACTOR • 3 - PROSTAGLANDINS(PGE 1/PGF 2 -Alpha) COMPANY LOGO
MECHANISM ICVR Decrease Many-fold increase in AS Venoocclusive mechanism COMPANY LOGO
VENO-OCCLUSIVE MECHANISM • ANATOMICAL-FUNCTIONAL APPARATUS • NOBLE- PRIZE-WINNING DISCOVERY • INTRA-CAVERNOSAL PRESURE INCREASE WITHOUT ELEVATION IN SYSTEMIC BLOOD PRESURE (TOM-FLUE) • SMOOTH MUSCLE RELAXATION PRECEDED BY NITRIC OXIDE RELEASE COMPANY LOGO
NITRIC OXIDE • NO RELEASE LEADS TO AN INCREASE TO c. GMP (VIP, EDRF& etc) GIVING RISE TO SMOOTH MUSCLE RELAXATION COMPANY LOGO
ULTIMATE GAIN • AFFERENT COMPONENT PREDOMINANCE UPON EFFERENT COUNTERPART COMPANY LOGO
ETIOLOGY AT A GLANCE COMPANY LOGO
THE ROLE OF DOPAMONE, OXITOCIN & NITRIC OXIDE COMPANY LOGO
INCRIMINATED DRUGS COMPANY LOGO
ORGANIC CAUSES OF DISEASE RELATED ED COMPANY LOGO
COMPANY LOGO
- Hospital logo
- Pars tuberalis
- Pars distalis pars intermedia pars tuberalis
- Shahryar rumi
- Postgre serial
- باغ علم کودک
- Tehran conference apush
- دانشگاه دامپزشکی تهران
- Basal ganglia
- Pars plana pars plicata
- Zinn halkasından geçen yapılar
- Objective of hospital pharmacy
- Iran cat map
- Iot iran
- Ey anthem
- Kranj prebivalstvo
- Mosadek iran
- Castigo eterno
- Jessica hana
- Iran contra affair
- Razboiul iran irak
- I must go home to iran again
- What was iran known as before 1935