Mr. W was 23 years old and complained of the inability to achieve a 100% erection
Some young men think they should manifest the second phase of erection all the time, an obvious misunderstanding. However, in adults, this occurs only during masturbation or sexual intercourse. Teenagers, because of their high testosterone level and the sensitivity of the penis, tend to get this rock-hard erection more often. This is the rigid erection phase that normally occurs. At this point the penis is much harder and the pressure can go to several hundred mm Hg. This triggers the bulbo cavernous reflex that makes the muscle on the outside of the penis squeeze the base. Human erection has 2 phases: in the first phase the pressure is about 100 mm Hg, a little below the normal blood pressure of 120; the second phase occurs during masturbation or sexual intercourse when the penis is touched. Many young men think the penis should be rock hard at a moment's notice.
This typically happens with men in their late teens and early 20s. I have seen several similar cases. Diagnosis: normal erection, misunderstanding of erectile physiology. Mr. W stated that the erection produced by the injection was similar to his erections at home, but his erections used to be much harder. The erection lasted for about 40 minutes and gradually subsided.
This resulted in a 100% rigid erection, pointing about 45 degrees upward. A combined injection and stimulation test was performed with 10 jig of prostaglandin E,.
Interestingly, the patient also complained that he has no morning or night erections. A hormonal workup was within normal limits and a Rigiscan study (to check his sleep erections) revealed several episodes of normal erections lasting more than 30 minutes. Further medical examination found no abnormalities. While in college he rode a bicycle daily for about 4 years. He was otherwise healthy. He masturbated about 6 times a week and complained that his ejaculate 'looked like water.' He had no history of injury, was not married, and had no sexual partner. He stated that about 2 years ago he began to notice that his erection was not like it used to be. Another young man with a similar condition decided to write a book based on his experience so that others will not need to suffer as many years as he did.
To make the postage stamp test more accurate | Three additional tests are available | Knowing the history of problems with libido | Examination of the penis may yield a finding | This was both diagnostic and clinically | Diabetes mellitus is a disease of | Again, the importance of a very thorough history | Sometimes, the return to a normal testosterone | At present, there are oral medications | Soon after the surgery he fathered a child | Mr. W was 23 years old and complained | This form of testosterone replacement | Testosterone therapy is contraindicated | This kind of erection problem only requires | This results in their losing control | The experience in the mid-1980s was | Your ability to perform sexually is not a | The primary advantages of papaverine | One recent study reported systemic papaverine | PDE5 - an enzyme found in the penis | This translates into a cost increase combination | Depending on the dose required, the patient | Each of these agents has its advantages | The injection protocol has returned | The prescription refill rate for MUSE has | Even more rare is the patient who | There is no current way to evaluate, diagnose | In nature, these bones begin as a pair | It just gets too crowded to do cystoscopic | The pump, controlled by external squeezing | The three-piece American Medical | If the patient has Medicare or Blue
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