Male Anatomy and Physiology

  • Mindy Aisen
  • Alex Kirschenbaum
Chapter
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

Sexual health requires the interaction of the intact vascular and neurologic pathways that supply the male genitalia. Equally important are an appropriate psychological state, adequate levels of testosterone and its metabolites, and anatomically intact penile structures. The physiological changes occurring during sexual activity include vascular congestion and changes in muscle tone. Vasocongestive changes are caused by parasympathetic and sympathetic activity and changes in muscle tension to sympathetic and somatic innervation.

Keywords

Adenoma Testosterone Prolactin Haloperidol Infertility 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brackett NL, Bloch WE, Abae M. Neurological anatomy and physiology of sexual function. In: Singer C, Weiner WJ (eds.), Sexual Dysfunction: a Neuro-Medical Approach. Armonk, NY: Futura, 1994, pp. 1–44.Google Scholar
  2. 2.
    Smith EM, Bodner DR. Sexual dysfunction after spinal cord injury. Urol. Clin. of North Am. 1993; 20: 535–548.Google Scholar
  3. 3.
    Krane RJ, Goldstein I, Saenz de Tejuda I. Impotence. N. Engl. J. Med. 1989; 321: 1648.PubMedCrossRefGoogle Scholar
  4. 4.
    Tanagho EA, Lue TF, McClure RD. Contemporary management of impotence and infertility. In: deGroot WC, Steers WD (eds.), Neuroanatomy and Neurophysiology of Penile Erection. Baltimore, MD: Williams and Wilkins, 1988.Google Scholar
  5. 5.
    Trabulcy E. Sexual function in the normal and in paraplegia. Paraplegia 1979; 10: 201.CrossRefGoogle Scholar
  6. 6.
    Crenshaw TL, Goldberg JP: Vasodilators: papaverine, alpha blockers, vasoactive intestinal peptide, topical vasodilators. In: Sexual Pharmacology. New York: WW Norton, 1996, pp. 443–458.Google Scholar
  7. 7.
    Levine LA, Lenting EL. Use of nocturnal penile tumescence and rigidity in the evaluation of male erectile dysfunction. Urol. Clin. of North Am. 1995; 22: 775–788.Google Scholar
  8. 8.
    Morales A, Condra M, Reid K. The role of nocturnal penile tumescence monitoring in the diagnosis of impotence: a review. J. Urol. 1990; 143: 441–445.PubMedGoogle Scholar
  9. 9.
    Michal V, Kramar R, Pospichal J. Arterial epigasatric cavernous anastomosis for the treatment of sexual impotence. World J. Surg. 1977; 1: 515.PubMedCrossRefGoogle Scholar
  10. 10.
    Brindley GS. Cavernosal alpha-blockade: a new technique for investigating and treating erectile impotence. Brit. J. Psychiatry 1983; 143: 332–337.CrossRefGoogle Scholar
  11. 11.
    Stacks W, Hasun R, Marberger M, The use of prostaglandin Ei for diagnosis and treatment of erectile dysfunction. World J. Urol. 1990; 8: 84–86.CrossRefGoogle Scholar
  12. 12.
    Montorsi F, Guazzoni G, Bergamaschi F, Orlandini A, Da Pozzo L, Barbieri L, Rigatti P. Intracavernous vasoactive pharmacotherapy: the impact of a new self-injection device. J. Urol. 1993; 150: 1829–1832.PubMedGoogle Scholar
  13. 13.
    Masters WH, Johnson VE. Premature ejaculation. In: Masters WH, Johnson VE (eds.), Human Sexual Inadequacy. Boston, MA: Little Brown, 1970, pp. 92–115.Google Scholar
  14. 14.
    Singer C. Erectile and ejaculatory disturbances: overview of diagnosis and treatment. In: Singer C, Weiner WJ (eds.): Sexual Dysfunction: a Neuro-Medical Approach. Armonk, NY: Futura, 1994, pp. 45–59.Google Scholar
  15. 15.
    Glezerman M, Lunenfeld B, Potashnik G, Oelsner G, Beer R. Retrograde ejaculation: pathophysiologic aspects and report of two successfully treated cases. Fertil. Steril. 1976; 27: 796–800.PubMedGoogle Scholar
  16. 16.
    Crich JP, Jequier AM. Infertility in men with retrograde ejaculation: the action of urine on sperm motility, and a simple method for achieving anterograde ejaculation. Fertil. Steril. 1978; 30: 572–576.PubMedGoogle Scholar
  17. 17.
    Beckerman H, Becher J, Lankhorst GJ. The effectiveness of vibratory stimulation in an ejaculatory men with spinal cord injury. Review article. Paraplegia 1993; 31: 689–699.PubMedCrossRefGoogle Scholar
  18. 18.
    Brindley GS. Reflex ejaculation: its technique, neurological implications and uses. J. Neurol. Neurosurg. Psychiatry 1981; 44: 9–18.PubMedCrossRefGoogle Scholar
  19. 19.
    Bennett CJ, Seager SW, Vasher EA, McGuire EJ. Sexual dysfunction and electroejaculation in men with spinal cord injury: review. J. Urol. 1987; 139: 453–457.Google Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Mindy Aisen
  • Alex Kirschenbaum

There are no affiliations available

Personalised recommendations