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Penile Prosthesis Surgery

  • O. Kalejaiye
  • Amr Abdel Raheem
  • D. Ralph
Chapter

Abstract

Erectile dysfunction (ED) is the inability to attain and/or maintain an erection sufficient for sexual intercourse. Fifty percent of men aged 40–70 years will be affected by ED. This may result in a significant deterioration in their quality of life and relationships. It is often associated with conditions affecting vascular circulation such as diabetes mellitus, hyperlipidaemia, smoking, obesity and hypertension. However, it may also be due to conditions affecting nerve innervation (pelvic surgery) or smooth muscle. Montorsi et al. provided the first significant evidence linking ED with cardiovascular disease [1]. In their landmark paper, 50% with acute chest pain and proven coronary artery disease also reported ED. Subsequent studies have strengthened their findings and ED should now be considered to precede a cardiovascular event by 3–5 years [2–5]. The reduction of risk factors associated with vascular disease may improve erectile function [6]. The second large group of men who will experience ED are those undergoing pelvic surgery; this group is increasing in numbers every year.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • O. Kalejaiye
    • 2
    • 1
  • Amr Abdel Raheem
    • 1
    • 3
  • D. Ralph
    • 1
  1. 1.Department of UrologyUniversity College HospitalLondonUK
  2. 2.Department of AndrologyUniversity College LondonLondonUK
  3. 3.Department of AndrologyCairo UniversityCairoEgypt

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