What Are The Inspection And Diagnosis Methods Of Impotence?
Impotence is a word that gives many people a headache, so what exactly is impotence? Simply put, impotence is the most common male sexual dysfunction disease, so how judge whether you have Impotence, what can be checked to identify whether you have impotence?
The following is a detailed analysis of the inspection and diagnosis methods for impotence.
Impotence, also known as Erectile Dysfunction (abbreviated as ED internationally), refers to the failure of the penis to get an erection or the erection is not firm when there is a sexual desire, or although there is an erection with a certain degree of hardness, it cannot maintain enough time for sexual intercourse, thus hindering the erection of the penis. Intercourse or inability to complete intercourse. Impotence is divided into two types: congenital and pathological. The former is rare and difficult to cure; the latter is more common and has a high cure rate.
First: it can use the following checks:
1. Detailed medical history analysis: should include the following content: whether it develops gradually or suddenly, intermittently or continuously; penile erection at night; whether there has been a major mental shock; marital status. purpose. You should also ask what kind of drugs you have used, whether you have a history of trauma, whether you have diabetes or other chronic diseases, whether you have masturbation habits, smoking and drinking habits, whether you have undergone prostatectomy, sterilization or lower abdominal surgery, and whether you have chronic prostate cancer. Inflammation or seminal vesiculitis etc.
2. Physical examination: Attention should be paid to general manifestations, blood pressure, nutritional status, development of secondary sexual characteristics, gynecomastia, and milk supply. Pay attention to whether there are surgical scars, indirect inguinal hernia, etc. Should focus on checking the external genitalia, such as the size and shape of the penis, with or without phimosis, and with or without induration or curvature of the penis. If neurogenic erectile dysfunction is suspected, the bulbocavernosus muscle reflex time should be prolonged, and a urodynamic examination should be performed. Check anal sphincter tone, etc.
Second: it allows differential diagnosis:
1. Psychogenic erectile dysfunction
Also presents as erectile dysfunction. However, patients often have a history of trauma, homosexuality, marital discord or mental anxiety, depression, etc., and can have normal erections under certain circumstances, such as masturbation, sleep, or with another partner. Nocturnal erections are normal. Penile blood flow examination was normal.
2. Nervous erectile dysfunction
Erectile dysfunction refers to the destruction of the structural and functional integrity of the pudendal nerve pathway. When the peripheral nerve is injured, the physical examination can find that the anal digital reflex and cavernous muscle reflex are weakened or disappeared, and the reflex of penile erection is weakened and disappeared. Differential diagnoses can also be made with neuroelectrophysiological testing.
3. Arterial erectile dysfunction
It refers to erectile dysfunction caused by lesions or abnormalities in the arteries of the penis. The application of drug-induced penile duplex ultrasonography (PPDU) can understand the diameter of the cavernous artery, the maximum systolic flow velocity, and the blood flow acceleration.
The above are the relevant impotence examinations and the diagnosis and judgment based on specific conditions to determine whether you have impotence. If such symptoms appear, please consult the doctor in time and follow the doctor's instructions. You should also pay attention to healthy living habits. I wish you good health as soon as possible.