Thirty male patients were treated at Dhahran Health Center between and for organic impotence by surgical exploration and penile prosthesis implantation. The average patient age was 55 years with a range of years. An average follow up of 18 months. The symptoms of sexual dysfunction were of more than one year's duration. Preoperative evaluation included history and physical examination, hematological work-up, urine analysis, culture and sensitivity, hormonal assay, nocturnal penile tumescence and occasional psychiatric evaluation.
Other causes will be discussed. The average hospital stay was 5 days. Two Abu hamza wife sexual dysfunction had oversized prosthesis and one pair had to be removed in each patient but both had satisfactory intercourse with one pair only.
One patient had mechanical failure and one patient had infection of the skin and the glans penis. In conclusion, all patients were essentially satisfied with the results and we conclude that Abu hamza wife sexual dysfunction implant surgery is the ideal treatment for organic impotence in the properly selected patients and surgeons should avoid over dilation of the corpora cavernosa and should use a size smaller than the measured corpora and penile implant should not be the first choice of treatment for organic impotence.
Other procedures and manoeuvres should be attempted initially. There were no significant reported complications and there were encouraging results. In patients with organic impotence, intracorporeal Prostaglandin E1 pharmacotherapy is often accompanied by pain at the site of injection and through the subsequent induced erection. Twelve such patients who had previously experienced pain with intracorporeal Prostaglandin E1 injections were submitted to a double blind randomised cross-over study in order to comparatively evaluate the effects of intracorporeal Prostaglandin E1 alone and in combination of Lidocaine.
With Prostaglandin E1 monotherapy 20 ug We conclude that Lidocaine can be usefully combined with intracorporeal Prostaglandin E1 pharmacotherapy with alleviation of pain and enhancement of erectile effect. A retrospective study was Abu hamza wife sexual dysfunction to study the aetiology of impotence and the prevalence of the associated risk factors in Saudi males.
The study included Saudi male patients presenting with impotence in the period between to Their age ranged between 22 and 81 years, mean Arterial insufficiency and low serum testosterone were the most frequent diagnosis elicited in Old age, diabetes, smoking and cardiovascular disease were the most frequent encountered risk factors.
There was no statistical difference in the mean age of onset of impotence between diabetic and non-diabetic and also between smokes and non smokers. Control of diabetes, anti-smoking campaign and correction of hypogonadism may reduce the prevalence of impotence among Saudi males. Eighty-two patients with erectile dysfunction refractory to other treatment modalities were by surgical implantation of malleable penile prosthesis 69 patients and inflatable penile prosthesis 31 patients.
Their age ranged Abu hamza wife sexual dysfunction 23 and 71 years with a mean age of Sixty-three patients were followed between 6 and 91 months with a mean of Among these patients 51 received malleable and 12 received inflatable prosthesis was significantly higher than among patients with malleable prosthesis.
Peri-prosthetic infection occurred in 2 patients with inflatable prosthesis while no infection was reported among patients with malleable rods. Satisfaction with length and girth of the penis was much better among patients with malleable prosthesis. Concealment was not of much concern as the Thobe helps hiding in the permanently erect penis. Penile prosthesis implantation is an acceptable treatment modality among Saudi patient suffering from refractory impotence.
To evaluate the acceptance and satisfaction of Saudi patients with nonmedical treatment modalities of impotence including vasoactive intracavernous pharmacotherapy, external negative pressure device and penile prosthesis. The medical records of consecutive Saudi "Abu hamza wife sexual dysfunction" treated for impotence with nonmedical treatment modalities in the period betweenwere reviewed in a retrospective study.
Eighty-one male patients were enrolled in vasoactive intracavernous pharmacotherapy program. The main causes of dissatisfaction and drop out was lack of spontaneousity The main cause of dissatisfaction was poor erection Thirty-two patients had insertion of Penile Prosthesis The satisfaction rate after 6 months and 1 year postoperatively was The main cause of dissatisfaction was loss of prosthesis due to infection or extrusion in 2 patients 6.
Vasoactive intracavernous therapy had the highest acceptance rate among Saudi impotent patients while penile prosthesis had the lowest. However, the highest patient satisfaction rate is achieved with penile prosthesis followed by vasoactive intracavernous pharmacotherapy.
External negative pressure devises had poor acceptance and satisfaction among Saudi males. These results should be considered during counselling of impotent patients regarding their treatment options.
Erectile dysfunction is a common problem in male patients with end stage renal disease which is multifactorial. Twenty-three married kidney transplant male patients were studied regarding the change in their sexual activity after transplantation.
Their ages ranged between 23 and 66 years. All patients underwent hemodialysis before transplantation for periods ranging from 2 months to 8 years. They all had stable kidney function 7 to 85 months after transplantation. Twelve patients have received cadaveric, 5 living related and 6 living unrelated kidneys.