To fully understand the neurological impotence

To fully understand the neurological impotence This definition seems too long and too academic flavour, but it will help people better understand the neurological impotence in all forms of the basic mechanisms, namely coexist nerve pathology change caused nerve conduction function of damage and the type of nerve pathological changes is irrelevant. Lumbar intervertebral disc disease, 1978, multiple sclerosis, cross-sectional myelitis, diabetes, alcohol, spinal cord consumptive, peripheral neuropathy caused by such as impotence and accepted the pelvic radical surgery patients can't get the proper impotence of neural message to the penis sponge body smooth, and therefore cannot produce for penile erectile must the hemodynamic changes. One common reasons for diabetes is impotence, according to document report diabetes man often have peripheral neuropathy (especially legs, also involving pelvic and genital area), such as feeling drops or accompanied by pain, muscle weakness, skin and withering weak joints atrophic changes. However, impotence may also be the only symptoms of diabetes, they account for roughly around 12%. Impotence patients in the incidence of abnormal glucose tolerance test results than the normal population matched controls 2-3 times higher. If it happens, impotence drugs control again good also often can't correct impotence, especially impotence occurred in the former, diabetes diagnosis happen especially those patients. It is still not clear how many people in patients with diabetes, appear peripheral neuropathy. Generally think diabetes combined with neural pathological changes is the main pathogenic factors diabetes impotence, the diabetes patients in the consolidated impotence appear in the body and plant nerve lesions than the merger impotence, these patients have more see high percentages of people complained for too long hypotension and stand voiding difficulties (bladder volume increased), this often often hint neuropathy and the relationship between the impotence. Of course, leg of peripheral neuropathy is not often accompanied by erections, bowel and bladder function obstacle, and urine dynamics in normal men as many as 30 percent of people more than 800 milliliter bladder capacity, however, how long, duration of diabetes drug therapy, glycemic control quality with the incidence of impotence seems no obvious phase or stubborn degree sexual 9x. Diabetes patients often remain unchanged, but the sexual intercourse may be due to the failure and other psychological factors and idealized, this is often as chronic disease lifestyle changes the secondary consequences. Diabetic impotence is not pure organic factors, psychogenic factors also should not be ignored. Because diabetes is caused by lack of insulin and the endocrine disorders, so it will affect the body's metabolism and blood circulation system (such as causes atherosclerosis and accelerating small vascular lesions). This small vascular lesions with special effects to the eyes, kidneys, central and peripheral nervous system. So, that caused by diabetes erectile dysfunction is mainly neurological problems rather than endocrine problem. The incidence of diabetes impotence with age. Its incidence clinical course often occur, started to gradually reduce, then, hardness progressie worsening. Neurological impotence accounted for about 10 to 15 percent of the organic impotence. People used to think that the neurological impotence already exists only exist in the nervous system disorders, and because of concealment in patients with the impotence caused nerve pathology injury patients is extremely rare. For all patients in the penis creatures impotence was found after threshold measurement evaluation, in no obvious previously existing neural pathological changes of the impotence of patients with quite a number of people have felt back nerve damage penis. For these people make further neurophysiology examination confirmed their presence of neural degree differs pathologic changes. When patients with clinical doctors suspect there are nerve pathology change or screening tests should be implemented in abnormal selective excitation potential is determined. The significance of neurological tests to identify potential anomaly is neurological factors, the nature and the location of the lesions but generally it is difficult to determine the possibility of reversible and recovery. Ask for details of the history helps to find out what the potential of impotence neurogenic reasons, such as alcohol intake should be detailed records, because it could be back with the penis week nerve damage nerve iso-effect relevant; Contact industrial poison also may be peripheral neuropathy cause bladder dysfunction and rectum will also be pelvic plant nerve dysfunction important clues. From clinical perspective, neurological impotence and other forms of organic impotence and no obvious difference, therefore, it is difficult to simply try to distinguish them. Neuropathy properties and position is the most important: the spine trauma after the sudden onset, and more than impotence diabetic impotence criterion gradually occurred; Surgery will lead to cut off the basin nerve, but di inersus impotence pith over parts of the cancer erectile damage characteristics is to maintain time is short, erectile not fully, it makes the doctor put it, and venous leak sexual impotence confused; Involve the penis back neural afferent pathway injury patients will also appear serious feels obstacle, and pelvic radical surgery pelvic nerve injury occurred after the patients can keep a complete sense but function; Back with feeling nervous caused by defects of impotence or sexual intercourse is characterized of impotence, but patients can maintain normal erections of existing night, a syndrome erectile common not ejaculation. Tremors were measured using the penis creatures threshold somatosensory stimulate nerves and back test can confirm the penis potential of abnormal back neural afferent pathway, then confirm the diagnosis of back neural impotence.