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PubMed1989

[Surgical therapy of impotence with implantation of a penile prosthesis. The psychological status of the impotent male].

The results of a psychological examination of 22 male patients which requested a penile prosthesis implantation are reported. The mean age was 47 years and the intelligence score of the patients was higher than the normal value. In a personal self-judgement they described oneself as stable, minimally neurotic and rather introverted personality. The test results were complicated by a high lie score. A great difference between the self-judgement and the ideal was established. The sexual anamnesis of the most patients was not striking out of the erectile dysfunction.

Adaptation, Psychological↗
PubMedDate not supplied

Chronic advanced liver disease and impotence: cause and effect?

The prevalence of impotence is increased in males who chronically abuse alcohol. Further, impotence may occur in the absence of liver disease in such men. In contrast, no data is available concerning the prevalence of impotence in nonalcoholic men with advanced liver disease. To investigate the relationship between alcohol and impotence in cirrhotic men, a self-administered questionnaire was completed by male alcoholic cirrhotics admitted to the medical service as well as by nonalcoholic cirrhotic liver transplant candidates admitted to the medical and surgical services of Presbyterian-University Hospital. Each participant was asked whether or not he had experienced impotence and if so, to report the frequency and duration of his impotence. The frequency of impotence was recorded on a weighted scale with four gradations: 4 = always; 3 = usually; 2 = sometimes; 1 = seldom. In addition, measures of hepatic injury and function as well as measures of the functional integrity of the hypothalamic-pituitary-gonadal axis for each subject evaluated were obtained. Fourteen of the 20 alcoholics with cirrhosis and 10 of the 40 nonalcoholic liver transplant candidates with cirrhosis reported a history of impotence. The association between impotence and alcohol abuse was significant. The impotence index developed by multiplying the frequency by the duration of impotency for each individual demonstrated a more severe degree of impotence in the alcoholics as compared to the nonalcoholics (p less than 0.01). The alcoholics also had lower plasma levels of testosterone and greater plasma levels of gonadotropins as compared to the nonalcoholics.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗