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- W211076465 abstract "This chapter discusses the medical case of an impotent man. A 32-year-old man sought medical advice because of impotence. He had been married for 8 years and had two children aged 6 and 4 years. Previous sexual activity had been satisfactory. Two months before seeking advice, he had developed total failure of erection and ejaculation, but claimed that sexual desire was undiminished. On direct questioning, it was learnt that there were no morning erections and he had experienced frequency of micturition for 6 months and urgency for 2 months. On two or three occasions during the previous 6 months, he had noticed a tendency to constipation. He was a healthy male with no abnormality on general examination including the genitalia. Neurological examination revealed normal tone and power in all four limbs, but the tendon stretch reflexes were brisk. Impotence is commonly of psychological origin. The combination of impotence with bladder and bowel dysfunction suggests an organic neurological cause. Anatomically, this may be attributable to a lesion in the parasympathetic nerve supply to the bladder, bowel, and sexual organs, or secondary either to spinal cord, to cauda equina disease, or to an autonomic or generalized peripheral neuropathy." @default.
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- W211076465 date "1988-01-01" @default.
- W211076465 modified "2023-09-26" @default.
- W211076465 title "An impotent man" @default.
- W211076465 doi "https://doi.org/10.1016/b978-0-407-00544-0.50006-2" @default.
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