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Abstract

This last chapter will try to present recent research findings and address controversial ideas/subjects in the understanding of the neurophysiology of erection and the sexual dysfunctions/diseases that plague the SCI man.

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References

  1. Bell, A. P., Weinberg, M., and Hammersmith, S. K. (1981) Sexual Preference: Its development in Men and Women. 1st Ed. (Indiana University Press).

    Google Scholar 

  2. Benson, G. S., McConnell, J., and Schmidt, W. A. (1981) Penile polsters: Functional structures or atherosclerotic changes? J. Urol. 125, 800–804.

    PubMed  CAS  Google Scholar 

  3. Benson, G. S., Lipshultz, L. I., and McConnell, J. (1981) Mechanism of erection and emission: Current laboratory approach, in Sexual Rehabilitation of the Urologic Cancer Patient, (von Eschenback A. C. and Rodriguez, D. B., eds.) Ch. 6 (G. K. Hall Medical Publishers, Boston).

    Google Scholar 

  4. Brinkley, G. (1983) Physiology of erection and ejaculation. Presented at the 78th American Urological Association Meeting, Las Vegas, NE. April 17–21.

    Google Scholar 

  5. J. Carlsson, C. A. and Sundin, T. (1980) Reconstruction of afferent and efferent nervous pathways to the urinary bladder in two paraplegic patients. Spine. 5, 37–41.

    Article  Google Scholar 

  6. Conti, G. (1952) L’erection du penis humain et ses bases morphologicovasculaires. Acta Anat (Basel) 14, 217–221.

    Article  CAS  Google Scholar 

  7. Dawson, E. G., Harris, W. A., and McGanity, W. J. (1983) Vit. C. increases sperm vigor and fertility by unclumping action. Urology Times. 11:1 and 12.

    Google Scholar 

  8. de Manizelli, L. (1983) Cellular surgery for nerve anastomosis in rats. Physician’s Radio Network, News Conference.

    Google Scholar 

  9. Deysach, L. J. (1939) The comparative morphology of the erectile tissue of the penis with especial emphasis on the probable mechanism of erection. Am. J. Anat. 64, 111–120.

    Article  Google Scholar 

  10. Domer, F. R., Wessler, G., Brown, R. L. (1978) Involvement of the sympathetic nervous system in urinary bladder internal sphincter and in penile erection in the anesthetized cat. Invest. Uro. 15, 404–412.

    CAS  Google Scholar 

  11. Dörner, G. (1979) Hormones and sexual differentiation of the brain, in Sex Hormones and Behavior. Ciba Found Symp. 81–101 (Excerpta Medica, Amsterdam).

    Google Scholar 

  12. Dua, S. and MacLean, P. D. (1964) Localization for penile erection in medial frontal lobe. Am. J. Physiol. 207, 1425–1430.

    PubMed  CAS  Google Scholar 

  13. Edwards, A. E. and Husted, J. R. (1976) Penile sensitivity, age, and sexual behavior. J. Clin. Psychol. 32, 697–702.

    Article  PubMed  CAS  Google Scholar 

  14. Finney, R. P. (1983) New totally intrapenile inflatable prostheses for impotence. Presented at the 78th American Urological Asso. Meeting, Las Vegas, NE. April 17–21.

    Google Scholar 

  15. Fisher, C. Schiavi, R., Lear, H. et al. (1975) The assessment of nocturnal REM erection in the differential diagnosis of sexual impotence. J. Sex. Marital Ther. 1, 277–281.

    Article  PubMed  CAS  Google Scholar 

  16. GU, J., Polak, J. M., Probert, L., Islam, K. N., Marangos, P. J. Mina, J. (1983) Peptidergic innervation of human male genital tract. J. J. Jrol. 130, 386–391.

    CAS  Google Scholar 

  17. Guttman, L. and Walsh, J. J. (1971) Prostigmin assessment test of fertility in spinal man. Paraplegia 9, 39–45.

    Article  Google Scholar 

  18. Herman, M. (1951) Role of somesthetic stimuli in the development of sexual excitation in man. Arch. Neurol. Psychiatr. 64, 42–47.

    Article  Google Scholar 

  19. Karacan, I. (1970) Clinical value of nocturnal erections in the prognosis and diagnosis of impotence. Med. Aspects Human Sex. 10, 22–34.

    Google Scholar 

  20. Karacan, I., Hursch, C. J., and Williams, R. L. (1972) Some characteristics of nocturnal penile tumescence in elderly males. J. Geron. 27, 39–45.

    Article  CAS  Google Scholar 

  21. Karacan, I., Williams, R. L., and Thornby, J. I. (1975) Sleep-related penile tumescence as a function of age. Am. J. Psychiatr. 132, 932–937.

    PubMed  CAS  Google Scholar 

  22. Karczmar, A. G. (1980) Drugs, transmitters and hormones and mating behavior, in Modern Problems of Pharmacopsychiatry. Drug treatment of Sexual Dysfunction, Ban, T. A. and Freyhan, F. A., eds. Ch 1, p. 1–52 (S. Karger, Basel).

    Google Scholar 

  23. Khan, Z. and Choi, C. J. (1983) Acupuncture and Urinary Incontinence. Presented at the Urodynamic Society. American Urological Asso. Meeting, Las Vegas, NE. April 17–22.

    Google Scholar 

  24. Leyson, J. F. J. (1982) Urodynamic profiles in patients with respiratory pacemakers. Phil. Am. Med. Bull. 22, 4–6.

    Google Scholar 

  25. Leyson, J. F. J. (1982) A treatise of human sexuality. Silver Jubilee Alumni Asso. Meeting: Update in Medicine. Cebu Institute of Medicine, Cebu City, Phil. June 10–12.

    Google Scholar 

  26. Leyson, J. F. J. and Powell, R. (1982) Comparative study of two noctur-nal penile tumescence monitors. J. Med. Society N.J. 79, 647–650.

    CAS  Google Scholar 

  27. Lipshultz, L. I., McConnell, J., and Benson, G. S. (1981) Current concepts of the mechanisms of ejaculation: normal and abnormal states. J. Reprod. Med. 26, 499–505.

    PubMed  CAS  Google Scholar 

  28. Lowry, T. P. and Williams, G. R. (1983) Brachioproctic eroticism. J. Sex Ed. Therapy. 9, 50–52.

    Google Scholar 

  29. Lue, T. F., Schmidt, R. A., and Tanagho, E. (1983) Hemodynamics of erection and clinical implications. Presented at the 78th American Urological Asso. Las Vegas, NE. April 17–21.

    Google Scholar 

  30. MacLean, P. D. (1975) Brain mechanism of primal sexual functions and related behavior, in Sandier and Gessa Sexual Behavior: Pharmacology and Biochemistry, pp. 1–11 (Raven, New York).

    Google Scholar 

  31. MacLean, P. D., Denniston, R. H., and Dua, S. (1963) Further studies on cerebral representation of penile erection: caudal thalanius, midbrain and pons. J. Neurophysiol. 26, 273–293.

    Google Scholar 

  32. Meyer, J. J., Godec, C. J., Kern, A., and Cass, A. S. (1982) The use of vibratory stimuli evaluation of erectile dysfunction. Presented at the 77th American Urological Asso. Meeting, Kansas City, MO. May 16–20.

    Google Scholar 

  33. Newman, H. F. and Northup. J. D. (1983) Problems of male organic sexual physiology. Urol. J. 21, 443–450.

    Article  CAS  Google Scholar 

  34. Olds, J. and Olds, M. E. (1965) Drives, rewards and the brain; in Barrow New Directions in Psychology, Vol. 2, pp. 327–410 (Holt, Rinehart and Winston, New York).

    Google Scholar 

  35. Peckham, P. H. (1983) Technical advances in upper limb rehabilitation. Presented at the 29th American Paraplegia Society Meeting, Las Vegas, NE. August 22–24.

    Google Scholar 

  36. Perkash, I. (1983) Electro-ejaculation in spinal cord injury patients. Presented at the 29th American Paraplegia Society Meeting, Las Vegas, NE. August 22–24.

    Google Scholar 

  37. Rodgers, C. H. and Law, O. T. (1967) The effects of habenular and medial forebrain bundle lesions on sexual behavior. Psychonom. Sci. 8, 1–2.

    Google Scholar 

  38. Schoenfeld, C. Y., Amelar, R. D., and Dubin, L. (1975) Stimulation of ejaculated human spermatozoa by caffeine. Fertil. Steril. 26, 158–163.

    PubMed  CAS  Google Scholar 

  39. Schmidt, R. S. (1974) Neural correlates of frog calling. J. Comp. Physiol. 92, 229–254.

    Article  Google Scholar 

  40. Scott, B. F. (1983) Experience in a new inflatable penile prosthesis. Presented at the 78th American Urological Asso. Meeting, Las Vegas, NE. April 17–21.

    Google Scholar 

  41. Tanagho, E. (1983) The role of electrostimulation in neurogenic bladder rehabilitation. Presented at the 29th American Paraplegia Society Meeting, Las Vegas, NE. August 22–24.

    Google Scholar 

  42. Thomas, A. J. (1983) Ejaculatory dysfunction: Modern Trends. Fertil. Steril. 39, 445–454.

    PubMed  Google Scholar 

  43. Van Arsdalen, K. N., Malloy, T. R., and Wein, A. J. (1983) Erectile physiology, dysfunction and evaluation. Part I: Physiology of erection. Monogr. in Urol. 4, 137–154.

    Google Scholar 

  44. Van Arsdalen, K. N., Malloy, T. R., and Wein, A. J. (1983) Erectile physiology, dysfunction and evaluation. Part II: Etiology and evaluation of erectile dysfunction. Monographs in Urology 4, 165–185.

    Google Scholar 

  45. Virag, R. (1983) Papaverine for impotence. The Lancet p. 938. Oct. 23.

    Google Scholar 

  46. Wagner, G. (1981) Erection, physiology and endocrinology, in Wagner, G., Green, R.(eds.): Impotence. Physiological, Psychological, Surgical Diagnosis and Treatment Chapter 2, (Wagner, G. and Green, R., eds.) (Plenum, New York).

    Google Scholar 

  47. Weiss, H. D. (1972) The physiology of human penile erection. Ann. Intern. Med. 76, 785–793.

    Google Scholar 

  48. Witkin, S. S. and Sonnabend, J. (1983) Immune responses to spermatozoa in homosexual men. Fertil, and Steril. 38, 337–341.

    Google Scholar 

  49. Zoler, M. L. (1983) Dementia vs “the brain energizer”. New frontiers of research. Geriatrics. 38, 107–117.

    Google Scholar 

  50. Fournier, G. and Lue, T. (1988) Vasculogenic Impotence: Physiology, Diagnoses and Treatment in Monographs in Urology, Stamey, R. ed. 9, 20–31.

    Google Scholar 

  51. 57._Valji, K. and Bookstein, J. (1987) The veno-occulsive mechanisms of the canine corpus cavernosum. Angiographic and pharmacologic studies. J. Urol. 138, 1467–1470.

    PubMed  CAS  Google Scholar 

  52. 56._Hedlund, H., Anderson, K., Fovaeus, M., Holmquist, F. and Uski, T. (1989) Characterization of contraction-mediating prostanoid receptors in human penile erectile tissues. J. Urol. 141, 182–186.

    PubMed  CAS  Google Scholar 

  53. 55._Leyson, J. F. and Cytyrn, A. (1989) Comparative study between vacuum constrictor devices and chemoerection in the management of impotence in SCI men. Presented at the Annual Meeting of the American Paraplegia Society. April 5–7, Las Vegas, NE.

    Google Scholar 

  54. 54._Bradley, W. E., Timm, G. W., Gallagher, J. M. and Johnson, B. K. (1985) New method for continuous measurement of nocturnal penile tumescence and rigidity: J. Urol. 26, 4–9.

    Article  CAS  Google Scholar 

  55. 55._Leyson, J. F. J. and Cytyrn, A. (1987) Effects of transdermal and intrapenile application of vasoactive drugs in the management of impotence in neurologically impaired men. Presented at the American Spinal Injury Association, March 20–22, Boston, MA.

    Google Scholar 

  56. 56._Leyson, J. F. J. (1987) Medical options in the management of impotence in the neurologically impaired men. Presented at the meeting of the American Assoc. of Sex Educators, Counsellors and Therapists. April 30-May 3, New York City, New York.

    Google Scholar 

  57. 57._Leyson, J. F. J. (1987) Comparative study between oral and intrapenile vasoactive drugs in the management of impotence in neurologically impaired patients. Presented at the American Urological Association Meeting, May 17–23, Anaheim, CA.

    Google Scholar 

  58. 58._Cahill, B. E., Ross, E. V., Pielet, R. W., Rice, J. C., Lewis, R. W. and Kerstein, M. D. (1988) Measurement of impotence by laser doppler flowmetry and conventional methodology. J. Urol. 140, 749–750.

    PubMed  CAS  Google Scholar 

  59. 59._Abber, J. C., Lue, T. F., Orvis, B. R., McClure, R. D. and Williams, R. D. (1986) Diagnostic tests for impotence. A comparison of papaverine injection with the penile brachial index and nocturnal penile tumescence monitoring. J. Urol. 135, 923–925.

    PubMed  CAS  Google Scholar 

  60. 60._Wespes, E., Delcour, C., Rondeux, C., Struyven, J. and Schulman, C. (1987) The erectile angle: Objective criterion to evaluate the papaverine test in impotence. J. Urol. 138, 1171–1173.

    PubMed  CAS  Google Scholar 

  61. 61._Leyson, J. F. J. (1985) Medical management of impotence in spinal cord injury. Presented at the American Spinal Cord Injury Assoc. Meeting. April 15–17, Atlanta, GA.

    Google Scholar 

  62. 62._Witherington, R. (1989) Vacuum constriction devices for management of erectile impotence. J. Urol. 141, 320–322.

    PubMed  CAS  Google Scholar 

  63. 63._Ishii, N., Watanabe, H., Irisawa, C., Kikuchi, Y., Kubota, Y., Kawamura, S., Suzuki, K., Chiba, R., Tokiwa, M. and Shirai, M. (1989) Intracavernous injection of prostaglandin El for the treatment of erectile impotence. J. Urol. 414, 323–325.

    Google Scholar 

  64. 64._Malloy, T. (1986) VIP: Neurotransmitter self-injection useful for impotence treatment. Urology Times. 14–35, Sept.

    Google Scholar 

  65. 65._Sayer, J. and Parson, C. L. (1988) Successful treatment of priapism with intracorporeal epinephrine. J. Urol. 140, 827.

    PubMed  CAS  Google Scholar 

  66. 66._Fuchs, M. E. and Brawer, M. K. (1989) Papaverine-induced fibrosis of the corpus cavernosum. J. Urol. 141, 125.

    PubMed  CAS  Google Scholar 

  67. 67._Kuznar, W. (1987) New treatment in impotence shows hope. Urology Times. 14, I, II, Jan.

    Google Scholar 

  68. 68._Bookstein, J. (1989) Catheter now being used in a non-surgical impotence cure. Urology Times. 17, 1, 12 Feb.

    Google Scholar 

  69. 69._Leyson, J. F. and Cytyrn, A. (1986) Medical and electrical stimulations in the treatment of impotence in SCI men. Presented at the American Spinal Injury Association Meeting, March 13–15, San Francisco, CA.

    Google Scholar 

  70. 70._Hashmat, A. (1985) Transurethral nervi-erigentes stimulation in dogs (penile tunes). Presented at the American Urological Association Meeting. May 12–16, Atlanta, GA.

    Google Scholar 

  71. 71._Levin, R. M., Clayton, R. G., Singer, M., Strong, G., Brenman, H. S., Katz, P. and Wein, A. J. (1985) Rectal stimulation of erection in macaca fascicularis primates. Presented at the American Urological Association Meeting. May 12–16, Atlanta, GA.

    Google Scholar 

  72. 72._Park, Y., Esa, A., Sugiyama, T., Kaneko, S. and Kurita, T. (1988) Sympathetic skin response: A new test to diagnose ejaculatory dysfunction. J. Uml. 139, 539–541.

    CAS  Google Scholar 

  73. 73._Lessing, J. B. (1986) Sperm motility may be increased by use of relaxin human treatment. J. Reprod. Med. 31, 304–309, May.

    PubMed  CAS  Google Scholar 

  74. 74._Yamamoto, M., Hashimoto, J., Takaba, H. and Migake, K. (1987) Response of the isolated human semimiferous tubule to prostaglandins, Fla, F2a, El and E2. J. Urol. 137, 345–348.

    PubMed  CAS  Google Scholar 

  75. 75._Meyer, A. A. (1986) AIDS: The disease and its relevance to surgeons. American College of Surgeons Bulletin. 31, 11–16.

    Google Scholar 

  76. 76._Morrison, A. (1988) HIV may be 200 years old. Infection Report. Oncology and Biotechnology News. 2, 22, Sept.

    Google Scholar 

  77. 77._AIDS Today (1989), Infectious Disease Today. 1, 14, Jan.

    Google Scholar 

  78. 78._Slim, J. (1987) Highlights in the 3rd International Conference in AIDS. Washington, DC, June 1-5, 1987. Med. Human of Sexual Sexuality. 2, 8, July.

    Google Scholar 

  79. 79._Kloser, P. (1988) AIDS news. Medical Aspects of Human Sexuality. 22, 15–17, August.

    Google Scholar 

  80. 80._Dobs, A. S. and Dempsey, M. A. (1988) Endocrine disorders in men infected with Human immunodeficiency virus. Am. J. Med. 84, 611–616, March.

    Article  PubMed  CAS  Google Scholar 

  81. 87._Leyson, J. F. (1988) Diagnoses and management of impotence in AIDS patients. Presented at the Society for Sex Therapy and Research Meeting, March 17–20, New York City, New York.

    Google Scholar 

  82. 82._Leyson, J. F. (1988) Future options in impotence management. Presented at the American College of Surgeons Meeting, New Jersey Chapter. Dec. 2–4, Asbury Park, New Jersey.

    Google Scholar 

  83. 83._Leyson, J. F. J. (1988) Update in Sexual Medicine. Presented at the Annual Winter Meeting, Association of Phil. Physicians in American and Philippines Med. Asso. Dec. 13–18, Manila, Philippines.

    Google Scholar 

  84. 84._Leyson, J. F. (1990) Diagnosis and Management of Impotence in Neurologically Impaired Men in 2000 A.D. Presented at the Annual Meeting of the American Association of Sex Educators, Counselors and Therapists. Feb. 16–19, Arlington, VA.

    Google Scholar 

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Leyson, J.F.J. (1991). Controversies and Research in Male Sexuality. In: Leyson, J.F.J. (eds) Sexual Rehabilitation of the Spinal-Cord-Injured Patient. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0467-1_36

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  • DOI: https://doi.org/10.1007/978-1-4612-0467-1_36

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-0-89603-145-6

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