16
Nov 10
Disfuzione erettile
Classificazione
La Disfunzione Erettile (DE) può essere classificata dal punto di vista fisiopatologico in tre gruppi
1. Psicogena (30 -40% dei casi): non è ben chiaro come i fattori psicologici possano essere responsabili di un DE anche se si ritiene che in alcuni casi, come quelli legati all’ansia da prestazione, vi possa essere una iperattività del sist nervoso simpatico che determina un aumento del tono della muscolatura liscia cavernosa e quindi il mantenimento dello stato di flaccidità del pene.
2. Organica (60-70%)
3. Mista:spesso in realtà può essere difficile riconoscere una netta distinzione tra forme organiche e psicogene; è comune infatti che su malattie organiche di base si vadano a sovrapporre fattori di tipo psicologico, dando così origine al quadro di DE misto
Fattori Psicologici
- ANSIA DA PRESTAZIONE
- STILE DI VITA
- CONFLITTI FAMIGLIARI
- CONFLITTI RELAZIONALI
- INFEDELTÀ ECC ECC.
Fattori Vascolari:le stenosi arteriose sia dei grossi vasi ( aorta o vasi iliaci) che della pudenda e delle sue diramazioni possono essere responsabili di un ipoafflusso arterioso. L’ipoafflusso determinerebbe inoltre una ischemia relativa dei corpi cavernosi e conseguentemente la perdita del meccanismo veno-occlusivo.
L’iperdeflusso venoso (fuga venosa) si verifica in tutte quelle circostanze in cui il meccanismo veno-occlusivo viene meno (disfunzione della muscolatura liscia o anomalia della tunica albuginea). Questo può essere dovuto a difetti congeniti, o più frequentemente acquisiti (diabete, ipercolesterolemia, m.di LaPeyronie,traumi penieni, chirurgia peniena)
Fattori Neurogeni:le cause più frequenti sono le lesioni degenerative del SNC (sclerosi multipla, Parkinson, Alzheimer),e i traumi del MS, anche se erezioni riflesse (stimolazione manuale) possono ancora essere presenti in caso di lesioni alte(toraciche). La neuropatia diabetica (assieme alla vasculopatia diabetica) è una causa frequente di DE. Lesioni nervose a carico del plesso pudendo, dei nervi pudendi o cavernosi possono essere secondarie a interventi chirurgici quali la prostatectomia radicale, la cistectomia radicale, la resezione anteriore del retto.
Fattori Endocrini : ipogonadismi, iperprolattinemia
Fattori Dismetabolici :diabete, epatopatie croniche, insufficienza renale cronica
Farmaci: beta-bloccanti, diuretici tiazidici, antidepressivi triciclici, benzodiazepine, antiandrogeni, analoghi LHRH
F*ckin’ tremendous things here.I’m very glad to see your post.Thanks a lot and i’m looking forward to contact you.Will you kindly drop me a e-mail?
What’s Happening i’m new to this, I stumbled upon this I’ve found It absolutely helpful and it has helped me out loads.I hope to contribute & aid other users like its aided me.Good job
Heya i am for the first time here.I came across this board and I find It really useful & it helped me out much.I hope to give something back and aid others like you aided me
hello!,I like your writing very much! share we communicate more about your article on AOL? I need an expert on this area to solve my problem.Maybe that’s you! Looking forward to see you.
I’ve just lately began a blog, the knowledge you present on this website has helped me tremendously. Thanks for your entire time & work.
I’ve lately started a weblog, the knowledge you present on this web site has helped me tremendously. Thanks for all your time & work.
Thanks a lot for sharing this with all of us you really know what you’re talking about! Bookmarked.Kindly also visit my web site =).We could have a link exchange agreement between us!
I’ve read several good stuff here.Certainly worth bookmarking for revisiting.I wonder how much effort you put to make such a wonderful informative web site
My neighbor and I had been simply debating this particular subject, he is often searching for to show me incorrect. Your view on that is nice and precisely how I actually feel. I simply now mailed him this web site to indicate him your personal view. After wanting over your web site I e book marked and can be coming again to learn your new posts!
I don’t even know how I ended up here, but I thought this post was great.I do not know who you are but definitely you’re going to a famous blogger if you are not already
Cheers!
I have to admit that i generally get bored to read the entire thing however i feel you may add some value. Bravo !
Wonderful website.A lot of useful information here.I’m sending it to several friends ans also sharing in delicious.And naturally, thanks for your effort!
Wonderful web site.Lots of useful info here.I’m sending it to some friends ans also sharing in delicious.And certainly, thanks for your effort!
Wow, fantastic blog layout! How long have you been blogging for? you make blogging look easy.The overall look of your web site is fantastic, as well as the content!
This is such a great resource that you are providing and you give it away for free. I enjoy seeing websites that understand the value of providing a prime resource for free. I truly loved reading your post. Thanks!
I do agree with all the ideas you’ve presented in your post.They are really convincing and will definitely work.Still, the posts are too short for starters.Could you please extend them a little from next time? Thanks for the post
I am not sure where you’re getting your information, but good topic.I needs to spend some time learning much more or understanding more.Thanks for wonderful info I was looking for this information for my mission
Hi, Neat post.There is a problem with your website in internet explorer, would test this… IE still is the market leader and a big portion of people will miss your fantastic writing because of this problem
Heya i am for the first time here.I came across this board and I find It really useful & it helped me out much.I hope to give something back and help others like you helped me
Thanks for some quality points there. I am kind of new to online , so I printed this off to put in my file, any better way to go about keeping track of it then printing?