Impotence diagnostics (erectile dysfunction) - is based on sexological testing which means an all-round estimation of a status of sexual function and begins with the careful collecting diseases. During confidential conversation it is necessary to give attention to all aspects of a sex life of the patient (the form and conditions of carrying out of a coitus, development and character of disorders of erections, both adequate, and spontaneous, safety of a libido, presence of disorders of an orgasm and an ejaculation).Also to consider mutual relations in pair and the relation of the sex partner to an existing problem as the given data define an urgency and motivation. At the anamnesis collecting it is necessary to try to find out causal factors, presence of risk factors, chronic diseases, in particular a diabetes mellitus, an arterial hypertensia, neurologic diseases, traumas, operative measures on a bladder, a prostate, a rectum.
Degree of expression of erectile disturbances can be defined already at an analysis stage of anamnestic data. Allocate compensated (minimum), subcompensated (moderated) (expressed) forms of erectile dysfunction.For tret erectile dysfunction buy generic cialis online.
At survey pay attention to the constitutional features, development of secondary man’s sexual signs, a status of external genitals, a prostate.
Laboratory diagnostics includes research of a hormonal profile of blood (level of Testosteron-Depotum, Oestradiolum, Prolactinum, gonadotrophic hormones).
The artificial pharmacological erection (the pharmacological test) serves for an estimation of quality and duration of an erection. (Prostaglandinum Е1, a papaverine, Phentolaminum, or their combination) enter a vasoactive preparation cavernous bodies. Erection Degree is estimated on scale (1987):
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Er0 - Absence of reaction to preparation introduction.
Er1 - Insignificant
Er2 - Incomplete
Er3 - Full without a rigidity.
Er4 - A partial rigidity.
Er5 - A full rigidity (erection) of a sexual member.
Sexual member it is spent by means of a ring supplied with the control threads, put on on a sexual member for the period of a dream. (Rice 1). Breakage of control threads specifies in presence of a spontaneous erection. Quality standard spontaneous is estimated by means of apparatus “Rigiscan” graphically registering changes of a strain of a sexual member by means of strain gauges established on it. Ultrasonic doppler-scanning of vessels of a sexual member in a combination with the pharmacological test allows to estimate a blood flow status in a sexual member in various phases of an erection. The hemodynamic parametres received at initial research and in 10 minutes after introductions of a vasoactive preparation are estimated in comparison. Besides data about a status of an arterial blood flow, allows to find out indirect signs of disturbance of the venoocclusive cavernous mechanism.
The article reports on a total of 150 non-diabetic patients with severe hypoglycemia (low blood glucose) were admitted to the five public hospitals in Singapore. The admissions were between January 1 and May 26, 2008. All the patients were men except one, ages ranged from 19 to 97 years (median, 51). Seven patients remained comatose as a result of prolonged decrease glucose to the brain,and four subsequently died.