Post Date December, 03 2023
Organ sex is one of the common clinical diseases of sexual dysfunction. In case of serious systemic diseases, chronic diseases (such as diabetes, liver diseases, kidney diseases, respiratory and heart diseases, etc.), congenital malformations of the reproductive system (such as upper and lower urethra, bladder valgus, penis, penis and scrotum displacement, trauma, lower abdominal surgery, etc.), Chronic alcoholism and diseases of the endocrine system (such as primary sexual insufficiency, hypophyseal abnormalities, increased cortisol, hypothyroidism, etc.) can cause organic impotence. Here is a brief introduction of its common sense.
Vascular impotence
The nutrition and erectile function of the penis depend on the penis arteries and veins. The relaxation of the smooth muscle of the corpus cavernosum makes the opening of the sinus of the penis veins create conditions for the erection of the penis. Any disease that affects the blood flow of penis artery and vein can cause impotence.
Vascular impotence includes arterial impotence and venous impotence. The causes of arterial impotence include: abdominal aortic stenosis and thrombosis, abdominal aortic aneurysm and arteriosclerosis, obstruction of bilateral internal pudendal arteries and their branches, and arterial blood supply obstruction.
The causes of venous impotence include: large accompanying veins in the cavernous body of the penis, rupture of the white membrane, formation of venous leakage between the cavernous body of the penis and the cavernous body of the urethra, incomplete closure of the venous membrane, congenital defects of the cavernous body of the penis, etc. The key point of diagnosis of vascular impotence is the disappearance of penis erection at night and poor response to injection of vasoactive drugs into the sponge.
Pituitary impotence
Pituitary impotence is an impotence caused by the complete or partial loss of the function of the anterior pituitary gland, which leads to a decrease in the secretion of all hormones, a decrease in the function of all target glands, and a lack of gonadotropin in men. Pituitary impotence is accompanied by testicular impotence, secondary sexual sign degeneration, decreased spermatogenesis, infertility, etc.
If hypophysis hormone secretion deficiency occurs in children and adolescents, growth and development may be stopped or puberty may be absent.
The human pituitary gland (pituitary gland) is regulated by the hypothalamus and regulates the activities of the anterior and posterior pituitary lobes through two different ways. Neurohormones synthesized in the hypothalamus regulate the synthesis and secretion of six major peptide hormones in the anterior pituitary, while pituitary hormones regulate the peripheral endocrine glands, such as thyroid, adrenal and gonads. When the function of the anterior pituitary is completely or partially reduced, the symptoms and signs displayed depend on its basic cause and the lack of some specific pituitary hormones. The vast majority of patients often can't feel anything abnormal, but occasionally they may have a sudden attack or quite intense. Gonadotropin is often the first deficiency, and then growth hormone deficiency. When the thalamus is damaged, the secretion of all hormones decreases, accompanied by hypothyroidism, adrenal insufficiency, hypotension and lack of tolerance to stress and stimulation. Therefore, patients with pituitary impotence are one of the manifestations of hypopituitarism syndrome, not an independent disease. Therefore, the treatment is also comprehensive, and the primary etiological treatment such as pituitary tumor resection is the main treatment. Impotence can be treated only by removing the cause.
