Abstract
Erectile dysfunction (ED) is defined as the persistent inability to attain or maintain an erection satisfactory for sexual intercourse. It is an issue that causes a significant amount of distress to a diverse set of patients.
Even though erectile dysfunction is not an immediate health risk, it usually is a harbinger of comorbid conditions and has profound effects on the personal well-being and quality of life for the patients and partners alike.
Many factors are known to cause ED, of which natural aging, cardiovascular, and psychogenic causes are the most frequent ones. However, neurogenic diseases are also a major contributor. More so, ED can be the largest perceived inconvenience by patients in certain conditions.
Anejaculation is most common in the neurologic patient population, most frequently with bilateral sympathectomy. Concerning fertility, there are some options, ranging from artificially induced ejaculation to direct sperm retrieval, if all else fails.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Albersen M et al. The future is today: emerging drugs for the treatment of erectile dysfunction. Expert Opin Emerg Drugs. 2010;15(3):467–80. A review on what to expect from the future therapies for ED.
Corona G et al. EMAS Study Group. Age-related changes in general and sexual health in middle-aged and older men: results from the European Male Ageing Study (EMAS). J Sex Med. 2010;7(4 Pt 1):1362–80. One of the capital studies on the epidemiology of ED.
Fode M et al. Penile rehabilitation after radical prostatectomy: what the evidence really says. BJU Int. 2013;112(7):998–1008. Mikkel Fode and coworkers critically revise the evidence for post-prostatectomy penile rehabilitation and conclude that better documentation for current penile rehabilitation and/or better rehabilitation protocols are needed: “One must be careful not to repeat the statement that penile rehabilitation improves erectile function after RP so many times that it becomes a truth even without the proper scientific backing.”
Lue TF. Erectile dysfunction. N Engl J Med. 2000;342(24):1802–13. Excellent review on all aspects of ED by one of the pioneers of ED research.
Nehra A et al. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc. 2012;87(8):766–78. The Princeton III consensus: first emphasizing the use of exercise ability and stress testing to ensure that each man’s cardiovascular health is consistent with the physical demands of sexual activity before prescribing treatment for ED, and second highlighting the link between ED and CVD, which may be asymptomatic and may benefit from cardiovascular risk reduction.
Rees et al. Sexual function in men and women with neurological disorders. The Lancet. 2007;369:512–25. An in-depth look at which brain areas are responsible for sexual sensations and a more detailed overview of all neurologic disorders with their respective sexual disorders.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Milenković, U., Albersen, M. (2018). Erectile Dysfunction and Anejaculation in the Neurologic Patient. In: Dmochowski, R., Heesakkers, J. (eds) Neuro-Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-90997-4_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-90997-4_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-90995-0
Online ISBN: 978-3-319-90997-4
eBook Packages: MedicineMedicine (R0)