Among the many reasons, the changes in neuropathy are also one of them.Can cause neuropathic impotence.This meaning seems to be too lengthy and too academic, but it will help people better understand the basic mechanism coexisting in all forms of neuropathy, that is, changes in neuropathological changes leading to damage to neurotripping function.It has nothing to do with the type of neuropathological changes.Patriotic patients with lumbar discorers, paraplegia, multi -hardening, horizontal polio, diabetes, alcoholism, spinal cord, and peripheral nerve lesions, and impotence patients who have undergone pelvic treatment surgery cannot pass proper neural information to the penis spongeThe smooth muscles of the body, so it is not possible to change the hemodynamic changes necessary for penile erections.Among them, diabetes is a common cause of impotence. According to the literature report, men with diabetes often have peripheral neuropathy (especially legs, but also involve pelvic cavity and genital areas).Atrophy changes.
However, impotence may also be the only symptom of diabetes, and they account for about 12 %.The incidence of abnormal sugar tolerance tests in patients with impotence is 2-3 times higher than that of the normal crowd.Once impotence occurs, no matter how good the drug is controlled, it is often not possible to correct impotence, especially the patients with impotence occur in the front.It is unclear how many people in diabetic patients have peripheral neuropathy.It is generally believed that the changes in diabetic combined neuropathy are the main pathogenic factor of diabetes impotence. In patients with diabetic patients who combined impotence, those with physical and plant neuropathy are more common than those who do not combine impotence.Excessive hypotension and difficulty in urination (often increased bladder accumulation), which often indicates the relationship between neuropathy and impotence.Of course, the peripheral neuropathy of the legs is not often accompanied by impairment of erectile, intestinal, and bladder function, and as many as 30 % of men with normal urinary dynamics have more than 800 ml of bladder volume.
However, there seems to be no obviously 9X sexual incidence or stubbornness of diabetic diseases, drug treatment, and blood sugar control quality.The sexual desire of patients with diabetes is often unchanged, but it may be idealized due to failure of sexual intercourse and other psychological factors. This is often a secondary consequence of changes in the lifestyle of chronic diseases.Diabetic impotence is not caused by pure device quality factors, and psychological factors should not be ignored.Because diabetes is a endocrine disorders caused by insufficient insulin, it will affect the metabolism and blood circulation system of the body (such as arteriosclerosis and accelerated small vascular lesions).This small vascular lesion specially affects the eye, kidney, center, and peripheral nervous system.Therefore, erectile disorders caused by diabetes are mainly neurotic problems rather than endocrine problems.The incidence of diabetes impotence increases with age.The clinical process of its onset often occurs gradually, and the hardness is reduced at the beginning, and then sexually deteriorates.
Nervous impotence is about 10-15 % of the quality impotence.It was believed that neuropathy was only existed among patients who have already existed in neurological diseases, and impotence patients caused by concealment neuropathological injury were rare.After the biological vibration sensing threshold measurement of all impotence patients, there were quite a few of the impotence patients with impotence in impotence who had no obvious existing neuropathological changes in the previous industry.The further neurophysiology examination of these people confirms that their existence of neuropathy changes.When clinicians suspect that patients are in the presence of neuropathological changes or abnormal screening tests, selective stimulation potential should be implemented.
The significance of neurological examination is to verify the nature and parts of potential abnormal neurological factors, but it is generally difficult to determine the reversibility and possibility of its lesions.Detailed inquiries of medical history can help find the potential neurological causes of impotence. For example, the intake of alcohol should be recorded in detail, because it may be related to the damage of peripheral nerves such as penile back nerves;Causes of neuropathy; bladder or rectal dysfunction can also become an important clue to pelvic plant neurological dysfunction.
From a clinical point of view, there is no obvious difference between neurophen impsents and other forms of organic impotence, so it is difficult to distinguish them simply.The nature and location of neuropathy are the most important: impotence after spinal trauma suddenly occurs, while diabetic impotence gradually occurs; surgery cutting the pots of the basin can cause complete impotence, but the erection damage caused by tumors above the marrow pulp is damagedThe characteristics are that the maintenance time and inadequate erection make the doctor confuse it with the venous leakage impotence; patients involving the penis and back nerves of the penis will also cause serious sensationPatients with pelvic nerve injury can maintain a complete sensory function; the characteristics of impotence caused by impotence caused by back nerves or impotence with sensation is that they can maintain an erection during sexual intercourse, but patients have normal night erections.EssenceUsing penis biochemical sensing threshold measurement and back nerve body sensation stimulation potential test can confirm the abnormalities of the penis back nerve into the pathway, thereby determining the diagnosis of back nerve impotence.
(Editor in charge: Chen Bong)
