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1/64. L4-5 disk lesion resulting in back pain with bowel, bladder and sexual dysfunction without paraparesis.

    This is a case report of a patient with bowel, bladder and sexual dysfunction associated with low back pain. This patient had an essentially normal neurological examination. There was radiological evidence of a disk lesion, and urodynamic findings consistent with lower motor neuron bladder dysfunction. His symptoms are attributed to a L4-5 disk herniation resulting in a partial cauda equina syndrome. The relevant anatomy is reviewed, and the differential diagnosis is discussed.
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keywords = dysfunction
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2/64. Clincal observations of sex as a reverberation of the total relationship.

    In the psychiatric treatment of sexual dysfunctioning the generally accepted method has been to concentrate heavily on the intrapsychic conflicts of one or both spouses. There now is increasing evidence that treatment is sometimes more effective if the therapeutic intervention takes place directly in the interpersonal system. Such evidence has been provided by those therapists with clinical experience in marital systems who are prepared to utilize theories evolved from a multidisciplinary approach to marital problems. This paper is meant to discuss and illustrate this shift in treatment strategy as it applies to sexual dysfunctioning and deals with the function of the interplay of sex, love, and commitment through the illustrative cases.
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3/64. Psychosocial side effects of sildenafil therapy for erectile dysfunction.

    Sildenafil is an effective agent to restore erectile capacity in the medically ill. Two cases are presented in couples whose marital situation worsened after the husband refused to take sildenafil for erectile failure following radical prostatectomy. Treating organically based sexual dysfunctions with medication still requires understanding of the dysfunctions in a broader psychosocial context.
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ranking = 50.731027008047
keywords = erectile dysfunction, dysfunction
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4/64. Male pseudoheterosexuality and minimal sexual dysfunction.

    Male heterosexual activity is not always heterosexual. Frequently it only appears to be, but, in fact, it is an attempt at denial of underlying homosexual feelings. There is often a correlation between such "pseudoheterosexuality" and minor sexual dysfunctions. Insight alone is not sufficient to provide relief, but when the patient can be helped to a comfortable acceptance of his homosexual feelings as a normal and healthy facet of his personality, very often the dysfunction is relieved, and there is a marked change in the ability of the individual to achieve gratification in genuine heterosexuality.
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keywords = dysfunction
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5/64. Autonomic studies in hypertensive patient with unusual sexual dysfunction: response to reserpine.

    The authors examined a 48-year-old man with a history of hypertension (6 years) and a history of erection and ejaculation during cold exposure and confrontation with fear (20 years). Exposing the foot to cold water induced ejaculation in 10 seconds. A variety of antihypertensive medications resulted in control of hypertension, without improvement in ejaculatory dysfunction. Similarly, prazosin controlled the blood pressure, but not the episodes of ejaculation. Treatment with reserpine resulted in gradual reduction in blood pressure and an improvement in ejaculatory dysfunction.
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keywords = dysfunction
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6/64. Autonomic dysfunction associated with multiple pelvic ganglioneuromas.

    We describe the case of a 59-year-old male in which several symptoms of autonomic dysfunction resulted associated with the presence of multiple ganglioneuromas in the adrenal glands and in paravertebral spaces. In a 2-year period, the patient developed sexual dysfunctions, micturitional disturbances and severe orthostatic hypotension and was erroneously diagnosed as having primary autonomic failure. However, the examination of all the autonomic functions showed that papillary function and cardiovascular reflexes were normal. CT scan of the abdomen revealed the presence of several small masses in the adrenal glands and along the lumbar sympathetic chain. Cytologic examination of the adrenal glands showed clusters of ganglionlike cells interspersed with schwann cells, leading to the diagnosis of ganglioneuromas. patients with signs and symptoms of autonomic dysfunction need an extensive clinical and laboratory examination of all the autonomic functions in order to exclude secondary causes of the symptomatology.
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keywords = dysfunction
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7/64. Sexual dysfunction secondary to gemfibrozil.

    hypertriglyceridemia is a well-recognized complication of protease inhibitor therapy, specifically ritonavir. Fibrate derivatives are recommended as first-line therapy for isolated triglyceride elevations, and gemfibrozil has been successful for managing protease inhibitor-induced lipid changes. A 35-year-old man experienced sexual dysfunction 3 weeks after starting gemfibrozil. The temporal relationship and improvement in sexual function after the drug was discontinued suggest that gemfibrozil may have been responsible for his sexual dysfunction.
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8/64. Sexual dysfunction caused by reboxetine.

    The author reports on self-experienced, reboxetine-induced sexual dysfunction (prolonged orgasm of reduced intensity) and seminal emission after defecation. Both disorders were accompanied by pain and ceased within two days after discontinuation of the drug.
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keywords = dysfunction
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9/64. A case of limbic system dysfunction with hypersexualith and fugue state.

    This paper describes a case of limbic dysfunction in a 28-year-old female veteran who presented with psychoses and sexual promiscuity. She had EEG abnormalities and showed dramaic improvement with anti-convulsant medication. limbic system dysfunction in general may present as "functional psychoses." The literature is briefly reviewed.
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keywords = dysfunction
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10/64. premature ejaculation: some thoughts about its pathogenesis.

    premature ejaculation has always been assumed to be a male sexual dysfunction whose pathogenesis involved either male physiologic or psychologic considerations. A small series of unselected cases is presented that suggests that premature ejaculation may also result from hidden femal arousal difficulties. The clinical material illustrates that the newer penile stimulation therapies for premature ejaculation are not required for every couple with this complaint.
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ranking = 0.16666666666667
keywords = dysfunction
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