ROMA (ITALPRESS) – Sexual life has an important role in male health, not only from the reproductive point of view but also for psychological, relational and physical well-being: a satisfactory sexuality is linked to greater self-esteem, lower levels of anxiety and depression, better quality of couple life and in general to a higher quality of life. In Italy it is estimated that approximately 3 million men have erection problems, equal to approximately 13% of the adult male population: between 40 and 70 years a man on two reports a mild, moderate or severe form of erectile dysfunction; in young people between 18 and 34 years the prevalence is much lower, around 2%, while it exceeds 48% in men over 70 years.
“At least half of the patients I have are aware of any erection problems and active in addressing this topic: my customers are well addressed to this pathology, those who come to me already do so with the idea of exposing what they have but most likely do not do it with their basic doctor; in addition, most people, about 90%, come together with the partner,” said Carlo Bellorofonte, specialist in Urology and.
The first aspect on which Bellorofonte dwells is linked to the etymology and characteristics of the Peyronie disease: “It is called because of the first clinical case, Professor Francois de Peyronie spoke in 1743, who worked at the court of Versailles: it is the first recognized case of penile incurvasion during erection and it is nothing but an elastic membrane disease, which envelops the two cavernous bodies and that from elastic tissue becomes fibrous tissue creating those branches that can change erection. It is a disease that patients do not appreciate: in severe diabetics it is noticed when the state is almost of micro foul acquired, because never having an important erection you always see a little volume increased but not rigid”.
The next reflection concerns the evolution of how to deal with erection problems and how they arise: “In 1983, when I did the first specialist thesis in Urology, it was about three thousand cases in the world: forty years after all it was a little revolutionized and it seems that eziopatogenesis is linked to microtrauma sexual penieni; there are then results of pathologies such as the insertion of a vescic catheter or posthumous intervention, but also the use of betablotes.
Another central theme consists of risk factors: “One of the most important is the breed: the Caucasian one, ours, is the most predisposed to the disease; in the black one there is some case, while the Asian one is practically immune, which makes us understand that some genetic problem is there. The problems occur mainly with the increase of age: in fact they increase all sexual microtraumas; after all these vascular alterations there is a change of tissue, which from elastic becomes scarred”.
Bellorofonte closes with a long bracket on the care and tools used to reach them: “Only the patient comes to me telling me to have something different to the penis: some even come directly with the photograph. The perspectives of treatment are good: in the 1970s-80s, when we were doing the first studies, the only therapy was surgical therapy; in my second specialist thesis in Urology I spoke for the first time of the use of the litotrist to bomb the plaques and make the tissue more elastic. Now, compared to the 80s, there are wonderful machines that change the tissue: there is even a difference in patient perception when with the litotrist they pass from feeling nothing in healthy tissue to feeling something, like needles, in fibrous tissue. The curvature is pathological when it bothers during sexual intercourse: from the scientific point of view we talk about a curvature greater than 60°, it means that in that case there is something wrong. Surgical therapy is fundamental to the incurvency: if the erection is present you can also do a plastic surgery, if the penis has already lost you do instead engravings on the plate. If the erection is not the only possibility are the peniene, semi-rigid or hydraulic prostheses: with the first the penis always remains at 70-80% erection, with the latter can be created the preconditions of erection with the tanks. Most patients unfortunately arrive quite late: the first symptom is a tingling, due to the tissue that begins to infiltrate the dorsal nerve of the penis, or a pain during erection.”.
– Photos from Top Medicine –
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