Tag Archives: Penile endothelium

abnormal-sexual

Penile anatomy and radiation therapy for men

December 9, 2016
Penile anatomy

Penile anatomy and radiation therapy for men suffering from sexual complications

Penile anatomy and radiation therapy for men: Erectile Dysfunction

Doses greater than 20 Gy (2000 rads) are frequently associated with large vessel injury meaning that, patients being treated with radiation for prostate cancer are receiving in excess of 70Gy. The wider the field of radiation, the less likely are blood vessels to recover. Given that the erection (cavernosal) artery is the only artery giving rise to erection, radiation exposure to this system may severely limit blood flow into the penis. It is therefore necessary that when you have been taken through this treatment procedure, you will need to seek medical help from the erectile dysfunction experts. And that is where doctor Dalal Akoury an experienced medical professional in this line for more than two decades now comes in. Calling her for appointment will be the starting point and upon evaluating your condition in private and confidence she will administer the correct treatment which will leave you well, comfortable and full of fulfilled sex life again. You may have not known and so it is essential to understand the penile anatomy and how it relates to the prostate gland even as you consider this type of treatment “radiation therapy”.

  • The prostate gland sits above a band of muscle (urogenital diaphragm) and it is separated from the back portion of the erectile body (crus) only by a distance of less than one centimeter.
  • The urethra (urine channel) passes between the two erectile bodies into the bladder and as it does this it is known as the bulb of the penis.
  • It is important to understand that the bulb plays little if any role in the development of or maintaining erectile firmness and it is the tissue within the true erectile bodies (corpora cavernosa), which when damaged leads to erectile dysfunction.

Penile anatomy and radiation therapy for men: Radiation in the pelvis area

Various studies have established that during 3D conformal x-ray therapy a significant dose of radiation is delivered to the back portion of the erectile bodies that is about 30% of the entire dose of radiation received by the prostate. Radiation therapy in the pelvis area of men can cause ED in 3 possible ways:

  • Arterial damage may block blood flow or damage the lining of the blood vessels that carry blood to the penis
  • Nerves in the pelvic area may become permanently damaged
  • Erectile tissue may be damaged, reducing blood flow to the penis or causing leakage of blood from erectile tissue (venous leak) during an erection

Some of the sexual side effects after radiation therapy may include the following:

  • Inability to achieve or maintain an erection (erectile dysfunction)
  • Weaker, less satisfying orgasms
  • Pain during ejaculation (although this usually goes away within weeks)
  • Dry orgasm or retrograde ejaculation (orgasm without the discharge of semen)
  • Less semen ejaculated

The technicalities and emotional pains involved when one is suffering from erectile dysfunctions must not be allowed to frustrate your relationship or your sex life. That is why doctor Dalal Akoury an expert in this discipline founded AWAREmed Health and Wellness Resource Center to help you redeem your sex life. All your concerns will be address in confidence and with utmost professionalism if only you can schedule an appointment with doctor Akoury today.

Penile anatomy and radiation therapy for men: Erectile Dysfunction

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women-sexuality1

Obesity pathway and causes of erectile dysfunction

December 6, 2016
Obesity pathway

Obesity pathway and causes of erectile dysfunction. Excess weight can be a serious problem in both men and women sex life

Obesity pathway and causes of erectile dysfunction: Damages of the penile endothelium

The key to the normal function of the vascular system is the endothelium which is the thin layer of cells that line the interior surface of all blood vessels, from the heart to the tiniest capillary. Any factor that contributes to endothelial dysfunction reduces the vascular hemodynamics and impairs the normal erectile physiology. That is why obesity pathway is a major risk factor for vascular disease and endothelial dysfunction and it happens this way fat tissue is an endocrine organ that secretes many bioactive substances (adipokines). The concentration of these molecules in the blood is higher the more obese a person is. There is evidence that adipokines secreted from fat stores surrounding penile vessels cause inflammation that has a damaging effect on the vascular endothelium, contributing to ED.

Obesity pathway and causes of erectile dysfunction: Obesity Blocks the Penile Artery

Obesity leads to atherosclerosis—the buildup of a waxy plaque on the interior of blood vessels. When atherosclerosis occurs in the penile artery with a small diameter of 1-2mm the blood flow decreases or gets blocked, diminishing erectile function. This harmful effect of obesity on the circulatory system can be irreversible and it implies that obesity can have a lasting detrimental effect on the penile vasculature of middle-age men.

Obesity pathway and causes of erectile dysfunction: Obesity Causes Hypogonadism

Hypogonadism is when the production of male hormones (androgens) by the testes is below normal. A low level of testosterone, the main androgen, is a condition prevalent in obese men. How does hypogonadism relate to ED? Testosterone is a hormone that increases sexual interest and sexual activity. Studies have shown that low levels of testosterone play a critical role in erectile dysfunction. Animals where the testicles have been removed, and therefore can no longer produce testosterone, are unable to achieve erections. In hypogonadic men, testosterone therapy has been shown in many cases to restore erectile function. Obesity is a risk factor for androgen deficiency and this directly affects the function of the male sexual organ. This among many other complications can be corrected professionally and that is why doctor Dalal Akoury made a decision to create a medical center whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power.

Besides that it will further interest you to note that doctor Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. And away from all these doctor, Akoury is also an expert in the area of Healthy Aging, Regenerative, and Functional Medicine. She adequately specializes in advanced bio-identical hormone replacement and nutritional therapies, and she is a current member of the American Academy of Anti-Aging Medicine and the fellowship program in Anti-Aging, Regenerative, Functional and Metabolic Medicine. This is the kind of experience and professionalism you need in sensitive health matters like this. You may now want to call her on telephone number 843 213 1480 for the commencement of your treatment.

Obesity pathway and causes of erectile dysfunction: Damages of the penile endothelium

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