Thirty male patients were treated at Dhahran Health Center between and for organic impotence by surgical exploration and penile prosthesis implantation. The average patient age was 55 years with a range of years. An average follow up of 18
Nabil ahmad wife sexual dysfunction. The symptoms "Nabil ahmad wife sexual dysfunction" sexual dysfunction were of more than one year's duration.
Preoperative evaluation included history and physical examination, hematological work-up, urine analysis, culture and sensitivity, hormonal assay, nocturnal penile tumescence and occasional psychiatric evaluation. Other causes will be discussed. The average hospital stay was 5 days.
Two patients had oversized prosthesis and one pair had to be removed in each patient but both had satisfactory intercourse with one pair only. One patient had mechanical failure and one patient had infection of the skin and the glans penis. In conclusion, all patients were essentially satisfied with the results and we conclude that penile implant surgery is the ideal treatment for organic impotence in the properly selected patients and surgeons should avoid over dilation of the corpora cavernosa and should
Nabil ahmad wife sexual dysfunction a size smaller than the measured corpora and penile implant should not be the first choice of treatment for organic impotence.
Other procedures and manoeuvres should be attempted initially. There were no significant reported complications and there were encouraging results. In patients with organic impotence, intracorporeal Prostaglandin E1 pharmacotherapy is often accompanied by pain at the site of injection and through the subsequent induced erection.
Twelve such patients who had previously experienced pain with intracorporeal Prostaglandin E1 injections were submitted to a double blind randomised cross-over study in order to comparatively evaluate the effects of intracorporeal Prostaglandin E1 alone and in combination of Lidocaine.
With Prostaglandin E1 monotherapy 20 ug We conclude that Lidocaine can be usefully combined with intracorporeal Prostaglandin E1 pharmacotherapy with alleviation of pain and enhancement of erectile effect.
A retrospective study was designed to study the aetiology of impotence and the prevalence of the associated risk factors in Saudi males.
Sexy big tit blond milf fucks
The study included Saudi male patients presenting with impotence in the period between to "Nabil ahmad wife sexual dysfunction" Their age ranged between 22 and 81 years, mean Arterial insufficiency and low serum testosterone were the most frequent diagnosis elicited in Old age, diabetes, smoking and cardiovascular disease were the most frequent encountered risk factors.
There was no statistical difference in the mean age of onset of impotence between diabetic and non-diabetic and also between smokes and non smokers. Control of diabetes, anti-smoking campaign and correction of hypogonadism may reduce the prevalence of impotence among Saudi males. Eighty-two patients with erectile dysfunction refractory to other treatment modalities were managed by surgical implantation of malleable penile prosthesis 69 patients and inflatable penile prosthesis 31 patients.
Their age ranged between 23 and 71 years with a mean age of Sixty-three patients were followed between 6 and 91 months with a mean of Among these patients 51 received malleable and 12 received inflatable prosthesis was significantly higher than among patients with malleable prosthesis.
Peri-prosthetic infection occurred in 2 patients with inflatable prosthesis while no infection was reported among patients with malleable rods. Satisfaction with length and girth of the penis was much better
Nabil ahmad wife sexual dysfunction patients with malleable prosthesis. Concealment was not of much concern as the Thobe helps hiding in the permanently erect penis.
Penile prosthesis implantation is an acceptable treatment modality among Saudi patient suffering from refractory impotence. To evaluate the acceptance and satisfaction of Saudi patients with nonmedical treatment modalities of impotence including vasoactive intracavernous pharmacotherapy, external negative pressure device and penile prosthesis.
The medical records of consecutive Saudi patients treated for impotence with nonmedical treatment modalities in the period betweenwere reviewed in a retrospective study. Eighty-one male patients were enrolled in vasoactive intracavernous pharmacotherapy program. The main causes of dissatisfaction and drop out was lack of spontaneousity The main cause of dissatisfaction was poor erection Thirty-two patients had insertion of Penile Prosthesis The satisfaction rate after 6 months and 1 year postoperatively was The main
Nabil ahmad wife sexual dysfunction of dissatisfaction was loss of prosthesis due to infection or extrusion in 2 patients 6.
Vasoactive intracavernous therapy had the highest acceptance rate among Saudi impotent patients while penile prosthesis had the lowest.
However, the highest patient satisfaction rate is achieved with penile prosthesis followed by vasoactive intracavernous pharmacotherapy.
Diabetes mellitus and erectile dysfunction...
External negative pressure devises had poor acceptance and satisfaction among Saudi males. These results should be considered during counselling of impotent patients regarding their treatment options. Erectile dysfunction is a common problem in male patients with end stage renal disease which is multifactorial.
Twenty-three married kidney transplant male patients were studied regarding the change in their sexual activity after transplantation. Their ages ranged between 23 and 66 years. All patients underwent hemodialysis before transplantation for periods ranging from 2 months to 8 years. They all had stable kidney function 7 to 85 months after "Nabil ahmad wife sexual dysfunction." Twelve patients have received cadaveric, 5 living related and 6 living unrelated kidneys.
Frequency of sexual intercourse per month has increased significantly after transplantation in 4 The overall satisfaction with the quality of erection and sexual performance has
Nabil ahmad wife sexual dysfunction from Intracavernosal injection of 20 microgram Prostaglandin E1 PGE1 gave satisfactory in-office erection in 13 Two patients had good erection with intracavernosal injection at home. Seventeen patients were enrolled in intracavernosal self-injection program for 3 to 15 months with complete satisfaction in all of them and no compromise of their kidney function.
There were no local or systemic complications reported. This study shows that erectile dysfunction is a common problem among chronic renal failure patients and does not seem to improve significantly after transplantation. It needs more attention from the treating physicians, especially in relatively young kidney transplant patients. Intracavernosal self-injection of PGE1 alone or in combination with Papaverine is a valid treatment option, it gives satisfactory and safe results.
Akmal Nabil Ahmad El-Mazny,Cairo University,Gynecology...
To evaluate the reliability and safety of penile implants in the treatment of organic impotence at the Saudi Aramco Dhahran Health Center. A series of cases of organic impotence underwent penile implantation procedures between and was reviewed. The follow up period ranged between 6 months and 10 years.
The mean age was Inflatable 92 cases and malleable 16 cases. There was no complication in 86 patients The causes of revision "Nabil ahmad wife sexual dysfunction" severe infection 1intolerable pain from an oversized malleable prosthesis 1and dysfunction of the inflatable prosthesis Removal of the implant was necessary in severe infection 6intolerable pain 2 and extrusion of the prosthesis 1.
Prostaglandin E1 in erectile dysfunction...
All the 9 patients 8. There was no single mortality among our series. The overall
Nabil ahmad wife sexual dysfunction complications involved 26 out of procedures Penile implants are reliable and safe modality of treatment for organic impotence with acceptable morbidity. Inpatients used Alprostadil Muse intraurethrally. A physician did the test and patients were placed under observation. Pre and post-insertion vital signs were recorded.
Of these 15 patients had a good response as reported by patients. A patient who fails Muse can benefit from Sildenafil Citrate unless there is a major contraindication.
We recommended both drugs to be used as indicated. Alprostadil is widely used for the treatment of impotence.
We evaluated the efficacy and tolerance of alprostadil administered intrauretherally for the treatment of erectile dysfunction ED.
Prospectively we studied 54 consecutive patients with ED mean age 52 years, range All patients completed a baseline International Index of Erectile Function questionnaire question 2, 3, 5 and 12underwent a physical examination, a hormone profile and a cause of ED was then assigned. Patients who had successful results were reviewed after one week and at 3-months interval.
The mean duration of ED was 47 range months. To assess the role of penile duplex ultrasonography in predicting the response
Nabil ahmad wife sexual dysfunction diabetic patients to Sildenafil. All patients underwent penile duplex ultrasonography and were treated with Sildenafil. The clinical response was correlated to the findings of penile duplex ultrasonography. There was statistical significant difference between patients in the normal and moderate abnormalities group and the patients with severe abnormality group.
There was statistically significant difference in clinical response between the group of patients with normal and moderate decrease in MSV and the group with severe decrease in MSV. There was no statistically significant di8fference in response between any of these groups. Determination of cavernosal artery diameter and MSV by penile duplex ultrasonography can be helpful in predicting the response of diabetic patients to Sildenafil. Determination of EDV was not a useful parameter.
Sexual activity has often been compared to other normal physical activities like walking or running, or to emotional states of anger or fear. The effect of sexual activity on the heart, blood pressure, and oxygen consumed is only a little greater than the effects during sexual arousal. There can be some differences due to individual circumstances surrounding the sexual activity: But, in general, sexual activity is
Nabil ahmad wife sexual dysfunction to mild to moderate exercise for most individuals with or without coronary artery disease.
Heart rate during sex rarely increases to beats per minute and blood pressure rarely exceeds A standard way of measuring physician exertion is MET metabolic equivalent of energy expenditure at the resting state. MET values have been assigned to a variety of daily activities.
For example, walking at 2 miles per hour is assigned an energy expenditure of 2 METs. Some young people have reached METs, but the lower range is the norm for older individuals
Nabil ahmad wife sexual dysfunction those in long-established relationships. Diabetes mellitus and erectile dysfunction in Japanese men · Koichi Nakajima. Nabil Eid,; Yuko Ito, and; Yoshinori Otsuki Prevalence of erectile dysfunction in primary care setting, Malaysia.
Redhwan Ahmed Al-Naggar and; Karim Al- Jashamy . 64 Behind every healthy man, there's a woman: A qualitative inquiry. To project the likely worldwide increase in the prevalence of erectile dysfunction ( ED) over the next 25 years, and to identify and discuss some. Sherifa Ahmed Hamed, M.D., Hossam Khalifa Ahmad, M.D., Ahmad Hamdy Youssef, M.D., Nabil Abdel-Hakim Metwaly, M.D., Mahmoud Mohamad Hassan, In general, sexual disorders are common in
Nabil ahmad wife sexual dysfunction with epilepsy, occurring in up to. MORE: Sonal dabral wife sexual dysfunction MORE: Admonishments to heterosexuals
MORE: Mature wife giving blow job