Now in a revised and expanded second edition, this comprehensive clinical guide remains a state-of-the-art synthesis of the literature, covering all aspects of treating erectile dysfunction (ED) and other related male sexual dysfunctions. Cardiovascular, hormonal, psychological and lifestyle factors are each considered in diagnosis and treatment, which includes pharmacological, surgical and prosthetic management strategies. The effects of prostate cancer and its treatment are also discussed, as are Peyronie's disease, priapism and ejaculatory disorders. New chapters in this edition discuss the profound effects of lifestyle change on sexual function, alternative and internet drugs that affect sexual function, endovascular approaches to ED, penile length considerations, the effect of radiation on erectile function, and optimizing ED research. Presenting a better understanding of what causes erectile dysfunction and the effective medications and non-medication treatments used to treat the condition, this invaluable title offers all physicians, residents, and fellows - and even medical students and other health professionals such as nurse practitioners and physician assistants - an essential reference for enhancing diagnosis and treatment of this common and debilitating disorder.
Erectile dysfunction can affect all age groups. Numerous physical and emotional risk factors may contribute to the problem. These risk factors can range from chronic diseases and medications to psychological factors. In the U.S. alone, it has been estimated that 18 to 30 million men suffer from erectile dysfunction. This number has increased significantly as awareness of the disorder has heightened. Researchers and health care professionals now have a better understanding of what causes erectile dysfunction and the effective medications and non-medication treatments used to treat the condition. Comprehensive and state-of-the-art, Contemporary Treatment of Erectile Dysfunction: A Clinical Guide synthesizes the literature and covers all aspects of treating erectile dysfunction and other related male sexual dysfunctions. This invaluable title offers all physicians, residents, and fellows -- and even medical students and other health professionals such as nurse practitioners and physician assistants -- an essential reference for enhancing diagnosis and treatment of this debilitating disorder.
For the generation that reached sexual maturity in the 1960s, the "pill" became synonymous with sexual freedom and started a sexual revolution. For women it meant freedom from the fear of pregnancy, and for men enhanced sexual opportunity. The new era of the pill has nothing to do with fertility, but everything to do with sex. The first orally effective prescr- tion drug for treating erectile dysfunction (ED) was marketed in 1998. (R) Sildenafil (Viagra ) has rejuvenated the aging male veterans of the sexual revolution, forever changed the science of sexual medicine, and tra- formed society's perspective on aging and sex. This class of drugs, known as oral phosphodiesterase inhibitors (PDE-type 5), is highly effective in the treatment of ED. Since its introduction there has been a much greater awa- ness of ED, its comorbidities, and its effects on the quality of life. In 1997, while preparing to address the Endocrine Society on the occasion of the 92nd American Urological Association meeting, I first looked at the p- clinical studies of sildenafil. I thought "this will change everything" and it clearly has-changing practice patterns in sexual medicine, and the at- tudes of patients, potential patients, and their partners. Two new PDE-type (R) (R) 5 inhibitors, tadalafil (Cialis ) and vardenafil (Levitra ), were first approved by the European Committee for Proprietary Medicinal Products and subsequently by the Food and Drug Administration in 2003 and 2004.
This volume of essays examines Dickens's complex representations of sexuality and gender as well as his use of gender ideologies and sexual and gender differences over the course of his literary career, from his first sketches and early novels to his late works of fiction. The essays approach gender issues in Dickens's writing by focusing on a number of topics: his treatment of gender ideals and transgressions; the intersections and displacements among gender, class and race; the ties between gender and the body, and among gender, voice and language; his depiction of the homosocial and the homoerotic; and the relation between gender and the law. The essays provide an introduction to the most recent approaches to Dickens's fiction in addition to those now considered classic, draw on queer theory and also feature a variety of methodologies, ranging across feminist, historicist and psychoanalytic methods of interpretation. The collection represents the best of previously published research by Dickens's scholars and illuminates for students and scholars alike the meaning of gender in such novels as The Pickwick Papers, Dombey and Son, and Our Mutual Friend.
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