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CARNITINE VERSUS ANDROGEN ADMINISTRATION IN THE TREATMENT OF SEXUAL DYSFUNCTION, DEPRESSED MOOD, AND FATIGUE ASSOCIATED WITH MALE AGING

By CAVALLINI G., CARACCIOLO S., VITALI G. and MODENINI F. BIAGIOTTI G.

Abstract

ABSTRACT. \ud Objective. To determine whether the surgical straightening of congenital penile curvature can improve intromission comfort, penile features, personal relationships, and psychogenic erectile dysfunction (ED). \ud Materials and methods. 54 patients (mean age 24, range 20-31) whose congenital penile deviation from physiological curvature was ≥25° measured on a graph and induced penetration discomfort underwent an assessment carried out specifically for this study. 14 patients suffered from psychogenic ED. The assessment comprised: a case history, an objective examination, a pharmacologically-induced erection with prostaglandin E1 10-20 μcg, a graph taken during erection, a basal and dynamic Duplex ultrasonograph, penile length measurement, nocturnal penile tumescence recording, hormonal profiles and a psychological interview in order to evaluate the quality of their personal relationships according to Hinde’s parameters (contents, number, features, frequency, ability to perceive limits of mutuality, subjective perception of the other person(s), and reliability). All patients were submitted to the Nesbit procedure. The initial assessment was then repeated at 3 months and 12 months after surgery. Data analyses were carried out with the z test. \ud Results. Subjective judgement of cosmetic penile features and vaginal intromission comfort improved significantly after surgery, while the quality of personal relationships and ED did not. \ud Conclusions. The surgical straightening of congenital penile curvature improved intromission comfort and penile features, but it failed to improve personal relationship or psychogenic ED

Year: 2004
OAI identifier: oai:iris.unife.it:11392/1199854
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