short erection time
Introduction
Introduction Short erection time refers to penile erections that are shorter than normal men.
Cause
Cause
1. Psychological ED
It refers to short periods of erection caused by mental and psychological factors such as stress, stress, depression, anxiety and marital discomfort.
2, organic ED
(1) vascular causes: including any disease that may lead to decreased blood flow to the cavernosal artery, such as atherosclerosis, arterial injury, arterial stenosis, pudendal artery shunt and cardiac dysfunction, or hinder the venous return closure mechanism. Penile venous leakage caused by the reduction of smooth muscle in the penis and the cavernous sinus of the penis.
(2) Neurological causes: Central or peripheral nerve diseases or injuries can cause erectile dysfunction.
(3) surgery and trauma: large vascular surgery, radical prostatectomy, abdominal perineal rectal cancer radical surgery and other pelvic fractures, lumbar compression fractures or cross-hatch injuries, can cause penile erection-related blood vessels and nerve damage, leading to erection short time.
(4) Endocrine disorders, chronic diseases, and long-term use of certain drugs: These factors can also cause short erections.
(5) Penile disease itself: such as penile sclerosis, penile curvature deformity, severe phimosis and foreskin balanitis.
3, mixed ED
It refers to the short erection time caused by mental and psychological factors and organic causes. In addition, because the organic ED has not been treated in time, the patient's psychological stress is aggravated, fear of sexual intercourse failure, making ED treatment more complicated.
Examine
an examination
Related inspection
Penis ultrasound examination penis examination
1, laboratory inspection
(1) Determination of blood, urine routine, biochemistry and liver and kidney function Fasting blood glucose, high and low density lipoprotein and liver and kidney function tests are necessary for the discovery of diabetes, abnormal lipid metabolism and chronic liver and kidney disease.
(2) Determination of hormone levels: Whether it should be used as a routine examination is still controversial.
2, special inspection
A small number of patients with erectile dysfunction (about 15%) are ineffective for non-invasive treatment, and some of the following items need to be selectively selected to further understand the exact cause or mechanism of erectile dysfunction.
(1) Night penile erection test (NPT) can help to distinguish between psychological and organic ED.
(2) Intracranial injection of vasoactive drugs (ICI) Injection of vasoactive drugs into the corpus cavernosum can induce penile erection in patients with psychotic, neurological, hormonal and mild vascular ED, especially in patients with neurological ED.
(3) Color Dual Function Ultrasound (CDU) This test is non-invasive and can be performed in an outpatient setting.
Diagnosis
Differential diagnosis
Can be distinguished from erectile dysfunction.
Penile erectile dysfunction means that the penis continues to fail to reach and/or maintain a sufficient erection to achieve a satisfactory sexual life (intercourse).
