Plastic Surgery in the Sexually Handicapped - download pdf or read online

By J. O. Strömbeck (auth.), Professor Dr. med. Wolf Eicher, Professor Dr. med. Fred Kubli, PD Dr. med. Volker Herms (eds.)

ISBN-10: 3642735657

ISBN-13: 9783642735653

ISBN-10: 3642735673

ISBN-13: 9783642735677

Sexual medication is an interdisciplinary topic. specific wisdom of standard and disturbed sexuality is predicted of basic practitioners, gynecologists, dermato­ logists, urologists, experts in inner drugs, neurologists, psychiatrists, and psychotherapists. Sexual dysfunctions could take place in reference to natural lesions or as psychosomatic phenomena. they're delivered to the practising physician's consciousness through the sufferer both at once or within the type of factitious indicators. The disturbed sexual functionality as a rule factors agony and so motivates the sufferer to refer to a doctor. Psychosomatic points are hence a great deal to the fore. In an important variety of instances, but the disturbances stem from a physical-functional handicap which not just impacts the patient's common character but in addition has an immediate opposed influence on sexual functionality. The actual disorder ends up in disturbances of the body-image, and so may cause impairments within the sexual sphere either without delay and ultimately. The ailments which lead to sexual handicap and that are taken care of by way of reconstructive surgical procedure have been tested and mentioned at a world satellite tv for pc symposium of specialists at the celebration of the eight th international Congress for Sexology in June 1987. The papers provided at this symposium were accumulated and edited during this volume.

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Sample text

Since then, more than 250 years have passed, but little has been learned about the etiology of this enigmatic condition. Since the disease is most commonly self-limiting, about 50% of the patients show a complete, spontaneous resolution of the plaques; therefore surgical treatment should be delayed for at least 1 year. Before proceeding with treatment of any form of penile deviation, an objective evaluation of the disease should be made. Taking the history of the disease is the first step. Congenital curvatures are present from birth, but the patients present after their 2nd decade oflife.

Autophotography for documenting ventral or dorsal deviations Curvatures of the penis are surgically curable lesions, but not every penile deviation needs to be corrected. Surgical correction is required when coital function is impaired; if the patient can penetrate without difficulty and both partners enjoy the sexual act, there is no need to try to straighten the penis. Difficulties in penetration depend not only on the severity of angulation but also on the anatomical condition of the sexual partner.

Note the dorsal-plaques (x) Imaging of the penis is an important step in the evaluation of the problem. Sonography of the penis in Peyronie's disease helps to determine the extent of the plaques (Hamm et al. 1986). Normal corpora show a hyporeflective echo structure. The tunica albuginea is a thin, hyperreflective layer around the corpora. Plaques of Peyronie's disease are seen as hyperreflective thickenings in the tunica (Fig. 6). Detection of calcifications by their strong echogenicity and their typical posterior shadow facilitates the decision to undertake surgical treatment because calcified plaques do not disappear spontaneously.

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Plastic Surgery in the Sexually Handicapped by J. O. Strömbeck (auth.), Professor Dr. med. Wolf Eicher, Professor Dr. med. Fred Kubli, PD Dr. med. Volker Herms (eds.)


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