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The current status of the various surgical alternatives in the treatment of impotence is reviewed. Microsurgical techniques for arterial revascularization succeed in 70 to 87% of cases with a mean follow-up of...
Erectile failure due to veno-occlusive dysfunction (venous incompetence) is generally thought to be resistant to auto-intra-cavernosal injection therapy. Because PGE1 recently emerged as a drug more potent tha...
Doppler investigation play a more and more important role among non invasive investigations to detect penile arterial obstruction because it is simple and costless. However, continuous doppler system gives few...
The authors report their experience of 414 injections of prostaglandin E1 (prostine). The diagnostic orientation between functional or organic impotence was assessed through questionaires and more particularly...
Intracavernous injection of 20 μg of prostaglandin E1 (PGE1) was carried out in 130 impotent patients. The erectile response was compared to the results of arteriological investigations including nocturnal pen...
Since 1982, many substances have been injected intracavernosally to produce erections in impotent men. Because the first-generation drugs (phenoxybenzamine, papaverine) were associated with severe side-effects...
Two of the most common treatments for impotence are compared. While vacuum therapy has been very successful in the United States and other anglo-saxon countries, fear of priapism, fear of injections, and the e...
Sex therapy was born in 1970 with the publication of Masters and Johnson’s landmark book “Human Sexual Inadequacy”. Since then it has evolved under the influences of social changes, medical technological devel...
Treatments usually offered to impotent men include psychotherapy, sex therapy, self-administered intracavernosal injections vacum therapy and penile prostheses. However, these treatments do not meet the expect...
The authors have investigated the electrical activity of corpus cavernous, first according to Wagner and Gerstenberg’ method, then, since one year, according to Stief method, in the basal state and following i...
After a long period of general conviction that erectile dysfunction is mostly of psychogenic origin, the introduction of vascular diagnostics into the evaluation of impotence enabled a more refined etiologic a...
Although many cases of impotence are associated with “hidden” organic lesions undetectable by normal clinical assessment, and only detectable by paraclinical examination, it is obvious that interactions betwee...
Until recently, the erectile tissues were considered a simple sponge, passively filled or emptied by an imbalance between arterial and venous flows. In reality, the erectile tissues themselves control eretion ...
A sample of 22 consultants for sterility has been studied. Sterility is badly accepted; it is felt as a narcissic wound, keeping on a depressive mood, with loss of the spirit of initiative. The multiplication ...
A HIV-antibody test has been systematically proposed to 127 patients referring for infertility. 3 tests were positive. Test prescription has been explained and justified to the patients during a private interv...
After having evoked the male and female reactions towards time passing, the different crises which may surge at this time and the particularity of couple counselling at this age, the author mainly evokes the s...
The considerable development over the past few years of the infertility investigation of the couple and of the assisted reproductive technics implies that the laboratories of biology of reproduction receive nu...
Significant advances have been achieved in testicular cancer treatment for the last 15 years. Almost 100% of the non seminomatous tumors seen at the precocious stages I and II are cured because of the efficacy...
Since 20 years, many contradictory data have been reported about vasectomy in animals and in humans, as regards its efficacy and safety. We have examined the main experimental and clinical reports, published t...
The sterility problem opens to that of procreating desire. Artificial insemination using donor sperm, being assimilated to adultery in Islam rules, is forbidden in Tunisia. The law n°58-27 (March 4th, 1958) in...
Two pregnancies have been obtained after assisted procreation using deferential sperm: one by IVF, one by AIC. The indications of this technique are: obstruction of deferens or of ejaculatory ductus, some anej...
Excretory azoospermia, or rather some of its anatomoclinical forms, represents a new indication of IVF using epididymal semen are reported (our overall statistics concerns 15 attempts). Practical applications ...
Serum inhibin, gonadal steroids and gonadotropins have been estimated in 51 patients with either a varicocele, other testis pathologies or normal sperm, and have been compared with the sperm parameters. No sig...
The acrosomic status of spermatozoa prepared for IVF has been evaluated by means of immunofluorescence test from Fenichel and Hsi using calcium A 23187 ionophore as inductor of acrosome reaction (AR). The spon...
Seminal liquefaction corresponds to a proteolysis of glycoproteins and could also result in a lysis of linked glycans involving glycosidases. It is well known that α-1-4 glucosidase is a real epipidymal marker...
Several proteins have been determined in human seminal plasma in order to study male infertilities more accurately. Some of them, as androgen binding protein, somatomedine C, epidermal growth factor, plasminog...
The centrifugation on discontinued Percoll gradient is a technique of sperm preparation, which has enabled better success of in-vitro fertilization. In this work, we have analysed the movements of spermatozoa ...
In males, the endocrine and exocrine functions of testes alterate with aging. Though in males, there is not a sudden and definitive interruption of reproduction function, as at menopause in females, spermatoge...
Basic and Clinical Andrology is the official journal of the French Society of Andrology (SALF).
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Basic and Clinical Andrology