Male Sexual Function and Its Disorders: Physiology, Pathophysiology, Clinical Investigation, and Treatment

• Published in: Endocrine reviews Vol. 22; no. 3; pp. 342 - 388
• Main Authors: Kandeel, Fouad R, Koussa, Vivien K. T, Swerdloff, Ronald S
• Format: Journal Article
• Language: English
• Published: Bethesda, MD Endocrine Society 01.06.2001
• Subjects: Biological and medical sciences; Gynecology. Andrology. Obstetrics; Humans; Male; Male genital diseases; Medical sciences; Non tumoral diseases; Penis - anatomy & histology; Penis - physiology; Penis - physiopathology; Sex; Sexual Dysfunction, Physiological - diagnosis; Sexual Dysfunction, Physiological - physiopathology; Sexual Dysfunction, Physiological - therapy; Human; Erection disorders; Pathophysiology; Impotence; Review; Testicle; Male genital system; Treatment; Ejaculation disorders; Penis; Clinical investigation; Anejaculation; Male genital diseases; Male sexual function
• ISSN: 0163-769X; 1945-7189
• DOI: 10.1210/edrv.22.3.0430

This review is designed to help the reproductive endocrinologist integrate his or her professional activity with those of other disciplines including urology, radiology, neurology, and psychology in order to successfully manage all of the inseparable aspects of male sexual and reproductive functioning. Significant advances in the field of male sexual physiology and pathophysiology and new methods of investigation and treatment of male sexual disorders are outlined. The review synthesizes available data on the following: norms of sexual organs, aging and sexuality, role of central and peripheral neurochemicals in each stage of the sexual cycle, role of corporeal smooth muscles in the hemodynamic control of erection and detumescence, influence of psychological factors, drugs, and disease on all aspects of sexual functioning, and use of nocturnal penile tumescence monitoring, imaging investigations, and neurophysiologic studies in the diagnostic workup of males with sexual dysfunction. Clinical algorithms are presented where appropriate. Extensive discussions on newly developed strategies in psychological and behavioral counseling, drug therapy, tissue engineering, nonsurgical devices, and surgical treatments for all forms of sexual disorders are also provided. Lastly, the effect of sexual dysfunction and its treatment on quality of life in affected men is addressed, along with recommendations for future research endeavors.