SEXUAL & UROLOGICAL DISORDERS
Many sexual problems
are either psychological, urological or neurological. Neurological
dysfunction may arise from damage to the regional nerve, the spinal cord or
the brain by trauma, infections, tumors or stroke. Diabetes and alcoholism
may disturb neurological control.
resulting in sterility and unsatisfactory sex may be due to a brain tumor.
Impotence is the most common presenting problem. Antihypertensives and
antiepileptics rarely cause impotence. In some brain problems, patients
exhibit hyper sexuality and inappropriate sexual activities.
control is affected in many neurological problems and associated with
sexual dysfunction. As the bladder fills beyond it's capacity, the patient
develops over flow incontinence as happens in lumbosacral spinal cord or in
peripheral nerve involvement. Higher spinal cord involvement results in a
shrunken bladder, premature contraction of the bladder and incontinence.
Brain decides when to pass urine. When
specific areas in the brain are involved incontinence results. Incontinence
at sleep may be an early sign of seizure
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