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Remarks on Impotentia Cocundi and Sexual Neurasthenia and Their Treatment.

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... All rights reserved. sexual neurasthenia, sexually transmitted diseases (38)(39)(40) antidepressants (28,29,41,42), inflammation of prostate (25,43), prostate cancer (44,45), benign prostatic hyperplasia (23,(46)(47)(48)(49), prostate surgery (50,51), pelvic radiation (52) and herniorrhaphy (27,30,34,53) amongst others. ...
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Although there has been an increased interest on premature ejaculation in the recent years, our understanding regarding the disorders of retrograde ejaculation, painful ejaculation and hematospermia remain limited. All three of these conditions require a keen clinical acumen and willingness to engage in thinking outside of the standard established treatment paradigm. The development of novel investigational techniques and treatments has led to progress in the management of these conditions symptoms; however, the literature almost uniformly is limited to small series and rare randomised trials. Further investigation and randomised controlled trials are needed for progress in these often challenging cases.
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