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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Erectile Dysfunction Post A Motor Vehicle Accident Probably Affecting The Pudendal Nerve Be Treated?

Hi Dr. Rynne. I have a patient who has ED. He was in a VERY severe MVA and following the MVA he now has ED. He was seen by endocrinology and was given a clean bill of health there. The endocrinologist thinks it is neurological and involves the pudendal nerve. The patient has been seen by a urologist who has completed urological diagnostics, urine residual was 300 cc s with total volume of 1100 cc s. Kidney function tests were WNL. My question is, where to go from here? Is there a neurology specialty which deals with a situation like this and where would an expert be if one exists. We are in Detroit, MI area. Thank you so much!
Wed, 19 Sep 2018
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General Surgeon,  's  Response
Hi and welcome to Healthcaremagic. Thank you for your query.
I understand your concerns and I will try to help you as much as I can.
Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem.
Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol.
Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests.
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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How Can Erectile Dysfunction Post A Motor Vehicle Accident Probably Affecting The Pudendal Nerve Be Treated?

Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn t cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.