Abstract
Erection difficulties are experienced by every fifth man under 40 years of age and every second man aged 40 to 60 years. Erectile dysfunction (ED), the development of which is based on neurological disorders, is called neurogenic. The diversity and multiplicity of neurological pathologies, the complex multi-level structural hierarchy of the nervous regulation of sexual function in men distinguish this form from others and greatly complicate the diagnosis of neurogenic causes of the disease, therefore, neurogenic mechanisms of ED are often underestimated and not recognized. ED is a fairly common companion of degenerative-dystrophic diseases of the spine (DDDS) in men of sexually active age which can significantly negatively affect the quality of life. However, there are few researches devoted to the study of erectile function in patients with DDDS. The purpose of this literature review is to analyze and summarize the works revealing the contribution of neurogenic mechanisms to the formation of ED in this category of men. The presented information increases the awareness of related specialists on this issue, allows to recognize in time the cause-and-effect relationship between the development of sexual dysfunction and the underlying disease, and therefore contributes to increasing the effectiveness of treatment and timely sexual rehabilitation of such patients.
Published Version
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