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Hard flaccid

Murat Gul, Maxwell Towe, Faysal A Yafi, Ege Can Serefoglu
Hard flaccid (HF) is a group of symptoms that significantly affects a man's sexual and social life. As this syndrome has only been reported in several patient forums, exact prevalence of this rare condition is unknown. Currently, no scientific literature exists of the syndrome. We, hereby, aimed to present four cases suffering from HF and compare the common signs and symptoms with those reported in patient forums. We searched internet forums, chat groups, and private support groups to collect information about symptoms of HF patients...
March 19, 2019: International Journal of Impotence Research
Oluwasegun Joel Adegoke, Marina Takane, Oladayo Biya, Martin Ota, Bolatito Murele, Frank Mahoney, Patrick Nguku, Hiromasa Okayasu
Eradication of poliomyelitis remains a public health priority due to the paralytic effects of the virus on children and impact on global health system. However, existing gaps in surveillance can hinder eradication. Improved timeliness of identification and reporting of acute flaccid paralysis (AFP) cases with further confirmation of Wild Poliovirus (WPV) in stool samples, can help Nigeria achieve the performance indicators of non-polio AFP rate of ≥ 2/100,000 population aged < 15 years and ≥80% stool sample collection adequacy...
July 3, 2018: Journal of Immunological Sciences
Gregory C Umeh, Faisal Shuaib, Audu Musa, Sisay G Tegegne, Fiona Braka, Pascal Mkanda, Richard Banda, Usman Adamu, Terna I Nomhwange, Eyiotoyo Arenyeka, Semeeh A Omoleke, Ticha M Johnson, Kehinde Craig, Ibrahim Idris, Hadiza Iyal, Ishaku G Sambo, Peter Nsubuga
BACKGROUND: Nigeria has made remarkable progress in its current efforts to interrupt wild poliovirus transmission despite the re-emergence of wild poliovirus in 2016. The gains made in Nigeria have been achieved through concerted efforts by governments at all levels, traditional leaders, health workers, caregivers, and development partners. The efforts have involved an elaborate plan, coordination, and effective implementation of routine immunization services, supplemental immunization activities, and acute flaccid paralysis (AFP) surveillance...
December 13, 2018: BMC Public Health
Li-Da Chen, Fu-Shun Pan, Lu-Yao Zhou, Yu-Bo Liu, Jian-Yao Lv, Ming Xu, Xiao-Yan Xie, Ming-De Lu, Zhu Wang, Wei Wang
BACKGROUND: This prospective study is to evaluate the potential value of sonographic measurements in the flaccid penis for the screening of arteriogenic impotence. METHODS: A consecutive series of 260 Chinese males consulting for sexual dysfunction and 54 controls underwent sonographic examination. The sonographic parameters were correlated with the clinical gold standards, including the international index of erectile function (IIEF) and penile erectile hardness grading scale (EHGS)...
November 6, 2018: BMC Medical Imaging
Camille Goblet, Gary West, Juan M Campos-Krauer, Annie E Newell-Fugate
Baseline information about the reproductive physiology of an endangered species is vital to captive breeding programs. This study analyzed reproductive parameters from eleven captive Chacoan peccaries (Catagonus wagneri) (mean age: 10.5 ± 1.2 years old) in Paraguay. After immobilization, testis length, width and firmness (hard to flaccid, 1-3) were assessed, followed by electroejaculation and analysis of semen. Samples were examined for percentage and progressive motility, total cell count, percentage live spermatozoa and morphology...
May 22, 2018: Animal Reproduction Science
Ayesheshem Ademe Tegegne, Fiona Braka, Meseret Eshetu Shebeshi, Aron Kassahun Aregay, Berhane Beyene, Amare Mengistu Mersha, Mohammed Ademe, Abdulahi Muhyadin, Dadi Jima, Abyot Bekele Wyessa
BACKGROUND: Ethiopia joined the Global Polio Eradication Initiative (GPEI) in 1996, and by the end of December 2001 circulation of indigenous Wild Polio Virus (WPV) had been interrupted. Nonetheless, the country experienced multiple importations during 2004-2008, and in 2013. We characterize the 2013 outbreak investigations and response activities, and document lessons learned. METHOD: The data were pulled from different field investigation reports and from the national surveillance database for Acute Flaccid Paralysis (AFP)...
January 5, 2018: BMC Infectious Diseases
R Souper, J Hartmann, M Alvarez, I Fuentes, G Astroza, M Marconi
Previous studies have suggested that parameters measured in the flaccid state (FS) by penile duplex Doppler ultrasound (PDDU) may predict the outcome after intracavernosal injection (ICI). The aim of this study was to evaluate the association between peak systolic velocity (PSV) and cavernosal artery diameter (CAD) in the FS with PSV and clinical assessment of erection hardness (CAEH) after ICI. Fifty patients who underwent PDDU for erectile dysfunction were prospectively enrolled. PSV and CAD were measured in FS and then correlated with PSV and CAEH after ICI of 20 μg of e1 prostaglandin (PGe1)...
July 2017: International Journal of Impotence Research
G Sciacca, A Nicoletti, S Lo Fermo, G Mostile, C Giliberto, Mario Zappia
Guillain-Barrè syndrome (GBS) is an acute, paralyzing, inflammatory peripheral nerve disease, featured by monophasic disease course, symmetrical limb weakness and areflexia. Several pathologies can mimic the clinical presentation of GBS, making hard the differential diagnosis for patients complaining of acute flaccid paralysis. In this paper we describe three cases of different neurological diseases presenting with acute motor symptoms mimicking GBS, reviewing the relevant literature on misdiagnosis of GBS...
April 2016: Neurological Sciences
Juan I Martínez-Salamanca, Alejandra Egui, Ignacio Moncada, Javier Minaya, Claudio Martínez Ballesteros, Luis Del Portillo, Ignacio Sola, Joaquín Carballido
INTRODUCTION: Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied. AIM: The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD. METHODS: A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of PD who did not receive active treatment ("no intervention group" [NIG])...
February 2014: Journal of Sexual Medicine
Sheldon J D Pinto, Robert E Shadwick
The oral anatomy of the fin whale (Balaenoptera physalus) consists of several major structures crucial to its engulfment method of feeding, such as stiff keratinized baleen plates, a large flaccid tongue, and a prominent vomer. One under-documented part of this anatomy is the cream white Zwischensubstanz that holds the baleen plates to the rostrum at their dorsal base. The mechanical and structural properties of Zwischensubstanz play a key role in baleen plate dynamics and, on the grand scale, contribute to baleen whales' filtration efficiency and attainment of large body size...
August 2013: Journal of Morphology
Fabrizio Iacono, Domenico Prezioso, Antonio Ruffo, Ester Illiano, Giuseppe Romeo, Bruno Amato
BACKGROUND: Peyronie's disease is an acquired connective tissue disorder of the penile tunica albuginea with fibrosis and inflammation. The disease produces palpable plaques, penile curvature and pain during erections. Patients report negative effects in four major domains: physical appearance and self-image, sexual function and performance. These changes damage sexual life and compromise the quality of life. Our objective is to review the patient's sexual life after penile tunical plicature using the International Index of Erectile Function (IIEF) and the Sexual Encounter Profile (SEP) questionnaires...
2012: BMC Surgery
Giovanni Alei, Piero Letizia, Francesco Ricottilli, Pierfranco Simone, Lavinia Alei, Francesco Massoni, Serafino Ricci
INTRODUCTION: Although different techniques for augmentation phalloplasty have been reported in the medical literature, this issue is still highly controversial, and none of the proposed procedures has been unanimously approved. AIMS: The aim of this study is to describe an innovative surgical technique for penile girth augmentation with porcine dermal acellular grafts, through a small transverse incision at the penile base, along the penopubic junction. METHODS: Between 2000 and 2009, 104 patients were referred to our institution for penile enhancement...
July 2012: Journal of Sexual Medicine
Luis Daniel Correa-Luna, Luis M Reyes-Ortiz, José Ramírez-Rivera
Paralysis due to hypokalemia results from an acute shift of potassium into cells or excessive potassium deficit. In the absence of potassium deficit, it is observed in Familial Hypokalemic Periodic Paralysis and in Thyrotoxic Hypokalemic Periodic Paralysis (TPP). This report describes the initial presentation of hyperthyroidism as sudden quadriplegia associated with hypokalemia. A healthy 25-year-old Puerto Rican policeman came to the emergency room with sudden paralysis in the four extremities of five hours evolution...
April 2006: Boletín de la Asociación Médica de Puerto Rico
Bin Zhang, Jun Chen, Hengjun Xiao, Yan Zhang, Liuhong Cai, Xin Tao, Tao Qi, Dewen Ban
INTRODUCTION: The common surgery for venous leakage was not very successful; unsatisfactory long-term results have reduced the indications for venous surgery for erectile dysfunction (ED). AIMS: To assess the outcomes of embedding the deep dorsal vein of the penis (EDDVP), a new surgical technique used in patients with penile deep dorsal venous leakage of ED. METHODS: Between December 2001 and November 2007, 17 patients diagnosed with penile deep dorsal venous leakage of ED underwent embedding the deep dorsal vein of the penis...
May 2009: Journal of Sexual Medicine
Muammer Kendirci, Patrick E Teloken, Hunter C Champion, Wayne J G Hellstrom, Trinity J Bivalacqua
OBJECTIVES: Erectile dysfunction (ED) is a major health problem that seriously affects the quality of life of patients and their partners. Although all three selective phosphodiesterase type 5 inhibitors (PDE5-Is) are effective in the majority of ED cases, PDE5-I therapy is less efficacious in some hard-to-treat populations (diabetics, men after radical prostatectomy), prompting the development of new approaches, including gene therapy strategies for ED. METHODS: Gene therapy approaches are discussed in terms of the possible role of gene therapy for the treatment of ED, potential targets for gene transfer, vectors to carry targeted genes, and gene strategies for ED in certain disease states, such as diabetes, ageing, arterial and venogenic insufficiency, and cavernous nerve injury...
December 2006: European Urology
Toru Suzuki, Shigeru Sonoda, Eiichi Saitoh, Motonori Murata, Akihito Uno, Yasuhiro Shimizu, Kayo Misawa, Tomomitsu Kotake
The purpose of the study was to develop and evaluate a new heel cushion in shoes for use with knee-ankle-foot orthoses having a medial single hip joint (Primewalk orthoses) in order to improve walking velocity and efficiency. Primewalk orthoses and shoes were made for a 24-year-old man having paraplegia with flaccid paresis (level T-7; grade A, ASIA impairment scale) of 2 years' duration. Walking exercises were assigned. Shoes were modified with the sole made of hard rubber and the addition of soft rubber heel cushions...
December 2005: Prosthetics and Orthotics International
J Steiss, K Braund, J Wright, S Lenz, J Hudson, W Brawner, J Hathcock, R Purohit, L Bell, R Horne
A condition colloquially referred to as "limber tail" and "cold tail" is familiar to people working with hunting dogs, primarily Pointers and Labrador Retrievers. The typical case consists of an adult dog that suddenly develops a flaccid tail. The tail either hangs down from the tail base or is held out horizontally for several inches from the tail base and then hangs straight down or at some degree below horizontal. Initially, the hair on the dorsal aspect of the proximal tail may be raised and dogs may resent palpation of the area 3-4 inches (8-10 cm) from the tail base...
November 1999: Journal of Veterinary Internal Medicine
J Edwards-Beckett, H King
There are two basic mechanisms of bowel control: anatomic and neurologic. The structures involved in bowel control include the colon, rectum, internal and external anal sphincters, and pelvic musculature. Also involved is the process of neural innervation. A pediatric patient's bowel function and control are altered as a result of spinal pathology. Upper motor neuron lesions leave the reflex arc intact but with a lack of voluntary control. Stimulation and timing are important in the development of a successful bowel program for pediatric patients with these lesions...
November 1996: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
M Mizutani, H Nakano, K Sagami, H Nihira
A 6-year-old boy was seen for post-traumatic priapism which had been present for 4 days. Intracavernous injection of metaraminol was performed to reduce the arterial blood inflow of the penis. Within 30 min after the injection, the penis became flaccid, and the prognosis was good. Recently it was reported that there are two different types of priapism. Type 1 priapism is due to blood stasis. This type is well known and characterized by extremely hard corpora and painful penis. Type 2 is caused by increased arterial blood flow of penis...
1986: Urologia Internationalis
H W Vogler
Foot and ankle deformity in the face of neuromuscular involvement will challenge the podiatric surgeon's ingenuity. The basic principles of management of the various major conditions encountered in spastic and flaccid muscle paralysis-paresis has been discussed. The use of a combined approach of hard and soft tissue surgery is emphasized as well as an intimate understanding of the specific neuromuscular process itself.
January 1987: Clinics in Podiatric Medicine and Surgery
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