Related Experiment Video
Updated: Jun 23, 2025
09:49
Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
Published on: December 28, 2021
3.4K
Erectile Dysfunction in Adolescents and Young Adults
Amelia Pantazis1, Israel Franco2, Jordan Gitlin3
1NYU Grossman Long Island School of Medicine, Division of Pediatric Urology, NYU Langone Hospital - Long Island, Mineola, NY, USA.
Current Urology Reports
|June 26, 2024
Summary
Erectile dysfunction in young males has surged, often linked to psychogenic causes like anxiety and depression. Treatment involves reassurance, therapy, and tadalafil.
Area of Science:
- Pediatric Urology
- Adolescent Health
- Sexual Medicine
Background:
- Erectile dysfunction (ED) in adolescents and young adults presents unique challenges.
- Recent studies explore psychogenic and organic causes, including pandemic-related factors and online pornography.
- A significant increase in ED cases among adolescent males has been observed.
Purpose of the Study:
- To summarize current research on ED in adolescents and young adults.
- To outline evaluation and treatment recommendations for pediatric urologists.
- To enhance management strategies for this patient demographic.
Main Methods:
- Literature review of recent research on adolescent erectile dysfunction.
- Analysis of clinical observations from a pediatric urology practice.
- Synthesis of diagnostic and therapeutic guidelines.
Main Results:
- A 31-fold increase in adolescent males presenting with ED since 2014 was noted.
- Psychogenic factors, particularly anxiety and depression, are the predominant causes.
- Elevated cortisol levels due to stress may contribute to vascular resistance and ED.
Conclusions:
- Psychogenic erectile dysfunction is increasingly prevalent in young males.
- Management should include psychological support, reassurance, and pharmacotherapy.
- Tadalafil (5 mg daily, tapered) is a potential treatment option, alongside cognitive behavioral therapy.
Related Concept Videos
01:20Disorders of the Male Reproductive System
384
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
384
01:17Male Sexual Response: Erection & Ejaculation
2.0K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
2.0K
01:28Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
146
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
146
01:17Erikson's Theory on Socioemotional Development during Adolescence
89
Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and...
89
01:27Emerging Adulthood
57
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
57
01:23Infertility in Males
259
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
259