Sultan Technique for Aorto- Bi-Iliac Endarterectomy For Leriche Syndrome Leriche Syndrome is total aorto-bi-iliac occlusion in Young males. This 42 years old male patient was complaining of disabling claudication and erectile dysfunction. Through a midline incision, we open the retro-peritoneum. We applied Stansky Aortic Side Clamping just below both renal arteries and clamp both External and Internal Iliac arteries by Vessel Occlude Loops. We open the aorto in longitudinal fashion toward the Left common iliac artery then we perform aorto iliac endarterectomy, then we open the right common iliac artery as a separate arteriotomy, both arteriotomy were extended towards the proximal External iliac Arteries. After cleaning the endarterectomy side to the sturdy aortic adventitia we primarily close the aorto, Both Common and External Iliac arteries by 3/0 proline. The advantage for young age patients is avoiding the use of Dacron graft. We close the retroperitoneal area by 2/0 Monocryl and the abdomen with loop 2/0 Maxon and 4/0 sub-cuticular Monocryl . Patient was discharged 72 hours post surgical intervention.From:sherif sultanViews:0 0ratingsTime:03:14More inEducation Continued here: Sultan Technique for Aorto- Bi-Iliac Endarterectomy For Leriche Syndrome - Video … Continue reading →

Erectile dysfunction. What is erectile dysfunction? Erectile dysfunction cure. Natural solution. Erectile dysfunction, What is erectile dysfunction? Erectile dysfunction cure What is an erectile dysfunction? http://www.trypowerplus.com Erectile dysfunction (impotence) is characterized by inability to achieve and to maintain an erection sufficient for sexual intercourse. Erectile dysfunction can occur at any age and comes in many forms. Inability to achieve an erection leads not only to the physical discomfort in one's life, but is also frequently accompanied by psychological disorders which in turn contribute to the severity of a disease. What are the causes of erectile dysfunction? Erectile dysfunction can be triggered by two groups of primary causes psychological (psychogenic) and somatic (organic). Studies of the last 20 years have shown that erectile dysfunctions seldom occur due to purely psychological reasons (stress, depression, behavior, etc.). At the same time, it was discovered that approximately 80% of all cases of erectile dysfunction are caused by some sort of physical (somatic, organic) conditions. Organic causes are primarily connected with the physical inability to function by those structures, which "form" an erection, namely: blood vessels, nerve guides, hormonal mechanisms and a penis. Erectile dysfunctions can be caused by severe general diseases (such as … Continue reading →

Longer-lasting erections, ready when you are! http://www.Vitalicore.com Stop wondering if you'll be able to get an erection! Vitalikor DM male enhancement product is safe and clinically proven to provide harder, longer erections. This over-the-counter pill is endorsed and recommended by Dr. Karen Viera and covered by 8 patents! Vitalikor DM from Vitalicore.com is your answer to erectile dysfunction!From:Ludivina MorquechoViews:1 0ratingsTime:02:38More inPeople Blogs The rest is here: Longer-lasting erections, ready when you are! - Video … Continue reading →

A new study announced Tuesday finds that men with inflamed gums who treat the condition may also improve their erectile dysfunction. Previous studies have linked erectile dysfunction (ED) with periodontitis, or inflammation of the gums. Now, a new study from Inonu University in Malatya, Turkey, finds that treating the infection can lessen the symptoms of erectile dysfunction after just three months. The researchers compared 80 men in their thirties with erectile dysfunction with a control group of 82 men without erection problems. In the sample, 53 percent of the men with ED had inflamed gums compared to 23 percent in the control group. Men with severe periodontal disease were more than three times more likely to suffer from erection problems that men with healthy gums. "Erectile dysfunction is a major public health problem that affects the quality of life of some 150 million men, and their partners, worldwide," says lead author Dr. Faith Oguz. "Physical factors cause nearly two-thirds of cases, mainly because of problems with the blood vessels, with psychological issues like emotional stress and depression accounting for the remainder." The peer-reviewed findings appear online in the Journal of Clinical Periodontology. http://onlinelibrary.wiley.com/doi/10.1111/jcpe.12039/abstract Read more from the original source: Men: … Continue reading →

BALTIMORE, Dec. 5, 2012 /PRNewswire/ -- Chesapeake Urology Associates, PA, the premier urology practice in Maryland and the Mid-Atlantic region, has launched a comprehensive website devoted strictly to Erectile Dysfunction (ED). The site, with a URL of http://ed.chesapeakeurology.com, is an easy-to-access body of information that was built for ED patients and consumers alike. "The new website provides simple navigation and appealing graphics to help people learn more about ED and should answer any question they may have," says Marc H. Siegelbaum, M.D., F.A.C.S., director of Chesapeake Urology's Erectile Dysfunction Program."It also reflects Chesapeake Urology's high quality, leadership image and reputation." Chesapeake Urology's ED program focuses on providing the best possible care for patients, including comprehensive information about the condition and the range of available treatments. This informational source gives patients more detail and perspective about ED, and enables them to select the treatment pathway that is right for them. The site gives details about the male anatomy, the condition and its causes, myths and misconceptions about ED, treatment options, expectations during treatment, frequently asked questions, and even shares stories told by patients who received treatment. In addition, the site provides a section created just for women to help them understand … Continue reading →