Arabic study of cases of functional sexual inadequacy

The subject of impotence has hardly been approached in the Arab countries though sexual dysfunction of a functional nature is of no less importance there than elsewhere.

Sexual function after abdominoperineal resection

A survey of the sexual changes in patients having abdominoperineal resection for ulcerative colitis was made at the Medical College of Georgia. The incidence of impotence in our series is zero. Only one of our female patients had a successful pregnancy. The other women seemed to be hampered by anatomic derangements relating to strictures, adhesions, or dislocation of the uterus, although the precise causes of infertility have not been elucidated. We suggest that in young men, fear of infertility have not been elucidated. We suggest that in young men, fear of injuring sexuality should not impede selection of appropriate surgical modality. However, we also suggest that the woman's risk of post-operative impairment of sexual function is greater than the man's.

Impotence in patients with chronic renal failure on dialysis: its frequency and etiology

Fourteen patients with chronic renal failure and on a hemodialysis program underwent neurologic, psychiatric, and endocrine studies to determine the frequency and etiology of impotence in uremics. The data suggest that impotence is more frequent in the chronic dialysis group than in the general population. All seven of the impotent men were found to have prolonged nerve conduct on velocity and absent bulbocavernosus reflexes. Several of the impotent men also had clinical depression and low plasma testosterone levels. Neuropathy may be a significant factor in the pathogenesis of impotence in the uremic, but the importance of both psychiatric and endocrine influences must be strongly considered.

Sexual dysfunction in college men and women

The author presents data and illustrative excerpts from 1,000 letters relating to health and personal concerns that were sent to his column in a college newspaper. There were 532 letters expressing sexual concerns, 65 percent of which raised questions about anatomy and physiology. A comparison of the distribution of problems of sexual dysfunction in this study with that of an earlier study involving older patients showed very different distributions. The author points out the need for sex counseling and education for young people who are sexually active and discusses the unique problems involved in treating this population.

Psychiatry in the Northern Sudan: a study in comparative psychiatry

This study is mainly based on my work in psychiatry in the Clinic of Nervous Disorders, Khartoum North, and with my private practice patients. I have seen altogether 2,160 patients. The distribution of psychiatric illness in these is shown in the table below. The two populations of patients attending the Government clinic and private practice are comparable, and the same patients interchange. A comparison is made in this paper between psychiatry in the West, mainly British psychiatry, and Sudanese psychiatry.