Patient's question:
Recently, I have developed erectile dysfunction, and my lower body always has a feeling of pain. Moreover, now every time I have sex with my wife, my lower body feels somewhat hard. I want to have a surgery at a urology hospital and don't know where is the best place to do it.Doctor's answer:
Hello, nitric oxide enters the smooth muscle cells of the corpus cavernosum, activates guanylate cyclase, converting guanosine triphosphate into the second messenger - cyclic guanosine monophosphate (cGMP). An increase in intracellular cGMP concentration leads to relaxation of the corpus cavernosum smooth muscle, expansion of the corpus cavernosum sinuses, and increased arterial blood flow. The volume of the corpus cavernosum increases, and the tunica albuginea surrounding the corpus cavernosum is passively extended and stretched. This compresses and elongates the subalbuginal veins that drain blood from the corpus cavernosum. For severe cases, it is recommended that you seek treatment at a local grade-A hospital.