GOLDEN PRINIPLE FOR SEXUAL HEALTH ARE GIVEN IN PICTURES BELOW

DR BURKI IS AFFLIATED WITH INTERNATIONAL ORGINIZATION LIKE
(WAS) World Association Sexual Health
ISSM international society for sexual medicine
scientific and research groups of WAS
AEP Association of european psychiatrists
WPA world psychiatric association as senior member ELN
MOBILE 03334701061
PREMATURE EJACULATION IN PAKISTAN — Lahore

• Location: Lahore, Punjab, Pakistan
• Street Address: LAHORE SPECIALIST CLINIC OPPOSIT SERVIS HOSPITAL
• Date Posted: July 14
• Phone: 03334701061
PREMATURE EJACULATION IS MOST PREVALENT SEXUAL DISORDER.IN WARM CLIMATE LIKE PAKISTAN AVERAGE SEX TIMING OF MALE IS MINIMUM.INCMOPTABILITY OF TIMING BETWEEN MALE AND FEMALE HAS CAUSED FRUSTRATION IN COUPLE.COMPLIAN OF DROPS (DHANT) AND EXCESSIVE NOCTURAL EMISSION(AHTHALAM) ARE ASSOCIATED DISORDERS.MANY PATIENT S GET HOOKED TO ADDICTION DUE TO THIS ORDER.
DR MUHAMMAD HARIS BURKI IS WORLD WIDE AUTHORITY DEALING WITH THIS PROBLEM.HE HAS CONDUCTED RESEARCHES PRESENTED PAPERS ON THIS TOPIC ,IN ALL PARTS OF WORLD.HE IS DESIGNER OF NEW TECNIQUE FOR DELAYING EJAVULATION COMMONLY KNOWN AS BURKI,S MANOUVER.HE ALSO HAS INTRODUCED NEW MEDICATION GABAPENTINE FOR TREATMENT OF PREMATURE EJACULATION IN MADRID (SPAIN) IN CONGRESS OF EUROPEAN PSYCHIATRY.DR BURKIHAS DISCOVERED INTIMATE RELATION BETWEEN AXIETY DEPRESSION AND PREMATURE EJACULATION.HE HAS EXCLUSIVE TREATMENT FOR CONCOMITANT PSYCHIATRIC PAIN AND MISERY.
VERY RECENTLY DR BURKI HAS DESIGNED NEW MANOEUVRE BURKI II FOR PREMATURE EJACULATION.C;Just click following links

http://www.pkdoctors.net/doctors-blogs/burkis-manoeuvre-ii-for-premature-ejaculation.html
MUHAMMAD HARIS BURKI
MBBS, PHD (sexology) WPA -CME (psych)USA
PSYCHIATRIST SEXOLOGIST
ELECTED MEMBER WORLD ASSOCIATION OF SEXUAL HEALTH
MEBER PSYCHIATRY AND SEXUAL HEALTH COMMITTEE WORLD SPSYCHIATRIC ASSOCIATION
MEMBER EUROPEAN PSYCHIARTIC

PDE5 Inhibitors for LUTS: Discussion
Authors and Disclosures

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Abstract and Introduction
Background
Epidemiologic Data
NOS/NO Theory
AH and the Metabolic Syndrome
Rho-kinase Activation
Pelvic Atherosclerosis
The Effects of PDE5 Inhibitors on LUTS
Discussion
References
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Both ED and LUTS secondary to BPH are found to be increasingly prevalent as men age. Several large epidemiologic studies have shown an association between LUTS and ED independent of age and other co-morbidities, implying a causal relationship. Few studies have examined a temporal association, and further research is required.[91,92] Four possible pathophysiologic mechanisms have been described and may explain the role of PDE5-inhibitor therapy in LUTS. PDE5 inhibitors facilitate smooth muscle relaxation through the NO/cGMP pathway, with effects in the bladder, prostate, and urethra. This theory is supported by the findings of multiple large trials showing significant improvement in LUTS after PDE5-inhibitors therapy. In addition, PDE5 inhibitors have been shown to counter AH (which is mediated through increased second messengers NE and endothelin levels). Rho-kinase’s effects are mediated in part by these same second messengers, and it too can be affected by PDE5 inhibitors. Pelvic atherosclerosis and ischemia tie together all these concepts. In its presence, Rho-kinase is upregulated, NOS is downregulated, and AH is induced as a component of the metabolic syndrome.

The results of these studies imply that PDE5 inhibitors predominantly improve storage symptoms (IPSS) rather than voiding symptoms (Qmax). However, the exact mechanism of action is not well understood. Earlier studies have shown increased LUTS in aging men and women, pointing to a source other than the prostate causing these symptoms.[93] Experimental models, in human and rat tissue, have shown that PDE5 inhibitors decrease nonvoiding bladder contractions.[94,83] In addition, PDE5 inhibitors have been shown to improve urodynamic parameters in SCI patients.[82] PDE5 inhibitors offer an opportunity to treat ED and LUTS concurrently. Furthermore, there may be a role of PDE5 inhibitors in the treatment of LUTS in men without ED and in women.

« Previous Page Section 9 of 9 Table of Contents
Abstract and Introduction Background Epidemiologic Data NOS/NO Theory AH and the Metabolic Syndrome Rho-kinase Activation Pelvic Atherosclerosis The Effects of PDE5 Inhibitors on LUTS Discussion

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