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abnormal achieve alcohol bladder blockage blood supply body cardiovascular causes of impotence Chapter chronic impotence common condition corpus cavernosum cost damage device diabetes discussed drug dysfunction problems ejaculatory failure ejaculatory fluid exist experienced female partner high blood pressure hormonal hydraulic impotence problem impotence symptoms indicated individuals inflatable implant intercourse involve kidney known lack of desire linked to impotence male sexual dysfunction male urinary-genital system Masters and Johnson masturbation Name Brand Name(s nerve nervous system neurological normal occur orgasm papaverine patient pelvic area penile implant penile injection penis performance anxiety period Peyronie's disease physical cause physical problem physician possible premature ejaculation priapism professional help prolactin prostate infection prosthesis psychological impotence psychotherapy reasonable result in impotence retrograde ejaculation seek professional semirigid sex therapists sexual activity somatic nervous system sperm surgery testicles testosterone therapy treatment of impotence treatment program typically urethra urine urologist usually vaginal penetration vascular yohimbine