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The smooth muscle contraction is regulated by a combination of adrenergic control, intrinsic myogenic control and endothelium derived contracting factors prostaglandin and endothelins FIG 3 27 29. Pathology arising from any of the above processes can result in erectile dysfunction. Report of spontaneous nocturnal or morning erections indicate intact neurologic reflexes and penile blood flow. Some of the similarities can be explained by the tendency for people to choose spouses like themselves, and some of the shared risk factors depend on lifestyle habits partners have in common. An ultrasound scan can be used to detect cases of prostate cancer, according to new.

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