The relevant muscles for ensuring continence include the internal sphincter (under involuntary control), the external sphincter and the pelvic floor Muscles. The external sphincter is under volontary control of the Central Nervous System and consists of skeletal muscle fibers (losing about 2% of its strenght each year). The external sphincter is primary responsible for ensuring continence.
The pelvic Floor Muscles are the second line of defense. Pelvic Floor Muscles are highly complex set of muscles. Their key function is to support the reproductive and urinary organs and also to push the urethra against the public bone to ensure further closure.
The Pelvic Floor Muscles acts as a "hammock" like muscle that stretches from public bone to the tall bone. One key function of the Pelvic Floor Muscles is to support and lift the pelvic organ. When the Pelvic Floor Muscles become weak the pelvic organs prolapsed. These lead to incontinence as well as the deterioration of the sexual function.
Erectule Dysfunction (ED) is the consistent inability to maintain an erect penis with sufficient rigidity to allow for sexual inter course.
Erectile Dysfunction can be caused by a combination of various factors including psychological, hormonal, neurologic or vascular. ED is normaly closely related to cardiovascular disease. Against the background of these risk factors, two solutions can substantially improve the situation of sexual dysfunction:
Trainig of the pelvic floor muscles
Relaxation in combination with increased blood flow
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