Publications by authors named "Charles N Walker"

Purpose Of Review: The prevalence of hypertension and erectile dysfunction has steadily increased, and greater than 40% of men with erectile dysfunction concurrently share a diagnosis of hypertension. The treatment of the patient with both diseases poses a clinical challenge as both are closely correlated and share multiple overlapping risk factors.To address the recognized knowledge gap among clinicians who care for these patients, we will review the current literature on the diagnosis and treatment of erectile dysfunction in the hypertensive patient and will provide recommendations for the management of this challenging patient population.

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Erectile dysfunction (ED) affects approximately 18 million American men. ED may be attributed to several etiologies, including arteriogenic, psychogenic, neurogenic, hormonal, drug-induced, and systemic disease or aging related factors. Specific to arteriogenic ED, three major mechanisms have been identified: (I) endothelium-dependent vasodilatory impairment; (II) sympathetic nerve activity elevation; (III) atherosclerotic luminal narrowing.

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Article Synopsis
  • Erectile dysfunction (ED) affects around 150 million people globally and may signal larger health issues like vascular diseases, particularly involving the heart and peripheral arteries.
  • The link between ED and common risk factors such as smoking, diabetes, and obesity suggests that metabolic issues significantly contribute to both ED and cardiovascular diseases.
  • While current treatments may not reverse ED completely, certain procedures like percutaneous revascularization could improve symptoms in select patients, indicating the need for further research on the male pelvic arterial structure and effective imaging techniques.
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Background And Objective: Laser tissue welding with human albumin solder (HAS) has been used as an alternative method of wound closure. Adenoviral vectors have been used to introduce various cytokine genes into wounds to accelerate wound closure. In the present study, we were interested in the effect of HAS on adenoviral vector transfer of the beta-galactosidase (beta-gal) gene in vitro and in vivo.

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