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The penis is a male external genital organ which is part of both the urinary and reproductive systems. The penis can be divided into three parts – the root, body and glans. The root is not visible externally. It is the fixed part of the penis, located in the superficial perineal pouch of the pelvic floor. The root contains two crura and the bulb of the penis, which are erectile tissues, as well as the ischiocavernosus and bulbospongiosus muscles. Erectile tissues are tissues that engorge with blood during sexual arousal to create an erection. The two bulbospongiosum muscles are associated with the bulb of the penis and contract to empty the spongy urethra of residual urine or semen. It also contracts during orgasm and ejaculation. The two ischiocavernosus muscles surround the crura and contract to force blood distally from the crura’s cavernous spaces into the corpora cavernosa to add rigidity to an erection. The body of the penis is suspended from the pubic symphysis, which is a joint between your right and left pelvic bones. It is composed of three columns of erectile tissue. Extending from the two crura in the root of the penis are a pair of corpora cavernosa, found along the sides of the penis. Extending from the bulb in the root of the penis is the corpus spongiosum, which runs along the bottom of the penis. The corpus spongiosum contains the urethra, which is the tube which allows for exit of urine or semen. Note that the corpus spongiosum fills with blood to a lesser extent than the corpora cavernosa during an erection so that the pressure does not result in the urethra becoming occluded. This way, semen can make their way through during ejaculation. Finally, the glans is the penis’ most distal portion. It is a distal expansion of the corpus spongiosum and features the external urethral orifice, which is the opening of the urethra. Erectile tissue has fascial coverings. The dartos fascia are found in the penis and scrotum, and the portion in the penis is called the superficial fascia of the penis. The part of the fascia in the scrotum is called the dartos proper. Note that the dartos fascia is continuous with Colles fascia in the perineum and Scarpa’s fascia in the abdomen. Going deeper, we see Buck’s fascia, also known as the deep fascia of the penis. It is a continuation of the deep perineal fascia, and holds the three erectile tissues together. Finally, beneath the deep fascia is the tunica albuginea, a strong fascia surrounding each cavernous body that is fused at the midline of the penis. Loose connective tissue connects the fascias to the overlying skin. Two ligaments support the root of the penis – the suspensory ligament, which connects to the pubic symphysis, and the fundiform ligament, which runs down the linea alba, around the penis, and then attaches to the pubic symphysis. The skin of the penis is more heavily pigmented than skin of the rest of the body. The foreskin, or prepuce, is a double layer of skin and fascia found at the neck of the glans. It is connected to the glans surface via the frenulum – this skin fold seen here. The foreskin covers the glans to a variable extent, and the space between the glans and foreskin is called the preputial sac. Finally, let’s discuss the penis’ neurovascular supply. The penis has dorsal arteries, deep arteries, and the bulbourethral artery supplying it, and all of these branch from the internal pudendal artery, which arises from the anterior division of the internal iliac artery. A deep dorsal vein drains the cavernous spaces into the prostatic venous plexus. The superficial dorsal veins drain the skin and cutaneous tissues. Somatic innervation of the penis is via the pudendal nerve, which arises from the S2-S4 sacral spinal segments. The pudendal nerve continues as the dorsal nerve of the penis. The dorsal nerve of the penis supplies sensory and sympathetic innervation to the skin and the glans penis. The pudendal nerve also supplies the ischiocavernosus and bulbocavernosus muscles. Cavernous nerves arise from the pelvic plexus and provide parasympathetic innervation. Hence, they cause vascular changes resulting in an erection. The cavernous nerves supply the corpus cavernosum and urethra and form a network around the erectile tissue.

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A high proportion of men suffering from Peyronie’s Disease also experience Erectile Dysfunction (ED). While some patients may have had some sexual dysfunction prior to the onset of Peyronie’s Disease in the majority of cases, their ability to have full erections will diminish as the disease progresses. Learn more at https://www.peyroniesdisease.co.uk There is a direct correlation in both conditions, and both can be treated with focused shockwave therapy. In order for a male to have an erection, in the region of 20 times as much blood as normal needs to swiftly flow and be held within the penis. The increased blood flow swells up the penis until it becomes hard and rigid. With both Peyronie’s Disease and ED, plaque forms in the blood vessels impeding this flow and preventing a full and satisfying erection. With Peyronie’s Disease, this is exacerbated and becomes more pronounced with a lump of plaque generally forming on the side of the penis. As a result, this side of the penis cannot expand as normal and when an erection takes place it results in a bend in the penis. A beneficial side effect of breaking down the Peyronie’s Disease plaque is that it clears and rejuvenates the blood vessels in the penis. So, men undergoing the treatment will not only have a straighter penis but will also have the ability to maintain a stronger and longer-lasting erection. Additional Treatment for ED Sufferers Peyronie’s Disease patients who have also suffered from moderate to severe ED previously may also be prescribed a treatment of shockwave therapy for their ED. This has two main benefits. The first is in increasing and revitalizing the blood vessels within the penis. This is known as angiogenesis. More blood vessels allow more blood to flow into the penis and enable a stronger erection. The second effect is the development of new nerve tissues. This is known as Neurogenesis. This increases the sensitivity of the penis, enabling more satisfying and fulfilling intercourse. Hope you enjoy this video and find out the right solution that you're looking for. For more videos please subscribe to our channel to stay close and share this video with your nearest one who wants to learn and seek how to treat Peyronies diseases without pain and side effects. Leave a comment below if you have any questions and what do you think about the service. Subscribe: https://www.youtube.com/channel/UCZd6VQS-dG-X3zGjNroGQug Check out our more videos you may like. History of Peyronie’s Disease ↪ https://youtu.be/7Ob9Ln4IWBg Peyronies Disease: Treatments & Cure For Peyronies ↪ https://youtu.be/FZh9fxTlXUM Smoking and Erectile Dysfunction ↪ https://youtu.be/_ZvB1QakZxU Alcohol and Erectile Dysfunction: Does Alcohol Cause Erectile Dysfunction? ↪ https://youtu.be/WbSVEF_E9qk Can Diabetes Cause Erectile Dysfunction? Erectile Dysfunction and Diabetes Treatment Options ↪ https://youtu.be/EriuP7XLE_0 For more information, visit our website: • http://www.mansmatters.co.uk #PeyroniesDisease #ShockwaveTherapy #Mansmatters

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Blueberries are put to the test against insulin resistance, oxidation, and DNA damage. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ Berries pack such a nutritional punch that I recommend eating at least ½ cup a day in my Daily Dozen Checklist (http://nutritionfacts.org/video/dr-gregers-daily-dozen-checklist) (download the free iPhone (https://itunes.apple.com/us/app/dr.-gregers-daily-dozen/id1060700802?mt=8) or Android app (https://play.google.com/store/apps/details?id=org.nutritionfacts.dailydozen), or print the checklist here (https://nutritionfacts.org/daily-dozen-challenge/)). More benefits of blueberries include: • The Benefits of Acai vs. Blueberries for Artery Function (http://nutritionfacts.org/video/The-Benefits-of-Acai-vs-Blueberries-for-Artery-Function) • Benefits of Blueberries for Artery Function (https://nutritionfacts.org/video/benefits-of-blueberries-for-artery-function/) • Benefits of Blueberries for Blood Pressure May Be Blocked by Yogurt (http://nutritionfacts.org/video/Benefits-of-Blueberries-for-Blood-Pressure-May-Be-Blocked-by-yogurt) • Benefits of Blueberries for the Brain (http://nutritionfacts.org/video/benefits-of-blueberries-for-the-brain) • Benefits of Blueberries for Mood and Mobility (http://nutritionfacts.org/video/benefits-of-blueberries-for-mood-and-mobility) • Best Brain Foods: Berries and Nuts Put to the Test (http://nutritionfacts.org/video/Best-Brain-Foods-Berries-and-Nuts-Put-to-the-Test) • Benefits of Blueberries for Heart Disease (http://nutritionfacts.org/video/benefits-of-blueberries-for-heart-disease) What else may protect against or repair DNA damage? See: • DNA Protection from Broccoli (https://nutritionfacts.org/video/dna-protection-from-broccoli/) • Antimutagenic Activity of Green Versus White Tea (https://nutritionfacts.org/video/antimutagenic-activity-of-green-versus-white-tea/) • Kiwifruit and DNA Repair (https://nutritionfacts.org/video/kiwifruit-and-dna-repair/) • Spicing Up DNA Protection (https://nutritionfacts.org/video/spicing-up-dna-protection/) • Carcinogen Blocking Effects of Turmeric (https://nutritionfacts.org/video/carcinogen-blocking-effects-of-turmeric/) Type 2 diabetes is caused by insulin resistance, but What Causes Insulin Resistance? (https://nutritionfacts.org/what-causes-insulin-resistance) Check out the video. And How May Plants Protect Against Diabetes? (https://nutritionfacts.org/video/how-may-plants-protect-against-diabetes/) See also Plant-Based Diets for Diabetes (https://nutritionfacts.org/video/plant-based-diets-for-diabetes), and my overview video How Not to Die from Diabetes (https://nutritionfacts.org/video/how-not-to-die-from-diabetes/). Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/blueberries-for-a-diabetic-diet-and-dna-repair and someone on the NutritionFacts.org team will try to answer it. Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at http://nutritionfacts.org/video/blueberries-for-a-diabetic-diet-and-dna-repair. You’ll also find a transcript and acknowledgments for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics. If you’d rather watch these videos on YouTube, subscribe to my YouTube Channel here: https://www.youtube.com/subscription_center?add_user=nutritionfactsorg Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution! -Michael Greger, MD FACLM Captions for this video are available in several languages. To find yours, click on the settings wheel on the lower-right of the video and then "Subtitles/CC." Do you have feedback about the translations in this video? Please share it here along with the title of the video and language: https://nutritionfacts.zendesk.com/hc/requests/new To view the subtitles in transcript format, click on the ellipsis button below the video, choose "Open transcript", and select the language you'd like to view them in. Image credit: Tookapic / Pexels https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org

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