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Moreover, dynamic PDU procedure-related anxiety might occasionally determine an incomplete pharmacologically induced erection, due to the increased sympathetic stimulation and adrenergic tone resulting from situational, non-constitutive, emotional disturbances deriving from the procedure, leading to an incomplete relaxation of cavernous smooth muscle and ensuing decreased blood inflow into the corpora cavernosa of the penis [43]

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Three caveats constrain the reward story