Male impotence

Erectile dysfunction can be devastating for men and for their partners. A good sexual history and focused physical examination can provide clues as to whether the underlying cause is psychogenic or organic. Diagnostic investigation should be tailored to the clinical picture. Oral medications now rep...

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Bibliographic Details
Published in:The Lancet (British edition) 1999-11, Vol.354 (9191), p.1713-1718
Main Author: Morgentaler, Abraham
Format: Article
Language:English
Subjects:
Biological and medical sciences
Diagnosis, Differential
Erectile Dysfunction - etiology
Erectile Dysfunction - therapy
Gynecology. Andrology. Obstetrics
Health care
Humans
Male
Male genital diseases
Medical sciences
Men
Non tumoral diseases
Patient Care Team
Quality of life
Sexual disorders
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Summary:Erectile dysfunction can be devastating for men and for their partners. A good sexual history and focused physical examination can provide clues as to whether the underlying cause is psychogenic or organic. Diagnostic investigation should be tailored to the clinical picture. Oral medications now represent first-line therapy. Penile injection therapy and vacuum constrictive devices are reasonable choices for men in whom oral therapy fails or is contraindicated. The penile prosthesis provides a reliable long-term solution with high satisfaction rates. Psychotherapy may be indicated. Physicians can have a positive impact on the quality of life of patients by providing a non-judgmental and supportive environment for discussion and management of impotence.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(99)06586-1