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2014 ; 6
(3
): 164-176
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Current Diagnosis and Management of Erectile Dysfunction
#MMPMID25878565
Pastuszak AW
Curr Sex Health Rep
2014[Sep]; 6
(3
): 164-176
PMID25878565
show ga
Erectile dysfunction (ED) affects a growing number of men in the USA and abroad,
with significant impacts on sexual function and overall quality of life. The risk
factors for ED are numerous and include a strong link to cardiovascular disease,
such that men with ED should be screened for cardiovascular disease. The
evaluation of men presenting with ED includes a comprehensive history and
physical exam to aid in the identification of comorbidities as well as laboratory
testing to evaluate hormone and lipid levels and sugar metabolism. Adjunct
studies are also available, though their utility is often limited to specific
subtypes of ED. Once the etiology of ED is established, treatment can be
initiated using appropriate medical therapies, including phosphodiesterase type 5
(PDE5) inhibitors, and transurethral or intracavernosal therapies, with surgical
intervention via revascularization or penile prosthesis placement in men
demonstrating a lack of response to medical therapy. In all cases of ED, a
psychogenic component is present and referral for psychological intervention with
or without medical therapy should be considered.