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Current Sexual Health Reports
Published in: Current Sexual Health Reports 3/2014

01-09-2014 | MALE SEXUAL DYSFUNCTION AND DISORDERS (M KHERA AND SE ALTHOF, SECTION EDITORS)

Current Diagnosis and Management of Erectile Dysfunction

Author: Alexander W. Pastuszak

Published in: Current Sexual Health Reports | Issue 3/2014

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Abstract

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.
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Metadata
Title
Current Diagnosis and Management of Erectile Dysfunction
Author
Alexander W. Pastuszak
Publication date
01-09-2014
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 3/2014
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-014-0023-9

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