Evaluation and treatment of erectile dysfunction

Maarten Albersen, Kuwong B. Mwamukonda, Alan W Shindel, Tom F. Lue

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Erectile dysfunction (ED) is a prevalent and important disease that has been associated with various comorbidities. The evaluation of patients with ED should include a general health assessment followed by a discussion of reversible factors and lifestyle changes that might help preserve erectile capacity. Numerous effective treatment options are currently available. A frank discussion about use and side effects of these therapies is required to optimize success. Although oral pharmacologic treatments can be initiated and monitored by the primary care physician, patients who do not experience response to these treatments may be best served by referral to a sexual medicine specialist for further assessment and consideration of other treatment options. This article discusses the physiology and pathophysiology of erectile function in men, how the primary care physician may address the clinical problem of ED in practice, and when specialty referral is indicated.

Original languageEnglish (US)
Pages (from-to)201-212
Number of pages12
JournalMedical Clinics of North America
Volume95
Issue number1
DOIs
StatePublished - Jan 2011

Keywords

  • Apomorphine SL
  • Assessment
  • Erectile dysfunction
  • Evaluation
  • Intracavernous injection
  • Phosphodiesterase 5 inhibitors
  • Prostaglandin
  • Treatment

ASJC Scopus subject areas

  • Medicine(all)

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