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Prevalence of erectile dysfunction: need for treatment?
1Department of Urology, University Medical Center, Nijmegen, The Netherlands. e.meuleman@uro.azn.nl
International Journal of Impotence Research
|February 19, 2002
Summary
Erectile dysfunction (ED) affects many older men, increasing with age and health issues. Lifestyle changes and counseling are key for managing ED, as few men seek medical treatment.
Area of Science:
- Urology
- Geriatrics
- Sexual Medicine
Background:
- Erectile dysfunction (ED) is prevalent, particularly in aging populations.
- Population-based surveys on ED have increased due to new treatments.
- ED incidence rises with age and comorbidities like diabetes and heart disease.
Purpose of the Study:
- To review the occurrence and management of ED in nonclinical populations.
- To highlight the gap between ED prevalence and treatment seeking.
- To emphasize a holistic approach to ED management.
Main Methods:
- Literature review of population-based surveys on ED.
- Analysis of ED incidence, risk factors, and treatment seeking behavior.
- Discussion of management strategies beyond pharmacological treatment.
Main Results:
- ED affects approximately 26% of men aged 40-69, with moderate to complete ED impacting sexual activity.
- Vascular disease is a common cause of organic ED and may signal cardiac issues.
- Few men with ED seek medical help, and not all are candidates for symptomatic treatment.
Conclusions:
- A holistic approach including counseling, lifestyle adjustment, and risk factor modification is crucial for ED treatment.
- Maintaining physical and sexual activity is vital for men with ED.
- The phrase 'use it or lose it' applies to maintaining penile function.