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Erectile dysfunction. Diagnosis and treatment in older men
Dominick J Carbone1, Allen D Seftel
1Department of Urology, Wake Forest University, Winston-Salem, North Carolina, USA.
Geriatrics
|September 26, 2002
Summary
Erectile dysfunction (ED) is common in men over 50. Evaluation involves medical history, sexual history, physical exam, psychosocial assessment, and lab tests for effective treatment.
Area of Science:
- Urology
- Primary Care Medicine
- Men's Health
Background:
- Erectile dysfunction (ED) is prevalent, affecting two-thirds of men aged 50 and older.
- ED is a frequent reason for primary care consultations.
Purpose of the Study:
- To outline a comprehensive approach for evaluating erectile dysfunction in primary care.
- To detail the components of a thorough ED assessment.
Main Methods:
- Review of medical history, including risk factors (hypertension, diabetes, cardiovascular disease, renal failure, medications).
- Assessment of lifestyle factors (obesity, tobacco, alcohol, illicit drug use).
- Detailed sexual history, physical examination, psychosocial assessment (focusing on depressive symptoms), and laboratory tests.
Main Results:
- A multi-faceted evaluation is essential for diagnosing erectile dysfunction.
- Key components include medical, sexual, and psychosocial history, physical exam, and lab work.
Conclusions:
- Comprehensive ED evaluation guides appropriate treatment selection.
- Effective management of erectile dysfunction requires a thorough diagnostic process.