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Related Experiment Videos

Cost-effective evaluation of impotence.

T J Maatman, D K Montague, L M Martin

    Urology
    |February 1, 1986
    PubMed
    Summary

    This study outlines an efficient outpatient protocol for evaluating male impotence, categorizing patients into organic, functional, or ambiguous types. The comprehensive approach ensures effective diagnosis and management for erectile dysfunction.

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    Area of Science:

    • Urology
    • Andrology
    • Men's Health

    Background:

    • Erectile dysfunction (impotence) is a common complaint among men.
    • Accurate diagnosis is crucial for effective treatment of impotence.
    • Outpatient evaluation protocols can streamline the diagnostic process.

    Purpose of the Study:

    • To present a cost-effective, efficient outpatient protocol for evaluating male impotence.
    • To categorize patients with impotence into distinct etiological groups.
    • To assess the feasibility of a two-visit evaluation for erectile dysfunction.

    Main Methods:

    • Evaluation of 200 consecutive men with impotence.
    • Initial assessment included history, sexual function questionnaire, physical exam, hormone levels (testosterone, prolactin), and nocturnal penile tumescence (NPT) studies.
    • Further testing (vascular studies, glucose tolerance test, psychiatric consultation) for ambiguous cases.

    Main Results:

    • Patients were classified into organic, functional, or ambiguous impotence categories.
    • The protocol allowed for efficient outpatient evaluation.
    • Estimated costs ranged from +250 to +450 per patient.

    Conclusions:

    • A structured, multi-faceted outpatient protocol enables effective and efficient evaluation of male impotence.
    • Categorization aids in guiding subsequent management strategies for erectile dysfunction.
    • This diagnostic approach is both clinically effective and economically viable.

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