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Evaluation and treatment of erectile dysfunction

D M DeWire1

  • 1Medical College of Wisconsin, Milwaukee, USA.

American Family Physician
|May 1, 1996
PubMed
Summary

Erectile dysfunction is often caused by organic factors, primarily vascular disease. Effective treatments are available, leading to high satisfaction rates for most patients and their partners.

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Area of Science:

  • Urology
  • Andrology
  • Vascular Medicine

Background:

  • Erectile dysfunction (ED) frequently has an organic cause, with vascular disease being the most prevalent.
  • The clinical evaluation of ED involves a comprehensive approach.

Purpose of the Study:

  • To review the diagnostic methods and therapeutic options for erectile dysfunction.
  • To highlight the advancements in ED treatment over the last decade.

Main Methods:

  • Clinical evaluation including history and physical examination.
  • Hormonal assessment, diabetes screening.
  • Nocturnal tumescence testing and penile Doppler flow studies.

Main Results:

  • Vascular disease is the leading organic cause of erectile dysfunction.
  • Various treatment options exist, including hormone supplements, vacuum devices, injections, and prostheses.
  • Most patients and partners achieve satisfactory outcomes with current therapies.

Conclusions:

  • Erectile dysfunction management has significantly improved.
  • A range of effective treatments are available for organic erectile dysfunction.
  • Patient and partner satisfaction is generally high with modern ED treatments.

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