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Management of erectile dysfunction by the geriatrician
M F Godschalk1, A Sison, T Mulligan
1Virginia Commonwealth University/Medical College of Virginia, Richmond, USA.
Journal of the American Geriatrics Society
|November 5, 1997
Summary
Erectile dysfunction (ED) affects most elderly men, yet less than 5% receive adequate treatment. This review covers ED pathophysiology, geriatrician evaluation, and evidence-based treatment options for older adults.
Area of Science:
- Geriatric Medicine
- Urology
- Sexual Health
Background:
- Erectile dysfunction (ED) is highly prevalent in elderly men, affecting approximately 67% of 70-year-olds.
- Despite a persistent interest in sexual activity, the majority of older men with ED remain undertreated.
Purpose of the Study:
- To review current understanding of ED pathophysiology in older men.
- To outline practical office-based evaluation methods for geriatricians.
- To discuss evidence-based treatment strategies for geriatric ED.
Main Methods:
- Literature review of recent research on ED.
- Analysis of diagnostic approaches for geriatric patients.
- Synthesis of treatment guidelines and clinical trial data.
Main Results:
- Recent advances have improved understanding of ED's underlying mechanisms.
- Standardized office-based evaluations can effectively diagnose ED in geriatric settings.
- A range of evidence-based treatments are available and effective for older men.
Conclusions:
- Geriatricians play a crucial role in addressing ED.
- Improved evaluation and treatment can significantly enhance quality of life for elderly men with ED.
- Further research is needed to optimize ED management in this population.