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Primary Care Evaluation and Treatment of Erectile Dysfunction

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Urological Men’s Health

Part of the book series: Current Clinical Urology ((CCU))

Abstract

Historically, erectile dysfunction (ED), as all sexual dysfunctions, has been relegated to a lower priority in a busy primary care practice. However, it is becoming evident that ED will not only accompany disease states of high comorbidity, but also can serve as an early marker for some patients presenting without established cardiovascular disease. What follows is an examination of trends of sexual inquiry in primary care practice and why asking about erectile dysfunction should be vital; how to engage a patient to allow for such a discussion; the workup, treatment, and determination of organic erectile dysfunction; how to manage the nonresponder to PDE5i therapy; and when to refer. It is the hope of the authors that sexual inquiry can become standard in primary care practice. The number of men with ED is increasing by the decade, and it is vital to propose both a workup and a treatment plan, that is, not only simple but also includes basic lifestyle changes that address diet and exercise. The chapter will include the optimization of PDE5i therapy, and will review other pharmacologic and surgical therapies.

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Authors and Affiliations

  1. Department of Family Medicine and Urology, Warren Albert School of Medicine, Brown University, Men’s Health Center, The Miriam Hospital, 164 Summit Avenue, Providence, RI, 02906, USA

    Martin Miner MD

  2. Department of Urology, UCLA School of Medicine, Los Angeles, CA, USA

    Jacob Rajfer MD

  3. Harbor-UCLA Medical Center, Torrance, CA, USA

    Jacob Rajfer MD

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  1. Martin Miner MD
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  2. Jacob Rajfer MD
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Correspondence to Martin Miner MD .

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Editors and Affiliations

  1. The Glickman Urologic and, Kidney Institute, Department of Urology, Cleveland, 44195, Ohio, USA

    Daniel A. Shoskes

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Miner, M., Rajfer, J. (2012). Primary Care Evaluation and Treatment of Erectile Dysfunction. In: Shoskes, D. (eds) Urological Men’s Health. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-900-6_11

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  • DOI: https://doi.org/10.1007/978-1-61779-900-6_11

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