World Journal of Urology

, Volume 3, Issue 4, pp 249–252 | Cite as

Erectile dysfunction: Diagnosis and choice of therapy

  • Michiel W. Hengeveld
Free Paper


Modern, sophisticated assessment methods have made us more or less obsessed with differentiating organic from psychogenic erectile disorders and determining the “one and only real cause” of a patient's dysfunction. This often appears to be impossible, as impotence is never a simplistic, monocausal disorder. The goal of our diagnostic efforts is, primarily, to track down the whole complex of interrelated etiological factors. The choice of therapy should then be determined by the indications and counterindications to the various therapies which could be applied for a particular patient's disorder. Some relative counterindications to psychosexological and to surgical therapy of erectile dysfunctions are presented.


Public Health Erectile Dysfunction Assessment Method Etiological Factor Impotence 
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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Michiel W. Hengeveld
    • 1
  1. 1.Department of PsychiatryUniversity HospitalLeidenThe Netherlands

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