Erectile dysfunction: Diagnosis and choice of therapy
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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.
KeywordsPublic Health Erectile Dysfunction Assessment Method Etiological Factor Impotence
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- 1.Beutler LE, Gleason DM (1982) Integrating the advances in the diagnosis and treatment of male potency disturbance. J Urol 126:338–342Google Scholar
- 2.Hengeveld MW (1983) Erectile dysfunction: a sexological and psychiatric review. World J Urol 1:227–232Google Scholar
- 3.Kaplan HS (1975) The new sex therapy. Brunner/Mazel, New YorkGoogle Scholar
- 4.Krauss DJ (1984) To inflate or not to inflate... Is there a rational approach to penile prosthetic implantation? In: Segraves RT, Haeberle EJ (eds) Emerging dimensions of sexology. Praeger, New YorkGoogle Scholar
- 5.Levine SB (1976) Marital sexual dysfunction: erectile dysfunction. Ann Intern Med 85:342–350Google Scholar
- 6.Perelman MA (1984) Rehabilitative sex therapy for organic impotence. In: Segraves RT, Haeberle EJ (eds). Emerging dimensions of sexology. Praeger, New YorkGoogle Scholar
- 7.Reynolds BS (1977) Psychological treatment models and outcome results for erectile dysfunction: a critical review. Psychol Bull 84:1218–1238Google Scholar
- 8.Saypol DC, Peterson GA, Howards SS, Yarel JJ (1983). Impotence: are the newer diagnostic methods a necessity? J Urol 130:260–262Google Scholar
- 9.Schiavi RC (1981) Male erectile disorders. Annu Rev Med 32:509–520Google Scholar
- 10.Wagner G, Green R (1981) Impotence: physiological, psychological, surgical diagnosis and treatment. Plenum Press, New York LondonGoogle Scholar