Multicentral clinical evaluation of the aetiology of erectile dysfunction: A survey report


Patients with erectile dysfunction, who admitted to 4 different urological centres in Turkey were evaluated in terms of aetiological factors to establish the aetiology of erectile dysfunction in our population and compare it with the data derived from Western communities. After the history, physical examination, psychological evaluation and laboratory testing, a clinical diagnosis was established as primarily psychogenic, organic, or mixed aetiology. Mean patient age was 43.5 years (range 17 to 69), and 9 of the patients were unmarried. Of the patients 53 had vascular risk factors, and 10 reported a history of alcohol abuse. Eleven patients were using drugs that might interfere with the disorder. In this multicentral study of 115 impotent men, an organic cause was found in 43%, psychogenic in 47%, and mixed in 19%. Mean age of the overall patients was 43.48. When the ages of the patients with organic erectile dysfunction and those with psychogenic erectile dysfunction were compared, it was clearly seen that those with organic erectile dysfunction were much older (52.73 versus 33.02).

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  1. 1.

    Williams CB. Aetiology of erectile dysfunction. Urology 1995; 46(1): 123.

    PubMed  CAS  Article  Google Scholar 

  2. 2.

    Van Arsdalen KN, Malloy TR, Wein AJ. Erectile physiology, dysfunction, and evaluation: II. Aetiology and evaluation of erectile dysfunction. Monogr Urol 1983; 4: 165.

    Google Scholar 

  3. 3.

    Krane RJ, Goldstein I and Saenz de Tejada I. Impotence. New Engl J Med 1989; 321: 1648.

    PubMed  CAS  Article  Google Scholar 

  4. 4.

    Goldstein I and Krane RJ. Drug-induced sexual dysfunction. World J Urol 1983; 1: 239.

    Article  Google Scholar 

  5. 5.

    Slag MF, Morley JE, Elson MK, Trence DL, Nelson C, Nelson A, Kinlaw WB, Beyer HS, Nuttal FQ and Shafer RB. Impotence in medical clinic outpatients. J.A.M.A. 1983; 249: 1736.

    PubMed  CAS  Article  Google Scholar 

  6. 6.

    Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ and McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts male aging study. J Urol 1994; 151(1): 54–61.

    PubMed  CAS  Google Scholar 

  7. 7.

    Martins FE and Reis JP. Visual erotic stimulation test for initial screening of psychogenic erectile dysfunction: a reliable noninvasive alteratnive? J Urol 1997; 157(1): 134–139.

    PubMed  CAS  Article  Google Scholar 

  8. 8.

    Impotence National Institutes of Health (NIH). Consens Statement Online 1992 Dec 7-9 [1999–06–26]; 10(4): 1–31.

    Google Scholar 

  9. 9.

    Nickel JC, Morales A, Condra M, et al. Endocrine dysfunction in impotence: incidence, significance, and cost-effective screening. J Urol 1984; 132: 40.

    PubMed  CAS  Google Scholar 

  10. 10.

    Davis-Joseph B, Tiefer L, and Melman A. Accuracy of the initial history and physical examination to establish the aetiology of erectile dysfunction. Urology 1995; 45(3): 498–502.

    PubMed  CAS  Article  Google Scholar 

  11. 11.

    Kearse WS, Sago AL, Peretsman SJ, Bolton JO, Holcomb RG, Reddy PK, Bernhard PH, Eppel SM, Lewis JH, Gladshteyn M, and Melman AA: Report of a multicenter clinical evaluation of the Dura-II penile prosthesis. J Urol 1996; 155(5): 1613–1616.

    PubMed  Article  Google Scholar 

  12. 12.

    Malmsten UGH, Milsom I, Molander U and Norlén LJ. Urinary incontinence and lower urinary tract symptoms: an epidemiological study of men aged 45 to 99 years. J Urol 1997; 158(5): 1733–1737.

    PubMed  CAS  Article  Google Scholar 

  13. 13.

    Kinsey AC, Pomeroy WB and Martin CE. Sexual Behavior in the Human Male. Philadelphia: W.B. Saunders Co., 1948.

    Google Scholar 

  14. 14.

    Pearlman CK and Kobashi L. Frequency of intercourse inmen. J Urol 1972; 107: 298.

    PubMed  CAS  Google Scholar 

  15. 15.

    McKinlay JB, Longcope C and Gray A. The questionable physiologic and epidemiologic basis for a male climacteric syndrome: preliminary results from the Massachusetts Male Aging Study. Maturitas 1989; 11: 103.

    PubMed  CAS  Article  Google Scholar 

  16. 16.

    Morley JE: Impotence. Amer J Med 1986; 80: 897.

    PubMed  CAS  Article  Google Scholar 

  17. 17.

    Mulligan T, Retchin SM, Chinchilli VM and Bettinger CB. The role of aging and chronic disease in sexual dysfunction. J Amer Geriat Soc 1988; 36: 520.

    PubMed  CAS  Google Scholar 

  18. 18.

    Keil JE, Sutherland SE, Knapp RG, Waid LR and Gazes PC. Self-reported sexual functioning in elderly blacks and whites: the Charleston heart study experience. J Aging Health 1992; 4: 112.

    Google Scholar 

  19. 19.

    Bemelmans BLH, Meuleman EJH, Doesburg WH, Notermans SLH, Debruyne FMJ. Erectile dysfunction in diabetic men: the neurological factor revisited. J Urol 1994; 151(4): 884–889.

    PubMed  CAS  Google Scholar 

  20. 20.

    Ruzbarsky V, Michal V. Morphologic changes in the arterial bed of the penis with aging. Invest Urol 1977; 15: 194.

    PubMed  CAS  Article  Google Scholar 

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Aydın, S., Ünal, D., Erol, H. et al. Multicentral clinical evaluation of the aetiology of erectile dysfunction: A survey report. Int Urol Nephrol 32, 699–703 (2001).

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  • Aetiology
  • Child
  • Erectile dysfunction