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Erectile Dysfunction: Identification, Assessment, Treatment, and Follow-Up

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The Nurse Practitioner in Urology

Abstract

Understand the incidence, prevalence, etiology, and risk factors associated with erectile dysfunction.

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Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Penny Kaye Jensen DNP, APRN, FNP-C, FAAN, FAANP .

Editor information

Editors and Affiliations

Sexual Health Inventory for Men (SHIM)

Sexual Health Inventory for Men (SHIM)

Patient Instructions

Sexual health is an important part of an individual’s overall physical and emotional well-being. Erectile dysfunction, also known as impotence, is one type of a very common medical condition affecting sexual health. Fortunately, there are many different treatment options for erectile dysfunction. This questionnaire is designed to help you and your provider identify if you may be experiencing erectile dysfunction.

Each question has several possible responses. Circle the number of the response that best describes your own situation. Please be sure that you select one and only one response for each question.

Over the Past 6 Months

  1. 1.

    How do you rate your confidence that you could get and keep an erection?

    1

    2

    3

    4

    5

    Very low

    Low

    Moderate

    High

    Very high

  2. 2.

    When you had erections with sexual stimulation, how often were they hard enough for penetration?

    0

    1

    2

    3

    4

    5

    No sexual activity

    Almost never/never

    A few times

    Sometimes

    Most times

    Almost always/always

  3. 3.

    During sexual intercourse, how often were you able to maintain an erection after penetration?

    0

    1

    2

    3

    4

    5

    Did not attempt

    Almost never/never

    A few times

    Sometimes

    Most times

    Almost always/always

  4. 4.

    How difficult was it to maintain your erection to the completion of intercourse?

    0

    1

    2

    3

    4

    5

    Did not attempt

    Extremely difficult

    Very difficult

    Difficult

    Slightly difficult

    Not difficult

  5. 5.

    How often was sexual intercourse satisfactory to you?

    0

    1

    2

    3

    4

    5

    Did not attempt

    Almost never/never

    A few times

    Sometimes

    Most times

    Almost always/always

Total Score: __________

Scoring Key:

2225: No ED

1216: Mild-to-moderate ED

17: Severe ED

1721: Mild ED

811: Moderate ED

Used with permission from Rosen et al. (1999).

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Jensen, P.K., Albaugh, J.A. (2016). Erectile Dysfunction: Identification, Assessment, Treatment, and Follow-Up. In: Lajiness, M., Quallich, S. (eds) The Nurse Practitioner in Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-28743-0_4

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