Advertisement

Office Evaluation of the Impotent Man

  • David F. Mobley
  • Neil Baum

Abstract

With a plethora of diagnostic and treatment options, there is probably no area of urology that has more diversity in diagnosis and treatment than erectile dysfunction. There is no unanimity or consensus as to what should be done or what is the usual and customary approach. There is wide variation in how the impotent man is approached in different areas of the country, as well as from urologist to urologist within the same community. A workup may vary from obtaining a thorough history and physical examination to thousands of dollars’ worth of laboratory work, assessment of sleep erections, and imaging studies that leave the patient with a probable diagnosis and no solution to his problem. Treatments vary from the far too common reassurance that the man is “over the hill” and his days of sexual intimacy are over, to the immediate recommendation of a surgical procedure that may still leave the patient without a useful erection. For many men, it is a total surprise that there is help, and that there is far more than reassurance available as a solution to this common, but often devastating, medical problem.

Keywords

Erectile Dysfunction Premature Ejaculation Office Evaluation Corporal Body Massachusetts Male Aging Study 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Goldstein I. Your erectile dysfunction patient load is due to boom. Urology Times December, 1994.Google Scholar
  2. 2.
    Lue T. Patient’s goal-directed impotence management. Urology Grand Rounds 1989; 29.Google Scholar
  3. 3.
    Govier FE, Jonsson E, Kramer-Levine D. Oral terbutaline for the treatment of priapism. J Urol 1994; 151: 878–879.PubMedGoogle Scholar
  4. 4.
    Lowe FC, Jarow JP. Letter to the editor. J Urol 1994; 153: 163.Google Scholar
  5. 5.
    Nadig P. Office assessment of BPH, abnormal PSA/DRE and impotence using existing guidelines and proper CPT coding. AUA Postgraduate Course, San Francisco, 1994.Google Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • David F. Mobley
  • Neil Baum

There are no affiliations available

Personalised recommendations