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Office Evaluation and Diagnostic Testing for Erectile Dysfunction

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Atlas of Male Sexual Dysfunction
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Abstract

In the 1970s, treatment of erectile dysfunction (ED), the preferred term for impotence [1], was relatively simple. Sex therapy was the treatment of choice for psychogenic ED, and penile prosthesis implantation was the only reasonable treatment option for most men with organic ED. Clinical evaluation of ED was also relatively straightforward: differentiation between psychogenic and organic ED was usually made by taking a detailed sexual and medical history and by performing nocturnal penile tumescence testing.

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References

  1. NIH Consensus Panel on Impotence: Impotence.)AMA 1993, 270: 83–90.

    Google Scholar 

  2. Lue TF: Impotence: a patient’s goal-directed approach to treatment. World J Urol 1990, 8: 67–74.

    Article  Google Scholar 

  3. Montague DK, Lakin MM: False diagnoses of venous leak impotence. J Urol 1992, 148: 148–149.

    CAS  PubMed  Google Scholar 

  4. Deutsch S, Sherman L: Previously unrecognized diabetes mellitus in sexually impotent men. JAMA 1980, 244: 2430–2432.

    Article  CAS  PubMed  Google Scholar 

  5. Leonard MP, Nickel CI, Morales A: Hyperprolactinemia and impotence: why, when, and how to investigate. J Urol 1989, 142: 992–994.

    CAS  PubMed  Google Scholar 

  6. Zonszein J: Diagnosis and management of endocrine disorders of erectile dysfunction. Urol Clin North Am 1995, 22: 789–802.

    CAS  PubMed  Google Scholar 

  7. Hartmann U: Psychological subtypes of erectile dysfunction: results of statistical analyses and clinical practice. World) Uro11997, 15:56–64.

    Google Scholar 

  8. Lakin MM: Diagnostic assessment of disorders of male sexual function. In Disorders of Male Sexual Function. Edited by Montague DK. Chicago: Year Book Medical Publishers; 1988: 26–43.

    Google Scholar 

  9. Wessells H, Lue TF, McAninch JW: Penile length in the flaccid and erect states: guidelines for penile augmentation. J Urol 1996, 156: 995–997.

    Article  CAS  PubMed  Google Scholar 

  10. Lue TF, Donatucci CF: The combined intracavernous injection and stimulation test: diagnostic accuracy. J Urol 1992, 184: 61–62.

    Google Scholar 

  11. Martins FE, Reis JP: Visual erotic stimulation test for initial screening of psychogenic erectile dysfunction: a reliable noninvasive alternative? J Urol 1997, 157: 134–139.

    Article  CAS  PubMed  Google Scholar 

  12. Montague DK, Lakin MM, Medendorp SV, Tesar LJ: Infusion pharmacocavernosometry and nocturnal penile tumescence findings in men with erectile dysfunction. J Urol 1991, 145: 768–771.

    CAS  PubMed  Google Scholar 

  13. Broderick GA, Arger PA: Penile blood flow study: age specific reference ranges. J Urol 1994, 151: A371.

    Google Scholar 

  14. Broderick GA: Noninvasive arterial evaluation of the patient complaining of erectile dysfunction with color duplex Doppler ultrasound. In Diagnosis and Management of Male Sexual Dysfunction. Edited by Mulcahy JJ. New York, Tokyo: lgaku-Shoin; 1997: 89–126.

    Google Scholar 

  15. Padma-Nathan H, Gasior B, Roddy T, et alDynamic infusion cavernosometry and cavernosography (DICC): the interaction of arterial and veno-occlusive function [abstract]. J Urol 1989, 141:221A.

    Google Scholar 

  16. Benet AE, Rehman J, Melman A: Penile revascularization. In Diagnosis and Management of Male Sexual Dysfunction. Edited by Mulcahy JJ. New York, Tokyo: Igaku-Shoin; 1997: 127–147.

    Google Scholar 

  17. Fisher C, Schiavi RC, Edwards A, et al Evaluation of nocturnal penile tumescence in the differential diagnosis of sexual impotence: a quantitative study. Arch Gen Psychiatry 1979, 36:431–437.

    CAS  Google Scholar 

  18. Karacan I: The Developmental Aspect and the Effect of Certain Clinical Conditions upon Penile Erection during Sleep: International Congress Series. Princeton, NJ: Excerpta Medica; 1966.

    Google Scholar 

  19. Daitch JA, Lakin MM, Montague DK: Nocturnal penile tumescence monitoring. In Diagnosis and Management of Male Sexual Dysfunction (Topics in Clinical Urology). Edited by Mulcahy JJ. Tokyo: Igaku-Shoin; 1997: 55–73.

    Google Scholar 

  20. Barry JM, Blank B, Boileau M: Nocturnal penile tumescence monitoring with stamps. Urology 1980, 15: 171–172.

    Article  CAS  PubMed  Google Scholar 

  21. Ek A, Bradley WE, Krane RI: Nocturnal penile rigidity measured by the Snap-Gauge band. J Urol 1983, 129: 964–966.

    CAS  PubMed  Google Scholar 

  22. Wein AJ, Fishkin R, Carpiniello VL, Malloy TR: Expansion without significant rigidity during nocturnal penile tumescence testing: a potential source of misinterpretation. J Urol 1981, 126: 343–344.

    CAS  PubMed  Google Scholar 

  23. Bradley WE, Timm GW, Gallagher JM, et al New method for continuous measurement of nocturnal penile tumescence and rigidity. Urology 1985, 26:4–9.

    Article  CAS  PubMed  Google Scholar 

  24. Goldstein I, Lue TF, Padma-Nathan H, et al Oral sildenafil in the treatment of erectile dysfunction: Sildenafil Study Group. N Engl J Med 1998, 339:1397–1404.

    Article  Google Scholar 

  25. Hellstrom WJ, Gittleman M, Karlin G, et al Sustained efficacy and tolerability of vardenafil, a highly potent selective phosphodiesterase type 5 inhibitor, in men with erectile dysfunction: results of a randomized, double-blind, 26-week placebo-controlled pivotal trial. Urology 2003, 61 (suppl 1):8–14.

    Google Scholar 

  26. Porst H, Padma-Nathan H, Giuliano F, et al Efficacy of tadalafil for the treatment of erectile dysfunction at 24 and 36 hours after dosing: a randomized controlled trial. Urology2003, 62:121–125.

    Google Scholar 

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Montague, D.K., Lakin, M.M. (2004). Office Evaluation and Diagnostic Testing for Erectile Dysfunction. In: Lue, T.F. (eds) Atlas of Male Sexual Dysfunction. Current Medicine Group, London. https://doi.org/10.1007/978-1-4613-1087-7_2

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  • DOI: https://doi.org/10.1007/978-1-4613-1087-7_2

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-4757-0811-0

  • Online ISBN: 978-1-4613-1087-7

  • eBook Packages: Springer Book Archive

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