Advertisement

Erectile Dysfunction: Initial Evaluation

  • John P. Mulhall
  • Peter J. Stahl
  • Doron S. Stember
Chapter

Abstract

Erectile dysfunction (ED) is defined as the consistent inability to obtain and/or maintain an erection sufficient for satisfactory relations. It is estimated to affect 50 % of men over 40 years of age. This translates into more than 20 million men in the USA and over 100 million men worldwide suffering from this problem. It is associated with significant decrease in self-confidence, self-esteem, and quality of life. In its organic form it is most commonly associated with vascular risk factors such as hypertension, dyslipidemia, diabetes, obesity, cigarette smoking, and coronary artery disease. Other conditions associated with the development of ED include radical pelvic surgery or radiation, sleep apnea syndrome, neurological conditions (lumbosacral disk disease, Parkinson’s disease, stroke), medications including some antidepressants and antihypertensives (Table 7.1) and endocrine conditions including hypogonadism, hyperprolactinemia, and thyroid dysfunction.

Keywords

Erectile Dysfunction Radical Prostatectomy Abdominal Aortic Aneurysm Erectile Function Vascular Risk Factor 
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.

Suggested Reading

  1. DeBusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, et al. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the Princeton Consensus Panel. Am J Cardiol. 2000;86:175–81.PubMedCrossRefGoogle Scholar
  2. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54–61.PubMedGoogle Scholar
  3. Montorsi P, Ravagnani PM, Galli S, Rotatori F, Veglia F, Briganti A, et al. Association between erectile dysfunction and coronary artery disease. Role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial. Eur Heart J. 2006;27:2632–9.PubMedCrossRefGoogle Scholar
  4. NIH Consensus Development Panel on Impotence. NIH Consensus Conference. Impotence. JAMA. 1993; 270:83–90.Google Scholar
  5. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–30.PubMedCrossRefGoogle Scholar
  6. Solomon H, Man JW, Jackson G. Erectile dysfunction and the cardiovascular patient: endothelial dysfunction is the common denominator. Heart. 2003;89:251.PubMedCrossRefGoogle Scholar
  7. Thompson IM, Tangen CM, Goodman PJ, et al. Erectile dysfunction and subsequent cardiovascular disease. JAMA. 2005;294:2996–3002.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John P. Mulhall
    • 1
  • Peter J. Stahl
    • 2
  • Doron S. Stember
    • 3
  1. 1.Sexual and Reprodictive Medicine Program Department of Surgery Division of Urology, Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of UrologyColumbia University College of Physicians & SurgeonsNew YorkUSA
  3. 3.Department of UrologyBeth Israel Medical Center Albert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA

Personalised recommendations