Erectile Dysfunction: Treatment
The willingness to pursue treatment for erectile dysfunction (ED) is dependent on many factors but associated patient bother and distress is a key factor. Other relevant factors to consider include the presence of contraindications to therapy, the absence of partner, lack of willingness of partner to participate in sexual relations, and cost of treatment. As outlined in the other ED algorithms, some patients will have undergone extended evaluation and others will have forgone further assessment. While 50 % of men over 40 years of age have some degree of ED, less than 10 % ever seek treatment, presumably because many of them are not bothered by the ED and are capable of having satisfactory sexual relations despite their ED.
KeywordsNitric Oxide Vacuum Device Cardiac Reserve Venous Leak Cavernosal Smooth Muscle
- Melnik T, Soares BG, Nasello AG. The effectiveness of psychological interventions for the treatment of erectile dysfunction: systematic review and meta-analysis, including comparisons to sildenafil treatment, intracavernosal injection, and vacuum devices. J Sex Med. 2008;5(11):2562–74.PubMedCrossRefGoogle Scholar