Abstract
In the last decade, there have been tremendous gains in knowledge concerning the diagnosis and treatment of male erectile dysfunction. Many problems previously felt to be beyond help have responded to current therapeutic approaches. Unfortunately, this new information is not readily available to most clinicians, and most professionals treating erectile problems are poorly prepared to evaluate these complaints. Nonmedical professionals are understandably ill prepared to evaluate and appreciate biological influences on sexual behavior. Many physicians are minimally trained in the evaluation and treatment of patients with complaints of impotence. It is comparatively recently that medical schools have included instruction in the evaluation and treatment of sexual problems.1 With the recent advances in knowledge concerning human sexuality, it is nearly impossible for any subspecialist’s knowledge and clinical experience to encompass all the relevant information concerning the diagnosis and treatment of erectile problems. An additional problem is that the necessary knowledge base cuts across traditional medical subspeciality boundaries. For example, a thorough evaluation of a complaint of impotence might require nocturnal penile tumescence testing in a neurophysiology laboratory, penile blood flow studies in a vascular laboratory, full evaluation of endocrine status, a careful review of the patient’s medical and pharmacological history, a thorough physical examination, as well as a specialized psychiatric interview focusing on sexual behavior and marital interaction.
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Segraves, R.T., Schoenberg, H.W. (1985). Diagnosis and Treatment of Erectile Problems. In: Segraves, R.T., Schoenberg, H.W. (eds) Diagnosis and Treatment of Erectile Disturbances. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9409-3_1
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