Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The condition can be caused by vascular, neurologic, psychological, and hormonal factors. Common conditions related to...

From the Department of Psychiatry, Health Sciences Center, University of New Mexico School of Medicine, Albuquerque, N.M. Support was provided by Pfizer Inc, New York, N.Y. Corresponding author and reprints: H. George Nurnberg, M.D., Department of Psychiatry, University of New Mexico School of Medicine, 2400 Tucker NE, Albuquerque, NM 87131-52886 (e-mail: [email protected]). E percent of men aged 40...

Erectile dysfunction, otherwise known as impotency, affects more than 30 million men each year, yet only about 200,000 seek help from a physician. Impotency remains largely unrecognized simply because most men do not discuss sexual problems with their doctors. In addition, many physicians do not ask or are uncomfortable dealing with the subject. Erectile dysfunction is defined as the inability ...

Male erectile dysfunction is a common medical condition. Recent advances in our understanding of corpora cavernosa physiology have resulted in three effective oral medications (sildenafil, vardenafil and tadalafil--all phosphodiesterase type 5 inhibitors), which can effectively treat many men with erectile dysfunction. However, a large number of men are not adequately treated by these medicatio...

OBJECTIVES Knowledge of male sexual function is somewhat limited because of a lack of current population-based data. This study provides information on sexual function and satisfaction in a population-based sample of men. METHODS Men aged 40 to 79 years (n = 2115) were selected randomly from the Olmsted County population for the baseline component of a prospective cohort study (the Olmsted Co...

Copyright © 2007 Massachusetts Medical Society. A 65-year-old man presents to an outpatient clinic, reporting that he can no longer maintain an erection sufficient for intercourse. His medical history includes wellcontrolled hypertension and stable coronary artery disease. He smokes a pack of cigarettes daily. His medications include atenolol and low-dose aspirin (81 mg daily). On physical exam...

Penile vascular surgery for the treatment of erectile dysfunction (ED) has been extensively studied over recent decades. It is still regarded with caution. We sought to provide an overview the publications and new developments in this field over the last century. Recent studies support a revised model of the tunica albuginea of the corpora cavernosa (CC) as a bi-layered structure with a 360° co...

INTRODUCTION Erectile dysfunction may affect 30% to 50% of men aged 40 to 70 years, with age, smoking, and obesity being the main risk factors, although 20% of cases have psychological causes. METHODS AND OUTCOMES We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of phosphodiesterase inhibitors in men with erectile dysfunction of any c...

BACKGROUND Diabetic microangiopathy is one of the main causes of erectile dysfunction. AIM To study the prevalence of erectile dysfunction among diabetic patients. MATERIAL AND METHODS The "international index of erectile function" survey was applied to 120 diabetic men aged 21 to 50 years. Demographic data, evolution time of diabetes, a glycosilated hemoglobin measured in the last three mo...

PURPOSE The first double-blind, placebo controlled trial in the United States of the Self-Esteem And Relationship questionnaire revealed that treatment with sildenafil citrate improves erectile function and measures of quality of life in men with erectile dysfunction. We investigated long-term improvement, and correlations between improved erectile function and confidence, self-esteem and sexua...