Erectile Dysfunction Evaluation and Treatment
The goals of evaluating patients with erectile dysfunction are to determine the medical and psychosexual causes, assess the degree of dysfunction, and determine treatment goals for both patient and partner. Although multifactorial erectile dysfunction is common, the patient with new onset Erectile dysfunction as a consequence of prostatectomy will be discussed here.
As with all patients with erectile dysfunction, a complete psychosexual history is critical for evaluation. Focus on duration of dysfunction, level of libido, presence of morning erections, erection quality, and psychologic factors can help direct further work-up and treatment. Comorbid diseases, particularly diabetes mellitus, hypertension, smoking, vascular disease, and psychiatric illness may also contribute to Erectile dysfunction. While less likely in this group, a fair number of men will have underlying psychogenic factors contributing to their erectile dysfunction. Physical examination with attention to testicular size, gynecomastia, and body habitus, as well as a focused neurologic examination, will also aid in identification Read more [...]