Erectile dysfunction (ED) is a common problem in men as they age. Unfo
rtunately, it is frequently not addressed by health care providers, ED
may be due to vascular disease, autonomic dysfunction, medication sid
e effects or psychological factors. The evaluation is straightforward
and the etiology can be easily determined in most patients. Treatment
options include vacuum constriction devices, injection of vasoactive d
rugs, intraurethral vasoactive drugs and surgery. Patient and spouse s
atisfaction with treatment is high.