EVALUATION AND TREATMENT OF ERECTILE DYSFUNCTION

Erectile dysfunction has an organic etiology in most cases, with vascu lar disease the single most common cause. In addition to a thorough hi story and physical examination, clinical evaluation may include hormon al assessment, diabetes screening, nocturnal tumescence testing and co lor Doppler flow studies of the penile vasculature. Therapy for erecti le dysfunction has progressed rapidly during the past decade, with alt ernatives including hormone supplements, vacuum constriction devices, penile self-injection therapy and penile prostheses. The majority of p atients and their partners report satisfactory results with these trea tments.