ERECTILE DYSFUNCTION

Erectile dysfunction affects millions of men in this country. Impairme nt of neurologic, hormonal and vascular function can inhibit the corpo ral smooth muscle relaxation necessary for erectile function. Physicia ns should employ a diagnostic work-up that proceeds from a history and physical examination to laboratory studies and physiologic testing. T reatment, which should be prescribed with constant patient input, is s uccessful in a high percentage of cases. For erectile dysfunction with psychogenic or hormonal etiologies, treatments target the specific un derlying problem. For dysfunction caused by nonspecific vascular and n eurogenic problems, useful treatments include medication, vacuum devic es, intracavernosal injections and penile implants.