The management of erectile dysfunction has come a long way in the last 15 y
ears. The medical profession has gone from a total lack of understanding of
how an erection occurs to a very sophisticated understanding. Whereas phys
icians once thought there was only one "solution" for erectile dysfunction-
that is, acceptance of the condition-they now can offer a host of options,
all of which can be individualized to the patient's needs and wants, In spi
te of the range of current options, the fact remains that outcome studies h
ave shown a high dropout rate with all therapies.(23) Thus, the search for
a "miracle cure" likely will continue.