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The diagnosis and treatment of impotence
Author(s) -
Keogh Edward J.,
Watters Gregory R.,
Tulloch Alastair G.S.,
Csillag Erwin R.,
Wisniewski Z. Stanley,
Lord David J.,
Clancy John J.,
Earle Carolyn M.
Publication year - 1988
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1988.tb99456.x
Subject(s) - nocturnal penile tumescence , tumescence , medicine , psychogenic disease , etiology , physical examination , penis , dorsum , erectile dysfunction , surgery , psychiatry , anatomy , erectile function
The management of 745 impotent men is described. Assessment consisted of history‐taking, physical examination, biochemical screening, nocturnal penile tumescence studies and appropriate radiological studies. Based on the results of the nocturnal penile tumescence studies, impotence could then be classified as organic (52% of men), psychogenic (34% of men), mixed (11% of men) or of unknown aetiology (3% of men). Treatment options included: sexual counselling, hormonal replacement therapy, the intracavernosal injection of drugs to induce an artificial erection, ligation of the dorsal penile vein and penile implantation surgery.