| Investigations in erectile dysfunction. | |
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MedLine Citation:
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PMID: 12917518 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: This is an update of recent developments in the investigation of erectile dysfunction in the period since March 2002. RECENT FINDINGS: Three developments in the field of medical sexology redirected the approach towards the investigation of erectile dysfunction. First, the emergence of oral pharmacological therapy; second, the notion that sexual relationship issues have an important impact on the successful outcome of pharmacological therapy; and finally, the concept that erectile dysfunction is often a sequel or even a sentinel of cardiovascular disease. Consequently, the current evaluation of men with erectile dysfunction may be divided into two steps: a basic diagnostic evaluation for the majority of men, and specific diagnostic procedures for a small minority. The basic evaluation is aimed at the identification of the underlying pathological condition and erectile dysfunction-associated risk factors. Such screening may diagnose reversible causes of erectile dysfunction and also unmask medical and psychological conditions that manifest with erectile dysfunction. The basic evaluation consists of a comprehensive medical, sexual and psychosocial history and a physical examination. Patients who have failed first-line treatment or complicated cases qualify for specific diagnostic procedures, traditionally performed by urologists. SUMMARY: Current research into the investigation of erectile dysfunction emphasizes the notion that erectile dysfunction is often a result of an interplay between medical and psychosexual conditions. Recognition of the underlying conditions and an estimation of their relative contribution to the patient's and his partner's sexual problem are key issues in the current evaluation of the man with erectile dysfunction. |
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Authors:
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Eric J H Meuleman |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in urology Volume: 13 ISSN: 0963-0643 ISO Abbreviation: Curr Opin Urol Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-08-14 Completed Date: 2004-02-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9200621 Medline TA: Curr Opin Urol Country: United States |
Other Details:
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Languages: eng Pagination: 411-6 Citation Subset: IM |
Affiliation:
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University Medical Centre, St Radboud, Nijmegen, the Netherlands. e.meuleman@uro.umcn.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Erectile Dysfunction
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diagnosis*,
etiology*,
therapy Humans Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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