Document Detail


Psychosomatic aspects in the diagnosis and treatment of erectile dysfunction.
MedLine Citation:
PMID:  10643518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After a critical review of prevalence data, psychosocial determinants and psychosomatic aspects in the diagnosis and treatment of erectile dysfunction are discussed (with reference to age-related changes). Widely used laboratory assessments are responsive to psychological factors (e.g. anxiety). Inclusion of the partner in the diagnostic process may change the clinical picture and the treatment recommendations considerably. As illustrated by penile prosthetis treatment and self-injection of vasoactive substances, acceptance and success of widely used surgical and medical treatments depend largely upon the patient's expectations, and the adaptation of the couple to the procedure. Even in cases with a clear organic pathology, fluctuations in erectile functioning may be attributable to psychological influences. As recent psychotherapeutic and psychoeducational approaches underscore, erectile failure is best conceived as a final common pathway of somatic, lifestyle, psychological and partnership determinants. These should be taken into account in comprehensive diagnostic and treatment formulations if the goal of therapy is not only to produce rigid erections, but to increase sexual satisfaction.
Authors:
M Beutel
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Andrologia     Volume:  31 Suppl 1     ISSN:  0303-4569     ISO Abbreviation:  Andrologia     Publication Date:  1999  
Date Detail:
Created Date:  2000-02-10     Completed Date:  2000-02-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0423506     Medline TA:  Andrologia     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  37-44     Citation Subset:  IM    
Affiliation:
Department of Psychosomatic Medicine, Justus Liebig University, Giessen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Erectile Dysfunction / diagnosis,  epidemiology,  psychology*,  therapy
Humans
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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