erectile%20dysfunction
ERECTILE DYSFUNCTION

Erectile dysfunction is the inability to attain and maintain an erection enough to have satisfactory sexual performance for ≥3 months.

It is when the patient complains of partial erection that could not attain vaginal penetration.

Complete loss of penile rigidity is uncommon.

Initial penile erections can penetrate but early detumescence occurs without ejaculation.

Patient Education

Patient & Partner Education

  • Some men may only need reassurance that decline in sexual function is due to aging, medication or chronic illnesses & is not necessarily a sign of serious illness
    • They may refuse treatment
  • Education & reassurance may help in preventing further erectile failure due to the above causes
  • Discuss w/ patient & partner (if possible) the important treatment options & their associated risks & benefits
  • Cultural, religious & economic factors should be taken into consideration
  • The choice of treatment should be decided together by physician, patient & partner

Lifestyle Modification

  • Modifying possible risk factors may be helpful
    • Resolving partner relationship issues
    • Smoking cessation
    • Reduce alcohol/drug abuse
    • Regular exercise and weight management
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Audrey Abella, 10 Sep 2018
The phosphodiesterase type 5 inhibitor tadalafil significantly improved the erectile function of patients receiving the 5-alpha reductase inhibitor (5-α RI) dutasteride for the management of bladder outlet obstruction, according to a Turkish study.