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
Editor's Recommendations
Most Read Articles
15 Nov 2019
New drug applications approved by US FDA as of 01 - 15 November 2019 which includes New Molecular Entities (NMEs) and new biologics. It does not include Tentative Approvals. Supplemental approvals may have occurred since the original approval date. 
Jackey Suen, 21 Aug 2017

Implementing enhanced recovery after surgery (ERAS) is easy and intuitive and confers better patient outcomes in radical cystectomy, experience from a Singaporean hospital has shown.

03 Oct 2019
A short-term course of atorvastatin prior to radical prostatectomy does not yield significant benefits on the recovery of erectile function after the procedure, a recent study has found.