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.

  1. Andersson KE. Pharmacology of erectile function and dysfunction. Urol Clin North Am. 2001 May;28(2):233-247. PMID: 11402577
  2. American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: a couple's problem -2003 update. Endocr Pract. 2003 Jan;9(1):77-95. PMID: 12917096
  3. Becher E. Topical alprostadil cream for the treatment of erectile dysfunction. Expert Opin Pharmacother. 2004 Mar;5(3):623-632. PMID: 15013930
  4. Ernst E, Pittler MH. Yohimbine for erectile dysfunction: a systematic review and meta-analysis for randomized clinical trials [abstract]. J Urol. 1998 Feb;159(2):433-436. PMID: 9649257
  5. Lue TF. Erectile dysfunction. N Engl J Med. 2000 Jun;342(24):1802-1813. PMID: 10853004
  6. Montorsi F, Salonia A, Deho F, et al. Pharmacological management of erectile dysfunction. BJU Int. 2003 Mar;91(5):446-454. PMID: 12603396
  7. Morales A, Heaton JP. Hormonal erectile dysfunction. Evaluation and management. Urol Clin North Am. 2001 May;28(2):279-288. PMID: 11402581
  8. Morgentaler A. Male impotence. Lancet. 1999 Nov;354(9191):1713-1718. PMID: 10568586
  9. MedWormhttp://www.medworm.com/rss/index.php/Endocrinology/15/http://www.medworm.com/rss/medicalfeeds/specialities/Endocrinology.xml
  10. Malaysia Urological Association and MEDACT. Clinical Practice Guide in Erectile Dysfunction. www.acadmed.org.my/view_file.cfm?fileid=211. Aug 2000
  11. American Urological Association Education and Research, Inc. Management of erectile dysfunction [chapter 1 w/ appendix: diagnosis and treatment guideline]. http://www.auanet.org/education/guidelines/erectile-dysfunction.cfm. 2005
  12. British Society for Sexual Medicine. Guidelines on the management of erectile dysfunction. http://www.bssm.org.uk/downloads/BSSM_ED_Management_Guidelines_2009.pdf. 2009
  13. Rosen RC, Riley A, Wagner G, et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 Jun;49(6):822-830. PMID: 9187685
  14. Wespes E, Eardley I, Giuliano F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Association of Urology (EAU). http://www.uroweb.org/gls/pdf/14_Male%20Sexual%20Dysfunction_LR.pdf. 2013 Mar. Accessed 11 Feb 2014.
  15. Hatzimouratidis K, Eardley I, Giuliano F, et al. European Association of Urology guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. 2015 Mar:1-53.
  16. Bella A, Lee J, Carrier S, et al. 2015 Canadian Urological Association practice guidelines for erectile dysfunction. Can Urol Assoc J. 2015 Jan;9(1-2):23-29. doi: 10.5489/cuaj.2699. PMID: 25737750
  17. Alhathal N, Elshal AM, Carrier S. Synergetic effect of testosterone and phophodiesterase-5 inhibitors in hypogonadal men with erectile dysfunction: a systematic review. Can Urol Assoc J. 2012 Aug;6(4):269-274. doi: 10.5489/cuaj.11291. PMID: 23093538
  18. Duggin M. Erectile Dysfunction. In: Kellerman R D, Bope E T. Conn's Current Therapy 2018. Philadelphia, PA: Saunders, an imprint of Elsevier, Inc.; 2018. http://dx.doi.org/10.1016/B978-0-323-52769-9.00251-8. Accessed 06 Feb 2018:1068-1070.
  19. Wincze J P. Erectile Dysfunction. In: Ferri F. Ferri's Clinical Advisor 2018. Philadelphia, PA: Elsevier, Inc; 2018. 466-467. :466-467.
Editor's Recommendations
Most Read Articles
Tristan Manalac, 11 Jul 2018
Gestational exposure to grain products fortified with folic acid appears to be linked to a lower risk of psychosis in offspring, according to a recent study.
Pearl Toh, 10 Jul 2018
A dual-hormone artificial pancreas (DAP) with a rapid delivery of insulin and pramlintide in a fixed ratio improves glycaemic control and reduces glucose variability in adults with type 1 diabetes (T1D) compared with first-generation artificial pancreas delivering insulin alone, according to a study presented at ADA 2018.
4 days ago
Chocolate consumption is not associated with risk of coronary heart disease (CHD), stroke or both combined in postmenopausal women free of pre-existing major chronic disease, a study suggests.
Pearl Toh, 5 days ago
More intensive lowering of LDL-C levels was associated with a progressively greater survival benefit than less intensive approach, when the baseline LDL-C levels were ≥100 mg/dL, reveals a meta-analysis of 34 randomized trials.