Erectile dysfunction

Hilz MJ, Wang R, Vodušek DB (2023)

Publication Type: Authored book

Publication year: 2023

Publisher: Springer International Publishing

ISBN: 9783031430367

DOI: 10.1007/978-3-031-43036-7_14

Abstract

Male erectile dysfunction (ED) increases with age and afflicts 52% of the 40-70 year old men. Neurological, endocrine, vascular, inflammatory, metabolic diseases, traumata, tumorous causes, illicit or "recreational "drugs, numerous prescription drugs, and psychological or psychiatric causes may induce ED. Diabetes mellitus is a leading cause of ED. ED can be the first sign of diabetes but also of coronary artery disease and thus requires a careful evaluation. In addition to a detailed history, ED patients need a general physical examination and may need additional urological, internal medicine, endocrinological-andrological, psychiatric and neurological assessment. Phosphodiesterase type 5 inhibitors should only be prescribed to patients at low cardiovascular risk. Various side effects and strict contraindications, such as treatment with nitrates, NO-donors, or alpha-blockers, and several others must be considered. Other ED treatments include lifestyle changes, where appropriate testosterone replacement, psychosexual counselling, intracavernous or intra-urethral prostaglandin E1 applications, vacuum erection pumps, constrictions rings, penile arterial reconstructive surgery, and penile prosthesis.

Authors with CRIS profile

Max-Josef Hilz Professur für Neuroimmunologie Ruihao Wang Professur für Neuroimmunologie

Involved external institutions

Ljubljana University Medical Centre (Ljubljana UMC) / Univerzitetni klinični center Ljubljana SI Slovenia (SI)

How to cite

APA:

Hilz, M.-J., Wang, R., & Vodušek, D.B. (2023). Erectile dysfunction. Springer International Publishing.

MLA:

Hilz, Max-Josef, Ruihao Wang, and David B. Vodušek. Erectile dysfunction. Springer International Publishing, 2023.

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