title: Newer pharmacologic alternatives for erectile dysfunction.
abstract: With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after optimal treatment of common medical disorders such as diabetes mellitus and hypertension, erectile dysfunction may persist. Pharmacologic treatments, such as the intracavernosal or transurethral administration of alprostadil or the use of the new oral medication sildenafil, may offer patients substantial benefit. Before any of these drugs are prescribed, consideration should be given to existing medical illnesses and medications, partner satisfaction, comfort with the method of administration and the side effect profile.
authors.affiliation: Naval Hospital Jacksonville, Florida, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Viera
authors.forename: T L
authors.initials: TL
authors.lastname: Clenney
authors.forename: D W
authors.initials: DW
authors.lastname: Shenenberger
authors.forename: G F
authors.initials: GF
authors.lastname: Green
mesh_terms: D000527:Alprostadil / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D007172:Erectile Dysfunction / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use*; D010879:Piperazines / Q000627:therapeutic use*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones; D013664:Teaching Materials; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D014665:Vasodilator Agents; D000068677:Sildenafil Citrate; D000527:Alprostadil