Neurologic erectile dysfunction.
Neurologic erectile dysfunction presents a diagnostic and treatment challenge to the internist and urologist. Multiple chronic disease modalities and traumatic etiologies exist. Education regarding these conditions and a detailed and thorough history and office work-up are the best resources for the clinician. Treatment can follow the model of proceeding from the least to most invasive procedure (process of care), taking into account patient and partner satisfaction. Because the psychology of grief and loss may enter into treatment of some neurologic conditions (e.g., erectile dysfunction after radical retropubic prostatectomy, spinal cord injury, or chronic diseases), a whole-patient approach encompassing psychotherapy is warranted.
Nehra
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Department of Urology, Mayo Medical School, and Mayo Clinic and Foundation, Rochester, Minnesota, USA. nehra.ajay@mayo.edu
Moreland
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D002908:Chronic Disease; D003929:Diabetic Neuropathies / Q000150:complications / Q000503:physiopathology; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications / Q000503:physiopathology; D010300:Parkinson Disease / Q000150:complications / Q000503:physiopathology; D015917:Penile Prosthesis; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use; D010879:Piperazines / Q000627:therapeutic use; D011468:Prostatectomy; D011687:Purines; D000068677:Sildenafil Citrate; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology; D013450:Sulfones
D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate