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Evaluation of young men with organic erectile dysfunction

Erectile dysfunction (ED) in men under the age of 40 was once thought to be entirely psychogenic. Over the last few decades, advances in our understanding of erectile physiology and improvements in diagnostic testing have restructured our understanding of ED and its etiologies. Although psychogenic...

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Autores principales: Papagiannopoulos, Dimitri, Khare, Narenda, Nehra, Ajay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291852/
https://www.ncbi.nlm.nih.gov/pubmed/25370205
http://dx.doi.org/10.4103/1008-682X.139253
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author Papagiannopoulos, Dimitri
Khare, Narenda
Nehra, Ajay
author_facet Papagiannopoulos, Dimitri
Khare, Narenda
Nehra, Ajay
author_sort Papagiannopoulos, Dimitri
collection PubMed
description Erectile dysfunction (ED) in men under the age of 40 was once thought to be entirely psychogenic. Over the last few decades, advances in our understanding of erectile physiology and improvements in diagnostic testing have restructured our understanding of ED and its etiologies. Although psychogenic ED is more prevalent in the younger population, at least 15%–20% of these men have an organic etiology. Organic ED has been shown to be a predictor of increased future morbidity and mortality. As such, a thorough work-up should be employed for any man with complaints of sexual dysfunction. Oftentimes a treatment plan can be formulated after a focused history, physical exam and basic lab-work are conducted. However, in certain complex cases, more testing can be employed. The major organic etiologies can be subdivided into vascular, neurologic, and endocrine. Specific testing should be directed by clinical clues noted during the preliminary evaluation. These tests vary in degree of invasiveness, precision, and at times may not affect treatment. Results should be integrated into the overall clinical picture to assist in diagnosis and help guide therapy.
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spelling pubmed-42918522015-01-15 Evaluation of young men with organic erectile dysfunction Papagiannopoulos, Dimitri Khare, Narenda Nehra, Ajay Asian J Androl Invited Review Erectile dysfunction (ED) in men under the age of 40 was once thought to be entirely psychogenic. Over the last few decades, advances in our understanding of erectile physiology and improvements in diagnostic testing have restructured our understanding of ED and its etiologies. Although psychogenic ED is more prevalent in the younger population, at least 15%–20% of these men have an organic etiology. Organic ED has been shown to be a predictor of increased future morbidity and mortality. As such, a thorough work-up should be employed for any man with complaints of sexual dysfunction. Oftentimes a treatment plan can be formulated after a focused history, physical exam and basic lab-work are conducted. However, in certain complex cases, more testing can be employed. The major organic etiologies can be subdivided into vascular, neurologic, and endocrine. Specific testing should be directed by clinical clues noted during the preliminary evaluation. These tests vary in degree of invasiveness, precision, and at times may not affect treatment. Results should be integrated into the overall clinical picture to assist in diagnosis and help guide therapy. Medknow Publications & Media Pvt Ltd 2015 2014-10-24 /pmc/articles/PMC4291852/ /pubmed/25370205 http://dx.doi.org/10.4103/1008-682X.139253 Text en Copyright: © Asian Journal of Andrology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Invited Review
Papagiannopoulos, Dimitri
Khare, Narenda
Nehra, Ajay
Evaluation of young men with organic erectile dysfunction
title Evaluation of young men with organic erectile dysfunction
title_full Evaluation of young men with organic erectile dysfunction
title_fullStr Evaluation of young men with organic erectile dysfunction
title_full_unstemmed Evaluation of young men with organic erectile dysfunction
title_short Evaluation of young men with organic erectile dysfunction
title_sort evaluation of young men with organic erectile dysfunction
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291852/
https://www.ncbi.nlm.nih.gov/pubmed/25370205
http://dx.doi.org/10.4103/1008-682X.139253
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