PubMed · 9146601
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J K Light. 1997. Impotence.. https://doi.org/10.1016/s0022-5347(01)64696-2
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Erectile dysfunction is somatically (anatomical, vascular, neurogenic, hormonal defect), psychologically and socially conditioned. For the diagnosis and treatment assessment of the ratio of psychogenic and non-psychogenic influences is decisive. The basis is a detailed case-history, somatic examination, result of testing the effect exerted by local negative pressure on erection, intracavernous administration of vasoactive substances and possibly other examinations. From this ensues the range of provisions: regime, relations, psychological, psychotherapeutic (with emphasis on behavioural aspects), medicamentous (non-invasive and invasive), physical and surgical. The limited information of health workers and other people on this problem calls for intensive educational activities.