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Practical Management: Impotence

  • Raymond E. Goodman (a1)
Extract

At the initial interview the doctor should assess just what the patient means by ‘impotence’. If present, its speed of onset, its duration and whether or not the patient has libido are important factors to consider. Do morning erections occur? Is ejaculation normal? It may be retrograde, premature or retarded. The presence of chronic disease, e.g. rheumatoid arthritis, hypertension, diabetes or depressive illness, may adversely affect potency, as may the drugs used in the treatment of these conditions.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1. Haslam, M. T. (1976) Sexual aids. Update, 12, 883886.
2. Melman, A. (1978) Development of contemporary surgical management for erectile impotence. Ibid, 1, 272281.
3. Small, M. P. (1978) The Small-Carrion penile prosthesis: surgical implant for the management of impotence. Ibid, 1, 282291.
4. Segraves, R. T., Schoenberg, H. W. & Zarins, C. K. (1982) Psychosexual adjustment after penile prosthesis surgery. Ibid, 5, 222229.
5. Steege, J. F., Stout, A. L. & Carson, C. C. (1986) Patient satisfaction in Scott and Small-Carrion penile implant recipients: a study of 52 patients. Archives of Sexual Behavior, 15, 393399.
6. Brindley, G. S. (1986) Maintenance treatment of erectile impotence by cavernosal unstriated muscle relaxant injection. British Journal of Psychiatry, 149, 210215.
7. Michael, V., Kramar, R., Posphical, J. & Hejhal, L. (1976) Arterial epigastricocavernous anastomosis for the treatment of sexual impotence. World Journal Surgery, 1, 515520.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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Practical Management: Impotence

  • Raymond E. Goodman (a1)
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