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Erectile Dysfunction

James Nee, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Erectile dysfunction (ED): the consistent or recurrent inability to acquire or sustain an erection of sufficient rigidity and duration for sexual intercourse

  • In the past, ED was assum...

DIAGNOSIS

Inability to achieve or maintain erection satisfactory for intercourse 

HISTORY

  • Identify concurrent medical illnesses or surgical procedures, history of trauma, and a list of current medicatio...

TREATMENT

  • Lifestyle modifications and managing medications contributing to ED is first-line therapy for ED (3)[C]. Use least invasive therapy first; reserve more invasive therapies for nonresponders.

  • C...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Treatment should be assessed at baseline and after the patient has completed at least 1 to 3 weeks of a specific treatment: Monitor the quality ...

REFERENCES

1
1 Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician.  2016;94(10):820–827. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 McVary KT. Clinical practice. Erectile dysf...

CODES

ICD10

  • N52.9 Male erectile dysfunction, unspecified

  • N52.1 Erectile dysfunction due to diseases classified elsewhere

  • F52.21 Male erectile disorder

  • N52.2 Drug-induced erectile dysfunction

  • N52.02 Corporo...

CLINICAL PEARLS

  • Nitrates should be withheld for 24 hours after sildenafil or vardenafil administration and for 48 hours after use of tadalafil. PDE-5 inhibitors are contraindicated in patients taking ...

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