Erectile dysfunction (ED, or impotence) is the inability to achieve or maintain penile erection sufficient for sexual penetration or the rapid detumescence of erection prior to completion of intercourse
Identifiable reversible causes, such as medications or stress, should be sought assiduously
Patients with ED should also be evaluated for cardiovascular disease and classified appropriately to their level of tolerance for both therapy and sexual activity
Immediate action is required when ED occurs as the presenting feature of a more serious disorder (eg, diabetes mellitus or a spinal lesion)
Treatment options include anti-depression medication, psychotherapy, ED-specific medications, vacuum-constriction devices, injections, surgery, and lifestyle modification
Prognosis is variable and depends on the etiology, severity, and chronicity of the underlying disease
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