Erectile dysfunction (ED), sometimes referred to as impotence, is a common form of male sexual dysfunction in which a man is unable to achieve or maintain a satisfactory erection.
More than 18 million men in the United States over age 20 are affected by erectile dysfunction (ED) according to a Johns Hopkins University study. ED is strongly linked with age, cardiovascular disease, diabetes, and a lack of physical activity. After diagnosing a patient’s ED problem, we discuss possible treatment options, which may include oral medication, vacuum devices, intra-urethral suppositories, and the latest penile injection therapy. Our urologists help each patient select the treatment option that works best for him.
Diagnosing Erectile Dysfunction
We do a thorough examination to identify risk factors and potential underlying causes of ED. Restoring a man’s sexual function naturally is always the most desirable first course of action, and in the vast majority of cases we suceed at doing just that.
We’ll get a complete medical history and give you a thorough physical exam to determine the best approach. Laboratory tests — bloodwork to detect diabetes, high cholesterol, liver disease and thyroid abnormalities, among others — will help us determine what might be the cause and how to treat it. We’ll also conduct a prostate-specific antigen (PSA) test, as well as obtaining more advanced PSA derivatives, to rule out prostate cancer, one potential cause of ED. We’ll also evaluate your testosterone balance, measuring both bioavailable and free testosterone, and determine your estrogen and pituitary-hormone levels to pinpoint any hormonal abnormalities.
- Your diagnostic process may encompass the following:
- A complete medical history
- Sexual history
- Physical examination
- Lab testing
- Hormonal investigation
- Vascular evaluation
- Neurologic testing
- Referral to other specialists if underlying conditions found
In all cases, once your evaluation is complete, our experts will devise a treatment plan appropriate for you.