Diagnosis of Erectile Dysfunction in Visual Studio .NET

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69 El-Sakka A Lower urinary tract symptoms in patients with erectile dysfunction: Analysis of risk factors J Sex Med 2006;3:144 149 70 McVary K The relationship between erectile dysfunction and lower urinary tract symptoms J Sex Med 2004;S1:11 14 71 Brotons F, Campos J, Gonzalez R, et al Core document on erectile dysfunction: key aspects in the care of a patient with erectile dysfunction Int J Impotence Res 2004;16:S26 S39 72 Eardley I, Neiderberger C, Fisher C, et al Prevalence of comorbidity among men with ED in the MALES 2004 longitudinal cohort J Sexual Med 2005;S1:18 (Abstract) 73 Lue TF Drug therapy: erectile dysfunction New Engl J Med 2000;342:1802 13 74 Miller TA Diagnostic evaluation of erectile dysfunction Am Fam Phys 2000;61:95 104, 109 110
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64 Porst H Congenital and acquired penile deviations and penile fractures In Porst, H, ed Penile Disorders Berlin-Heidelberg, New York: Springer-Verlag, 1997, pp 37 56 65 Munarriz RM, Yan RQ, Nehra, Udelson D, Goldstein I Blunt Trauma: The pathophysiology of hemodynamic injury leading to erectile dysfunction J Urol 1995;153:1831 1840 66 Mulhall JP, Garcia-Reboll L, Salimpour P, et al The effects of bicycle seat compression on cavernosal artery hemodynamics Int J Impotence Res 1996;8:No 3, 130 67 Anderson KV, Bovim G Impotence and nerve entrapment in long distance amateur cyclists Acta Neurol Scand 1997;9:233 240 68 Schwarzer U, Wiegand W, Bin-Saleh A, et al Genital numbness and impotence rate in long-distance cyclists J Urol 1999;161:Suppl No4, 178
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Diagnosis of Erectile Dysfunction
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Male sexual dysfunction encompasses many areas These include desire or libido disorders, erectile dysfunction and ejaculatory dysfunction This chapter focuses speci cally upon the standards for the diagnosis of male erectile dysfunction (ED) The patient-oriented approach to the evaluation and treatment of male ED is the preferred and accepted approach for the majority of men with ED, and serves as the basis for this chapter [1] This implies that the history and physical exam are the paramount factors contributing toward the successful diagnosis of ED The American Urological Association ED guidelines panel also accepts this scheme [2] The treatment of male ED is based upon the patients personal goals, and is covered elsewhere in this textbook
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Physicians who are not facile with the speci cs of the ED of ce evaluation may turn to questionnaires to aid in the diagnosis Questionnaires are not mandatory in the evaluation of male ED, but often serve as an important adjunct to the proper diagnosis Prior to, or in addition to, being seen by the physician (and as a signi cant part of the history), it is advised that the patient ll out a questionnaire to delineate the extent of the erection problem There are several questionnaires available One of the simpler questionnaires in use is the Sexual Health Inventory for Men (SHIM), which has ve questions, detailed in Table 61, and appended in full at the end of this chapter (Appendix A), which deal speci cally with erectile activity using a ve-point Likert-type scale [3] The SHIM asks about erectile function over
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a six-month time frame, which may be too long a period for some men Nonetheless, the SHIM is an extremely worthwhile instrument for the diagnosis of male ED The ve questions are simple, straightforward, yet comprehensive A normal healthy male will have a score of 22 or more (scoring is detailed in Table 62), while the middle-aged man with garden variety ED will have score of 12 16 There are a variety of other more general questionnaires available that contain ED questions, such as the International Index of Erectile Function (IIEF), and the Male Sexual Health Questionnaire (MHSQ) [4,5] The SHIM is validated and has been well studied, making it an ideal, simple instrument for use While the IIEF has been used for many clinical studies, it can be used for routine of ce practice as well The length of the IIEF questionnaire may be a barrier to its routine clinical use
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