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Practical Management: Impotence

Published online by Cambridge University Press:  02 January 2018

Raymond E. Goodman*
Affiliation:
Medical Psychosexual Therapist, 41 Gibwood Road, Northenden, Manchester
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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.

Type
Articles
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists, 1987

References

1. Haslam, M. T. (1976) Sexual aids. Update, 12, 883886.Google Scholar
2. Melman, A. (1978) Development of contemporary surgical management for erectile impotence. Ibid, 1, 272281.Google Scholar
3. Small, M. P. (1978) The Small-Carrion penile prosthesis: surgical implant for the management of impotence. Ibid, 1, 282291.Google Scholar
4. Segraves, R. T., Schoenberg, H. W. & Zarins, C. K. (1982) Psychosexual adjustment after penile prosthesis surgery. Ibid, 5, 222229.Google Scholar
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.Google Scholar
6. Brindley, G. S. (1986) Maintenance treatment of erectile impotence by cavernosal unstriated muscle relaxant injection. British Journal of Psychiatry, 149, 210215.CrossRefGoogle ScholarPubMed
7. Michael, V., Kramar, R., Posphical, J. & Hejhal, L. (1976) Arterial epigastricocavernous anastomosis for the treatment of sexual impotence. World Journal Surgery, 1, 515520.Google Scholar
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