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Erectile dysfunction – a growing problem   Dr Thomas Fox Endocrine SpR Royal Cornwall Hospital, Truro
Erectile Dysfunction (ED) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition ,[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vascular ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neurological ,[object Object],[object Object]
Endocrine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other causes of ED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features ,[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object]
Oral therapies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Efficacy of PDE-V inhibitors ,[object Object],[object Object]
Levinson  et al 1998 ,[object Object],[object Object],[object Object],[object Object]
IEF Q3 ability to obtain erection IEF Q4 ability to maintain erection  p<0.0001 IEF7 satisfaction with therapy
 
Improved erections at 12 weeks p<0.0001 % successful sexual attempts in last 4 weeks p<0.0001
PDE V inhibitor prescribing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vacuum devices ,[object Object],[object Object],[object Object]
Intracavernosal injections ,[object Object],[object Object],[object Object],[object Object]
Testosterone replacement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Testosterone replacement improving diabetes? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraurethral alprostadil ,[object Object]
Penile implant ,[object Object],[object Object]
Psychosexual counselling ,[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 

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Erectile Dysfunction

  • 1. Erectile dysfunction – a growing problem Dr Thomas Fox Endocrine SpR Royal Cornwall Hospital, Truro
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  • 20. IEF Q3 ability to obtain erection IEF Q4 ability to maintain erection p<0.0001 IEF7 satisfaction with therapy
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  • 22. Improved erections at 12 weeks p<0.0001 % successful sexual attempts in last 4 weeks p<0.0001
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