Abstract
We evaluated 70 patients for male sexual dysfunction in our center during its first 6 months of operation. The results of the analysis demonstrated that 55 per cent had organic impairment. Several important findings should be emphasized. There was mild elevation of serum prolactin in 6 cases, none of which was the direct cause of the importence. A total of 15 patients had a diagnosis of either impaired glucose tolerance or overt diabetes (7 with organic and 8 with psychogenic disease). Therefore, the diagnosis of diabetes or impaired glucose tolerance, whether known previously or not, should not be accepted as comfirming the organicity of impotence. Also nocturnal penile tumescence alone confirmed the diagnosis of psychogenic impotence only when a rigid erection 5 minutes in duration occurred. The absence of nocturnal erections cannot be interpreted as conclusive evidence of organic impotence. Finally, a definitive diagnosis of psychogenic impotence was made based only on visual sexual stimulation in 6 patients. Our results emphasize further that etiologic factors of organic or psychogenic impotence are complex and that a multidisciplinary approach should be used.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 53-55 |
| Number of pages | 3 |
| Journal | Journal of Urology |
| Volume | 131 |
| Issue number | 1 |
| State | Published - 1984 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Urology
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Evaluation of the first 70 patients in the center for male sexual dysfunction of Beth Israel Medical Center. / Melman, A.; Kaplan, D.; Redfield, J.
In: Journal of Urology, Vol. 131, No. 1, 1984, p. 53-55.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Evaluation of the first 70 patients in the center for male sexual dysfunction of Beth Israel Medical Center
AU - Melman, A.
AU - Kaplan, D.
AU - Redfield, J.
PY - 1984
Y1 - 1984
N2 - We evaluated 70 patients for male sexual dysfunction in our center during its first 6 months of operation. The results of the analysis demonstrated that 55 per cent had organic impairment. Several important findings should be emphasized. There was mild elevation of serum prolactin in 6 cases, none of which was the direct cause of the importence. A total of 15 patients had a diagnosis of either impaired glucose tolerance or overt diabetes (7 with organic and 8 with psychogenic disease). Therefore, the diagnosis of diabetes or impaired glucose tolerance, whether known previously or not, should not be accepted as comfirming the organicity of impotence. Also nocturnal penile tumescence alone confirmed the diagnosis of psychogenic impotence only when a rigid erection 5 minutes in duration occurred. The absence of nocturnal erections cannot be interpreted as conclusive evidence of organic impotence. Finally, a definitive diagnosis of psychogenic impotence was made based only on visual sexual stimulation in 6 patients. Our results emphasize further that etiologic factors of organic or psychogenic impotence are complex and that a multidisciplinary approach should be used.
AB - We evaluated 70 patients for male sexual dysfunction in our center during its first 6 months of operation. The results of the analysis demonstrated that 55 per cent had organic impairment. Several important findings should be emphasized. There was mild elevation of serum prolactin in 6 cases, none of which was the direct cause of the importence. A total of 15 patients had a diagnosis of either impaired glucose tolerance or overt diabetes (7 with organic and 8 with psychogenic disease). Therefore, the diagnosis of diabetes or impaired glucose tolerance, whether known previously or not, should not be accepted as comfirming the organicity of impotence. Also nocturnal penile tumescence alone confirmed the diagnosis of psychogenic impotence only when a rigid erection 5 minutes in duration occurred. The absence of nocturnal erections cannot be interpreted as conclusive evidence of organic impotence. Finally, a definitive diagnosis of psychogenic impotence was made based only on visual sexual stimulation in 6 patients. Our results emphasize further that etiologic factors of organic or psychogenic impotence are complex and that a multidisciplinary approach should be used.
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UR - http://www.scopus.com/inward/citedby.url?scp=0021338047&partnerID=8YFLogxK
M3 - Article
VL - 131
SP - 53
EP - 55
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 1
ER -