Very common under discussed problem. 40% of 40 y.o and up to 70% of 70 y.o.

    Causes

    • Usually ↓ arterial in flow.  Sometimes ↑ venous outflow or leak.
    • Psychological (usually younger group)
    • Hormonal
    • Neurological (DM, PVD)
    • Iatrogenic (Radical prostatectomy/Radiotherapy ~ 70%, TURP ~ 2%)
    • Vascular (Internal pudendal stenosis)

     

    Trial PDE Inhibitor  –  (Viagra, Levitra, Cialis)

    Tests

    • BSL
    • ECG

     

    Refer

    Our nurse teaches intracavernosal injections and vacuum device usage.

    penile prosthesis