Impotence

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.