What is included in the initial evaluation of patients with erectile dysfunction (ED)?

Updated: Oct 14, 2020
  • Author: Edward David Kim, MD, FACS; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

The first step in the management of ED is a thorough history that includes the following:

  • Sexual history
  • Medical history
  • Psychosocial history

A physical examination is necessary for every patient, emphasizing the genitourinary, vascular, and neurologic systems. A focused examination entails evaluation of the following:

  • Blood pressure
  • Peripheral pulses
  • Sensation
  • Status of the genitalia and prostate
  • Size and texture of the testes
  • Presence of the epididymis and vas deferens
  • Abnormalities of the penis (eg, hypospadias, Peyronie plaques)

There is a strong correlation between hypertension and ED. There is also a correlation between benign prostatic hyperplasia and ED, though the causality is unclear.

See Presentation for more detail.


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