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The Erectile Dysfunction File SM C E N T E R F O R C U R R E N T R E S E A R C H Approved by Physicians' Home Page Medinex Seal of Approval WellnessWeb: The Patient's Network HONcode Principles of the Health On the Net Foundation Partners of CareData.com W Erectile Dysfunction File . Learn about late-breaking research from recognized experts at urology hospitals and erectile disorder clinics worldwide. Compiled from the National Medical Library database at the National Institutes of Health, the ED File ED File informs you about studies performed by the most respected names in urology and penile-function research. Read about recent discoveries at such renowned institutions as the Department of Urology at UCLA, the Division of Urology at the University of Texas Health Science Center, and the Bristol Urological Institute at Britain's Southmead Hospital. The ED File brings you the inside story on: Viagra for Erectile Dysfunction Risks of Viagra –In addition to outlining the benefits of Viagra therapies, the previous section now includes clinical reports of some of the risks of taking sildenafil citrate (Viagra), including potential dangers to those with heart disease, and contrindications in patients on any form of nitrate medication. It has recently been noted that Viagra "may not be the proper therapy for patients with underlying major diseases such as coronary sclerosis, arteriosclerosis of the stroke vessels, depression, etc., where erectile dysfunction is just a symptom of the disease." Other research suggests that Viagra may produce ocular side effects

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Erectile Dysfunction Fact Sheet WHAT IS IT? Inability to consistently attain or sustain an erection sufficient for satisfactory sexual performance. May occur with some partners and not others. May be able to get an erection, but penis becomes soft prior to or after insertion. Primary Erectile Dysfunction: Never have been able to get an erection. Secondary Erectile Dysfunction: Have been able to achieve and maintain erections in the past but now are not able to. See a doctor if it lasts longer than two months or is recurring. IS IT NORMAL? Most males, at some point in their lives, will have difficulty getting or keeping an erection. This occurs in males of all age groups, not just older men! It is estimated that 20-30 million men in U.S. suffer from erectile problems. WHY DOES IT HAPPEN? The most common psychogenic causes: Anxiety (work, school) Stress Guilt about sex (from religion, family, culture) Fatigue Sexual problems are often rooted in relationship problems (power, trust, intimacy) Feelings about partner (can influence sexual response) Depression Sexual situation: place, time, person...are they right?

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For Providers University of Iowa Family Practice Handbook, Fourth Edition, Chapter 8 Nephrology and Urology: Erectile Dysfunction Sudha Rajavel, MD and Rosanna Yuk-Kuen Kao, MD, PhD Department of Family Medicine University of Iowa Hospitals and Clinics and College of Medicine Peer Review Status: Externally Peer Reviewed by Mosby Evaluation History . Includes a detailed sexual history on changes of libido, problems with ejaculation or orgasm, and daily stresses. Risk factors: age over 60, type 2 diabetes, hypertension, hyperlipidemia, smoking, renal failure, hyperthyroidism, depression, sickle cell disease, alcohol abuse, medication use (common examples are thiazide diuretics, beta-blockers, alpha-adrenergic blockers, cimetidine, spironolactone, psychotropic medications such as SSRIs, marijuana, morphine, cocaine, and metoclopramide). Complete physical examination . Includes signs of vascular and thyroid disease, changes in secondary sex characteristics, perianal sensation, and sphincter tone. Some advise measuring penile blood pressure. Penile:brachial index less than 0.6 indicates significant vascular stenosis. Laboratory . Baseline labs, CBC, testosterone, prolactin, glucose, liver function test, fasting lipid profile, and PSA if patient older than 40. Often it is not necessary to find out the cause before starting the treatment. Androgen levels should be checked (serum free testosterone). If androgens are low, FSH, LH, and prolactin levels should be checked. Do Doppler studies to assess blood flow.

126. Treatment Of Erectile Dysfunction With Sildenafil Treatment of erectile dysfunction with Sildenafil. COMMENT. The advent of sildenafil has dramatically changed treatment of male erectile dysfunction (ED). http://www.usrf.org/elsevier/url.html

Treatment of Erectile Dysfunction with Sildenafil Leonard S. Marks, M.D, Catherine Duda, Frederick J. Dorey, Ph.D, Maria Luz Macairan, M.D., Paul Bryan Santos Departments of Urology and Biostatistics, UCLA School of Medicine, Los Angeles, CA and Urological Sciences Research Foundation, Culver City, CA Urology Click here for the full-text article in PDF Format Publication costs were supported in part by an unrestricted educational grant from Pfizer, Inc. Reprint requests and correspondence to Leonard S. Marks, M.D., Urological Sciences Research Foundation, 3831 Hughes Avenue, Suite 501, Culver City, CA 90232. Phone: 310-559-9800; Fax: 310-559-7821; e-mail: lsmarks@ucla.edu Editor's Note- This report is noteworthy because: 1. It is the first peer-reviewed test of sildenafil (Viagra) to appear since FDA approval of the drug. 2. It is an independent "real life" evaluation, performed in a clinical practice setting, outside of the Pfizer-sponsored research trials. 3. It shows that severity of the erectile dysfunction can be used as a predictor of response to the drug, ie, the worse the dysfunction, the worse the erectile response to Viagra (Figure 2), and vice versa. 4. It incorporates the response of the partners, which has not been previously reported (Figure 3).

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Home Erectile Dysfunction Erectile dysfunction is the inability to achieve or maintain an erection adequate for sexual intercourse. It refers only to the ability to have erections and does not affect normal sensation, sex drive, or the ability to have an orgasm. Read more Overview Diagnosis Treatment Options ... Contact UPMC Supplemental content provided by HealthGate Data Corp Terms and Conditions

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Problems arising Impotence, more precisely termed erectile dysfunction, affects at least 2 million men in the UK at some point in their lives. Michael Foster , consultant urologist at the Good Hope Hospital in Sutton Coldfield, outlines current therapy OBJECTIVES To understand the mechanism of normal erection To be aware of the causes of the condition To recognise drugs which may have erectile dysfunction as a side effect To be familiar with the management of erectile dysfunction To recognise the pros and cons of treatment option Many men will admit to occasional erectile problems, but when they become persistent, there may be a profound effect on the well-being of both the man and his partner. The incidence of erectile dysfunction is difficult to determine, but probably at least 2 per cent of men aged 40 and 25 per cent of 65-year-olds are affected. Many men think of impotence as an inevitable consequence of ageing, and while there is some truth in this, age is not a contra-indication to treatment. Mechanisms of normal erection The erectile tissue of the penis is mainly within the two corpora cavernosa

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FDA Home Page Search FDA Site FDA A-Z Index Contact FDA FDA Talk Paper November 21, 2003 Media Inquiries: Consumer Inquiries: 888-INFO-FDA FDA Approves Third Drug To Treat Erectile Dysfunction Erectile dysfunction (ED) affects millions of men in the United States. Cialis acts by relaxing muscles in the penis and blood vessels, allowing increased blood flow into the penis, which produces an erection. Cialis was evaluated in randomized, placebo-controlled trials involving more than 4,000 men with erectile dysfunction. In two of these trials, men had ED associated with diabetes mellitus or following radical prostatectomy for prostate cancer. Cialis should not be used with nitrates (such as nitroglycerin tablets or patches) or with an alpha blocker other than FLOMAX 0.4mg daily (alpha blockers are medicines used to treat benign prostatic hyperplasia and high blood pressure) because the combination may significantly lower blood pressure and lead to fainting or even death in some men. Because some drugs affect the metabolism of Cialis, patients should inform their doctors that they are taking Cialis. For example, patients taking ketoconazole or ritonoavir should not take more than a 10mg dose of Cialis once every 72 hours.

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Clinical Trials: Erectile Dysfunction Alabama Huntsville; AmericasDoctor Is Erectile Dysfunction Affecting your Life? Arizona Tucson; Advanced Clinical Therapeutics LLC Are you experiencing symptoms of Erectile Dysfunction? California Duarte; City of Hope National Medical Center A Multicenter, Double-blind Study to Evaluate the Effect of Pre-treatment With a Daily Dose of Viagra (sildenafil citrate) on the PRN Efficacy of Viagra in Men With Erectile Dysfunction and Type 2 Diabetes Irvine; Radiant Research - Irvine Erectile Dysfunction Research Study. Connecticut Waterbury; AmericasDoctor Is Erectile Dysfunction Affecting your Life? Florida Clearwater; Tampa Bay Medical Research, Inc. Erectile Dysfunction Study New Port Richey; Advanced Research Institute An open-label, Long-term, Phase 3 trial of the safety and efficacy of a study drug in male subjects with erectile dysfunction. New Port Richey; Advanced Research Institute A multicenter, randomized, parallel group, double-blind, placebo controlled flexible dose study with an open label extension to assess the efficacy and safety of a study drug in the treatment of men with erectile dysfunction (ED) and concomitant lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) in the United States. New Port Richey; Advanced Research Institute

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Wednesday, June 2, 2004 Erectile Dysfunction News Search Medical Rollup Professional Nursing Obstetrics and Gynecology ... More Improve your site Add these news headlines to your website - click here Nitric Oxide Diabetes Self Management - Yesterday - Nitric Oxide Published in the January/February 2000 issue. A clear, colorless gas that performs a number of important functions in the body. What Is Erectile Dysfunction and What Causes It? Pharma-lexicon.com - Sunday May 30 - ED (Erectile Dysfunction) can be a physical problem. Normally, when a man is sexually excited, his penis fills with more blood than usual and it becomes erect or hard. Surgeon general's report tells of new links between smoking and disease Green Bay News - Friday May 28 - A report released on Thursday from U.S. surgeon general Richard Carmona draws a new link between smoking and infirmities such as cataracts, pneumonia, stomach cancer, cervical cancer, ... See also: Smoking FDA: Vivus Erectile Dysfunction Drug Info Lacking Reuters - Thursday May 27 - U.S. health regulators have accused Vivus Inc. of misleading consumers by downplaying risks associated with its little-used erectile dysfunction treatment called Muse, according to a ...

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Course: Release Date: September 1, 2003 Expiration Date: September 30, 2006 Go to Activity Summary: That is why health care clinicians need to actively assess and evaluate male patients for any problems or issues that may cause ED. Your ability to establish an open relationship in a non-judgmental environment will go far to help a patient to open up and discuss sex-related issues. As you will learn, your ability to counsel patients on sexual issues and potential treatments is critical to providing patients with optimal care for the mind, body, and interpersonal relationships. Target Audience: This program is designed primarily for health care clinicians (HCCs) in managing erectile dysfunction. HCCs refer to practitioners with practice credentials and training in a relevant health care discipline (such as physician assistants, nurse practitioners, registered nurses, social workers, psychologists, diabetes nurse educators). Physicians and pharmacists who would like a more comprehensive understanding of ED might also find value in this learning experience. Accreditation: ACCME: The UMDNJ-Center for Continuing and Outreach Education (UMDNJ-CCOE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing education for physicians.

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Sexual Function Peyronies Disease Men who seek treatment for an erection problem often have several treatment options, and choosing among them can present dilemmas. Typically, none of the choices is really simple, such as a pill that will improve erections, but all are effective in at least some men. The dilemmas, then, are: Is it worth having surgery or learning to inject your penis with a needle before intercourse? Will your partner think a vacuum constriction device destroys the spontaneity of sex? What will your insurance cover? What are My Choices? Vacuum Constriction Devices VCDs vary in cost from $300 to $500, depending on the brand and type. The battery-powered versions are generally more expensive, but they also may work a little more quickly. They are especially helpful for men who do have good hand strength or coordination. Most insurance polices, including Medicare, cover at least part of the costs of a VCD, especially if a medical cause for the erection problem has been documented. Medicaid, however, does not cover VCDs.

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Erectile Dysfunction Hematuria (Microscopic), Asymptomatic Male Infertility Prostatic Hypertrophy (Benign) Undescended Testicle ... MAMC Intranet or MAMC Internet Referral Guidelines Guideline Updated: 16 March 2004 Specialty: Urology Erectile Dysfunction Referral Guideline Please also see the Erectile Dysfunction Clinical Standard Diagnosis/Definition Erectile dysfunction (ED) is the gradual onset of the inability to achieve an erection sufficient for penetration. Initial Diagnosis and Management The most important aspect of diagnosis is the medical and psychosexual history, and a directed physical examination. Vasculogenic: Does the patient have uncontrolled diabetes, cardiac, or vascular disease? Has the patient started on a new or complicated multi-drug antihypertensive program? Neurogenic: Does the patient have an undiagnosed neurological disease (e.g. MS, cord lesion)? Psychogenic/Endocrinologic: Does the patient have normal desire for sex (libido)?

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Monterey Preventive Medical Clinic Dr. Abraham Kryger, MD, DMD 1084 Cass Street Monterey, CA 93940 tel: (831) 373-4406 fax: (831) 373-4481 DrK's CC Soup Diet Maintenance Diet Permanent Weight Loss Vegetarianism ... Male Body Enhancement Clinical Services Consultations with DrK Labwork Nutritional Aids Immune Stimulants For Men About Male Hormones Hormone Imbalances Testosterone Therapy Erectile Dysfunction For Women About Female Hormones Menopause Quick Links Holistic Medicine Testimonials About Dr. K Testosterone and the Treatment of Erectile Dysfunction A Case Study: John's True Story Let us begin with a case illustration of a patient of mine whom I met approximately one year ago. John is a professor of biochemistry at a major university in Southern California. He was about 65 years of age at the time he came to my office for consultation. He began going downhill, according to him, at the age of 45. The first symptom he encountered was allergies to certain foods (such as milk). At age 55, he developed arrhythmia for which he consulted a cardiologist and was monitored and medicated. There was no cure and no cause given by the cardiologist for the arrhythmia. At about the same time he began gaining weight and feeling a loss of energy. He went to the highly-touted Scripps Institute in San Diego and spent three days in the hospital for an in depth work-up, but they found nothing of significance.

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