Erectile Dysfunction:
A guide to diagnosis and management

Figure 5. Penile inflatable implant


The man causes the erection by using the pump to shift fluid from the reservoir into the inflatable tubes. The erection is 'deflated' by reversing the direction of the fluid.

Conclusion
Erectile dysfunction is a common disorder inmiddle aged and older men. Although less common in younger men, it is usually a more urgent condition for these individuals. Erectile dysfunction requires understanding in areas such as pharmacology, cardiology, psychology andrology, endocrinology and urology. None of these disciplines on their own are sufficient to deal with ED, and that is why the well informed GP is ideally placed in being able to synthesise from all these to manage the condition.

SUMMARY OF IMPORTANT POINTS

 • ED is a common condition that is under diagnosed.
 • ED is essentially a vascular disorder associated with other  
    comorbid conditions of middle age.
 • The availability of efficacious, tolerable, and safe oral treatment
    allows most cases of ED to be managed in a general practice
    setting.
• The doctor-patient relationship will be enhanced if a sexual
   history and diagnosis of ED is included as part of the overall
   management plan of male patients.