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Previous Volume 357:2472-2481 December 13, 2007 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 65-year-old man presents to an outpatient clinic, reporting that he can no longer maintain an erection sufficient for intercourse. His medical history includes well-controlled hypertension and stable coronary artery disease. He smokes a pack of cigarettes daily. His medications include atenolol and low-dose aspirin (81 mg daily). On physical examination, his body-mass index (the weight in kilograms divided by the square . . . [Full Text of this Article]

The Clinical Problem

Physiological Factors

Strategies and Evidence

Evaluation

Treatment

            Phosphodiesterase Type 5 Inhibitors

            Injection Therapies

            Testosterone Therapy

            Penile Devices

            Psychotherapy

Guidelines

Areas of Uncertainty

Summary and Recommendations

Source Information

From Northwestern University Feinberg School of Medicine, Chicago.

Address reprint requests to Dr. McVary at the Feinberg School of Medicine, Northwestern University, Department of Urology, Tarry 16-749, 303 E. Chicago Ave., Chicago, IL 60611, or at k-mcvary@northwestern.edu.

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