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Practical Management: Impotence

Published online by Cambridge University Press:  02 January 2018

Raymond E. Goodman
Raymond E. Goodman*
Affiliation:
Medical Psychosexual Therapist, 41 Gibwood Road, Northenden, Manchester
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At the initial interview the doctor should assess just what the patient means by ‘impotence’. If present, its speed of onset, its duration and whether or not the patient has libido are important factors to consider. Do morning erections occur? Is ejaculation normal? It may be retrograde, premature or retarded. The presence of chronic disease, e.g. rheumatoid arthritis, hypertension, diabetes or depressive illness, may adversely affect potency, as may the drugs used in the treatment of these conditions.

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Articles
Information
Bulletin of the Royal College of Psychiatrists , Volume 11 , Issue 4 , April 1987 , pp. 125
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1987

References

1. Haslam, M. T. (1976) Sexual aids. Update, 12, 883–886.Google Scholar
2. Melman, A. (1978) Development of contemporary surgical management for erectile impotence. Ibid, 1, 272–281.Google Scholar
3. Small, M. P. (1978) The Small-Carrion penile prosthesis: surgical implant for the management of impotence. Ibid, 1, 282–291.Google Scholar
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6. Brindley, G. S. (1986) Maintenance treatment of erectile impotence by cavernosal unstriated muscle relaxant injection. British Journal of Psychiatry, 149, 210–215.CrossRefGoogle ScholarPubMed
7. Michael, V., Kramar, R., Posphical, J. & Hejhal, L. (1976) Arterial epigastricocavernous anastomosis for the treatment of sexual impotence. World Journal Surgery, 1, 515–520.Google Scholar
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