A multispecialty approach to diagnosis of impotence is the most appropriate, because many factors may be at work. The expertise of professionals in the fields of urology, sex therapy, psychiatry, family practice, internal medicine, endocrinology, neurology, radiology, sleep evaluation, and vascular surgery may be needed to ascertain the correct organic or psychogenic cause in some cases.
More than 10 million men in the United States are chronically impotent. Fortunately, significant advances have been made in psychotherapy, pharmacologic management, arterial and venous surgery, penile prosthesis implantation, and use of external devices so that most find a satisfactory solution. After their dysfunction is sufficiently evaluated and the most appropriate treatment option is applied, most men achieve erectile capability sufficient for intercourse.
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