Erectile dysfunction in men under 40: etiology and treatment choice.

摘要: We undertook a retrospective review of 100 impotent men under age 40 to determine the underlying etiologic factors in group and evaluate role surgery their care. Although patients ranged from 18 (mean--32.2 years), number increased steadily with advancing years. The majority (72) had vasculogenic impotence (arteriogenic--15, venogenic--46, mixed--11), followed by psychogenic (13), neurogenic (12) other causes (4). differential diagnosis did not correlate age. Contributing were present 76%, trauma substance abuse being most common. Essentially equal numbers treated surgically (40) intracavernous injection vasoactive agents (39). Considerably fewer vacuum constriction device (5), oral medication psychotherapy (4), therapy none (3). referred our tertiary urologic practice for treatment sent urologists. referral source appear influence choice treatment, it probably has accounted preponderance this series.