ERECTILE DYSFUNCTION

By
KHALED HAFEZ
UROANDROLOGIST
TANTA UROLOGY DEPARTMENT
 Definition

Erectile dysfunction (ED) is defined as the persistent

inability to attain and or maintain an erection
sufficient to permit satisfactory sexual
performance.
 Prevalance
• ED is a highly prevalent health problem that
affects 30 million men in the USA.
• Due to the increasing life span and the high
incidence of ED in aging population, a further
increase in patients with ED can be expected.
• Worldwide, the affected population is predicted
to increase from 152 million in 1995 to 322
million in 2025.
Physiology
Physiology
Aetiology
The aetiology of ED may be vasculogenic,
neurogenic, anatomical, hormonal, drug-
induced and/or psychogenic.
C/P
• C/O:
ED, duration, ability to penetrate, response to
PDE5I.

•O/E:
1. general: look for signs of low androgen.
2. local: penis and testes.
Investigations
•Lab: eg Hba1c, lipid profile and HP mainly
serum androgen.

•Radiology: penile duplex “certain

indications”
TTT
• TTT of modifiable risk factors eg smoking,
DM, drugs etc

•Oral TTT: PDE5I.

•Local TTT eg ICI.

•Surgical TTT eg penile implants.

TTT
TTT
Keep in touch!
Video
Thank you!