A Multidisciplinary Approach to the Evaluation and Management of Male Sexual Dysfunction

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Abstract
A multidisciplinary center for the evaluation and treatment of male sexual dysfucntion was established. The patients are seen in a single day by the endocrinologist, psychiatrist, psychologist, neurophysiologist and urologist. Laboratory studies include chemical and hormonal profiles, pudendal nerve latency testing and determination of the penile blood pressure. Nocturnal penile tumescence studies are done in selected cases. A diagnosis was made in 95 of 106 patients (90%). The problem was psychogenic in 42% of the patients, vascular and neurologic in 34%, hormonal in 15%, urologic in 7% and medication-related in 2%. The interdisciplinary approach to this problem allows for a more comprehensive and accurate evaluation, while providing a convenient service to the patient.