Management of Male Impotence

David Gomberg, MD
JAMA. 1983;250(9):1222. doi:10.1001/jama.1983.03340090076037.
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Dr Alan H. Bennett with the aid of 20 other distinguished contributors has compiled a timely, concise volume on male sexual dysfunction. It is one in a series entitled, "International Perspectives in Urology."

In 19 chapters the reader can obtain an overview ranging from the fundamental anatomy and physiology of male sexual function to the development within the last decade of the present state of prosthetic penile implants.

Chapter 4 stresses the importance of an orderly, stepwise evaluation of the problem from a careful history to the more recently developed, sophisticated studies such as nocturnal penile tumescence and penile vascular studies. Psychiatric assessment is included.

The endocrinologie, hemodynamic, and organic (medical and surgical) causes of erectile failure are discussed. There is also an excellent chapter on the pharmacology of impotence. In this chapter, the high incidence of sexual dysfunction in alcoholics is mentioned. This problem is rarely considered by the


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