Examination in erectile dysfunction
Physical examination
- all patients should have a physical examination
- a genital examination is recommended, and this is essential if there is a history of:
- rapid onset of pain
- deviation of the penis during tumescence
- the symptoms of hypogonadism
- other urological symptoms (past or present)
- a digital rectal examination (DRE) of the prostate is not mandatory in ED but should be conducted in the presence of genito-urinary or protracted secondary ejaculatory symptoms
- blood pressure, heart rate, waist circumference and weight should be measured
Note:
ED in an otherwise asymptomatic man may be a marker for underlying CAD. All men with unexplained ED should have a thorough evaluation and any risk factors for CHD that are identified should be addressed
- a man with ED and no cardiac symptoms is a cardiac patient until proven otherwise
Reference:
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