Evaluation of impotent male

ABSTRACT

This study was performed to asses further the efficacy of the diagnostic modalities in evaluation of men presented with erectile dysfunction. Two hundred and ten impotent males were evaluated. After thorough history taking, clinical examination and basic laboratory investigation; no organic etiology could be elected in 93 patients and they were considered to have psychogenic causes. All the organic group patients [117] were subjected to color duplex study for the cavernosal arteries. Cavernosometry and cavernosography were done for those with suspected venous leakage which was recognized in 60 patients. Prolactin level was done for those with low testosterone level. Forty patients had arteriogenic impotence, thirteen patients had mixed etiologic factors, only three patients had neurogenic etiology and one patient had pure hormonal etiology