[Therapeutic choices of penile erectile dysfunction].

OBJECTIVES: To discuss the therapeutic choices of erectile dysfunction (ED) and to improve the therapeutic efficacy for different ED cases. METHODS: Two hundred and twenty-seven patients with ED were treated repectively with psychological treatment(31 cases), oral testosterone(30 cases), Viagra(121 cases), psychological treatment + Viagra (16 cases), intraurethral PGE1 (8 cases) and intracavemous injection(21 cases). RESULTS: Among those ED patients, 142 (62.6%) cases reported improved erections after they had undergone above-mentioned therapies. The improved patients include 12 cases(38.7%) with psychological treatment, 9 cases (30.0%) with oral testosterone, 91 cases (75.2%) with Viagra, 13 cases (81.3%) with psychological and Viagar, 2 cases (25.0%) with intraurethral PGE1 and 21 cases (71.4%) with intracavemous injection. CONCLUSIONS: ED is a highly individualized disease, therapeutic choices of ED based on patient's situation can benefit those patients.

[Diagnostic approaches of neurogenic erectile dysfunction].

OBJECTIVES: To discuss the diagnostic approaches of neurogenic erectile dysfunction(ED), and to improve the diagnostic efficacy. METHODS: Two hundred and one patients with ED were evaluated by physical examination, IIEF-5, intracavernous injection, colour duplex ultrasonography and bulbocavernosus reflex latency, respectively. RESULTS: Among those ED patients, 173, 201, 106, 57 and 27 cases had undergone above-mentioned examines, 13 neurogenic ED and 188 miscellaneous(and unknown-causes) ED were diagnosed. CONCLUSIONS: Neurogenic erectile dysfunction is a common disorder, the diagnostic approaches should be based on patient's situation.