ABSTRACT
CLINICAL CASE A 54-year-old man arrives in your office for urinary symptoms. He is a heavy smoker (20 cigarettes/ day) and he is taking no medications. At physical examination, the patient is overweight (BMI = 28.4 kg/m2) and the external genitalia appear normal. The patient reports an increased frequency in voiding the bladder, with a small amount of urine per micturition in the last year. He does not complain nicturia. When specifically asked for, the patient reports an initial erectile dysfunction, which worsen in the last six months. He complains insufficient erections to complete a sexual intercourse in the last three months.
