ABSTRACT
This chapter focuses on the therapeutic modalities of erectile dysfunction (ED), a medical problem that affects a large number of men and so deserves the careful attention of both general practitioners and specialists. The best results in the treatment of ED have been observed when the problem is viewed from the perspective of the couple with a multidisciplinary approach. ED in the neurological population is a frequent condition sometimes being the first symptom of the underlying disorder leading to the definitive diagnosis. ED is defined as the persistent inability of a man to achieve and/or to maintain an erection sufficient to enable sexual performance that is satisfactory to both partners. The persistence of spontaneous rigid nocturnal and/or morning erections will help to differentiate organic from psychogenic ED: a patient complaining of ED during intercourse but who has spontaneous nocturnal or morning rigid erections may be assumed to be suffering from psychogenic ED.
