ABSTRACT
Erectile Dysfunction (ED) is often a symptom of physical or psychological disease. The mechanism of ED appears to be related to anxiety and pain as well as corporeal veno-occlusive dysfunction secondary to the structural changes. A tight foreskin is rarely the cause of ED and if tight, a foreskin can usually be coaxed to retract comfortably. Treatment for prostatic cancer aims to reduce the testosterone levels and ED is almost inevitable, partly due to loss of desire. Hypogonadal younger men are liable to sexual dysfunction including ED. The intended mode of action of some drugs will have an adverse effect on erections. Treatment for prostatic cancer aims to reduce the testosterone levels and ED is almost inevitable, partly due to loss of desire. Diabetic men are likely to be taking drugs for cardiovascular disease and anti-depressants which may also add to the burden on the erectile process.
