ABSTRACT
The evaluation of male patients presenting with sexual dysfunction depends not only on the thorough understanding of the anatomical and physiologic bases of human male sexual function, but also on the ability of the physician to collect and interpret the patient’s history, physical findings, and all pertinent data from carefully selected special investigations. Due to the particularly sensitive nature of sexual dysfunction, many patients will avoid discussing their concerns with their doctors. One study found that 44% of patients being treated at a urologic clinic for unrelated conditions were suffering from some degree of erectile dysfunction (ED) but had failed to report it to their doctors (1); 74% of these patients cited embarrassment as the primary rationale for not broaching the subject. Ignorance, misinformation, and lack of affordability are other common reasons men do not seek treatment for sexual matters (2). Therefore, it is important to encourage patient disclosure of these problems routinely in order to facilitate their potential medical treatment. Once a detailed history and physical examination are completed, the focus of the medical investigation can then be shifted toward confirming the underlying pathophysiologic abnormalities and devising an appropriate treatment plan.
