Description
This article is from the Impotence
FAQ, by Sine Nomine llama@drizzle.com with numerous
contributions by others.
1.8 What can I expect at the doctor's office?
It varies greatly from patient to patient (and from doctor to
doctor). At the least, your doctor will take a detailed medical
history and perform a physical exam, including a rectal exam. One
important question will be whether you usually wake up with erections;
if you do, then it's likely your Erectile Dysfunction has a
psychological cause; if you never do, your problem has organic causes.
Usually extensive, complicated testing isn't necessary; for most
causes of Erectile Dysfunction, the treatment options are the same.
David L. Casey, a urologist who often posts to a.s.i, had this to say:
"For 'goal-directed therapy' which means determining that erectile
dysfunction exists, doing some tests to rule out possible concomitant
illnesses, and treating the Erectile Dysfunction with a goal of sexual
capability, it's not always necessary (IMHO) to do a bunch of fancy
tests such as nocturnal penile testing, penile Doppler ultrasounds,
cavernosometry/cavernosography, and the like because the same
treatment plans are going to be offered regardless of the findings.
The only people this probably doesn't apply to are the very young with
absolutely NO medical problems who have a history of pelvic or penile
trauma and may have a clearly discrete large vascular lesion, or high
grade venous leak--the average man with ED probably needs none of this
workup. ... Venous leak surgery and penile revascularization is only
for highly select individuals with specific conditions."
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