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Is erectile dysfunction a reliable proxy of general male health status? the case for the International Index of Erectile Function-Erectile Function Domain.
We recently treated an 89-year-old man with multiple comorbidities, including hypertension, coronary artery disease, and myelodysplastic syndrome, who had been admitted for evaluation of abdominal pain and melena. Computed tomography of the abdomen revealed an intriguing 5.3-cm cystic lesion in the pelvis (Figure, A). Coronal images revealed that the “cyst” was connected to a penile prosthesis (Figure, B). Had a sexual history been taken, we would have been aware of the possibility of a penile prosthesis reservoir in the patient's abdomen.
FigureA, Transverse computed tomographic (CT) scan of the abdomen reveals a 5.3-cm cystic lesion (arrow). B, Coronal CT scan reveals a penile prosthesis (lower arrows) and abdominal reservoir (upper arrow).
Physicians are often reluctant to inquire about sexual health issues because of embarrassment, feeling ill-prepared, sexual history not relevant to the current problem, and time constraints. Routine assessment of sexual health would provide opportunities to recognize and treat sexually transmitted diseases and to initiate preventive care including counseling about sexual risk taking and in addition would provide insight about the status of cardiovascular health.
References
Nehra A.
Jackson G.
Miner M.
et al.
The Princeton III Consensus Recommendations for the management of erectile dysfunction and cardiovascular disease.
Is erectile dysfunction a reliable proxy of general male health status? the case for the International Index of Erectile Function-Erectile Function Domain.
The Princeton Consensus (Expert Panel) Conference is a multispecialty collaborative tradition dedicated to optimizing sexual function and preserving cardiovascular health. The third Princeton Consensus met November 8 to 10, 2010, and had 2 primary objectives. The first objective focused on the evaluation and management of cardiovascular risk in men with erectile dysfunction (ED) and no known cardiovascular disease (CVD), with particular emphasis on identification of men with ED who may require additional cardiologic work-up.
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