Erectile Dysfunction

Eval/Workup

Thorough evaluation of erectile dysfunction, from Campbell's

History

Key Questions

  1. Are you able to obtain + sustain an erection satisfactory for intercourse?
  2. Do you have morning and/or nocturnal erections?
  3. Are you able to masturbate?

Physical

Further Diagnostics

Cardiac evaluation

Importance of evaluation

Princeton III criteria

PDE5 Inhibitors

Tips for Improved Efficacy

Risks/Contraindications

Options

Drug Dosing Onset Avoid with fatty food Headache/Dyspepsia/Flushing Backache/Myalgias Blurred/Blue Vision
Sildenafil (Viagra) 25-100mg 30-60min Yes Yes Rare Yes
Tadalafil (Cialis) 5-20mg 60-120min No Yes Yes Rare
Vardenafil (Levitra) 5-20mg 30-60min Yes Yes Rare Rare

Non-Surgical, Non-PDE5i Treatments

Intracavernosal Injections

Vacuum Assist Device

Intraurethral Alprostadil (MUSE)

Testosterone therapy

Non-Medical Therapies

Penile Prosthesis

Counseling

Risks + Side Effects

Sources