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CLINICIAN'S CORNER
A 66-Year-Old Man With Sexual Dysfunction
Abraham Morgentaler, MD, Discussant
JAMA. 2004;291:2994-3003.
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INTRODUCTION
DR BURNS: Mr G is a 66-year-old man with a history of hypertension and sleep apnea. He lives in a suburb of Boston with his wife and has commercial indemnity insurance.
Mr G first developed erectile dysfunction (ED) several years ago. Four months ago when he saw his primary care physician for a routine checkup, he asked about using sildenafil (Viagra). He noted decreased libido and difficulty attaining an erection. He had slight urinary urgency, but no difficulty initiating urination. He had no history of diabetes or cardiovascular disease. In the past, he had used a dental device to treat his sleep apnea but was no longer using one. His other past medical history was a colonic adenoma found on a screening colonoscopy in 2001. His medications were aspirin (81 mg daily), hydrochlorothiazide (12.5 mg daily), and ibuprofen (600 mg 4 times a day . . . [Full Text of this Article]
MR G: HIS VIEW
DR K: HIS VIEW
AT THE CROSSROADS: QUESTIONS FOR DR MORGENTALER
Male Sexual Dysfunction A Second Sexual Revolution Epidemiology of ED Pathophysiology of ED Evaluation of the Man With ED Oral Phosphodiesterase Inhibitors Other Treatment Options for ED Hypogonadism Testosterone and the Prostate Who Should Be Referred for Prostate Biopsy in Association With TRT? Who Should Treat the Man With ED? The Competing Issues of Hypogonadism and ED Recommendations for Mr G
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Morgentaler is Director, Men's Health Boston, and Associate Clinical Professor of Surgery (Urology), Harvard Medical School, Boston, Mass.
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