Médecine de la Reproduction


Which diagnostic tests are necessary in case of erectile dysfunction? Volume 13, supplement 1, Décembre 2011


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Hôpital Calmette, CHRU Service d’Andrologie, 59037 Lille Cedex, France

Concerning erectile dysfunction, the effectiveness of type 5 phosphodiesterase inhibitors has made clinical and etiological approaches almost obsolete. But these approaches are still relevant due to the close link between erectile dysfunction and cardiovascular disease. They rest on a simple balance sheet answering good clinical practices in agreement with international general agreements. This procedure will be prioritized according to the type of cardiovascular risk and to the answer to initial therapeutics. The “organ specialists” will take action in complex cases and for a second opinion, with deeper investigation in case of failure or a possible choice of andrologic surgery. Thus paraclinic examinations are a medicine “of clinical common sense” taking into account the metabolic and cardiovascular health of the subject. Imagery examinations will remain the domain of the specialist.