The Curbsiders Internal Medicine Podcast #317 Erectile Dysfunction for Primary Care
14 snips
Jan 24, 2022 AI Snips
Chapters
Transcript
Episode notes
Distinguish Psychogenic From Organic ED
- Ask whether erectile problems occur with masturbation or morning erections to separate psychogenic from organic causes.
- Manage comorbidities and follow a stepwise treatment cascade from least to most invasive.
Arborist With Saddle-Related ED
- Dr. Winter recalled an arborist with ED from chronic saddle pressure causing pudendal injury.
- The case illustrates uncommon occupational causes of erectile dysfunction.
Key Focuses For The Genital Exam
- Inspect testes size and scrotum for atrophy or varicocele and examine penile shaft for plaques or scar.
- Pull on the flaccid penis to assess stretch and palpate the shaft to detect Peyronie’s plaques.