Erectile Dysfunction Flashcards Preview

Hugh's MD2 Intersession 2 > Erectile Dysfunction > Flashcards

Flashcards in Erectile Dysfunction Deck (16)
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1

Which drugs can cause ED?

Antihypertensives

Antipsychotics/antidepressants

Androgen deprivation

Tobacco

Alcohol

2

What are the most common arteriogenic causes of ED?

CVD

Iatrogenic

Trauma

2

What the options if PDE5 inhibitors fail?

Intra-cavernosum injection to directly cause vasodilation Penis pump - sucks venous blood in and bands around base Implanted, inflatable devices that sit in the cavernosal body

3

What is Peyronie disease?

Weakening of the cavernosum due to plaques causing ED

4

What do you elicit on Hx?

Sexual Hx - ?Partner specific, Libido, premature ejaculation Nocturnal erection

CVD risk factors

Psychiatric Hx

Endo Hx

Partner Hx

4

What do you do Ix for ED?

Fasting glucose Fasting cholesterol ECG Testosterone, LH, and prolactin TFT's PSA

5

What is the most common cause ED overall?

Arteriogenic

6

What are the common side effects of PDE5 inhibitors

Headaches - tolerance develops

8

What are the organic causes of ED?

Vasculogenic (arteriogenic, cavernosal, mixed)

Neurogenic

Anatomic

Endocrinologic

9

How do you treat ED?

Correct underlying disease if possible

Phosphodiesterase inhibitors (viagra) - most response to it

10

What do you do on Ex for ED?

Systemic disease

External genitalia

DRE

11

What is the most common cause of ED in patients in the 20s?

Psychogenic

12

Why might PDE5 inhibitors failed?

Failure to use adequate sexual stimulation

Failure to use adequate dose

Failure to wait long enough from dosing to sexual stimulation

14

Which drugs are interact with PDE5 inhibitors? Why?

Nitrates

Risk of hypotension due to vasodilation

15

How can neurogenic causes be organised?

Central

Spinal

Peripheral

16

How must PDE5 Inhibitors be used?

Consider their half-life in association with sexual stimulation - The drug on its own will not causes an erection