GuidelinesPrimary Care STG
Impotence/Erectile Dysfuction
Urology
F52.2/N48.4
DESCRIPTION
- The inability to attain and maintain an erect penis with sufficient rigidity for penetration.
- Organic causes include neurogenic, vasculogenic, endocrinological (e.g. diabetes mellitus) as well as many systemic diseases and medications.
GENERAL MEASURES
- Thorough medical and psychosexual history.
- Physical examination should rule out gynaecomastia, testicular atrophy or penile abnormalities.
- Consider the removal of medicines (e.g. beta blockers) possibly associated with the problem.
- A change in lifestyle or medications may resolve the problem, e.g. advise cessation of smoking and alcohol use.
TREATMENT
- Treat the underlying condition, if present.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_17 October 2024
Chapter 8: Kidney and Urological Disorders_8.10 Impotence/Erectile Dysfunction