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<p>The main risk factors for erectile dysfunction (ED) are age, smoking, metabolic syndrome, cardiovascular diseases, diabetes and status following pelvic surgery. The diagnostics include a&#xa0;(psychosexual) medical history, a physical examination, basic laboratory diagnostics with fasting glucose, lipid profile and morning testosterone level. Extended hormone diagnostics follow if there is a&#xa0;corresponding suspicion. The same applies to the special functional tests, such as measurement of nocturnal erections or intracavernous injection tests with Doppler sonography. The guideline-based staging schedule of conservative treatment options includes risk factor and lifestyle modifications, phosphodiesterase 5 inhibitors (PDE5I), topical/intraurethral vasoactive substances and penile vacuum therapy. The surgical treatment options include revascularization in cases of posttraumatic ED and implantation of penile prosthetics as the gold standard.</p>

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Erektile Dysfunktion – es ist Zeit zum Handeln!

  • 期刊论文

  • 发表日期：

    2026年1月8日

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  • Saskia Carmen Morgenstern

摘要

The main risk factors for erectile dysfunction (ED) are age, smoking, metabolic syndrome, cardiovascular diseases, diabetes and status following pelvic surgery. The diagnostics include a (psychosexual) medical history, a physical examination, basic laboratory diagnostics with fasting glucose, lipid profile and morning testosterone level. Extended hormone diagnostics follow if there is a corresponding suspicion. The same applies to the special functional tests, such as measurement of nocturnal erections or intracavernous injection tests with Doppler sonography. The guideline-based staging schedule of conservative treatment options includes risk factor and lifestyle modifications, phosphodiesterase 5 inhibitors (PDE5I), topical/intraurethral vasoactive substances and penile vacuum therapy. The surgical treatment options include revascularization in cases of posttraumatic ED and implantation of penile prosthetics as the gold standard.