Erectile Dysfunction in Family Practice
DOI: 10.3238/zfa.2018.0203-0208PDF german translation / full article
Background: Erectile dysfunction is a common medical condition of predominantly elderly men. The high prevalence (ca. 50 % with age 75) should encourage family physicians to include ED in communication with patients who frequently expect this from their doctors of confidence.Search Methods: Pragmatic search (no language limit) under the medical subject heading „erectile dysfunction“ in the data bank PubMed.Main Messages: Risk factors for ED are mainly chronic cardiovascular diseases, diabetes mellitus, nicotine abuse, excessive alcohol consumption, and physical inactivity. A thorough medical history (including medicines and life style factors) and physical examination are sufficient for most patients to establish a diagnosis. Phosphodiesterase-5-inhibitors are an effective treatment in many cases. Contraindications and typical adverse events should, however, be strictly observed. The dangers of drug purchases via the internet for the patients are obvious.Conclusions: Erectile dysfunction is a common but in the meantime well treatable problem for millions of predominantly elderly men. A family practice seems to be a predestined place for investigating, counselling and treating affected persons.