Neurologic abnormalities

Organic Impotence:

Patient Identification: LTM

General Medical Hx
technical writer, single, 0 children
age: 33
med.dx :none at the time of this evaluation, however based on the test results of this evaluation AODM has been confirmed.

surgeries: Knee 1970
smoker: no
alcohol: none
meds: none

 

Sexual Hx
• difficulty obtaining and maintaining erections since 1981

• complains of decreased penile sensation

•   denies A.M. and nocturnal erections

•   no improvement with other forms of sexual stimuli

•   erections are never sufficient for vaginal penetration

•   no improvement in erections with position changes

•   penile curvature: denies

•   last successful intercourse: 1981-1982

•   ejaculation intact – oral sex and masturbation, but sometimes difficult

•   premature ejaculation: denies

•   libido: normal

•   has noted difficulty maintaining relationships secondary to erectile dysfunction

•   bladder symptoms: difficulty starting stream 70% of time

•   bowel symptoms: diarrhea

•   sleep disturbances: none

 

Physical Exam
essentially WNL
BP: not available

 

Test Results