Vascular Abnormalities

Organic Impotence:

Patient Identification: DPA

General Medical Hx
self-employed, single 0 children
age: 50
med.dx :psoriasis.

surgeries:bilateral herniorrhaphies, 1953, 1976
smoker: no
alcohol: 1-2 alcoholic beverages per day x many years
meds: none

 Sexual Hx

•   bisexual

•   difficulty obtaining and maintaining erections since 1983

•   gradual onset of sexual dysfunction

•   denies decreased penile sensation

•   semi-erections noted in A.M. and nocturnal awakenings

•   mild improvement with oral sex

•   erections are not sufficient for vaginal penetration

•   penile curvature: denies

•   last successful intercourse: June, 1984

•   ejaculation intact

•   denies premature ejaculation

•   libido: normal

•   bladder symptoms: denies

•   bowel symptoms: denies

•   sleep disturbances: none

 

Physical Exam

WNL except reduced anal tone

no BCR

BP: not available

 

 

Test Results
Glucose, TST, Prolactin, LH—WNL