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November 23, 1994

Impotence: Diagnosis and Management of Erectile Dysfunction

Author Affiliations

Vanderbilt University Nashville, Tenn

JAMA. 1994;272(20):1626. doi:10.1001/jama.1994.03520200084045

The book Impotence, edited by Alan Bennett, is an important resource for persons treating patients with erectile dysfunction. While it was principally written for urologists, other specialists will find useful information in this very readable book. Chapter authors are experts in their fields.

Six early chapters are devoted to epidemiology, anatomy, physiology, endocrine factors, pharmacology, and the diagnostic workup of erectile dysfunction. Practical patient care issues were clearly the editor's primary focus. As such, anatomy and physiology necessary for understanding the diagnostic and treatment rationale are stressed. Those looking for substantial depth on important yet esoteric subjects such as endothelium-derived relaxing factor (nitric oxide) will have to look elsewhere.

Impotence is a common disorder estimated to affect 10 million American men. Both prevalence and severity increase with advancing age. One study is cited in which 25%, 55%, and 75% of 65-, 75-, and 80-year-old men, respectively, were found to be

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